Mobile Health Talk


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Mobile Health Talk

  1. 1. mobile technology as a channel for health interventions<br />Case Study: SMS triggering of deep breathing stress reduction habit in Stanford undergraduates.<br />By Shuqiao Song<br /><br />
  2. 2. About Me<br />Human Biology | Designing for Behavior Change<br />Communication | Communication Technologies<br />Health + Technology + Design <br />
  3. 3. Why think about stress reduction?<br />
  4. 4. Because of this…<br />
  5. 5. Mental Health: Managing Stress…<br />What to do?<br />
  6. 6. Smallest Behavior That Matters<br />Deep Breathing<br />
  7. 7. How to persuade students to develop habit of deep breathing?<br />
  8. 8. A Model for Behavior Change<br />Motivation + Ability + TRIGGERS = Behavior Change<br /><br />
  9. 9. …use SMS for triggering?!<br />
  10. 10. Current Research<br />Still relatively new…<br />But, evidence shows that SMS interventions can work well. (Cole-Lewis & Kershaw) <br />Mostly for disease management.<br />Need more research and innovation using SMS fordisease prevention behaviors!<br />
  11. 11. Let’s try this out!<br />
  12. 12. Ideal User Experience<br />
  13. 13. Shotgun User Testing<br />10 busy students. <br />7 days. <br />SMS. <br />And, deep breaths.<br />
  14. 14. So, what happened?<br />10 created accounts.<br />7 responded to post-survey.<br />5 were able to post-intervention stress assessment.<br />
  15. 15. Uh Oh…<br />Some users having difficulty using the program early on.<br />…iterate, use Google Voice to text message personal reminders to them<br />
  16. 16. Did it work?<br />In doing the behavior:<br />3 users took a deep breath each time they received the reminder!<br />Overall, 67% rate of success in triggering behavior.<br />In reducing stress:<br />Pre and Post stress assessment survey (scale 1-48)<br />On average, participants decreased stress level by 2 points…during FINALS week!<br />
  17. 17. Some important findings though…<br />
  18. 18. Mismatch in Expectation of Effort<br />Most thought this would be simple<br />For some it was extremely difficult and their participation became a source of anxiety!<br />“It was stressful to sign up for the experiment”<br />Why?<br />
  19. 19. Interface Confusion<br />Perception of Difficulty was very varible<br />4 users thought scheduling SMS was extremely difficult or did not schedule; 3 thought it was easy<br />
  20. 20. But the idea has potential!<br />“I had received the messages during finals week and it was sort of a uplifting moment for some reason. I'm not sure why. It's just not many people tell you personally ( in person or through YOUR cellphone not just a generalized email) to relax.”<br />“[Felt] cared for.”<br />“The reminders were cheerful. […] I liked them more because they came from someone I knew, a friend.”<br />
  21. 21. So focus on<br />Reducing Effort on their Part<br />Personal Touch—from a friend as a light hearted and caring reminder, not a stress inducing reminder<br />
  22. 22. Use mobile tech as a rapid prototyping tool!<br />Best part of intervention was the rapid iteration of the project idea to use Google Voice text message!<br />Other features to explore:<br />MMS, voice calling, Internet connectivity<br />
  23. 23. The potential of mHealth<br />Personal, portable, connected, intelligent (Adler)<br />Widely available, inexpensive, and instant<br /> (Cole-Lewis & Kershaw)<br />Use those features for…<br />Trigger<br />Social Support<br />Reinforcement/Feedback<br />
  24. 24. Tech Tools with Potential<br />JITSR<br />ViveCoach<br />Frontline SMS<br />Google Voice<br />
  25. 25. Take Home Points<br />Keep it simple! <br />Make the trigger source personal! <br />
  26. 26. Thank you!<br />