Wearable Psychobiologic Sensors and Resilience as a Systems Strategy to Develop Personalized Health through the Extensive Care System: A Perfect Storm?

We begin by placing our discussion in the context of the chronic crisis in medical care, noting key features, including economic, safety and conceptual challenges. Then we review the most promising elements of a broadened conceptual approach to health and wellbeing, which include an expanded role fo...

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Main Author: Robert L. Drury
Format: Article
Language:English
Published: Frontiers Media S.A. 2014-08-01
Series:Frontiers in Psychology
Subjects:
Online Access:http://journal.frontiersin.org/Journal/10.3389/fpsyg.2014.00853/full
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author Robert L. Drury
author_facet Robert L. Drury
author_sort Robert L. Drury
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description We begin by placing our discussion in the context of the chronic crisis in medical care, noting key features, including economic, safety and conceptual challenges. Then we review the most promising elements of a broadened conceptual approach to health and wellbeing, which include an expanded role for psychological, social, cultural, spiritual and environmental variables. The contributions of positive and evolutionary psychology, complex adaptive systems theory, genomics and neuroscience are described and the rapidly developing synthetic field of resilience as a catalytic unifying development is traced in some detail, including analysis of the rapidly growing empirical literature on resilience and its constituents, particularly heart rate variability. Finally, a review of the use of miniaturized ambulatory data collection, analysis and self-management and health management systems points out an exemplar, the Extensive Care System, which takes advantage of the continuing advances in biosensor technology, computing power, networking dynamics and social media to facilitate not only personalized health and wellbeing, but higher quality evidence-based preventive, treatment and epidemiological outcomes. This development will challenge the acute care episode model typified by the ER or ICU stay and replace it with an extensive care system capable of facilitating not only healthyautonomic functioning, but both ipsative/individual and normative/population health.
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spelling doaj.art-5a09a9d6fea14dfda22ee1e36d8a14252022-12-22T03:20:01ZengFrontiers Media S.A.Frontiers in Psychology1664-10782014-08-01510.3389/fpsyg.2014.00853104626Wearable Psychobiologic Sensors and Resilience as a Systems Strategy to Develop Personalized Health through the Extensive Care System: A Perfect Storm?Robert L. Drury0ReThink Health/U Wisconsin Institute of DiscoveryWe begin by placing our discussion in the context of the chronic crisis in medical care, noting key features, including economic, safety and conceptual challenges. Then we review the most promising elements of a broadened conceptual approach to health and wellbeing, which include an expanded role for psychological, social, cultural, spiritual and environmental variables. The contributions of positive and evolutionary psychology, complex adaptive systems theory, genomics and neuroscience are described and the rapidly developing synthetic field of resilience as a catalytic unifying development is traced in some detail, including analysis of the rapidly growing empirical literature on resilience and its constituents, particularly heart rate variability. Finally, a review of the use of miniaturized ambulatory data collection, analysis and self-management and health management systems points out an exemplar, the Extensive Care System, which takes advantage of the continuing advances in biosensor technology, computing power, networking dynamics and social media to facilitate not only personalized health and wellbeing, but higher quality evidence-based preventive, treatment and epidemiological outcomes. This development will challenge the acute care episode model typified by the ER or ICU stay and replace it with an extensive care system capable of facilitating not only healthyautonomic functioning, but both ipsative/individual and normative/population health.http://journal.frontiersin.org/Journal/10.3389/fpsyg.2014.00853/fullHeart rate variabilityconsiliencepsychobiological health markerrisk vs. resilience factorsdigital epidemiologyKey words: Resilience
spellingShingle Robert L. Drury
Wearable Psychobiologic Sensors and Resilience as a Systems Strategy to Develop Personalized Health through the Extensive Care System: A Perfect Storm?
Frontiers in Psychology
Heart rate variability
consilience
psychobiological health marker
risk vs. resilience factors
digital epidemiology
Key words: Resilience
title Wearable Psychobiologic Sensors and Resilience as a Systems Strategy to Develop Personalized Health through the Extensive Care System: A Perfect Storm?
title_full Wearable Psychobiologic Sensors and Resilience as a Systems Strategy to Develop Personalized Health through the Extensive Care System: A Perfect Storm?
title_fullStr Wearable Psychobiologic Sensors and Resilience as a Systems Strategy to Develop Personalized Health through the Extensive Care System: A Perfect Storm?
title_full_unstemmed Wearable Psychobiologic Sensors and Resilience as a Systems Strategy to Develop Personalized Health through the Extensive Care System: A Perfect Storm?
title_short Wearable Psychobiologic Sensors and Resilience as a Systems Strategy to Develop Personalized Health through the Extensive Care System: A Perfect Storm?
title_sort wearable psychobiologic sensors and resilience as a systems strategy to develop personalized health through the extensive care system a perfect storm
topic Heart rate variability
consilience
psychobiological health marker
risk vs. resilience factors
digital epidemiology
Key words: Resilience
url http://journal.frontiersin.org/Journal/10.3389/fpsyg.2014.00853/full
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