ペチャクチャ20/20

Behaviour change & technology:inevitable and/or designable?

Dr Henry W W PottsSenior Lecturer, Centre for Health Informatics &

Multiprofessional Education (CHIME)h.potts@ucl.ac.uk

From Thinkers of the Jungle by Schuster, Smits & Ullal

Photo by Pedro Alonso, 2011

Good morning. Remember you have an appointment at the clinic this afternoon. To cancel or change the appointment, ring 020 7288 3383.

appointment reminders

smoking cessation

iStethoscope

TB intervention

improved diabetes controlvaccine booster

reminders

appointment reminders

STD awareness

anxiety reduction

sexual health advice

weight loss

supporting community health workers

appointment reminders

smoking cessation;

medication reminders; conception

support

AIDS treatment monitoring

smoking cessation

supporting community health workers

free condoms;

conception support

Thanks to Galit Zadok

m-health systems around the world

Effect size -1.8039 0 1.80397

Study Effect size (95% CI) % Weight

Maddison -0.26 (-0.48,-0.04) 71.9

Murphy -0.90 (-1.63,-0.17) 6.5

Maloney 0.00 (-0.54, 0.54) 12.0

Warburton 0.00 (-1.05, 1.05) 3.2

Daniel -0.62 (-1.80, 0.56) 2.5

Mhurchu -0.07 (-1.01, 0.87) 3.9

Overall -0.26 (-0.45,-0.07) 100.0

Overall, there was a significant reduction in BMI: z = 2.75, p = 0.006.Test of heterogeneity not significant: χ2(5) = 4.6, p = 0.5, I2 = 0%.

BMI

From Han et al. (2005), Pediatrics, 116:1506-12

From: tinywizard on Reddit.com

From http://rnuuja.tumblr.com/

From: Rose (1999), in: Pries-Heje et al. (eds.) Proc 7th European Conference on Information Systems.

Anthony Giddens

From: Greenhalgh & Stones (2010), “Theorising big IT programmes in healthcare: Strong structuration theory meets actor-network theory”, Soc Sci Med, 70: 1285-94

http://blog.laptop.org/tag/ethiopia/#.UYE4ziSQB8F

http://www.technologyreview.com/view/429206/emtech-preview-another-way-to-think-about-learning/

The endThanks to Ann Blandford, Alexandra Douglass-Bonner, Trish Greenhalgh & Emily Unwin

References/further reading:Ash J, Berg M, Coiera E (2004). Some unintended consequences of information technology in health care: The nature of patient care information system-related errors. J Am Med Inform Assoc, 11: 104-12.De Vaujany F-X (2005). Information technology conceptualization: Respective contributions of sociology and information systems. J Information Tech Impacts, 5(1): 39-58.Greenhalgh T, Potts HWW, Wong G, Bark P, Swinglehurst D (2009). Tensions and paradoxes in electronic patient record research: A systematic literature review using the meta-narrative method. Milbank Q, 87(4): 729-88.Greenhalgh T, Stones R (2010). Theorising big IT programmes in healthcare: Strong structuration theory meets actor-network theory. Soc Sci Med, 70: 1285-94.Han YY, Carcillo JA, Venkataraman ST, Clark RSB, Watson RS, Nguyen TC, Bayir H, Orr RA (2005). Unexpected increased mortality after implementation of a commercially sold computerized physician order entry system. Pediatrics, 116(6): 1506-12.Taylor P, Potts HWW (2008). Computer aids and human second reading as interventions in screening mammography: Two systematic reviews to compare effects on cancer detection and recall rate. Eur J Cancer, 44(6): 798-807.