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Unintended'Consequences'
What'We'Can'Learn'From'Digital'Outcasts'
@kelsmith'
#plaintalk2013'
h"p://ar(cles.washingtonpost.com/2012812813/na(onal/35812804_1_disease8study8research8study8life8expectancyC
U.S.C
h"p://ar(cles.washingtonpost.com/2012812813/na(onal/35812804_1_disease8study8research8study8life8expectancyC
“Historically,''
''accessibility'has''
''been'perceived'as'an''
''aGerthought'–'the''
''final'bullet'point.''
''Nice'to'hav...
Accessibility'is'ugly '
Accessibility'is'expensive '
Accessibility'isn't'marketable '
“Accessibility'isn’t'innovaSve”'
~'Rich'Donovan'
Return'on'Disability'and'M2Enabling'SummitC
C
“Designing'for'''
''extreme''
''environments''
''leads'to''
''consumer''
''innovaSon.”'
~'Rich'Donovan'
Return'on'Disabili...
“My'daughter'is''
''capable'of'a'threeW'
''hour'tantrum'that''
''leaves'your'ears''
''ringing.'With'the''
''phone'showing'...
h"p://www.cnn.com/2012/04/29/showbiz/lost8voice/index.html?iref=obinsiteC
“Doctors'
''frequently'
''make'incorrect''
''assumpSons''
''about'me'
''related'to'my''
''intelligence'and''
''my'ability'...
How'much'do'you'agree'with'the'following'
statement:'“Most'healthWrelated'content'
reflects'an'understanding'of'what'it’s'l...
“For'blind'paSents'it’s''
''nearly'impossible'to'dose''
''medicaSon'properly.'A''
''change'adverSsed'as''
''being'great'fo...
250'medical'pracSces'
50%'would'complete'
only'part'of'the'
examinaSon'
250'medical'pracSces'
20%'refused'to'book'an'
appointment'
250'medical'pracSces'
10%'employed'staff'who'
were'adequately'
trained'on'PWD'
ofCnotCdeliveringCqualityC
clinicalCservicesCforCeveryC
pa(entCtypeC
Risks'' Costs''
ofCopera(ngCwithinCaC
regulatedCsyste...
“I'think'the'system''
''has'been'very''
''reacSve.'It’s''
''about'pueng'out''
''fires.”'
~'Mike'Evans'
MedicalCDirectorCofC...
~'Mike'Evans'
MedicalCDirectorCofCHealthCDesignCLabC
St.CMichael’sCHospital,CTorontoC
“In'Health'2.0''
''we'are'seeing'the...
“Most'frustraSng'is''
''waiSng'for''
''something'that'we''
''know'is'being''
''researched,'
''knowing'that'
''we'won't'eve...
“Accessibility'is'about'
'providing'fundamental''
'human'services'to''
'benefit'more'people'in''
'more'situaSons.”'
“Access...
“Mason'is'very'social'and'finds''
''social'interacSons'rewarding.''
''New'learning'can'be'facilitated''
''by'tasks'which'ha...
is'a'conSnuum'by'
which'people'
adapt'to'their'
environment'
Competence'
makes'it'implicitly'clear'how'
to'interact'with'an'object'
Affordance'
reinforces'posiSve'
behaviors'into'
rouSnes'
HabituaSon'
empower'people'to'
surpass'their'level'
IncenSves'
allows'for'
ahributes'that'
cannot'be'
changed'
Empathy'
“I'make'the'
''people'in'
''my'design'
''pracSce'sit'in'
''wheelchairs''
''and'use'walkers.''''
''There'is'just'
''nothing...
15%'
15%'We'are'all'digital'outcasts'
~'David'Green'
FoundCofCAurolab,CdistributorCofC$2C
lensesCforCcataractCpa(entsC
Making'health'
care'innovaSon'
affordable'...
(183s) chickpeas
(514s) beans
(552s) Goya Beans
~'William'Gibson'
ScienceCFic(onCWriterCandCAuthorCofCIdoruC
C
“The'future'has''
''already'arrived.''
''It’s'just'not'even...
Thank'You'
Kel.Smith@anikto.com'
Kel Smith - The unintended consequences of inaccessible technology
Kel Smith - The unintended consequences of inaccessible technology
Kel Smith - The unintended consequences of inaccessible technology
Kel Smith - The unintended consequences of inaccessible technology
Kel Smith - The unintended consequences of inaccessible technology
Kel Smith - The unintended consequences of inaccessible technology
Kel Smith - The unintended consequences of inaccessible technology
Kel Smith - The unintended consequences of inaccessible technology
Kel Smith - The unintended consequences of inaccessible technology
Kel Smith - The unintended consequences of inaccessible technology
Kel Smith - The unintended consequences of inaccessible technology
Kel Smith - The unintended consequences of inaccessible technology
Kel Smith - The unintended consequences of inaccessible technology
Kel Smith - The unintended consequences of inaccessible technology
Kel Smith - The unintended consequences of inaccessible technology
Kel Smith - The unintended consequences of inaccessible technology
Kel Smith - The unintended consequences of inaccessible technology
Kel Smith - The unintended consequences of inaccessible technology
Kel Smith - The unintended consequences of inaccessible technology
Kel Smith - The unintended consequences of inaccessible technology
Kel Smith - The unintended consequences of inaccessible technology
Kel Smith - The unintended consequences of inaccessible technology
Kel Smith - The unintended consequences of inaccessible technology
Kel Smith - The unintended consequences of inaccessible technology
Kel Smith - The unintended consequences of inaccessible technology
Kel Smith - The unintended consequences of inaccessible technology
Kel Smith - The unintended consequences of inaccessible technology
Kel Smith - The unintended consequences of inaccessible technology
Kel Smith - The unintended consequences of inaccessible technology
Kel Smith - The unintended consequences of inaccessible technology
Kel Smith - The unintended consequences of inaccessible technology
Kel Smith - The unintended consequences of inaccessible technology
Kel Smith - The unintended consequences of inaccessible technology
Kel Smith - The unintended consequences of inaccessible technology
Kel Smith - The unintended consequences of inaccessible technology
Kel Smith - The unintended consequences of inaccessible technology
Kel Smith - The unintended consequences of inaccessible technology
Kel Smith - The unintended consequences of inaccessible technology
Kel Smith - The unintended consequences of inaccessible technology
Kel Smith - The unintended consequences of inaccessible technology
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Kel Smith - The unintended consequences of inaccessible technology

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Presented by Kel Smith on September 26, 2013 at the fourth annual Center for Health Literacy Conference: Plain Talk in Complex Times.

Published in: Education, Design, Technology
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Kel Smith - The unintended consequences of inaccessible technology

  1. 1. Unintended'Consequences' What'We'Can'Learn'From'Digital'Outcasts' @kelsmith' #plaintalk2013'
  2. 2. h"p://ar(cles.washingtonpost.com/2012812813/na(onal/35812804_1_disease8study8research8study8life8expectancyC
  3. 3. U.S.C h"p://ar(cles.washingtonpost.com/2012812813/na(onal/35812804_1_disease8study8research8study8life8expectancyC
  4. 4. “Historically,'' ''accessibility'has'' ''been'perceived'as'an'' ''aGerthought'–'the'' ''final'bullet'point.'' ''Nice'to'have'if'we'' ''had'the'budget.”''
  5. 5. Accessibility'is'ugly ' Accessibility'is'expensive ' Accessibility'isn't'marketable ' “Accessibility'isn’t'innovaSve”'
  6. 6. ~'Rich'Donovan' Return'on'Disability'and'M2Enabling'SummitC C
  7. 7. “Designing'for''' ''extreme'' ''environments'' ''leads'to'' ''consumer'' ''innovaSon.”' ~'Rich'Donovan' Return'on'Disability'and'M2Enabling'SummitC C
  8. 8. “My'daughter'is'' ''capable'of'a'threeW' ''hour'tantrum'that'' ''leaves'your'ears'' ''ringing.'With'the'' ''phone'showing'' ''exactly'what'she' ''has'requested,'we'''' ''see'a'huge'reducSon'''' ''in'(her)'frustraSon."'
  9. 9. h"p://www.cnn.com/2012/04/29/showbiz/lost8voice/index.html?iref=obinsiteC
  10. 10. “Doctors' ''frequently' ''make'incorrect'' ''assumpSons'' ''about'me' ''related'to'my'' ''intelligence'and'' ''my'ability'to'' ''funcSon'' ''independently.”''
  11. 11. How'much'do'you'agree'with'the'following' statement:'“Most'healthWrelated'content' reflects'an'understanding'of'what'it’s'like'to'be' a'blind'or'low'vision'paSent.”' Strongly'agree' ' Somewhat'' Agree' ' Neither'agree'' nor'disagree' ' Somewhat' disagree' ' Strongly'' disagree' ' 100%' 78%'
  12. 12. “For'blind'paSents'it’s'' ''nearly'impossible'to'dose'' ''medicaSon'properly.'A'' ''change'adverSsed'as'' ''being'great'for'the'sighted'' ''can'be'dangerous'for'us.”'' “For'blind'paSents'it’s'' ''nearly'impossible'to'dose'' ''medicaSon'properly.'A'' ''change'adverSsed'as'' ''being'great'for'the'sighted'' ''can'be'dangerous'for'us.”''
  13. 13. 250'medical'pracSces' 50%'would'complete' only'part'of'the' examinaSon'
  14. 14. 250'medical'pracSces' 20%'refused'to'book'an' appointment'
  15. 15. 250'medical'pracSces' 10%'employed'staff'who' were'adequately' trained'on'PWD'
  16. 16. ofCnotCdeliveringCqualityC clinicalCservicesCforCeveryC pa(entCtypeC Risks'' Costs'' ofCopera(ngCwithinCaC regulatedCsystemCofC sharedCservicesC
  17. 17. “I'think'the'system'' ''has'been'very'' ''reacSve.'It’s'' ''about'pueng'out'' ''fires.”' ~'Mike'Evans' MedicalCDirectorCofCHealthCDesignCLabC St.CMichael’sCHospital,CTorontoC
  18. 18. ~'Mike'Evans' MedicalCDirectorCofCHealthCDesignCLabC St.CMichael’sCHospital,CTorontoC “In'Health'2.0'' ''we'are'seeing'the'' ''need'to'anScipate'' ''problems,'with'' ''paSents'driving' ''the'bus.”'
  19. 19. “Most'frustraSng'is'' ''waiSng'for'' ''something'that'we'' ''know'is'being'' ''researched,' ''knowing'that' ''we'won't'ever'have'' ''access'to'that'one'' ''thing'that'may'change'' ''our'child's'life.”'' “Most'frustraSng'is'' ''waiSng'for'' ''something'that'we'' ''know'is'being'' ''researched,' ''knowing'that' ''we'won't'ever'have'' ''access'to'that'one'' ''thing'that'may'change'' ''our'child's'life.”''
  20. 20. “Accessibility'is'about' 'providing'fundamental'' 'human'services'to'' 'benefit'more'people'in'' 'more'situaSons.”' “Accessibility'is'about' ''providing'fundamental'' ''human'services'to'' ''benefit'more'people'in'' ''more'situaSons.”'
  21. 21. “Mason'is'very'social'and'finds'' ''social'interacSons'rewarding.'' ''New'learning'can'be'facilitated'' ''by'tasks'which'have'posiSve'' ''emoSonal'associaSons,'such'' ''as'music'and'arts'acSviSes'' ''used'as'reinforcers'for'' ''appropriate'effort.”''
  22. 22. is'a'conSnuum'by' which'people' adapt'to'their' environment' Competence'
  23. 23. makes'it'implicitly'clear'how' to'interact'with'an'object' Affordance'
  24. 24. reinforces'posiSve' behaviors'into' rouSnes' HabituaSon'
  25. 25. empower'people'to' surpass'their'level' IncenSves'
  26. 26. allows'for' ahributes'that' cannot'be' changed' Empathy'
  27. 27. “I'make'the' ''people'in' ''my'design' ''pracSce'sit'in' ''wheelchairs'' ''and'use'walkers.'''' ''There'is'just' ''nothing'like' ''doing'it.”'
  28. 28. 15%'
  29. 29. 15%'We'are'all'digital'outcasts'
  30. 30. ~'David'Green' FoundCofCAurolab,CdistributorCofC$2C lensesCforCcataractCpa(entsC Making'health' care'innovaSon' affordable'and' accessible'to' everyone' Compassionate' Capitalism'
  31. 31. (183s) chickpeas (514s) beans (552s) Goya Beans
  32. 32. ~'William'Gibson' ScienceCFic(onCWriterCandCAuthorCofCIdoruC C “The'future'has'' ''already'arrived.'' ''It’s'just'not'evenly'' ''distributed'yet.”'
  33. 33. Thank'You' Kel.Smith@anikto.com'

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