Accepted for/Published in: JMIR Formative Research
Date Submitted: Dec 3, 2020
Date Accepted: Jun 11, 2021
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Design, Development and Evaluation of a telemedicine platform for patients with sleep apnea: A Design Science Research approach
ABSTRACT
Background:
With an aging population and escalating cost of care, telemedicine alternatives are increasingly becoming a societal imperative. Such a case is especially true of patients seeking care for sleep apnea, with its prevalence approaching 1 billion worldwide. Increasing awareness has led to a surge in demand for sleep apnea care; however, there is a short supply of resources and expertise necessary to cater to this rising demand.
Objective:
The study aimed to explore the design, development, and evaluation of a telemedicine platform for the consultation, diagnosis, and treatment of patients suffering from sleep apnea called ‘Ognomy.’
Methods:
The telemedicine platform was developed using the framework in the design science research paradigm. The context was analyzed using activity theory to map requirements and features. Subsequently, low and high-fidelity prototypes were developed using collaborative design sprints. Following that, iterative software development methods and layered modular architectures were used to build the platform. Finally, the platform was evaluated through several levels of validation using usability testing, design review and the system testing.
Results:
The telemedicine platform ‘Ognomy’ comprises four artifacts 1. Mobile application for patients 2. Web application for providers 3. Dashboard for reporting, and 4. AI-based chatbot for customer onboarding and support. Ognomy went live in April 2020 and caters to patients in the region. The patient-facing application has been more than 4000 downloads and has received excellent reviews and ratings on Android and iPhone app stores.
Conclusions:
Sleep apnea is an underdiagnosed and undertreated condition. However, with increasing awareness, the demand for quality sleep apnea care will surge, and creative alternatives will be needed. The results from this study demonstrate the successful application of a framework in the design science research paradigm to design, develop, and evaluate a telemedicine platform for patients suffering from sleep apnea and their providers.
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