Henrik Wieland, Associate Partner, Healthcare Industry Leader, IBM Global Business ServicesBelief, Motivation and Access- ...
A New Set of Digital Transformation Drivers is Emerging                                     Mobile Revolution             ...
Determinants of poor health (60% of disease burden)*                                   Hypertension                      ...
Motivation for Behaviour Change – Transtheoretical Model* The individual needs to decide that the goal is important to the...
Motivation for Behaviour Change – Transtheoretical Model*Stage of Behaviour Change                              Characteri...
The Role of Technology in Changing LifestylesA look at two promising areas:1. Using Connected Devices to monitor health st...
The current state of health devices  Today the health device industry reflects a proprietary, device-  centric strategy   ...
Connected DevicesWe see users in the health device market split between three main segments: - Motivated Healthy: Fitness...
The current state of health devices     For health devices to be more widely successful, they must     address the needs o...
Information seekers – The Quantified Self                                            © 2012 IBM Corporation
Increasing sophistication of connected devices for health and  wellness – improved design and integration with personal go...
Consumer interest in health care devices is shifting towardspreventive care and remote monitoring                         ...
Obtaining feedback from health care professionals is nearly asimportant as results from the device              Importance...
The potential capabilities of home-based gaming and fitness  devices are also evolving and converging, thanks to advances ...
Optimal coordination can provide great benefits for all parties Effective coordination between patients, relatives and he...
360 degree view of the patient/citizen                                                  Treatment                         ...
Follow up and support to the carepath                                     An activity for a patient may be to             ...
SummarySustained behavioural change is needed in order to reduce health risks, and manage long-term conditions wellTechn...
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Ændring af livstil ved hjælp af teknologi af Henrik Wieland

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Hvordan kan IT og teknologi understøtte ændring i livstil og adfærd. Præsentation om handler hvordan nye devices og Shared Care kan motivere og understøtte øget fysisk aktivitet og dermed forbedre sundhedstilstanden hos den enkelte og i samfundet generelt.

Fra "DI ITEK netværk for sundhedsteknologi" 24/8 2011

Af Henrik Wieland, Associate Partner, Healthcare Industry Leader, IBM Denmark
Phone: +45 41203443, E-mail: hew@dk.ibm.com

Published in: Health & Medicine
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  • Ændring af livstil ved hjælp af teknologi af Henrik Wieland

    1. 1. Henrik Wieland, Associate Partner, Healthcare Industry Leader, IBM Global Business ServicesBelief, Motivation and Access- Changing Lifestyle with TechnologyNOCOGO, Billund, 22 October 2012 © 2012 IBM Corporation
    2. 2. A New Set of Digital Transformation Drivers is Emerging Mobile Revolution  Speed / Immediacy  Always On  Location Aware Hyper Digitization Social Media Explosion  Streaming video  Shared knowledge  Sensor networks  Connectedness The Power of Analytics  Intelligence  Optimal response2 © 2012 IBM Corporation
    3. 3. Determinants of poor health (60% of disease burden)*  Hypertension  Tobacco use  Harmful use of alcohol  High serum cholesterol  Overweight  Unhealthy diet  Insufficient physical activity Can technology help improve health through behavioural change? * WHO European Health Report 20093 © 2012 IBM Corporation
    4. 4. Motivation for Behaviour Change – Transtheoretical Model* The individual needs to decide that the goal is important to them, and there are 5 different stages of motivation: . Pre-contemplation—no intention to change in the foreseeable future Contemplation—seriously considering changing, but has not committed to taking action Preparation—intends to take action in the next month and has unsuccessfully taken action in the past year Action—has performed the desired behavior consistently for less than six months Maintenance—has consistently performed the desired behavior for six or more months Technologies can be used selectively to support these different stages of health and wellness improvement Prochaska, J.O., DiClemente, C.C., Norcross, J.C. “In search of how people change: Applications to addictive behaviors,” Amer Psych, 47(9), (Sep 1992), 1102-14. © 2012 IBM Corporation
    5. 5. Motivation for Behaviour Change – Transtheoretical Model*Stage of Behaviour Change Characteristics Type of Support NeededPre-contemplation No intention to change in the Education foreseeable futureContemplation Seriously considering changing, Overcoming barriers, rewards for but has not committed to taking performing behaviours actionPreparation Intends to take action in the next Rewarding behaviours, increasing month and has unsuccessfully awareness of patterns of taken action in the past year behaviourAction Has performed the desired Keeping track of progress, and behavior consistently for less than social influence (peer group) six monthsMaintenance Has consistently performed the Coping strategies, showing clear desired behavior for six or more progress towards the intended months goal Prochaska, J.O., DiClemente, C.C., Norcross, J.C. “In search of how people change: Applications to addictive behaviors,” Amer Psych, 47(9), (Sep 1992), 1102-14. © 2012 IBM Corporation
    6. 6. The Role of Technology in Changing LifestylesA look at two promising areas:1. Using Connected Devices to monitor health status and measure activity levels2. Shared Care services to empower the patient and enable improved health management © 2012 IBM Corporation
    7. 7. The current state of health devices Today the health device industry reflects a proprietary, device- centric strategy Examples of healthcare devices Cholesterol Weight Monitor Scale Today’s health device is an instrument, Blood- Home sensing & apparatus, appliance and/or software pressure control which can: Glucose Meter - Sense, monitor, or measure a Bed / Chair Sensors person’s vital signs Thermometer - Targeted at wellness, diagnostic or Pulse Implant Monitors Oximeter therapeutic purposes - Used alone or in combination with Spirometer Baby other devices Monitors - Single or multi-function Medication Tracking - High level of innovation PERS Pedometer Consumer Electronics Fitness equipment Sources: WHO definitions; IBM Institute for Business Value Analysis © 2012 IBM Corporation
    8. 8. Connected DevicesWe see users in the health device market split between three main segments: - Motivated Healthy: Fitness focused, highly health conscious - Information seekers: Aware of the benefits from monitoring activity, lifestyle, and conditions that are not life threatening - Chronically Monitored: Terminally or chronically ill patients that require constant condition monitoringCurrent product offerings have focused on the needs of the Motivated Healthy and Chronically Monitored segments © 2012 IBM Corporation
    9. 9. The current state of health devices For health devices to be more widely successful, they must address the needs of consumers outside their typical focus Motivated Information Chronically Healthy seekers Monitored One family’s story… Ramon is 35… Andrew is 48 … Maggie is 52… Kevin is 10… Ann is 75… he’s physically active his intensive activity is she’s very active during he was diagnosed with she’s had a stroke and very health largely centered the day, but finds ADHD during his and surgery for conscious. He around a stressful that her mood can first year of school. cancer. She’s has two small work schedule. He swing wildly as she’s His parents and not debilitated children. He’s needs to lose about dealing with doctors have and continues to very aware of his 8kg and has been menopause. She’s struggled finding the live with her family history, is taking hypertension tried a few different right medication and husband in their taking care of medication for a few medications, but dosage to manage home. She visits himself, wants to years. He’s can’t get a his condition or for the doctor teach his children struggled to find consistent read on him to describe how monthly to do the same time to exercise whether they’re he feels helping herSources: IBM Institute for Business Value Analysis © 2012 IBM Corporation
    10. 10. Information seekers – The Quantified Self © 2012 IBM Corporation
    11. 11. Increasing sophistication of connected devices for health and wellness – improved design and integration with personal goals Motivated Healthy and Information SeekersApple and Nike Fitbit Nike+ FuelBandCombines running and music for the Monitors activity with motion and 3-Axis sports-tested fitness market. Smartphone provides online data storage and accelerometer, monitors activity applications collect data from analytical tools. Does not provide as steps, calories and Nike Fuel, sensors in fitness equipment, ability share data outside of its which can be uploaded with enabling users to monitor their walled garden Nike+ Connect to set goals, performance collect rewards © 2012 IBM Corporation
    12. 12. Consumer interest in health care devices is shifting towardspreventive care and remote monitoring Primary function of the current / future device Measure and manage 51% Current While half of current a known health 20% less devices in use problem Future 41% today are for known health problems… 13% Encourage physical activity 30% more 17% …interest in using devices for Inform others of 5% preventive health someone’s changing 100% more is expected to rise health condition in the next two 10% years Consumers are eager to shift to prevention and remote monitoring, but may not be familiar with available solutionsSource: IBM Institute for Business Value, 2009 Connected Health Devices Survey (Current Devices: N = 1256, Total mentions = 1507; Future Devices: N=604, Total mentions = 503) © 2012 IBM Corporation
    13. 13. Obtaining feedback from health care professionals is nearly asimportant as results from the device Importance of the ability to get feedback on health data from sources Device feedback is critical Feedback from Feedback is expected in real-time, easy to device 86% read and understand Feedback from Provider feedback is as well healthcare Feedback could be in “near-time”, online professionals 77% or used in a subsequent visit. Feedback from the device does not replace personalized feedback from healthcare professionals—whether it is done online or in-person at a later time. In addition, consumers want health professionals to accept and incorporate the data from health devices into their careSource: IBM Institute for Business Value, 2009 Connected Health Devices Survey (N = 678, Total Mentions = 697), % rating ‘Important’ and ‘Very Important’ © 2012 IBM Corporation
    14. 14. The potential capabilities of home-based gaming and fitness devices are also evolving and converging, thanks to advances in sensor technologies XBox Kinect Sensor array and processing software that directs game play by recognizing and evaluating gestures, faces, and voicesWithings Internet Connected Body ScaleWifi-enabled scale marketed as an interactive weight loss tool. Data can beanalyzed using pc and Smart phone applications, stored in electronic health recordrepositories, and shared with via email and social networking websites Potential Opportunities  Human-machine interfaces are evolving to a state where accurate measurements of movement are possible  Technology that makes current gaming possible could be used to develop healthcare monitoring capabilities  Providing an accurate health condition assessment may soon be possible remotely and automatically © 2012 IBM Corporation
    15. 15. Optimal coordination can provide great benefits for all parties Effective coordination between patients, relatives and health professionals will lead to: – Early detection and early active effort – Coherent carepaths across the healthcare sector – Empowerment and motivation of the patient in relation to their own treatment and care – More qualified decision based on a holistic view. General practitioners Shared Care Municipality coordination Hospital (Care) Telemedicine Patient © 2012 IBM Corporation
    16. 16. 360 degree view of the patient/citizen Treatment goals and Activity list status in relation to patient Patient’s Relevant links schedule Patient’s Notes about clinical values the patient The Patient’s Medication diary Health professional Instructions contacts © 2012 IBM Corporation16
    17. 17. Follow up and support to the carepath An activity for a patient may be to Data is available for the patient and for An activity for a patient may be to Data is available for the patient and for complete a questionnaire as healthcare professionals across the complete a questionnaire as healthcare professionals across the preparation to the visitation healthcare sector preparation to the visitation healthcare sector conversation. This can be completed conversation. This can be completed online by the patient in the Activity list online by the patient in the Activity list in Shared Care. in Shared Care. The healthcare professional The healthcare professional For example, questions will get support to remember will get support to remember about: questions/task to a current questions/task to a current activity – for example in the - Diet activity – for example in the visitation conversation. visitation conversation. - Smoking - Alcohol - Exercise - Blood pressure During the visitation During the visitation - Cholesterol conversation the conversation the doctor/nurse will be able to - BMI doctor/nurse will be able to search for the actual search for the actual patient and get the patient and get the Individual treatment goals patient’s Activity list Individual treatment goals patient’s Activity list can now be added based can now be added based on the questionnaire and on the questionnaire and the conversation. The the conversation. The goals will be used for goals will be used for further monitoring of the further monitoring of the patient across the patient across the healthcare sector, in healthcare sector, in relation to relatives and the relation to relatives and the patient. Data from home patient. Data from home monitoring included. monitoring included. © 2012 IBM Corporation
    18. 18. SummarySustained behavioural change is needed in order to reduce health risks, and manage long-term conditions wellTechnology in the form of Connected Devices can be used to provide motivation and supportFor those living with long-term conditions, well designed Shared Care services can increase motivation and self-management © 2012 IBM Corporation

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