Telehealth Therapeutics to Deliver Behavioral Cardiology

T he science of BehavioralRx is largely driven by a collection of Cognitive Action Response Behaviors (CARBs) which serve to activate human resiliency and orient the brain toward positive decision making. CARBs work in harmony with a person’s day-to-day life by contextualizing their care plan guidance and resources based on interactive message response feedback- exchange with the patient. To maximize memory encoding, long-term memory storage, persistence, and recall, BehavioralRx mixes and matches the various CARBs engagement methods (described below) using proprietary algorithms.

For purposes of orienting the reader, four of the BehavioralRx CARBs methods applied in The Heart House Personal Concierge program (to produce the outcomes) are described here.

TAILORING TECHNOLOGY Activation through Customization + Applied to Heart Failure – The program is deeply personalized, adjusting to patient feedback, accounting for gender, comorbidities, and different psychosocial lifestyle issues that affect clinical care and everyday condition management. + Behavioral and Cognitive Effect – Concierge Care delivers information and resources to the person (rather than relying on them to access an app or portal) to maximize memory persistence and recall as the platform includes only what the patient indicates as relevant. Concierge Care offers disciplined and consistent delivery of information using patterns, and considering emotions, relevance, context, content, and sense- making to boost attention and memory formation. As Stanford Ericksen summarized the requisite emotional element in learning, “People learn what they care about and remember what they understand.” When information is determined to have potential long-term value, the hippocampus (brain component) links the significant elements of that event or experience together, forming a permanent memory.

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