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Title: Elena+ care for COVID-19, a pandemic lifestyle care intervention: intervention design and study protocol
Authors: Ollier, Joseph
Neff, Simon
Dworschak, Christine
Sejdiji, Arber
Santhanam, Prabhakaran
Keller, Roman
Xiao, Grace
Asisof, Alina
Rüegger, Dominik
Bérubé, Caterina
Tomas, Lena Hilfiker
Neff, Joël
Yao, Jiali
Alattas, Aishah
Varela-Mato, Veronica
Pitkethly, Amanda
Vara, Mª Dolores
Herrero, Rocío
Baños, Rosa Mª
Parada, Carolina
Agatheswaran, Rajashree Sundaram
Villalobos, Victor
Keller, Olivia Clare
Chan, Wai Sze
Mishra, Varun
Jacobson, Nicholas
Stanger, Catherine
He, Xinming
von Wyl, Viktor
Weidt, Steffi
Haug, Severin
Schaub, Michael
Kleim, Birgit
Barth, Jürgen
Witt, Claudia
Scholz, Urte
Fleisch, Elgar
von Wangenheim, Florian
Car, Lorainne Tudor
Müller-Riemenschneider, Falk
Hauser-Ulrich, Sandra
Asomoza, Alejandra Núñez
Salamanca-Sanabria, Alicia
Mair, Jacqueline Louise
Kowatsch, Tobias
Keywords: Science::Medicine
Issue Date: 2021
Source: Ollier, J., Neff, S., Dworschak, C., Sejdiji, A., Santhanam, P., Keller, R., Xiao, G., Asisof, A., Rüegger, D., Bérubé, C., Tomas, L. H., Neff, J., Yao, J., Alattas, A., Varela-Mato, V., Pitkethly, A., Vara, M. D., Herrero, R., Baños, R. M., ...Kowatsch, T. (2021). Elena+ care for COVID-19, a pandemic lifestyle care intervention: intervention design and study protocol. Frontiers in Public Health, 9, 625640-.
Journal: Frontiers in Public Health
Abstract: Background: The current COVID-19 coronavirus pandemic is an emergency on a global scale, with huge swathes of the population required to remain indoors for prolonged periods to tackle the virus. In this new context, individuals' health-promoting routines are under greater strain, contributing to poorer mental and physical health. Additionally, individuals are required to keep up to date with latest health guidelines about the virus, which may be confusing in an age of social-media disinformation and shifting guidelines. To tackle these factors, we developed Elena+, a smartphone-based and conversational agent (CA) delivered pandemic lifestyle care intervention. Methods: Elena+ utilizes varied intervention components to deliver a psychoeducation-focused coaching program on the topics of: COVID-19 information, physical activity, mental health (anxiety, loneliness, mental resources), sleep and diet and nutrition. Over 43 subtopics, a CA guides individuals through content and tracks progress over time, such as changes in health outcome assessments per topic, alongside user-set behavioral intentions and user-reported actual behaviors. Ratings of the usage experience, social demographics and the user profile are also captured. Elena+ is available for public download on iOS and Android devices in English, European Spanish and Latin American Spanish with future languages and launch countries planned, and no limits on planned recruitment. Panel data methods will be used to track user progress over time in subsequent analyses. The Elena+ intervention is open-source under the Apache 2 license (MobileCoach software) and the Creative Commons 4.0 license CC BY-NC-SA (intervention logic and content), allowing future collaborations; such as cultural adaptions, integration of new sensor-related features or the development of new topics. Discussion: Digital health applications offer a low-cost and scalable route to meet challenges to public health. As Elena+ was developed by an international and interdisciplinary team in a short time frame to meet the COVID-19 pandemic, empirical data are required to discern how effective such solutions can be in meeting real world, emergent health crises. Additionally, clustering Elena+ users based on characteristics and usage behaviors could help public health practitioners understand how population-level digital health interventions can reach at-risk and sub-populations.
ISSN: 2296-2565
DOI: 10.3389/fpubh.2021.625640
Schools: Lee Kong Chian School of Medicine (LKCMedicine) 
Organisations: Campus for Research Excellence and Technological Enterprise (CREATE)
Rights: © 2021 Ollier, Neff, Dworschak, Sejdiji, Santhanam, Keller, Xiao, Asisof, Rüegger, Bérubé, Hilfiker Tomas, Neff, Yao, Alattas, Varela-Mato, Pitkethly, Vara, Herrero, Baños, Parada, Agatheswaran, Villalobos, Keller, Chan, Mishra, Jacobson, Stanger, He, von Wyl, Weidt, Haug, Schaub, Kleim, Barth, Witt, Scholz, Fleisch, Wangenheim, Car, Müller-Riemenschneider, Hauser-Ulrich, Asomoza, SalamancaSanabria, Mair and Kowatsch. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms
Fulltext Permission: open
Fulltext Availability: With Fulltext
Appears in Collections:LKCMedicine Journal Articles

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