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Introducing the Motivational Map

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  • Is the adherence event the opening of the glow cap? What happens if the person opens the CAP to switch off the reminder and does not actually take the pill i.e. its claimed adherence and not actual.
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Introducing the Motivational Map

  1. 1. Pervasive is persuasive A single pixel browser
  2. 2. Ambient Orb
  3. 3. Exposing customers to energy prices flattens the demand curve CA ISO Data SCE Implementation: Off-Peak ------------------------- ----------------- Event Planned / Active 3
  4. 4. Customer satisfaction index
  5. 5. Vitality addresses each of the root causes of non-adherence VITALITY
  6. 6. This is what non-adherence looks like... Each row is person, each column is a day. Red indicates a missed dose. Control groups=70%
  7. 7. This is what adherence looks like with GlowCaps Over 95%
  8. 8. Existing studies have quantified the cost-savings of high medication adherence: Low adherence High adherence savings per Condition care costs care costs year Diabetes $8,867 $4,570 $4,297 48% High $6,888 $3,924 $2,964 43% Cholesterol High Blood $10,916 $6,752 $4,164 38% pressure Multiple $16,498 $8,886 $7,612 46% ailments Medical Care, 2005, vol. 43, no6, pp. 521-530 SOKOL Michael C. ; MCGUIGAN Kimberly A. ; VERBRUGGE Robert R. ; EPSTEIN Robert S.
  9. 9. 1) Pharmacist deliver medication in a GlowCap “The smart pill cap will help you to remember with light, sound, and if you want, a reminder call.”
  10. 10. 2) At home, you plug in the reminder light.
  11. 11. 3) Every day, the GlowCap and reminder light flash for an hour, then play a ring tone every few minutes until you open the cap.
  12. 12. 4) If you forget, Vitality can call to remind you.
  13. 13. 5) Weekly emails show which days you did, or didn’t, take a medication.
  14. 14. 6) Every month you receive a printed progress report in the mail.
  15. 15. How do we personalize persuasion?
  16. 16. Are we motivated differently?
  17. 17. Financial incentives F1 F2 S1 S2 F3 F4 S3 S4 D1 D2 C1 C2 D3 D4 C3 C4
  18. 18. F1 F2 S1 S2 F3 F4 S3 S4 D1 D2 C1 C2 D3 D4 C3 C4 Situational
  19. 19. F1 F2 S1 S2 F3 F4 S3 S4 D1 D2 C1 C2 D3 D4 C3 C4 Personality Style
  20. 20. Social dynamics F1 F2 S1 S2 F3 F4 S3 S4 D1 D2 C1 C2 D3 D4 C3 C4
  21. 21. Corresponding services each come at a cost... $20 $2 $20 $24 $120 $.01 $.01 $.01 $10 $10 $250 $.01 $5 $.01 $30 ...the persuasive effect is quantified and an ROI calculated.
  22. 22. Motivational Map Questions Which of the 16 segments fold together? What’s missing? How effective is tailoring over a randomized control? If the survey is spread over time and modalities, is it perceived as less arduous, less intrusive? How portable is this framework to other behavioral health goals? Let’s find out!
  23. 23. Motivational Map email me to make your map: drose@vitality.net drose@media.mit.edu

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