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FINAL finalized mission: recovery
- 1. Mission: Recovery Your Teammate in Eating Disorder Recovery Created by: Katerina Gregoriou and Ji Park
- 2. Stressor + POV POV: People in recovery from EDs need a way to give self permission to enjoy everyday activities without feeling guilty.
- 3. SBTM Once a day, give yourself permission to enjoy one daily action.
- 4. Prototype 1
- 5. Prototype 2
- 6. Video
- 7. Trial Design -1 message/day -4 days -message type: actionable “I get
- 8. A User’s Story “I like that it allows me to do things I don’t allow myself to do.” “...took my mind away from any troubles...” “Instead of yelling at my daughter I grabbed the ball...it’s nice to ground mysel in something.”
- 9. Results:
- 10. Conclusive NOI Getting permission from a tangible, external source in early stages of eating disorder recovery is key.
- 11. Next Steps
- 12. References ● http://static.ddmcdn.com/gif/storymaker-twelve-alarm-clocks-1203237- 515x388.jpg ● http://www.viavilla.com/k/1721b555ee ● http://www.huffingtonpost.com/joe-seldner/why-men-still-pay-for- dates_b_6489718.html ● http://www.popcitymedia.com/features/hellopittsburgh062012.aspx ● http://1000awesomethings.com/2010/04/21/522-dancing-when-youre- home-alone/ ● http://rustandgolddust.com/2011/09/15/top-ten-never-feel-guilty-about/ ● http://pixshark.com/reaching-out-hand-black-and-white.htm
Editor's Notes
- -personally in recovery from an ED….have seen effects when relapse prevention either not done well or doesn’t exist -our mission throughout -> relapse prevention for EDs -> something fun and that excited about b/c relapse prevention tools out there now often as rigid as ED mentality itself
- Kat -initial stressor: adapting to the spontaneity of life outside the rigid structure of treatment is difficult, and often leads to relapse -initial POV: break the rigidity of relapse prevention plan in a way that makes user feel prepared to adapt to spontaneity of life outside treatment -gathered from further user interviews that concept of spontaneity not as widely applicable to all ED diagnoses -also that people who haven’t been in formal treatment don’t necessarily have a plan in the first place to break -found something even more compelling….concept of giving self permission -> may sound foreign, but in across all EDs mentality about self-deprication and that don’t deserve -pinpointing this and flipping it on its head proved very powerful to our users -new stressor: across all ind w/an ED, allowing oneself/giving self permission to do things is incredibly hard, and if don’t do this, can be road to relapse -new POV: users need a way to give themselves permission to enjoy everyday activities in a way that doesn’t make them feel guilty
- Ji SBTM -Once a day, turn a rigid aspect of your relapse prevention plan into something spontaneous. -Why 1x/day? -on the motivation vs. implementation (is that the correct other axis?) scale motivation is higher if it’s your ‘mission’ each day -might forget about it if it’s farther apart than every day -implementation is too hard if it’s more than 1x/day due to the nature of the tasks as well as where the users are at in phase of recovery -3 categories: -> food/meal plan spontaneity -> social spontaneity -> somatic spontaneity
- Ji -need to give examples of messages (emphasize that they are actionable) -> we iterated from 3 original groups based on feedback
- Kat
- Kat
- Ji -2 users in recovery -1 therapist/clinician, who shared with other therapists and 15-20 clients -Day 1: “I get to reach out to a friend I haven’t spoken to in a while.” -Day 2: “I get to do one spontaneous thing that’ll make me laugh.” -Day 3: “I get to say hello to a random stranger today.” -Day 4: “I get to treat my body! Think: massages, pedicures, etc.”
- Kat
- Ji *overall -physical prototype -> loved tactile features, although yarn kept coming apart so wanted it to be more durable -> User 1 -multiple therapists/clinicians + about 15-20 clients in recovery -not one of the clients didn’t comment about how much they liked the tactile features (all were constantly playing with the ball) -all also commented that screen too small (text hard to read) -really like that the messages are actionable vs. just an inspirational quote that often fails to motivate clients to move forward in recovery -> kept comparing it to Recovery Record (app that tracks clients progress, but doesn’t have a feature to encourage action, so they really liked this) -clinicians especially liked that couldn’t skip messages b/c encourages pushing clients slightly out of their comfort zone in a healthy way -clinicians want the ability to track whether their clients are completing the daily prompts (not sure if we need to mention this?) User 2 ***can mention quantitative data here*** -(she couldn’t find her charger so she only got messages on 2 of the days, and didn’t do them b/c the wording didn’t speak to her) -Messages didn’t speak to her -Didn’t like the phrase “I get to,” suggested changing it to “I deserve to~”/ “I’m worthy enough to” watch the sunset -> we need to personalize based on different stages of recovery -Felt little uncomfortable carrying around, afraid someone would ask what it is -Start with simple things, speak straightforward, otherwise felt like another task on top of her regular work -> even just something like 5 minutes out of her day to take time for herself -said she would wait for a new message to come (good!!) -> wanted one in the morning and the evening (needs to be personalized b/c some people get triggered at certain times of the day, and if they can have a message/outside stimulus at that time it will really help - “I think this will really help people” “There’s nothing else like it out there” User 3 ***can mention quantitative data here*** (I’m going to say a lot of this in user’s story...so I can cut some later) -carried the ball on all 4 days and completed all 4 messages -carried a bigger purse just because she wanted to have the ball with her -loved that it allowed her to do things she wouldn’t normally do (i.e. get a pedicure, etc.) b/c she feels she doesn’t deserve to do things for herself -> could do these things without feeling guilty -liked that it didn’t have any food-related messages so she could still follow her meal plan -squeezed it in moments when she felt she was losing control (b/c EDs are all about control), but b/c of the physical prototype she was afraid it might fall apart -> something physical to focus on - “It’s something physical you can grab for...I punch pillows, but you can’t do that in public!” -also said screen to small -would like to have option to skip just 1-2 times -> in case prompt requires more time than she has but still wants to do one - “I see it [the loss of control/ED bxs] in my daughter...this would be great for teens” -also really likes keychain/pillow ideas
- Kat -having something outside the self that can give you permission to do things you wouldn’t otherwise do is key in ED recovery -something physical that can double as a stress release when feeling out of control -key = outside the self b/c don’t yet have permission/control to do it themselves -concept of someone else holding recovery for you in early stages
- Kat 1) Larger, longer trial w/more participants -to see if really is effective in improving outcomes in recovery -see if still see same general feedback 2) Personalization -some want different wording on messages -some get triggered during certain parts of the day and want a message during that time...ability to set that 3) Size -smaller so it can fit inconspicuously in a purse -so people don’t ask questions 4) Functionality -pillow w/a new message every morning when you wake up -eliminates concerns about other people knowing if aren’t yet ‘out’