Interactive Health Systems


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Lauren has been working for Interactive Health Systems for 16 years developing the content, process and testing of interactive psycho-educational software, as well as implementing and administrating its use within corporations and healthcare organizations.

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  • Interactive Health Systems

    1. 1. When was the last time you had a good conversation with a computer? Lauren Gould 310.600.8123 lgould@gte.netInterActive Health Systems, Inc.
    2. 2. Roger L. Gould, M.D. 1965: head of UCLA Outpatient & Community Psychiatry Program - new delivery system needed 1970: did research on adult development - framework 1975: wrote “Transformations, Growth and Change in Adult Life” - integration with daily practice 1980: received a grant to develop a practical model of short term therapy - conversion to learning model Founder of IHS and producer of the Model & Methodology behind the Products - created computer- assisted therapy InterActive Health Systems, Inc. InterActive Health Systems, Inc.
    3. 3. History of IHS (and TLP)  1985: started in CIGNA Wellness program with 2,000 users  1990: utilized in various settings with 4,000 outpatient users and 8,000 inpatient users  1995: incorporated into treatment of 2,000 outpatient managed care users  2000: evolved into Self Help sessions for employees and consumers on the Internet InterActive Health Systems, Inc. InterActive Health Systems, Inc.
    4. 4. What is the TLP?  It is a 10 session computer-assisted brief therapy program that helps patients...  pinpoint a particular problem that is a primary source of stress  learn how to think more clearly about the issue and how they respond to the situation  develop an effective course of action for resolving the problem and reducing the stress InterActive Health Systems, Inc. InterActive Health Systems, Inc.
    5. 5. Sample of User Data (CYA / “others”) feeling powerless - no where to go - being useless - unwanted & worthless - angry & betrayed - lonely & depressed - uncomfortable, dirty & abnormal - almost crying when somebody says I love or care about you I know longer tell myself or believe that I can’t do something I put my mind to. I am able to feel good about myself, new beliefs, and capable of seeing the good in myself. InterActive Health Systems, Inc.
    6. 6. Validation The UCLA/Kaiser comparison and follow-up study finds the TLP to be a powerful Self Help tool. This study corroborates 7 independent studies of the TLP between 1985-1996. Studies have reported that the TLP is appropriate for all diagnostic categories except psychosis and organic disease. In each study, there is strong evidence that this tool meets the criteria of an effective and desirable therapy. InterActive Health Systems, Inc.
    7. 7. Other Products 1983 - Developmental Stress Profile (DSP) 1984 - Team Effectiveness Audit (TEA) 1985 - Therapeutic Learning Program (TLP) 1990 - Discover, Decide and Act (DDA) 1992 - Stress Check (for Physicians) 1993 - The Eating Conflict 1994 - FOCUS (Outpatient Clinical Triage) 1995 - Self Help chats for Prodigy 1996 - Mastering Stress CD-ROM 1998 - Mastering Stress Online InterActive Health Systems, Inc. InterActive Health Systems, Inc.
    8. 8. And Markets • Outpatient Wellness programs • Community Mental Health Centers • Inpatient Psychiatric Hospitals • Health Maintenance Organizations • Employee Assistance Programs • Outpatient Mental Health Clinics • Government and Educational Programs • Corporate Business market • Consumer Self Help Audience InterActive Health Systems, Inc. InterActive Health Systems, Inc.
    9. 9. Advantages of using a Computer  Private & confidential  Self-directed & self paced  Promotes honest disclosure  Assists other modalities of care  Self documenting (database storage)  Multiple delivery platforms & settings  Facilitates standardization & customization InterActive Health Systems, Inc.
    10. 10. The Method Takes people through a step-by-step behavior change process that mediates the user’s thinking and mirrors the critical thinking of a professional. Engages people in a context specific, accurate and “emotionally alive conversation” until the individual reaches resolution. Helps people make choices that enable them to develop a new and healthier level of personal power. InterActive Health Systems, Inc.
    11. 11. A Model for Behavior Change Behavior change is a complex cognitive and emotional process that requires a partial transformation of the individual’s world view. Stage 1: Building Motivation Stage 2: Exploring Options Stage 3: Reducing Irrational Fear Stage 4: Managing Self Image InterActive Health Systems, Inc.
    12. 12. Products Therapeutic Mastering Learning Stress ProgramFOCUS Discover, Decide & Act Stage 1 Stage 2 Stage 3 Stage 4 InterActive Health Systems, Inc.
    13. 13. TLP: computer-assisted brief therapy Identifying Stress Related Problems, Conflicts & Symptoms Clarifying Goals and Focusing on Action Thinking Through the Consequences of Taking Action Uncovering Hidden Motives, Fears of Failure & Success Exploring Anger & Guilt as Obstacles to Action Confronting Issues of Self Esteem Examining Old Detrimental Patterns of Behavior Understanding the History of Self-doubts Analyzing a Current Incident Involving a Self-doubt Evaluating the Changes Experienced during the Course InterActive Health Systems, Inc.
    14. 14. Our Outpatient Services using TLP & FOCUS Our computerized intake served a triage function with special emphasis on symptoms, impairments, substance abuse, depression, psychotic disorders, danger to self, to others or from others. Compared to other providers in a managed care company  53% of our patients improved versus 32% in the rest of the network  41% stayed the same versus 58%  6% regressed versus 10% This increase in functioning was obtained in 7.2 session (with our model and tool) versus an 11 session average for the other therapists on the panel. InterActive Health Systems, Inc. InterActive Health Systems, Inc.
    15. 15. Quote from Satisfied User  The single most helpful benefit I got was the Action Step. I use it all the time. It has become a mantra. How do I feel, do I want to feel like this, can I change it, what are the consequences, can I live with them? Yes - take the action. It gave me a concrete useable tool for everyday life. InterActive Health Systems, Inc. InterActive Health Systems, Inc.
    16. 16. Mastering Stress:a guided self-help software program  Managing Symptoms  helps you describe your “stress picture” and create a plan for minimizing the negative effects of stress.  Resolving Problems  gives you the tools to analyze the factor that cause stress and develop an effective strategy for resolution.  Getting Help  assists you in recognizing how you may benefit from additional resources and overcome any obstacles to utilizing them. InterActive Health Systems, Inc.
    17. 17. Discover, Decide & Act:personal development for adolescents  The Questions...  What is happening in your life?  How are you dealing with it?  What do you really want to do about it?  The Sessions...  Managing Stress  Resolving Problems  Dealing with Adults  Pressure from Peers  Taking Action  Overcoming Obstacles InterActive Health Systems, Inc.
    18. 18. Interactive Content forthe Relationship Domain  Creating a Vision of Your Ultimate Relationship  Describing Your Ideal Partner  Acknowledging what makes You Compatible with Your Ideal Partner  Identifying Inner Reservations about Your Ultimate Relationship  Understanding the Challenges of Dating  Designing Your Personal Action Plan InterActive Health Systems, Inc.
    19. 19. The Target Physical Health Mental Personal Health Development Behavior Change SOFTWARE Individual Growth & Well-being Conflict Resolution InterActive Health Systems, Inc.
    20. 20. The Dynamics of Behavior Change Smoke AwarenessDiscover of external pressure Don’t Smoke ResolutionDecide Don’t Smoke of the Smoke internal conflict Commitment& ACT to Action DON’T SMOKE and Follow through InterActive Health Systems, Inc.
    21. 21. usage and research In addition to delivering information, each behavior change software program gathers important information in a database. This makes it easier to study, modify and improve over time.The software functions on many levels...  a prevention program  an intervention program  a personal development program  a research tool InterActive Health Systems, Inc.
    22. 22. Behavior Change SoftwareStage 1: INCREASE AWARENESS Define Problem / Goal Consider Motivational ConflictStage 2: ESTABLISH INTENTION Commit to Exploring Options Decide on a StrategyStage 3: TAKE ACTION Experiment with Different Actions Overcome Irrational FearsStage 4: REVIEW RESULTS Incorporate Success Increase Self Esteem InterActive Health Systems, Inc.
    24. 24. The Future is NOW! WHAT  A Developmental Diary or Electronic Journey  At home &/or Online at WHY  to increase awareness  to facilitate action  to enhance well-being HOW  personal resource menus that provide insight  a “smart” program with dynamic customization capabilities  an “intelligent” database, where the usefulness and value grows with the user. InterActive Health Systems, Inc. Lauren Gould, 1998
    25. 25. The Digital DiaryMarketing Mailer CD-ROM installation Journal User database Workbook Online updates Phone support from “Knowledge Base” & referral system InterActive Health Systems, Inc. Lauren Gould, 1998
    26. 26. A Shift in Perspective  What problems do I want to address?  What life goals do I want to achieve?  What pain do I want to diminish?  What good feelings do I want to experience?  What bad patterns do I want to stop?  What healthy habits do I want to practice?  What negative labels do I want to overcome?  What life skills do I need to improve?  What needs do I want to satisfy?  What fundamental right do I need to exercise?  What irrational thinking do I want to replace?  What healthy beliefs do I need to incorporate?InterActive Health Systems, Inc.Lauren Gould, 1998
    27. 27. The Conversational ParadigmLISTEN  We use multiple choice menus that represent a range of options that are user friendly or “experience near.”THINK  We test conditions, set variables and define branching logic based on a set of pre-defined assumptions.SPEAK  Then we build, display and print individualized statements that communicate the user’s thoughts and feelings. InterActive Health Systems, Inc.
    28. 28. Design Guidelines The requirements for quality and consistency are..  users feel comfortable, understood and respected  users feel encourages to share information at their own pace  users should not feel overexposed  modules are personal, private and confidential  modules are easy to use, with no previous computer experience needed InterActive Health Systems, Inc.
    29. 29. Interactive Objectives To  actively involves users in non-threatening communication,  allows users to find themselves and express their thoughts and feelings,  guides users from a general or vague sense of pending issues to clarity,  educates users about common issues and misconceptions,  promotes honest reflective thinking by uncovering errors in perception,  helps users develop a more realistic self-appraisal,  surfaces the users’ dilemma or conflict that is inhibiting,  facilitates options exploration and decision making,  provides a positive framework to sort out and overcome obstacles,  validates users’ frustrations and concerns,  normalizes users hesitations, fears and doubts,  enhances users motivation to reach their desired outcome. InterActive Health Systems, Inc.
    30. 30. InterActive Health Systems, Inc.