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as effectively as would be expected due to its asymmetric focus on sensing and monitoring with little focus on affecting or altering behaviors Many people especially the elderly are resistant to change Such resistance diminishes the efficacy of telehealth systems Research and supportive technology for intervention and behavior alteration is urgently needed In response we developed the Action-based Behavior Model ABM that promotes persuasion and enables persuasive telehealth However ABM requires an assessment of user behavior responsiveness and compliance to cyber influence There are many challenging problems that must be overcome to enable such assessment In this paper we propose Assess Tree AT as a methodology for domain specific behavior assessment under ABM We present AT and report on preliminary validationKeywords User behavior assessment assessing behavioral response assessment methodology persuasive systems persuasive computing trace-driven modeling1 IntroductionAdvances in healthcare have led to a longer life expectancy resulting in an increasing proportion of the elderly population By 2030 the number of US adults aged 65 years or older will more than double to about 71 million 1 Moreover about 80 of the elderly has one chronic condition and 50 of the elderly population has two or more chronic conditions 1 Chronic diseases disproportionately affect older adults and are associated with disability diminished quality of life and increased costs for health care and long-term care 1 Many elderly people prefer independent living without caretakers and industry and academia have put forth considerable effort to support independent living as well as to provide cost-effective solutions to promote healthy aging 2-11 Telehealth is a cost-effective approach that could support independent living and facilitate tele-care in general However many present telehealth systems do not perform as effectively as would be expected due to its asymmetric focus on sensing and monitoring with little focus on affecting or altering behaviors While sensing and monitoring are crucial components of a telehealth system we believe that intervention and behavior alteration are equally important
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