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pHealth - Lessons learned from products and project


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pHealth - Lessons learned from products and project

  1. 1. Directions for ICT Research in Disease Prevention FT7-ICT-2009.5.1 – Support Action Lessons learned from products and projects dealing with primary prevention through ICT Sergio Guillén Technologies for Health & Wellbeing (TSB) Universidad Politécnica de Valencia, Spain
  3. 3. Introduction 3
  4. 4. Introduction 4 • The WHO Report 2002 describes in detail how a few major risk factors account for a significant proportion of all deaths and diseases in most countries. • All the most important risk factors for premature death are related to lifestyle • Six out of the seven relate to diet and physical activity
  5. 5. Introduction 5 • Unhealthy diets and lack of physical activity are therefore the leading causes of avoidable illness and premature death in Europe. • It has been estimated that… – …up to 80% of coronary heart disease cases… – …90% of type 2 diabetes cases… – …one third of cancers …
  6. 6. Introduction 6 • Population based approaches addressing lifestyle factors have huge potential for the prevention of severe morbidity and mortality. • For this purpose in the last years numerous scientific reports have been produced by different International Public Health Societies – including guidelines and recommendations – for the management of the diverse clinical conditions associated to the presence or to the development of an elevated risk profile.
  8. 8. What is done? Revision of research projects of ICT and primary prevention Revision of commercial products, websites and online health promotion organizations Revision of complementary domains: secondary and tertiary prevention, marketing
  10. 10. Main Figures Projects, Websites and Products Projects Products Websites 23% 40% 37%
  11. 11. Main Figures Origin of PROJECTS & WEBS 40 35 30 8 25 20 WEBS 37 15 PROJECTS 27 10 5 2 4 0 Europe Australia Canada EEUU
  12. 12. Main Figures Focus of the prevention projects 40% 35% 30% 25% 20% 15% 10% 5% 0%
  13. 13. Main Figures Focus of the prevention websites 20% 18% 16% 14% 12% 10% 8% 6% 4% 2% 0%
  14. 14. Main Figures Products related with prevention Videogames Others 46% 54%
  15. 15. Main Figures Videogames Console Online iPhone, iPod… 24% 40% 36%
  16. 16. Main Figures Type of products 18 16 14 4 12 10 Other products 8 1 Videogames 6 12 4 3 7 2 6 2 3 3 2 2 2 0
  17. 17. Task 2.2 – Main Results Most Common Risk Factors 50% 45% 40% 35% 30% 25% Projects 20% Websites / 15% Organizations 10% 5% 0% Diet Physical Obesity Others inactivity
  19. 19. Lessons Learned 19 • Correct risk stratification for the individual • Taking into account all the risk factors, The best • not only the physic-pathological therapeutic ones • Also the genetic, environmental, choice is socio-cultural, behavioral and personal factors guided by… • In order to personalize health-hygiene measures on the basis of the risk profile.
  20. 20. The Challenges of Primary Prevention... Identification & Assessment • Who is at risk? • Which is the risk? Definition of the adequate strategy • Which is the correct healthy lifestyle for me? • How can I match my preferences with my healthy lifestyle? Psychological approach to change • Why should I change the life I have decided to live? • How can I match my social role and life with my healthy lifestyle? Sustainability & Control • How can I keep control but reduce my need to intervene? • Why should I incorporate the change to my life?
  21. 21. Identification & Assessment 21 Identifying the people at risk and correctly assessing which are their key risks and to what extent is very DIFFICULT. People that are just Risk is an indicator that is calculated based on at risk are not probabilities and population inferences made identified inside the for a specific pathology healthcare system Personalized and dynamic risk A much bigger part of the assessment of the individual and population could be traced Only used for providing its evolving lifestyle can provide incorporating new stakeholders population based the necessary knowledge for the into the game: school, workplace, recommendations. personalization of the prevention community. action
  22. 22. Definition of Adequate Strategy 22 Definition of adequate actions that the person must do or that have to be applied to the person to improve his risk profile and reduce the probability of developing a disease. As the risk model becomes more complex and the action more personalized, the possibilities for interventions need to be boosted with the support of a dynamic and adaptive system. The evidence in the literature supports the The needs of the individual and the desired belief that a comprehensive and personalized lifestyle trends could be better aligned action towards the major risk factors that are moving to a more personalized intervention modifiable can result in a major than the traditional public health campaigns. improvement of the individual’s risk profile.
  23. 23. Psychological approach 23 The individual is required to change the lifestyle he and his circumstances have chosen to follow and this change is normally neither easy nor wanted. To achieve the success in moving people towards a healthier lifestyle, thus reducing their risk profile, there is the need for a combined action Any intervention should incorporate a highly Including all the possible actors and mediators psychological strategy that contributes to the that are related, both that influence the citizen idea of convincing the person that the lifestyle (school, workplace, community) or that depends change is required, and providing a continuous on the citizen (family). motivation to support the permanence of those changes.
  24. 24. Sustainability & intrusiveness 24 People at risk are in general terms healthy people that may be more or less aware of the consequences of not preventing risk but that for sure can’t be expected to invest a great amount of resources in solutions with just a preventive background. In general people wouldn’t like to be immersed in a highly intrusive environment that in some way constrains their normal life. New business models, enhanced motivational strategies and innovative technological solutions In this scenario, Ambient Intelligence can lead to are needed, involving non-traditional actors, a disruptive breakthrough in the way of and using products and services that are more interaction. consumer-oriented than health-oriented.
  25. 25. Conclusions
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