AnthroTech Meetup: The Body: Fitness and Health Apps "Sickcare Apps" 04.11.13


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Overview of Fitness and Health Apps, with a focus on 'sickcare' apps - mobile medical or mHealth apps, including insights on self-tracking, feedback loops, and opportunities for user experience (UX) and anthropology experts to help improve patient engagement

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AnthroTech Meetup: The Body: Fitness and Health Apps "Sickcare Apps" 04.11.13

  1. 1. The Body: Fitness & Health Apps –“Sick Care” AppsGeorge T. Mathew
  2. 2. Agenda1 Definitions2 Spectrum of Apps3 Why now?4 Feedback Loops & Self-Tracking5 Observations6 References7 Q&A
  3. 3. DefinitionsHealth, Wellness and Fitness Apps Application programs that offer consumers monitoring and/or advice about fitness or nutritionSickcare Apps (Mobile Medical/mHealth Apps) Application programs that allow patients to manage and securely communicate with other patients, physicians, and healthcare systems about a disease. Regulated by FDA as a Medical Device.
  4. 4. Spectrum of AppsHealth, Wellness Sickcare Appsand Fitness Apps ?Self-initiated Prescribedhealth tracking health(quantified self) disease management, intervention preventive health, (following remote monitoring & care, detection & doctor’s orders) screening, consumer personalized medicine, predict and control outbreaks24 yo F, marathon 24 yo F, marathon runner, uses runner, uses 45 yo M, diabetic, 45 yo M, diabetic, RunKeeper RunKeeper uses AgaMatrix uses AgaMatrixSource: Rock Health
  5. 5. Why Now?Current trends in the U.S. MD shortage Cell phone use & Telecom network Chronic Condition Cheaper, Better Prevalence Sensors Cost-Shifting EHR’s/PHR’s To Patients /RHIO Drug Behavioral Development Change Costs Obamacare
  6. 6. Why Now?Supply and Demand sickcare
  7. 7. Feedback LoopsEnhanced by Self-Tracking • Evidence: Behavior must be measured, captured and stored [mobile apps/sensors] • Relevance: Information relayed to individual, in a context that makes it resonant [graphic user interface/health professional] • Consequence: information must illuminate one or more paths ahead [graphic user interface/health professional/behavior change] • Action: clear moment that individual can recalibrate a behavior, make a choice, and act Source: WIRED Magazine
  8. 8. Self-tracking BehaviorKey part of the Feedback Loop Trigge Trigge rr Reflective Reflective Loop Loop Source: Ernesto Ramirez, Quantified Self Your Logo
  9. 9. Self-tracking BehaviorMuch different Experience in sickcare… “its easy to let the futuristic allure of technology obscure the fact that people with diabetes have been tracking their own health for 30 years now. They are the real early adopters here, and their jaded experience challenges those -- like myself -- who would argue that self-tracking tools are the salve for so many conditions. In short, the paradox is this: If self-tracking is so great, why do diabetics hate it so much?” “The fact that diabetics have been doing this for years, and that they largely loathe the experience, not only serves as a caution to the vogue of self- tracking. It also offers an opportunity, serving as an “Yes, self-tracking offers all sorts of object lesson in what works, and what doesnt work, when people track their health.” benefits. It helps people chart their progress, helps them feel that theyre in “In the case of diabetes, the distaste falls into three control. But its not a panacea or a silver categories: Self monitoring for diabetes is an bullet. It is nothing at all like a cure.” unremitting and unforgiving labor; the tools themselves are awkward and sterile; and the combination of these creates a constant sense of anxiety and failure.”
  10. 10. Self-tracking Behavior…but lessons can be learned and used “At then end of the day, self- tracking needs to be a positive experience because its such a demanding one” “First, self-tracking needs to be as effortless and to be as effortless and automatic as possible; friction is the enemy. Second, the tools “Yes, self-tracking offers all sorts of need to be designed with the benefits. It helps people chart their consumer in mind, not the progress, helps them feel that theyre in clinician…And third, it’s essential control. But its not a panacea or a silver bullet. It is nothing at all like a cure.” that self-tracking address the emotional needs of the patient, not just their rational side.”
  11. 11. Self Tracking BehaviorMD vs Consumer – Difference in Demand Source: Rock Health
  12. 12. Self-tracking BehaviorOther Insights… Tracking for Health Jan. 28, 2013 All adults (n=3,014) % • 19% of U.S. adults reporting no chronic Track weight or exercise routine 60 conditions say they track health indicators or symptoms Track any other indicators like blood 33 • 40% of U.S. adults with 1 condition are pressure, sleep, patterns, headaches trackers • 62% of U.S. adults with 2+ conditions are Track any health indicators for a 12 trackers loved one Total who track any health 69 indicators for themselves or others
  13. 13. Self-tracking BehaviorOther Insights… Tracking for Health Jan. 28, 2013The Impact of Tracking Overview of Tracking46% of trackers say that this activity has changed 69% of adults track a health indicator fortheir overall approach to maintaining their health themselves or others.or the health of someone for whom they provide 34% of individuals who track use non-care. technological methods such as notebooks or40% of trackers say it has led them to ask a new questions or to get a second opinionfrom another doctor. Tracking and Sharing34% of trackers say it has affected a decision 34% of trackers share their data or notes withabout how to treat an illness or condition. someone else. 52% share with a health professional. 22% share with a spouse/partner.
  14. 14. Observations • Behaviors, motivations and reward mechanisms differ between health/fitness app users and sickcare apps users • Sickcare apps and wireless sensors that passively capture data may be more effective - jury is out • Self-tracking tools need behavior modification plans to have an effective feedback loop • Trigger Event, Engagement/feedback loop and data differ for different diseases • ‘Tracking/App Fatigue’ is real
  15. 15. Other Resources Health Data Presentation Ben Fry, Fathom/GE Healthymagination – attach wireless devices for free Web Design/ UX & UI Asa Raskin, Massive Health/Jawbone Healthcare Experience Design Peter Jones, Jay Parkinson, HXD Conference
  16. 16. References 1) Rock Health: Resources Page 2) Eric Topol, The Creative Destruction of Medicine 3) Jody Ranck, Connected Health 4) Mobilhealthnews/Akami, ’Feedback Loops’ 5) PriceWaterhouseCooper mHealth Reports 6) Pew Internet Research, ’Tracking for Health’ 7) David Lee Scher, MD, the Digital Health Corner
  17. 17. THANK YOU!
  18. 18. APPENDIX
  19. 19. Behavior Change Model ExampleBJ Fogg Change Model(s) An example of a Behavior Change model from BJ Fogg.
  20. 20. Behavior Change Model ExampleProchaska Change Model An example of a Behavior Change model - the Prochaska Transtheoretical Model of Behavior Change assesses an individuals readiness to act on a new healthier behavior, and provides strategies, or processes of change to guide the individual through the stages of change to Action and Maintenance
  21. 21. Increasing Ease of Use –Effectiveness to be Proven