Consumer-Centric Health Models for Change ‘11
Mobile & Social Technologies Applications in Health Behavior Change                  Karen J. Calfas, Ph.D.    Assistant V...
| Slide 3Overview Describe our approach Describe studies using a social / mobile approach to weight loss    • mDIET    • S...
Research Background• Primary research partners  – Kevin Patrick, MD, MS  – James Sallis, PhD• Program of research (beginni...
| Slide 5Conflicts of Interest                   Co-Founder of Santech, Inc.                      San Diego, California   ...
California Institute for Telecommunications  and Information   Technology                6
| Slide 7Collaborating Investigators & PartnersUCSD School of MedicineKevin Patrick, MD, MS, Greg Norman, PhD, Fred Raab,J...
Our point of view is an ecological one: Many factorscontinuously interact with one another to create health outcomes      ...
Rapidly growing base of mobile information devices…5+ Billion Mobile Phone users  - UN International Telecomm Union (2011)...
| Slide 10mDIETMobile Diet Intervention through Electronic Technology   PURPOSE   Randomized Clinical Trial to evaluate th...
MMS used for Images and Graphs  (>3000 messages and 1500 intervention rules)Add a variety of     A one-cup serving        ...
| Slide 12     mobilemDIETMobile Diet Intervention through Electronic Technology                                          ...
| Slide 13SMART      Social Mobile Approach to Reduce WeighTPURPOSETo leverage social networks, social media, mobile phone...
| Slide 14A “User-centered” InterventionThat requires at least 10 minutes of daily interaction with the ThreeTwoMe platfor...
Take What We Know  About Social Networks & Health  And Turn It Into  Interventions To  Improve Health…Largest Connected Su...
| Slide 16SMARTSocial Mobile Approaches to Reduce Weight  INTERVENTION  Facebook an intact social network  +  Mobile Phone...
| Slide 17ThreeTwoMe = A Suite of Apps              Mobile + Facebook Apps                APP                    TARGET BE...
| Slide 18Facebook Connect          Unfunded Study at Univ. of CA, San Diego          Investigators: Karen Calfas, James F...
| Slide 19Facebook Connect    How can we better understand student needs via their    social networks?    How can we affec...
| Slide 20Focus Areas in Health Behavior Change
Maintenance of Behavior Change• Ubiquitous technology• Must be relevant to the patient and/or the  theoretical approach• H...
Special Considerations• The annoyance factor• Consider negative effects of intervention  – Assess and test for them• Not a...
Rapid proliferation of wearable bio-behavioral sensors with mobile & network connectivity                                 ...
The New Age of Dietary Assessment     Advances in            Potential Advantages      Technology     • Computers         ...
Automatic Volume Estimation                                  cc or ml                                 Woo, 2009Uses afiduc...
Social Component• Long term evidence of importance of social  support• Emerging evidence about social networks• Existing s...
Thank You!     kcalfas@ucsd.edu     Santechhealth.com                     27
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Karen Calfas at Consumer Centric Health, Models for Change '11

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Mobile & Social Technologies , Applications in Health Behavior Change.

Describe studies using a social / mobile approach to weight loss
mDIET
SMART
Facebook Connect

Describe areas of focus to refine and further health behavior change

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  • Health Psychologist, Physical activity and diet intervention researcher,
  • The application of new innovative technologies into dietary assessment offers several advantages. These technologies hold promise for improving data quality, reducing costs (no need for trained interviewer), time saving (b/c the data are stored immediately), and reduces the burden on the respondent. Doesn’t require them to estimate portion size or remember their foods. Be sure to make mention that digital photography is a bogus phrase.
  • Transcript of "Karen Calfas at Consumer Centric Health, Models for Change '11"

    1. 1. Consumer-Centric Health Models for Change ‘11
    2. 2. Mobile & Social Technologies Applications in Health Behavior Change Karen J. Calfas, Ph.D. Assistant Vice Chancellor, Health, Recreation & Well-being University of CA, San DiegoFaculty Joint Doctoral Program in Clinical Psychology (SDSU/UCSD) Faculty Graduate School of Public Health, SDSU Co-Founder, Santech, Inc. Seattle, Washington October 13, 2011
    3. 3. | Slide 3Overview Describe our approach Describe studies using a social / mobile approach to weight loss • mDIET • SMART • Facebook Connect Describe areas of focus to refine and further health behavior change
    4. 4. Research Background• Primary research partners – Kevin Patrick, MD, MS – James Sallis, PhD• Program of research (beginning 1990) – Print-based interventions in clinical settings – Web interventions (clinical and community) – Texting interventions (community) – Social / mobile interventions 4
    5. 5. | Slide 5Conflicts of Interest Co-Founder of Santech, Inc. San Diego, California Santechhealth.com Other Co-Founders: James Sallis, PhD & Kevin Patrick, MD, MS Santech markets mobile and web products that promote improved health behaviors and health outcomes with a focus on lifestyle behaviors and obesity. Santech licenses technologies from San Diego State University and the University of California, San Diego developed by the founders and conducts its own Research & Development.
    6. 6. California Institute for Telecommunications and Information Technology 6
    7. 7. | Slide 7Collaborating Investigators & PartnersUCSD School of MedicineKevin Patrick, MD, MS, Greg Norman, PhD, Fred Raab,Jacqueline Kerr, PhD, Jeannie Huang, MD, MPH, Cheryl Rock, PhDUCSD Jacobs School of EngineeringBill Griswold, PhD, Ingolf Krueger, PhD, Tajana Simunic Rosing, PhDSan Diego Supercomputer CenterChaitan Baru, PhDUCSD School of Medicine, Division of Genetics & Department of Political ScienceJames Fowler, PhDSDSU Departments of Psychology, Exercise/Nutrition Science & School of Public HealthJames Sallis, PhD, Simon Marshall, PhD, Elva Arredondo, PhDPhD students and Post-doctoral Fellows (current)Jordan Carlson, Barry Demchak, Laura Pina, Ernesto Ramirez, Celal ZiftiSantech, Inc.Jennifer Shapiro, PhD, Ram Seshan, MS, MBA
    8. 8. Our point of view is an ecological one: Many factorscontinuously interact with one another to create health outcomes Environmental/Ecological factors Environments for food and physical activity, trauma, noise, Behavioral & Social factors Occupational factors, environmental toxins Physical activity, diet, smoking, alcohol & other drugs, Genetic & stress, economic status, Biological family & social networks factors Biological & Medical Behavioral Environment, Population Sciences & Social Sciences & Policy Sciences Systems Sciences 8
    9. 9. Rapidly growing base of mobile information devices…5+ Billion Mobile Phone users - UN International Telecomm Union (2011)14.2 Million iPads sold, 2010; 75% of market - Wikipedia (2011) 9
    10. 10. | Slide 10mDIETMobile Diet Intervention through Electronic Technology PURPOSE Randomized Clinical Trial to evaluate the use of Text Messages (SMS) to improve dietary behaviors and weight outcomes in obese men and women.
    11. 11. MMS used for Images and Graphs (>3000 messages and 1500 intervention rules)Add a variety of A one-cup serving Nice progress. Yourecolorful vegetable size is about the size on your way toto your shopping of a tennis or reaching your goal. Itlist this week. baseball. will take time, but youChoose have the motivation togreen, red, orang succeed.e and yellowveggies. 11
    12. 12. | Slide 12 mobilemDIETMobile Diet Intervention through Electronic Technology Patrick et al. (J Med Internet Res 2009;11(1):e1)
    13. 13. | Slide 13SMART Social Mobile Approach to Reduce WeighTPURPOSETo leverage social networks, social media, mobile phones, and theweb for weight loss among 18-35 year old young adults.Funded with a 5-year grant from NHLBI/NIH
    14. 14. | Slide 14A “User-centered” InterventionThat requires at least 10 minutes of daily interaction with the ThreeTwoMe platform. Web Smart- Facebook phone Apps Mobile Txt Msgs Email Other Tools Be sure to check your email for this this week’s topic from ThreeTwoMe Bathroom Scale Pedometer
    15. 15. Take What We Know About Social Networks & Health And Turn It Into Interventions To Improve Health…Largest Connected Subcomponent of theSocial Network in the Framingham Heart Study in the Year 2000.Each circle (node) represents one person in the data set.The size of each circle is proportional to the persons body-mass index.Christakis & Fowler, The spread of obesity in a large social network over 32 years.New England Journal of Medicine, 2007 15
    16. 16. | Slide 16SMARTSocial Mobile Approaches to Reduce Weight INTERVENTION Facebook an intact social network + Mobile Phone txt messaging + Smartphone mobile apps + Website SMART Study 1 - Participant 2 - Friend of Participant 3 - Friend of Friend
    17. 17. | Slide 17ThreeTwoMe = A Suite of Apps Mobile + Facebook Apps APP TARGET BEHAVIORS & STRATEGIES Self- Intention Goal- Goal Feedback Knowledge Monitoring Formation Setting Review Be Healthy X X X TrendSetter X X X X Goal Getter X X X Facts & Quizzes X X All apps accessible via  Mobile  Web  Facebook
    18. 18. | Slide 18Facebook Connect Unfunded Study at Univ. of CA, San Diego Investigators: Karen Calfas, James Fowler, Lucila Ohno-Machado, Myong Lah Purpose: • Identify how student networks form and evolve on facebook • Gather and analyze data from posts and activity • Analyze content of language
    19. 19. | Slide 19Facebook Connect How can we better understand student needs via their social networks? How can we affect important outcomes using social network intervention? • Depression and suicidality • Academic success • Racial tension • Meaningful friendships and sense of belonging
    20. 20. | Slide 20Focus Areas in Health Behavior Change
    21. 21. Maintenance of Behavior Change• Ubiquitous technology• Must be relevant to the patient and/or the theoretical approach• High degree of tailoring• Continuous intervention• Connect to personal values• Focus on personal flourishing (+ psych)• Environmental influences | Slide 21
    22. 22. Special Considerations• The annoyance factor• Consider negative effects of intervention – Assess and test for them• Not a substitute for human interaction 22
    23. 23. Rapid proliferation of wearable bio-behavioral sensors with mobile & network connectivity Fitbit Bioharness BodyMedia Useful for • Monitoring • Summarizing • Sharing Zeo Sleep Monitor 23
    24. 24. The New Age of Dietary Assessment Advances in Potential Advantages Technology • Computers • Improved compliance • PDA • Increased accuracy • Mobile telephones • Saves time • Digital imaging • Reduces cost • Global Positioning System(GPS)
    25. 25. Automatic Volume Estimation cc or ml Woo, 2009Uses afiducialmarker Weiss, 2010
    26. 26. Social Component• Long term evidence of importance of social support• Emerging evidence about social networks• Existing social network vs. created network – Where are their eyeballs?• Promise of “positive contagion” effect 26
    27. 27. Thank You! kcalfas@ucsd.edu Santechhealth.com 27

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