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Design for-wellness-wiad-v7


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Design for Wellness: Creating roadmaps for behavior change.
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This is an amateur project that looks at what design professionals can do to enable support for people who are serious about improving their wellness. In this talk, we propose an interview format that elicits serious issues, and discuss various approaches to behavior change. We suggest that a sketchnote can serve as a roadmap among the issues that a person faces, and therefore as a guide to what behaviors they may need to adopt or change.

In the presentation itself, we do show sample sketchnotes, but they are primarily conversation records. It would take more than a single interview session to build a view that responsibly represents a person's context, goals, and resources, and then what that person believes they need to tackle to improve their wellness.

These slides are posted under a Creative Commons ByAttribution-NonCommercial-ShareAlike license. For details, see the info about the CC BY-NC-SA license at The license has its own page, but this page lets you see and compare the different license options so you understand the significance of each factor.

Please give credit to IxDA Northern NJ, @ixdannj if you reference, forward, or excerpt these slides.
Please also give credit to Amanda Lyons of Visuals for Change,, if you include the sketchnotes in your excerpt, or if you're talking about our sketchnoting work.

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Design for-wellness-wiad-v7

  1. 1. Design for WellnessCreating Roadmaps for Behavior Change
  2. 2. TopicsAppsSketchnotingBehavior changeDesignLawTruth
  3. 3. What is wellness?A state of complete physical, mental, and social wellbeing, not merely the absence of disease orinfirmity. (W.H.O.)The path to wellness requires progressive,successful, and sustained behavior change.Goal: Create a roadmap (and eventually providetools) for selecting habits to master to get on theroad to wellness
  4. 4. The road to wellness Good intentions are not enough Behavior change methods are well known, but (so far) insufficiently integrated Vast majority of health apps are used only once (250K downloads) Cognitive reframing: Unstuck app (C)analyzes how you feel in this stuck moment and suggests what to do about it Behavior transformation: Lift app (B) provides communities to help you establish tiny habits
  5. 5. Why and how to getunstuck
  6. 6. How do you feelin this stuck moment?in this stuck moment?
  7. 7. What archetype(s) explainhow you’re feeling now?
  8. 8. How can a person who feels theway you do now ... get unstuck?
  9. 9. Join a community to elevate(“Lift”) a good habit
  10. 10. A mapping method thatsupports behavior design Establish language Define context Identify challenge (goals and constraints) Proliferate solutions Identify a path to success
  11. 11. The Interview Explored an interview protocol based on sketchnoting (or graphical recording) Complements behavioral approaches (e.g., by providing a rich map Similar to an intake interview at a medical practice Participant controls the information Disclaimer: Not trying to diagnose illness or recommend treatment
  12. 12. Eliciting Background Problem Goal Values Motivation Context Obstacles Resources
  13. 13. Revealing problem, goal, values,and motivation (C) What brought you here today? What is your biggest concern about your health? What are your values? Why do you care about achieving that goal?
  14. 14. Identifying context, obstacles,and resources (C + a little B) Where are you starting? What obstacles prevent you from being healthier? Are there people or circumstances that support what you value? What people, organizations and institutions support you in doing what you need to do? What people, organizations and institutions support you in getting what you need to get?
  15. 15. Participant #1 Used to be in good shape. Now overweight. It’s a problem. How to overcome it? The biggest obstacle is me. Am I really ready to change? Change what I consider sweet: water, carrots Group debrief afterwards seemed invasive.
  16. 16. What is Behavior?ContextAbilityTriggerActionReward
  17. 17. How to Change?State goalEstablish intentCommit to a datePrepare new habits and supportsStart
  18. 18. How to Change?ContextAbilityTrigger <-- Figure it outAction <-- Find a substitute Benefit: Conserve willpowerReward Ex: relieve or override tension Ex: pride
  19. 19. Changing one habit What reward is provided by the existing habit? What is another way to get that reward? What triggers the behavior? Substitute a new action for the same trigger.
  20. 20. Participant #2 Feeling tired. Taking a nap some mornings. Diagnose by ruling out all more likely alternatives Inactive fatal disease Need an advocate To accompany a person through the process To pull the information together To help make sense of it
  21. 21. Making it real How to get into insight mode? Telling a story to someone who is really listening Older subjects are more likely to be aware of their mortality Why do we believe it can be effective? Cognitive + behavioral: Insight opportunity, similar to psychodynamics Behavioral: Identify triggers and context support: need to provide a structure
  22. 22. Why Sketchnote?Guide the Interview Co-creation with the participant Critical distance AuthorityCreate a roadmap for selecting habitsto master to get on the road to wellnessConvey the results to the recipientAn enduring (but not used!) takeaway
  23. 23. Next steps Start a movement (... or get funding) Friendship, new habits, ownership Challenges Prove it: outcomes and effectiveness Help others do it Develop standard outputs Learn typical patterns Train sketchnoters Law, Truth, and Medicine
  24. 24. Design projectsfor local groupsfor local groups Establish language Define context Identify challenge (goals and constraints) Proliferate solutions Identify a path to success
  25. 25. ResourcesCognitive reframing Albert Ellis, Rational emotive therapy Aaron Beck, Cognitive behavior therapyHabit Formation (Fogg, Duhigg) B J Fogg, Persuasive technology Duhigg, The power of habitTechnology and design Healthcare 2.0 NYC Healthcare Experience Design, March 25th
  26. 26. ContributorsBruce Esrig, Adam Lerner, IxDA Northern NJAmanda Lyons, Visuals for ChangeBev Corwin, Bill Cole, IAIAnnie O’Brien GonzalesRichard Herring, Valerie Rasines
  27. 27. Design for WellnessQuestions ...