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ECHweek 2010 - Prevention fo Diseases: WHY, WHAT, HOW
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ECHweek 2010 - Prevention fo Diseases: WHY, WHAT, HOW

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ECHweek 2010 - Prevention fo Diseases: WHY, WHAT, HOW ECHweek 2010 - Prevention fo Diseases: WHY, WHAT, HOW Presentation Transcript

  • Directions for ICT Research in Disease Prevention FP7-ICT-2009.5.1 – Support Action Prevention of diseases WHY, WHAT and HOW Niilo Saranummi niilo.saranummi@vtt.fi This project is partially funded under the 7th Framework Programme by the European Commission
  • Prevention of diseases WHY www.preve-eu.org
  • The well-known health system challenges • Health expenditure vs. Healthy value At risk © Juha Teperi, STM – What is produced with €’s Ill Under – Quality & Access concerns treated Difficult to – Expectations & Awareness treat Crisis • And the drivers – Ageing & Care ratio – Life styles – Science, Technology and ”Defense lines” Innovation Burden of disease www.preve-eu.org
  • Prevention is the best strategy • The best strategy for prevention is to lead a healthy lifestyle. – According to WHO, 77% of the disease burden in Europe is accounted for by disorders related to lifestyles. Furthermore, 70% of stroke and colon cancer, 80% of coronary heart disease, and 90% of type II diabetes could be prevented by maintaining healthy lifestyles. • Although we are constantly “bombarded” with health promotion information that we should exercise regularly, eat healthy, control our weight, sleep enough, manage stress, not smoke and use alcohol only moderately etc. as a population we are not doing a good job in acting according to this advice. www.preve-eu.org
  • But people need assistance • Based on this it should be clear that we as individuals need assistance in primary prevention. • The questions are – What kind of assistance and – How the assistance should be made available / offered and – How to ensure that the assistance provides effective help to the individual in changing and maintaining her lifestyle. www.preve-eu.org
  • Prevention of diseases WHAT www.preve-eu.org
  • PREVE – in brief A Support Action, under the 4th FP7 ICT Call • Objective – Focused on how the citizen can be empowered by ICT solutions and services in disease prevention and the preservation of health • What PREVE delivers – A White Paper* identifying ICT research directions in disease prevention for the empowerment of citizens highlighting the need to approach this topic from multiple complementary viewpoints. www.preve-eu.org
  • PREVE workflow – 3 phases Workshops Barcelona Milan 16.3.2010 8.11.2010 Belfast 14.6.2010 31.11.2010 1.12.2009 Select the User White paper Business ICT Research diseases & segments & models and Directions in best Personal validation Primary practices profiles Prevention (T3.1 – 3) (T2.1) (T2.2 – 4) (T3.4) www.preve-eu.org
  • PREVE partners Valtion teknillinen tutkimuskeskus, VTT Aarhus University Fondazione Centro San Raffaele del Monte Tabor Universidad Politécnica de Valencia www.preve-eu.org
  • Prevention of diseases HOW PREVENTABLE DISEASES – RISK FACTORS www.preve-eu.org
  • Associations between Risk Factors and Conditions Diseases and Disorders Risk Factors Type 2-diabetes Tobacco smoking Preventable cancer Alcohol consumption Cardiovascular disease Diet Osteoporosis Physical activity Musculoskeletal disorders Obesity Hypersensitivity disorders Accidents Mental disorders Working environment Chronic obstructive pulmonary disease Environmental factors www.preve-eu.org
  • Health behaviors Diseases and Disorders Risk Factors Type 2-diabetes Tobacco smoking Preventable cancer Alcohol consumption • Diet Cardiovascular disease • Physical Activity Diet • Alcohol consumption Osteoporosis • Smoking Physical activity • Stress Musculoskeletal disorders Obesity • Sleep Hypersensitivity disorders ( + Family history) Accidents Mental disorders Working environment Chronic obstructive pulmonary disease Environmental factors www.preve-eu.org
  • Prevention of diseases HOW PROFILING – SEGMENTING / PERSONALIZING www.preve-eu.org
  • Determinants of health behavior Values, personality Social Ability influences Reasoned Awareness Self-efficacy Intention behavior Outcome expectations Barriers Automatic behaviors Environmental contexts www.preve-eu.org
  • The environment – Choice architectures • Physical and social Society environments: the context for Policies, laws, regulations Barriers / Incentives behavioral decisions and habitual behaviors Community Attributes, resources, and norms – The available options in the in community (e.g. markets, jogging paths) environment – The way the choices are Organizational Civic, religious, social, political, presented and related organizations • The choice architecture of the (e.g. schools, workplaces) decision context Interpersonal – supports or discourages a Beliefs and actions of friends, family, coworkers, behavior and other referents – guides the formation of habits Individual A person’s • The choice architectures of knowledge, attitudes, and environments are built by skills actors from multiple levels www.preve-eu.org
  • Periodic reassessment Current Health behavior? Diet Physical Activity Support OK, no critical need Alcohol consumption for improvements behavior/ Smoking maintenance Stress Sleep Improvements needed Intention per Strong Lack of external Yes Strengthen behavior? intention resources? resources High-level Reassessment Weak or no intention No intervention Strengthen social Aware of risks Discouraging social choice logic and benefits? Yes environment? Yes independence / increase support No Not aware/Misconceptions Improve self- Weak self-efficacy? Yes efficacy and skills No Educate Unfavourable outcome Yes Improve outcome expectations? expectations www.preve-eu.org
  • Prevention of diseases HOW NEEDS – SOLUTIONS – BUSINESS CASES www.preve-eu.org
  • Persons at risk of developing an illness… JENNI, 31 YEARS SONJA, 20 YEARS AT RISK AT RISK ROBERTO, 48 YEARS Value CARLO, 10 YEARS AT RISK AT RISK COMMON GOAL: STAY HEALTHY Do all personas share a common goal of wanting to stay healthy? www.preve-eu.org
  • All have their own mental model SERVICE CUSTOMER PROVIDER NEED OFFER VALUE VALUE IN USE PROPOSITION What does this mean? www.preve-eu.org
  • Value propositions will be different JENNI, 31 YEARS . SONJA, 20 YEARS AT RISK AT RISK Value Value . 1) UNIQUE PERCEPTION OF WHAT . ROBERTO, 48 YEARS Value VALUE IS PER INDIVIDUAL Value . CARLO, 10 YEARS 2) VALUE PERCEPTION NOT AT RISK HEALTH RELATED AT RISK . 1) LONG TERM HEALTH RELATED VALUE HIDDEN COMMON BEHIND OTHER PERSONAL VALUE PERCEPTIONS GOAL: STAY HEALTHY www.preve-eu.org
  • Objects of care will assume a new role as Co-producers of health and care Proactive Individuals as co-producers of Connected Health Health & Care Traditional Co-Producer Model choices Model Illness  Management of health and care Patients as ”Outsourced”  ”Insourced” Reactive passive objects Reactive  Proactive Episodic  Continuous Health & Care Citizen- Professionals Dependency Patient www.preve-eu.org
  • Co-producers of health www.preve-eu.org
  • The environment matters ”Preloading” to create favourable conditions Policies Society Barriers + Incentives Education Individual Health promotion Awareness www.preve-eu.org
  • Prevention of diseases CURRENT STATUS AND OPEN ISSUES www.preve-eu.org
  • Current Version Health management project Where is the ICT? ”Recommendation engines” DIY ”App store” Profiler Set goals and broker an integrated set of Create a personal interventions profile of • based on what behaviors • health behaviours, risk need modifying and factors , motivators, personal preferences resources and values Analyze Plan Trigger event Evaluate Execute Carry out the plan with Assess progress the co-creator network towards the set goals PHS ”Persuasive technologies” PGS www.preve-eu.org
  • The Dilemma of Primary Prevention Closer integration to healthcare changes institutional framework for services At risk, low Difficult accessability motivation, low must be offset by education etc public sector subsidies Value is spread to Need for healthcare integration increases healthcare system Higher benefit providers = number of from system stakeholder increases perspective  Need for evidence- Need for evidence increases based models Societal benefits increase Accessability decreases increases to justify subsidies  BM must be subsidized to offset risk from companies perspective ”Consumerism” Out-of-pocket Healthy, Value distributed to technologically one stakeholder  advanced BM follows www.preve-eu.org
  • The engine room? Political, social, economic Co- Choice producers architectures HealthGPS (digital avatar) Platform services (security, ID) PHR www.preve-eu.org
  • Where are we today? Workshops Barcelona Milan 16.3.2010 8.11.2010 Belfast 14.6.2010 31.11.2010 1.12.2009 Select the User White paper Business ICT Research diseases & segments & models and Directions in best Personal validation Primary practices profiles Prevention (T3.1 – 3) (T2.1) (T2.2 – 4) (T3.4) www.preve-eu.org
  • Prevention of diseases CLOSING FROM COMPLIANCE  RESPONSIBILITY  RESPONSE ABILITY © Ilias Iakovidis www.preve-eu.org