Jan English-Lueck at Consumer Centric Health, Models for Change '11
Consumer-Centric Health Models for Change ‘11
Small Experiments: Tinkering with Well-being Jan English-Lueck, San Jose State University Models for Change Leading Edge Interventions: What’s Working, What’s Not and Bright Spots October 12, 2011
Understanding People in Their Contexts• Ethnographies of work, family, health and well- being in everyday life• Silicon Valley Cultures Project• Institute for the Future, (foresight, insight, action) Projects and books from SVCP and IFTF
Platforms for Behavior ChangeInstitutions provide supports Personal relationships canand barriers help, hinder or trump Good Samaritan Therapeutic Garden. Lydia’s marathon award, memories of Portland, Oregon Ron. San Jose, California
What are People Managing? Who Controls the Knowledge? Illness HealthPamela’s medical records for self, son Jeremy and Kristal’s sleep hygiene regime. and deceased husband. Sunnyvale, California San Jose, California
The Intangibles of Well-being The Global Repertoire The Market of Practices Holistic Bakery for Pets. Sakura’s Japanese life support system.Vancouver, British Columbia San Jose, California
Deep Medical Diversity• Traditional practices from immigrants and sojourners• Complementary and alternative medicine.• Public health, biomedical, market- based and internet- Arturo and Estaban’s family based resources pantry. Portland, Oregon
Networks as Filters Who are the Agents of Change?• Social networks (institutional and personal) interpret practices• Practices are constantly mixed and changed Jeremy and Kristal’s home offices, from workplace yoga to new disciplines of practice.
Jeremy’s DDR for Wii, Silicon Valley “exercising” Whose well-being? Self and Beyond
Kitchen medicine. Vancouver, British ColumbiaHousehold and Family
Fanime Meetup, San Jose, California The “Network”
“Chinatown,” community gardens. Seattle International DistrictThe “Community”
Reframing our Thoughts: Logics and PracticesObservations Changing Approaches• People are creating a • Are we delivering standardized customized set of logics and answers or asking customized practices for themselves, questions? their family, friends and • Do the old metrics and co-workers. measurement work? • Are we assuming we know the full range of practices in play? • Are we filtering communication with our own biases? Nann’s “healthy” soup. Seattle
Reframing our Thoughts: People in NetworksObservations Changing Approaches• Individual people are nested • Are you focused on the in households, families, patient, worker or client? friends and coworkers who • Are there other people who help them identify and help them learn, decide and interpret health information act? • Can the institution—clinic, workplace, non-profit— provide a platform for change? • Can you recruit family and friends to support change? Bicycle Transportation Alliance, Portland, Oregon
Reframing our Thoughts: Fostering ExperimentationObservations Changing Approaches• People are conducting • How much are you willing to experiments on themselves, let a client, worker or patient experiment outside your their families and friends to comfort zone? maximize well-being. • Are you assuming that an experiment must involve a new high-tech device or service? • How can you support experimentation and mine the information to monitor outcomes?Jeremy and Kristal’s full spectrum lights. Experimenting with sleep and wakefulness.