Shifting the Paradigm: The Dress-COV Telegram Bot as a Tool for Participatory Medicine

Int J Environ Res Public Health. 2020 Nov 26;17(23):8786. doi: 10.3390/ijerph17238786.

Abstract

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic management is limited by great uncertainty, for both health systems and citizens. Facing this information gap requires a paradigm shift from traditional approaches to healthcare to the participatory model of improving health. This work describes the design and function of the Doing Risk sElf-assessment and Social health Support for COVID (Dress-COV) system. It aims to establish a lasting link between the user and the tool; thus, enabling modeling of the data to assess individual risk of infection, or developing complications, to improve the individual's self-empowerment. The system uses bot technology of the Telegram application. The risk assessment includes the collection of user responses and the modeling of data by machine learning models, with increasing appropriateness based on the number of users who join the system. The main results reflect: (a) the individual's compliance with the tool; (b) the security and versatility of the architecture; (c) support and promotion of self-management of behavior to accommodate surveillance system delays; (d) the potential to support territorial health providers, e.g., the daily efforts of general practitioners (during this pandemic, as well as in their routine practices). These results are unique to Dress-COV and distinguish our system from classical surveillance applications.

Keywords: COVID-19; SARS-CoV-2; co-morbidity profile; participatory medicine; telegram bot.

MeSH terms

  • Adult
  • COVID-19*
  • Databases, Factual
  • Epidemiological Monitoring*
  • Female
  • Health Promotion
  • Humans
  • Italy
  • Machine Learning
  • Male
  • Middle Aged
  • Pandemics*
  • Risk Assessment
  • Software*
  • Surveys and Questionnaires