Presentation about trends in technology and health related behaviour change

1. Health, behaviour
change & technology
trends, a snapshot.

2. Many Consumer Health Apps

3. Consumer Health Apps Examples
AZUMIO offers
biofeedback health apps -
this one checks your
stress levels.
SAMSUNG S-HEALTH A health tracker native on
your phone with synched accessories. Monitors
weight, blood sugar and graphs it all. Demo-ed for
the first time March 14th, 2013

4. Patient Behaviours Drive Health
• Rehabilitation exercises!
• Medication compliance!
• Progress measurement!
• Nutrition plan!
• Correcting bad habits!
Patients are responsible for most of their own treatment.

5. 7 Guidelines: Motivating Behaviour
Change with Mobile
!
• Remind people of who they want to be!
• Foster an alliance!
• Apply social influence!
• Show people what they could lose!
• Put the message where the action is!
• Raise emotional awareness!
• Reframe Challenges
http://www.intel.com/content/dam/www/public/us/en/documents/articles/margie-morris-motivating-
change-with-mobile.pdf

6. 7 Guidelines: Motivating Behaviour
Change with Mobile
REMIND PEOPLE OF WHO THEY WANT TO BE
!
Health messaging should reference relationships
and other powerful incentives for making difficult
lifestyle changes to remind people of their values
and previously set intentions.!
!
+ E.g. Images are pushed to the phone at the time
individuals take medication to convey that
adherence will enable them to pursue favorite
activities, such as gardening.!
!
http://www.intel.com/content/dam/www/public/us/en/documents/articles/margie-morris-motivating-
change-with-mobile.pdf

7. 7 Guidelines: Motivating Behaviour
Change with Mobile
FOSTER AN ALLIANCE (between patient & device)
Dialogue such as “Let’s figure out what might be causing the rise in your
blood pressure” is preferable to “Your blood pressure is high; answer the
questions below.”!
!
+ CONNECT can assist to form an alliance between health practitioners and
patients as well.
”Insight and confidence in one’s ability to change results from a strong
therapeutic alliance. A therapist’s interpretations that describe the patient’s
main conflict in the contexts of her current situation, her personal history, and
the dynamics within the therapeutic relationship are catalysts for insight.”!
!
!
!
http://www.intel.com/content/dam/www/public/us/en/documents/articles/margie-morris-motivating-
change-with-mobile.pdf

8. 7 Guidelines: Motivating Behaviour
Change with Mobile
Behaviour change requires support between feedback and recording
!
http://www.slideshare.net/frogdesign/iln-behaviors-mechanics1

9. 7 Guidelines: Motivating Behaviour
Change with Mobile
APPLY SOCIAL INFLUENCE
Social comparison has been used to influence behavior in many contexts
!
+ To motivate change, the statements must accurately reference desirable behavior,
rather than unfortunate behavioral trends and their deleterious effects
“You exercised once last week. Eighty percent of women your age exercise daily.” !
+ Detailed narratives or videos depicting the successful strategies of others can
provide role modeling and thereby foster self-efficacy!
!
+ Set a referee for behaviour change commitments so patient feels supported by a
friend
!
http://www.intel.com/content/dam/www/public/us/en/documents/articles/margie-morris-motivating-
change-with-mobile.pdf

10. 7 Guidelines: Motivating Behaviour
Change with Mobile
SHOW PEOPLE WHAT THEY COULD LOSE
People need help understanding
the health losses they could
experience as a result of poor self-care.
!
http://www.intel.com/content/dam/www/public/us/en/documents/articles/margie-morris-motivating-
change-with-mobile.pdf
!
!
It can be hard for patients to link
short term decisions with long-term
consequences.!

11. 7 Guidelines: Motivating Behaviour
Change with Mobile
PUT THE MESSAGE WHERE THE ACTION IS - CONTEXTUAL PROMPTING
The closer to the time and place of the target activity that a reminder occurs,
the more effective it will be. A wide range of health choices, from immediate
meal decisions to enrollment in exercise classes, can be guided and simplified
through contextual prompting.!
!
e.g. Set reminders such as “Prepare healthy vegetable snacks for work
tomorrow” at dinner time.
“Is it time for your lunch-time walk” set as an alert at lunch-time.!
!
Delivering messaging within the right context can trigger behaviour.
!
http://www.intel.com/content/dam/www/public/us/en/documents/articles/margie-morris-motivating-
change-with-mobile.pdf

12. 7 Guidelines: Motivating Behaviour
Change with Mobile
RAISE EMOTIONAL AWARENESS
Emotional dynamics play a strong role in motivation, with negative moods
associated with impaired negotiating skills and consequent lapses from health goals. !
!
By “checking in” with their current mood and emotional patterns, individuals can
understand their vulnerabilities to such lapses and develop alternative coping
strategies.!
Emerging mobile applications and on-the-body sensors allow individuals to reflect on
emotional, physiological, and behavioral patterns.!
We should consider emotional dynamics and fluctuations in our platform.!
!
!
http://www.intel.com/content/dam/www/public/us/en/documents/articles/margie-morris-motivating-
change-with-mobile.pdf

13. 7 Guidelines: Motivating Behaviour
Change with Mobile
REFRAME CHALLENGES
Examining one’s immediate interpretations of daily events and considering
alternatives helps people respond to challenging situations in more constructive
ways.!
!
An example of this reframing is attributing a dietary lapse, such as eating fast
food, not to a lack of willpower but to unpreparedness for a long car ride. The
latter interpretation generates practical solutions, such as packing snacks,
rather than self-recrimination. Self-monitoring, cognitive reappraisal, and
development of alternative coping strategies are well evidenced elements of
cognitive behavioral therapy (CBT).!
!
http://www.intel.com/content/dam/www/public/us/en/documents/articles/margie-morris-motivating-
change-with-mobile.pdf

14. Trends Relating to Health Tools
• Wearable Technology!
• Platforms!
• Visualisation!
• Gamification!
• Social

15. Wearable Technology
WVISEUAARALIBSLAET TIOECNH

16. Biometric Measurement

17. Fitness Data Tracking
Viiiiva Fitness Gadget
Unveiled at CES International 2013,
this monitor lets ANT+ devices
communicate with an iPhone or iPod
touch in real-time without using an
adapter to sync information. This
means that you can jog, bike,
kickbox (or whatever your workout)
while monitoring stats like heart rate
or calories burned on your iPhone.

18. Health Data Tracking

19. PLATFORMS

20. Product Service Systems

21. Microsoft Health Vault

22. Microsoft Health Vault

23. Others offering BIG DATA platforms
Health institutions are partnering with these and other suppliers

24. VISUALISATION

25. Annual Reports Project
Nicholas Felton & the Felton Report!

26. Daytum.com
Visualising Life
DIY Platform for Visuslising Personal Statistics!

27. Visualising Health
Track & Share Glucose Levels!
http:/baotapp.com

28. Visualising Health
This can help patients to better visualise their conditions !
where it has no symptoms.
Progress can be visualised in order to function as a motivator.

29. http://www.slideshare.net/frogdesign/healthcare-innovation-now-3-themes-and-10-insights

30. GAMIFICATION

31. Gamification
“Gamification is the use of game thinking and game mechanics in
a non-game context in order to engage users and solve problems. !
!
Gamification is used in applications and processes to improve user
engagement, ROI, data quality, timeliness, and learning.”
SRC: http://en.wikipedia.org/wiki/Gamification

32. Health Games
Good health games successfully apply game mechanics that
make games fun to play. They shift the mentality of difficulty and
undesirable tasks into something that patients actually look
forward to doing.

33. Gamification can assist to....
• get people engaged!
• make health management more fun!
• get people to do challenging stuff!
• and keep them engaged.

34. Basic Game Mechanics
1.Lottery - e.g. choosing a card in Trivial Pursuit!
2.Countdown - e.g. the timer in Pictionary!
3.Team Competition - e.g. sports!
4.Narrative - e.g. Dungeons and Dragons!
5.Leader Board - e.g. Scrabble!
6.Progression Dynamic - e.g. Treasure hunt game!
7.Meta-game - e.g. Nintendo Brain Games!
8.Status - e.g. Farmville!
9.Achievement - e.g. Foursquare badges for visiting places
SRC for mechanics only: http://www.slideshare.net/frogdesign/iln-behaviors-mechanics1

35. Gaming for Health
Switch 2 Health!
http://www.s2h.com!
Wearable technology device that monitors health achievements & provides incentives
through a web platform. Positive behaviour is rewarded by a code from the device that users
can enter on the site to get rewards/prizes.

36. Gaming for Health
Nike +, Adidas mCoach!
IT platforms integrate with wearable devices that try to provide motivation for people that
exercise alone. The platforms use a social dimension to connect people as well as record
metrics to track progress on an individual level.

37. Gaming Dynamics of Nike +
SRC: http://www.slideshare.net/frogdesign/iln-behaviors-mechanics1

38. Gaming Dynamics of Nike +
SRC: http://www.slideshare.net/frogdesign/iln-behaviors-mechanics1

39. Gaming Dynamics of Nike +
SRC: http://designmind.com
SRC: http://www.slideshare.net/frogdesign/iln-behaviors-mechanics1

40. SOCIAL

41. Social and health apps
There is evidence to suggest that social elements can
help people to stay motivated and supported in their
health improvement journeys. Social elements can
manifest in very different ways on sites ranging from “like”
buttons to full-blown social networks.!
There are many online support communities for diabetics,
cancer patients, MS & HIV patients, asthma sufferers etc.!
The social network model relies on on-going support and
funding. These sites are usually funded by not for profits,
pharmaceutical companies, government and health
groups etc.

42. Patients Like Me

43. Patients Like Me

44. Patients Like Me

49. Connected Care Solution
by Frog Design
• A care plan - vitals (weight, BMI, waist circumference, blood pressure), Lifestyle
(physical activity), Medications & Supplements (different drugs)!
• Health monitoring - synching with biometric feedback devices the tool recognises
outliers and health professionals can check in on the patients progress at anytime.
Visualisation and sharing of data.!
• Virtual Coach - reminders to take metrics, medication and exercise. Setting of
progressive targets for activity. Gives feedback about results and actionable
suggestions.!
• Cheerleaders - Share your progress with friends and
family and get gentle nudges from them along the way.!
NB Developed with cardio-vascular !
patients in mind

50. jax@stickydesignstudio.com.au!
http://stickydesignstudio.com.au