Your SlideShare is downloading. ×
0
N of 1 Trials, Self Tracking and Personal Experiments
N of 1 Trials, Self Tracking and Personal Experiments
N of 1 Trials, Self Tracking and Personal Experiments
N of 1 Trials, Self Tracking and Personal Experiments
N of 1 Trials, Self Tracking and Personal Experiments
N of 1 Trials, Self Tracking and Personal Experiments
N of 1 Trials, Self Tracking and Personal Experiments
N of 1 Trials, Self Tracking and Personal Experiments
N of 1 Trials, Self Tracking and Personal Experiments
N of 1 Trials, Self Tracking and Personal Experiments
N of 1 Trials, Self Tracking and Personal Experiments
N of 1 Trials, Self Tracking and Personal Experiments
N of 1 Trials, Self Tracking and Personal Experiments
N of 1 Trials, Self Tracking and Personal Experiments
N of 1 Trials, Self Tracking and Personal Experiments
N of 1 Trials, Self Tracking and Personal Experiments
N of 1 Trials, Self Tracking and Personal Experiments
N of 1 Trials, Self Tracking and Personal Experiments
N of 1 Trials, Self Tracking and Personal Experiments
N of 1 Trials, Self Tracking and Personal Experiments
N of 1 Trials, Self Tracking and Personal Experiments
N of 1 Trials, Self Tracking and Personal Experiments
N of 1 Trials, Self Tracking and Personal Experiments
N of 1 Trials, Self Tracking and Personal Experiments
N of 1 Trials, Self Tracking and Personal Experiments
N of 1 Trials, Self Tracking and Personal Experiments
N of 1 Trials, Self Tracking and Personal Experiments
N of 1 Trials, Self Tracking and Personal Experiments
N of 1 Trials, Self Tracking and Personal Experiments
N of 1 Trials, Self Tracking and Personal Experiments
N of 1 Trials, Self Tracking and Personal Experiments
N of 1 Trials, Self Tracking and Personal Experiments
N of 1 Trials, Self Tracking and Personal Experiments
Upcoming SlideShare
Loading in...5
×

Thanks for flagging this SlideShare!

Oops! An error has occurred.

×
Saving this for later? Get the SlideShare app to save on your phone or tablet. Read anywhere, anytime – even offline.
Text the download link to your phone
Standard text messaging rates apply

N of 1 Trials, Self Tracking and Personal Experiments

1,130

Published on

A talk given by Paul Abramson MD on 8/25/12 at the Medicine of Cycling Conference at the Olympic Training Center, Colorado Springs. …

A talk given by Paul Abramson MD on 8/25/12 at the Medicine of Cycling Conference at the Olympic Training Center, Colorado Springs.

Discusses N of 1 experimental design, the Quantified Self movement, and a paradigm for implementing self tracking and the Quant Coach in medical care in order to empower patients.

0 Comments
1 Like
Statistics
Notes
  • Be the first to comment

No Downloads
Views
Total Views
1,130
On Slideshare
0
From Embeds
0
Number of Embeds
3
Actions
Shares
0
Downloads
0
Comments
0
Likes
1
Embeds 0
No embeds

Report content
Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
No notes for slide

Transcript

  1. N OF 1 TRIALS Self Tracking and Personal Experiments Paul Abramson MD My Doctor Medical Group - San Francisco @paulabramsonmdSaturday, August 25, 12
  2. DISCLOSURES no conflicts of interest to discloseSaturday, August 25, 12
  3. THE QUANTIFIED SELF self-tracking geeks uniteSaturday, August 25, 12
  4. QS CONFERENCE #3 Stanford University, September 2012Saturday, August 25, 12
  5. QUANTIFIED MANIA self-tracking goes mainstreamSaturday, August 25, 12
  6. Saturday, August 25, 12
  7. WHY SELF TRACK?Saturday, August 25, 12
  8. DO YOU HAVE A PROBLEM? that’s hard to solveSaturday, August 25, 12
  9. OR A QUESTION? that matters to youSaturday, August 25, 12
  10. OR A DESIRED CHANGE? how can I improve my sleep?Saturday, August 25, 12
  11. FEEDBACK gathering data can facilitate insight and changeSaturday, August 25, 12
  12. RANDOMIZED TRIAL large numbers are betterSaturday, August 25, 12
  13. N OF 1 TRIAL just youSaturday, August 25, 12
  14. N OF 1 TRIALS an opportunity to tailor treatment to the individualSaturday, August 25, 12
  15. STUDY OF N OF 1 TRIALS • 70 trials begun, 57 finished • 50 trials resulted in definitive answer • 39% of trials with enough data resulted in a change in plan Arch Int Med 1990- PMID 2297206Saturday, August 25, 12
  16. QUININE AND LEG CRAMPS • 13 primary care patients already on quinine for leg cramps •2 week washout • Three 4-week treatment blocks: quinine vs. placebo • Outcome measures: • patient diaries of cramp occurance, duration, severity • capsule counts Br J Gen Pract 2005- • blood quinine levels PMID 15808032Saturday, August 25, 12
  17. QUININE AND LEG CRAMPS • 10 patients completed the trial •3 patients showed significant benefit of quinine (p < 0.05) •6 showed non-significant benefit • One showed no benefitSaturday, August 25, 12
  18. N OF 1 TRIAL DESIGNSaturday, August 25, 12
  19. PASSIVE SENSORS biometric - environmentalSaturday, August 25, 12
  20. ZEPHYR BIOHARNESSSaturday, August 25, 12
  21. quantified-mind.com mymee.com ACTIVE TRACKING APPS mindfulness requiredSaturday, August 25, 12
  22. OTHER DATA SOURCES calendar - e-mail - GPS data - government agencies - etc.Saturday, August 25, 12
  23. VISUALIZATION TOOLS bodytrack - fluxtreamSaturday, August 25, 12
  24. VISUALIZATION TOOLSSaturday, August 25, 12
  25. VISUALIZATION TOOLSSaturday, August 25, 12
  26. DEFINE THE PROBLEM specific - simpleSaturday, August 25, 12
  27. DESIGN THE EXPERIMENT achievable - time-limitedSaturday, August 25, 12
  28. IMPLEMENTATION pick tools - assemble teamSaturday, August 25, 12
  29. FEEDBACK AND ADJUSTMENT data - process - story - coachingSaturday, August 25, 12
  30. END THE EXPERIMENT assess the results - tell the storySaturday, August 25, 12
  31. Quant Coach Doctor Team Coach Self Tracker Other PractitionersSaturday, August 25, 12
  32. WHERE TO LEARN MORE •quantifiedself.com •quantdoctor.com •bodytrack.org •quantified-mind.com •mainstream mediaSaturday, August 25, 12
  33. CONTACT INFO: PAUL ABRAMSON MD mydoctorsf.com @paulabramsonmd office@mydoctorsf.com 415-963-4431Saturday, August 25, 12

×