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Observations of Daily Living Personalized Health Monitoring ...

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Observations of Daily Living Personalized Health Monitoring ...

  1. 1. Observations of Daily Living <ul><li>Personalized Health Monitoring & Feedback </li></ul>Abrahm Coffman Annette Greiner Matt Gedigian James Tucker Nathaniel Wharton
  2. 2. <ul><li>Personal Health Tracking </li></ul><ul><li>Building a Platform </li></ul><ul><li>KidOoDL </li></ul>
  3. 3. Personal Health Tracking <ul><li>Patient Care </li></ul><ul><ul><li>Chronic Illnesses / Preventative Medicine </li></ul></ul><ul><ul><li>Patient Narrative / Recall Bias </li></ul></ul><ul><li>Social Health </li></ul><ul><ul><li>Sharing similar experiences </li></ul></ul><ul><ul><li>Social motivation / peer pressure </li></ul></ul><ul><li>Research </li></ul><ul><ul><li>Epidemiology, Clinical Trials </li></ul></ul>
  4. 4. What Are We Tracking? <ul><li>Thinking about the Data </li></ul><ul><ul><li>Sensors vs. Observations </li></ul></ul><ul><ul><li>Quantitative vs. Qualitative </li></ul></ul><ul><li>Referring to the Data </li></ul><ul><ul><li>Vital Signs </li></ul></ul><ul><ul><li>Basic Biometrics </li></ul></ul><ul><ul><li>Observations of Daily Living!! </li></ul></ul><ul><ul><ul><li>“ Patterns & Realities of Daily Life” </li></ul></ul></ul>Weight Heart Rate Blood Pressure Blood Glucose Brain Waves Medication Diet Exercise Sleep Mood Pain
  5. 5. Adoption Challenges <ul><li>Medical Community </li></ul><ul><ul><li>Physician Workflows </li></ul></ul><ul><ul><li>Health Information Standards Support </li></ul></ul><ul><li>Patient Community </li></ul><ul><ul><li>Data Entry </li></ul></ul><ul><ul><ul><li>Can you provide immediate gratification? Rewards? </li></ul></ul></ul><ul><ul><ul><li>Sparse data is much less useful </li></ul></ul></ul><ul><ul><li>Behavioral Change </li></ul></ul><ul><ul><ul><li>The ultimate goal is probably the hardest </li></ul></ul></ul>
  6. 6. <ul><li>Personal Health Tracking </li></ul><ul><li>Building a Platform </li></ul><ul><li>KidOoDL </li></ul>
  7. 7. Platform Architecture
  8. 8. Data Model
  9. 9. Architecture (Implementation)
  10. 10. <ul><li>Personal Health Tracking </li></ul><ul><li>Building a Platform </li></ul><ul><li>KidOoDL </li></ul>
  11. 11. Data to track <ul><li>Doctor’s recommend tracking for all newborns: </li></ul><ul><ul><li>Eat – frequency and amount </li></ul></ul><ul><ul><li>Sleep – frequency and amount </li></ul></ul><ul><ul><li>Elimination – type and frequency </li></ul></ul><ul><ul><li>Especially important for preemies! </li></ul></ul><ul><li>Milestones </li></ul><ul><ul><li>Physical and emotional skills children develop by specific age ranges </li></ul></ul><ul><ul><ul><li>Baby can lift head while on stomach by end of 3 rd month </li></ul></ul></ul><ul><li>Combined represent to parent and doctor alike the baby’s health and development </li></ul>
  12. 12. Needs <ul><li>Parents want </li></ul><ul><ul><li>to know the baby is health (in the normal range) </li></ul></ul><ul><ul><li>to see where baby is above average (can brag) </li></ul></ul><ul><ul><li>to find patterns and correlations </li></ul></ul><ul><ul><ul><li>eat at X amount at Y time and then sleeps Z hours </li></ul></ul></ul><ul><ul><li>to provide this to the doctor quickly and easily </li></ul></ul><ul><li>Doctors want </li></ul><ul><ul><li>clear, concise, useful information that fits in their workflow and decision making processes </li></ul></ul><ul><ul><li>input into what parents track </li></ul></ul>
  13. 13. Challenges <ul><li>Multiple caregivers require multiple data entry points and modes for the same child </li></ul><ul><ul><li>Parents, Family, Daycare, Nanny: all need to track and share the same information </li></ul></ul><ul><li>Difficult to remember to track at 4:00AM with little sleep </li></ul><ul><li>Recall bias – best to track at moment of occurrence, not hour or days later </li></ul><ul><li>Travel </li></ul><ul><ul><li>Not in location where tracking device is </li></ul></ul><ul><ul><li>Schedule for child is thrown off </li></ul></ul>
  14. 14. Our Answers <ul><li>KidOoDL </li></ul><ul><ul><li>iPhone application </li></ul></ul><ul><ul><ul><li>Mobile, everywhere, convenient, easy data entry </li></ul></ul></ul><ul><ul><ul><li>Information Visualization </li></ul></ul></ul><ul><ul><li>Website </li></ul></ul><ul><ul><ul><li>Account management </li></ul></ul></ul><ul><ul><ul><li>Access management </li></ul></ul></ul><ul><ul><ul><li>Information storage </li></ul></ul></ul><ul><ul><ul><li>Information Visualization </li></ul></ul></ul><ul><ul><ul><li>Integration with Google Health </li></ul></ul></ul>
  15. 15. UI Design – Competitive Analysis <ul><li>For the iPhone, </li></ul><ul><li>Baby Brain </li></ul><ul><li>BabyConnect </li></ul><ul><li>iTrackBaby </li></ul><ul><li>Baby Activity Logger </li></ul><ul><li>NursingLog </li></ul><ul><li>Total Baby </li></ul><ul><li>Baby Geek </li></ul><ul><li>Bant </li></ul><ul><li>Weightbot </li></ul><ul><li>For Android, </li></ul><ul><li>Baby ESP </li></ul><ul><li>For the web, </li></ul><ul><li>Trixie Tracker </li></ul><ul><li>Keas </li></ul><ul><li>theCarrot </li></ul><ul><li>PatientsLikeMe </li></ul><ul><li>Project HealthDesign </li></ul>
  16. 16. UI Design – Personas <ul><li>Rick – gadget-loving working father </li></ul><ul><li>Angela – tech-shy mother, primary persona </li></ul><ul><li>Scott – academic pediatrician </li></ul><ul><li>Emma – community pediatrician </li></ul><ul><li>Susan – entrepreneurial babysitter </li></ul>
  17. 17. UI Design – Paper Prototypes
  18. 18. UI Design – Usability Testing <ul><li>Single-click data entry doesn’t work </li></ul><ul><li>Consistent navigation is better than contextual </li></ul><ul><li>“ Charts” are for doctors and developers </li></ul><ul><li>Parents are turned off by the idea of archiving </li></ul><ul><li>Timers don’t work for long-term events </li></ul><ul><li>Cross-platform consistency is expected </li></ul>
  19. 19. UI Design - iPhone App
  20. 20. UI Design - iPhone App
  21. 21. UI Design – Web App
  22. 22. UI Design – Web App
  23. 23. UI Design – Graphic Design
  24. 24. UI Design – Graphic Design
  25. 25. UI Design – Visualizations
  26. 26. UI Design – Visualizations
  27. 27. UI Design – Visualizations
  28. 28. UI Design – Visualizations
  29. 29. Web App - Screen Shot
  30. 30. Web App – Screen Shot
  31. 31. Web App – Screen Shot
  32. 32. iPhone – Screen Shots
  33. 33. Where do we go from here? <ul><li>Incorporate ‘Berkeley Health Informatics’ </li></ul><ul><li>Expand framework and ODLs supported </li></ul><ul><li>Pilot Programs </li></ul><ul><ul><li>Lucile Packard Children’s Hospital </li></ul></ul><ul><ul><li>UCSF </li></ul></ul><ul><li>Develop Social Interaction Framework </li></ul><ul><li>Additional application development </li></ul><ul><ul><li>KidOoDL on Android, Blackberry, Win Mobile 7 </li></ul></ul>

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