health happens in the white space

1

Kelly Blasko, Ph.D.Lead PsychologistMilitary Family Technology-Focused Prevention ProgramNational Center for Telehealth & TechnologyDefense Center of Excellence

11 September 2014

Health Happens In The White Space

Disclaimer

The views expressed are those of the author and do not reflect the official policy or position of the U.S. Department of Defense or the U.S. Government.

2

White Space Defined

“A snapshot of the average year with the average patient shows that healthcare providers spend approximately 100 minutes with their patient during that year. How much health happens in those 100 minutes?...But what happens in the remaining 525,600 minutes of that year? What happens in the ‘White Space?’ I will tell you what I think happens – that is where health is built, that is where people live.”

Lieutenant General Patricia D. HorohoThe Surgeon General of the United State ArmyTestimony for Committee on Appropriations8 March 2012

3 11 September 2014

Fundamental Goal: Flourishing

• Feeling good & functioning effectively

• Self-report & subjective measure

• Have better health & life expectancy

– Learn effectively

– Work productively

– Better social relationships

4 11 September 2014

Source: Huppert & So (2009)

Me: A Day in a Life

• Sleep

• Eat

• Exercise

• Work

• Errands

• Leisure

• Socialize

• Family

5 11 September 2014

Technology & Accessibility: A Day in a Life

• Which device?

• Where?

• What for?

• When?

6 11 September 2014

Where Is The Overlap?

7 11 September 2014

“Within the 100 minutes” Paradigm

8 11 September 2014

CollaborativeRelationship

Knowledge, Skills

Technology For

Healthy Living

Technology As

Provider

“White Space” Paradigm

9 11 September 2014

Empowerment

Healthy Habits Augment Care

Key Elements of Development

10 11 September 2014

Technology

ProviderExpertise

Scenario #1: Education

• Megan experiencing the return of her father from a deployment with post-traumatic stress disorder

• Unknowns:

– Why is my Dad acting differently?

– Why am I feeling angry?

– What is going to happen to my family

11 11 September 2014

Step 1: Web-Based Passive Learning

12 11 September 2014

Animated Graphic Novel

Micro-Documentaries

Basic Sharing

Step 2: Responsive Web Interactive Learning

13 11 September 2014

Step 3: Education with Skill-Building

14 11 September 2014

Scenario #2: Tracking

• John feels like he is always feeling down because he is overwhelmed with work and family responsibilities.

• Unknowns:

– Why am I feeling down?

– What can I do to make myself feel better?

– When will I feel better?

15 11 September 2014

Step #1: Web-Based Education & Self-Assessment

16 11 September 2014

Step #2: Mobile App-Based Tracking

11 September 2014

Step #3: Quantified Self Dashboard

18 11 September 2014

Scenario #3: Skill-Building

• Mary and Bill just found out that they have to move in 3 months. They are worried about how their four-year-old daughter will handle it.

• Unknowns:

– How will she react to the news?

– What can we do to help her adjust to moving?

19 11 September 2014

Step #1: Web-Based Guides

20 11 September 2014

Step #2: Mobile App-Based Skill-Building

21 11 September 2014

“White Space” & You, The Provider

• Technology in the “white space” does NOT mean replace care but rather enhance treatment

– Lowering barriers to treatment

– Boosting Treatment as Usual

– Keeping up with patients

• What about the provider’s white space? Office? Personal?

• More data, more productive, more patients?

22 11 September 2014

Not Just Technology But Motivation

• Design to motivate

• Just building it isn’t enough

• Must show the immediate value to the patient

• Explore behavior change models

23 11 September 2014

Harness the White Space

• White Space is vast and full of opportunity

• “Spend time with time wasters”: Where are the inefficiencies?1

• Look for disruptive innovations in design

• Look for the overlaps between “the day in the life” of people and technology

24

1Source: May 2012 Wired magazine article “How To Spot The Future” by Thomas Goetz

11 September 2014

Bibliography

Diener, E., Helliwell, J., Lucas, R. & Schimmack, U. (2009) Well-being for Public Policy. USA: Oxford University Press.

Huppert, F.A. (2009) Psychological well-being: Evidence regarding its causes and consequences. Applied Psychology: Health and Well-being, 1(2), 137-164.

Huppert, F.A. & So, T.T.C. (July 2009). What percentage of people in Europe are flourishing. Presented at OECD/IQOLS meeting. Florence, Italy.

25 25 July 2014

Contact Information

Kelly Blasko, Ph.D.

Lead PsychologistMilitary Family Technology-Focused Prevention ProgramNational Center for Telehealth & TechnologyDefense Center of Excellence

kelly.a.blasko2.civ@mail.mil

http://t2health.dcoe.mil

http://militarykidsconnect.dcoe.mil

26 25 July 2014