Särimner: a computer model of diabetes physiology for education of physicians and patients

Hedbrant, Johan; Ludvigsson, Johnny; Nordenskjöld, Kerstin

doi:10.1016/0168-8227(91)90117-v

Cited by 29 publications

(16 citation statements)

References 11 publications

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“…The purpose of interactive educational diabetes simulators is to create a learning environment for communicating and training intuitive thinking when dealing with insulin dosage and lifestyle adjustments. As Hedbrant et al [41] have highlighted 'In some occupations, the training of process operators in handling a dynamical process is of extreme importance. Aircraft pilots and personnel in nuclear plants can represent two such professions, since both… systems… characteristics are hard to describe verbally or logically.…”

Section: Discussionmentioning

confidence: 99%

“…They are trained to identify problems and formulate strategies to solve them and they are also trained to recognise problems and choose a solution from an earlier formulated set of strategies [41].…”

Section: Discussionmentioning

confidence: 99%

“…Hedbrant et al [41] concluded that such simulators can best be 'used in a dialogue between the patient and a diabetes nurse or doctor… The doctor or nurses can guide the patient and keep track of his reasoning, like a driving school instructor with car and driving pupil'.…”

Section: Discussionmentioning

confidence: 99%

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Preliminary experience with the Internet release of AIDA—an interactive educational diabetes simulator

Lehmann

1998

Computer Methods and Programs in Biomedicine

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Preliminary experience with the Internet release of AIDA—an interactive educational diabetes simulator

Lehmann

1998

Computer Methods and Programs in Biomedicine

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“…While other interactive simulators of glucose-insulin interaction in diabetes have been described in the literature, 3,8,[11][12][13][14][15][16] to date these do not seem to have been extensively distributed via the World Wide Web, or been made particularly widely available. Furthermore for a number of these 11,[13][14][15] it would seem that readers are totally dependent on the authors' own descriptions of their prototypes, since no versions appear generally available for usage by others.…”

mentioning

confidence: 99%

Why Are People Downloading the Freeware AIDA Diabetes Computing Software Program: A Pilot Study

Lehmann

2002

Diabetes Technology & Therapeutics

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The purpose of this paper is to report a pilot survey about why people are downloading the AIDA interactive educational diabetes simulator. AIDA is a diabetes computer program that permits the interactive simulation of plasma insulin and blood glucose profiles for teaching, demonstration, and self-learning purposes. It has been made freely available, without charge, on the Internet as a noncommercial contribution to continuing diabetes education. Since its launch in 1996 well over 200,000 visits have been logged at the main AIDA Websitewww.2aida.org-and over 40,000 copies of the AIDA program have been downloaded freeof-charge. This article documents a pilot survey of comments left by Website visitors while they were downloading the AIDA software, before they had a chance to actually use the program. The overall paradigm adopted for this study has endeavored to establish why people are resorting to the Internet to obtain diabetes information. Specific intended goals of the study were: (1) to demonstrate ongoing use of the World Wide Web for surveying diabetes software users by obtaining their free-text comments; (2) to identify what sort of things people were planning to do with the AIDA software simulator; and (3) to more generally gain some insight into why people are turning to the Web for healthcare-related information. The Internet-based survey methodology was found to be robust and reliable. Over an 8-month period (from February 2, 2001 to October 1, 2001) 642 responses were received. During the corresponding period 2,248 actual visits were made to the Website survey page-giving a response rate to this pilot study of 28.6%. Responses were received from participants in over 56 countries-although over half of these (n 5 343; 53.4%) originated from the United States and United Kingdom. Two hundred forty-four responses (38.0%) were received from patients with diabetes, and 73 (11.4%) from relatives of patients, with fewer responses from doctors, students, diabetes educators, nurses, pharmacists, and other end users. This pilot survey has confirmed the feasibility of using the Internet to obtain free-text comments, at no real cost, from a large number of medical software downloaders/users. The survey has also offered a valuable insight into why members of the public are turning to the Internet for medical information. Furthermore it has provided useful information about why people are actually downloading the AIDA interactive educational "virtual diabetes patient" simulator. 793

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“…Diabetes Physiolab™ is a proprietary system that models disease at the level of enzymatic activity. 2 Other efforts have modeled general diabetes physiology (Sarimner), 3 pharmacokinetics, 4 specific glucose-insulin interactions as educational simulators (AIDA, DIABLOG), 5,6 as well as diabetes decision-support systems (DIAS-NIDDM). 7 The Global Diabetes Model, 8 a stochastic model of type 2 diabetes, has been developed to predict trends for diabetic individuals or populations.…”

mentioning

confidence: 99%

SimCare: A Model for Studying Physician Decisionmaking Activity

Dutta¹,

Biltz²,

Johnson³

et al. 2005

PsycEXTRA Dataset

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A major factor that contributes to the high rates of medical error in the treatment of patients with diabetes and other chronic diseases is the complexity of the tasks that physicians must complete. SimCare is a model of the clinical care setting for patients with type 2 diabetes. The model was designed to support investigation of physician cognition and decisionmaking activity. SimCare is dynamic and interactive and simulates diabetes management in the office-practice setting. SimCare presents a series of cases based on clinical situations representing task features that are thought to be the source of both realistic care decisions and medical errors. Once a simulated clinical case is initiated, physicians select treatment options (termed "moves") from an unguided set of choices similar to those available in routine office practice. The cumulative record of the chosen treatment moves is available for analysis and comparison with an expert's sequence of moves for each simulated patient. SimCare is potentially both an assessment and a teaching tool that enables the observation and analysis of decisionmaking in the simulated practice setting. This paper discusses the use of this tool to identify potential sources of medical errors and guide customized learning interventions designed to reduce them.

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Särimner: a computer model of diabetes physiology for education of physicians and patients

Cited by 29 publications

References 11 publications

Preliminary experience with the Internet release of AIDA—an interactive educational diabetes simulator

Preliminary experience with the Internet release of AIDA—an interactive educational diabetes simulator

Why Are People Downloading the Freeware AIDA Diabetes Computing Software Program: A Pilot Study

SimCare: A Model for Studying Physician Decisionmaking Activity

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