main presentation title - the centera may 2012 study demonstrated that hypertensive patients lowered...

Healthcare Unbound

Networks, Platforms & Applications

for Consumer Engagement

THE USE OF MOBILE APPS,

ENTERTAINMENT, GAMING AND SOCIAL

MEDIA IN THE PROMOTION OF FITNESS AND

WELLNESS

July 20, 2012 - Hotel Kabuki, San Francisco.

Simon Hall and Proteus Duxbury

© PA Knowledge Limited 2011

My passion for mHealth, social media and gamification!

Export

BPMonitorLite

PillJogger


Trends in Gamification, Social Media and mHealth

Wireless health market is forecasted to reach $38.51 billion by 2016, at a CAGR of 19.43% from

2011 to 2016. Handheld devices and apps segment is making a strong contribution - West Wireless

Health Institute

North America dominated the global wireless health market with around 45% share in 2011. The

second largest market is Europe, and Asia-Pacific region is the fastest growing region with China

capturing the largest market share there

The majority of online mothers report turning to the Web frequently to find medical information. 53%

say social networks have influenced their opinion of health and wellness topics. 40% of online

mothers who own smartphones report using them to download mobile health applications

from Apple's app store and other sources - Enspektos, LLC

For the first time, more than half of adults 65 and older are using the Internet. Of seniors who go

online, one in three uses a social networking site - up 150% from 2009 – Pew Research Center

Social media networks strongly influence individual behavior. With social media becoming more and

more a part of the average person's everyday life, wellness programs that utilize these mediums

can improve employee engagement and help participants get support, stay connected -- and

reach their weight loss goals - New England Journal of Medicine

Nextjump saw engagement of their 300 employee fitness program leap from 15% to 80% when

they applied gamification techniques to their employee fitness programme. Specifically, they set up

5 competing teams across the business and gave points for going to the gym twice a week.


Gamification - Exergamers Wellness Club, LA Dept. of Aging and Partners in

Care Foundation

• Senior citizens at senior day care

facilities / assisted living centers

• Microsoft Kinect for Xbox 360 and

Microsoft HealthVault.

• Goals to improve health outcomes:

• To enhance the lives of older adults

• Help them get fit

• Increase social interaction with

friendly competition and dancing

games

• Manage their personal health

information online.

Orlando Estrada, 77, experienced so much pain and loss of balance after his two knee-replacement

surgeries that he needed a wheelchair to get around. Taking the bus was an ordeal, and he got so little

exercise that his blood pressure was heading toward the danger zone.

Today, Estrada is not only walking again, he’s dancing, and his blood pressure is back to normal


Gamification - Hea!thrageous, health engagement and self management

• Blending of evidence-based protocols

with gaming dynamics ensures that

people improve their health in ways

that are fun, convenient and engaging

• Machine learning enables continuous

personalization of digital coach

messaging, making it more relevant to

the individual, improving engagement

• Providing real-time visualization of

biometric data, at both the individual

and population level, supports all

constituencies involved with improving

health management and health

outcomes.

Data gathered by

wireless combined with

personal preferences.

Information utilized to

assist goal setting,

implementing an action

plan, and overcoming

obstacles.

Patients invited to

share in the inspiration

provided by others'

stories, friendly

competitions, and

social community

activities.


UnitedHealthcare – engaging consumers in their own health

• Using game mechanics in applications that

try to make us healthier by increasing our

engagement in our own healthcare

• In a CDC partnership, UnitedHealthcare

created a 16 week program for people at

risk of diabetes where different activities

allow them to level-up as they manage

their own health

• OptumizeMe is a mobile app that allows

you to challenge, privately or publically,

your friends to a fitness challenge


Social Media – Patients like me

Patients Like Me provides a health data-sharing platform that is designed to help patients manage their own

conditions, change the way industry conducts research and improve patient care. It seeks to align patient and industry

interests through data-sharing partnerships. Patients Like Me works with nonprofit, research and industry partners

who use this health data to improve products, services and care for patients.


Social Media - and Autism

“Right beside his mom's coffeemaker on the kitchen

counter, he is preparing a video entitled Layers and Density,

describing each step for his 3,800 YouTube channel

subscribers and more than 1.5-million viewers. It's an

extraordinary feat considering that five years ago, the 10-

year-old autistic boy was non-verbal” – The Global Mail

(Canada)

• One in every 150-160 children has

been diagnosed with autism

spectrum disorders.

• A growing number of children and

young adults are harnessing the

power of social media to bring them

out of their shells, bolster their

confidence and tell their stories

• The human face doesn't have the same

drawing power for an autistic child, and

that something about technology

triggers the motivation that's lacking in

face-to-face contact

• A non-verbal autistic teen from Toronto,

for example, tweets about her

disorder and other topics to more

than 24,000 followers, and another

21-year-old from Utah, has a YouTube

channel where she posts video blogs

and speaks about autism

The Proloquo2Go Ipad

application, helps those

with autism to

communicate with

teachers, family and other

children.


mHealth – Lenny the Lion

• 1 in 5 teenagers in the US now have

type 2 diabetes or pre-diabetes

• An application for iPad for Type 1 Diabetics

• Medtronic leveraged the iconic Saturday

Night Live character Lenny the Lion as an

ambassador to teach juvenile diabetics

carb counting which is essential for the

success of insulin therapy.


mHealth - Zeo sleep monitor

Joe starts the day with

an extra large black

coffee, packing well over

100mg of caffeine

He then sits at his desk

for the entire day working

on a project that is past

due, skipping lunch

Joe then opts for a

double shot of espresso

so that he can finish the

project before going

home for the evening

Once home, he collapses

in front of the television

for 3.5 hours until he falls

asleep on the couch

Just before falling asleep he

puts on his brand new Zeo

monitor to try to figure out why

he’s usually still tired when he

wakes up in the morning

In the morning, his Zeo® monitor

reflects that he had less than 30

minutes of REM sleep, only 15

minutes of deep sleep, and that he

woke up 5 times during the night

After reading about a link

between caffeine and

sleep quality, Joe chooses

green tea today, with less

than 30mg of caffeine

With his project complete, he

decides to get up and move

around the office to speak

with people instead of

staying isolated and

sedentary at his desk

Joe reaches for a handful

of nuts instead of

espresso to keep his

energy up in the mid-

afternoon

Instead of watching

television, he goes for an

outdoor workout with

cardio and resistance

training

Joe is feeling sleepy at

9:30pm and decides to get

an early night, fastening his

Zeo in place before falling

asleep in his bed

In the morning, much to his

amazement, he feels refreshed and

Zeo® reflects that he had more

than 1 hour of REM and deep

sleep, and woke up only once

during the night


mHealth - Blood Pressure Connect

Blood Pressure Connect is a home monitoring program offered to patients by

their primary care providers or specialists. The program offers patients and their

care providers a way to keep track of their health data and to collaborate on a

care plan between office visits.

How does it work?

Using a blood pressure monitor and a phone-based or wireless communications device, patients send their blood pressure readings

to a personalized, secure website which allows patients to track trends, provide commentary and review helpful education

resources. Providers have access to a dashboard where they can view their patients’ blood pressure data and trends.

Why does it work?

Multiple readings can be taken from home before starting medication, which avoids delays in waiting between office visits and

getting follow-up readings. This allows patients and health care providers to make adjustments in treating elevated blood

pressure faster and more efficiently.

Just seeing the readings helps patients feel more in control, and gives them the added flexibility of taking readings from

home

Preliminary Results

69% of patients enrolled achieved a reduction in their blood

pressure

85% of patients reported feeling more in control of their health

Source: Center for Connected Health, 400 hypertensive patients, 2009

A May 2012 study demonstrated that hypertensive patients

lowered their systolic blood pressure , on average, 6 points

after participating in the program. A decrease in systolic

blood pressure of just 5 points can reduce mortality due to

stroke and heart disease by 14 percent and 9 percent

respectively, so the results are significant [source: Kvedar].


There are lots and lots of healthcare related applications

Health is the fastest growing sector iTunes store 10,000 + applications

$1.2 billion +


Longer term adoption is hampered by a series of challenges

• Thousands of separate silo applications

• Limited scope of each application

• Different interfaces

• Not aligned with use during “care”

• Some are not so great

• Few offer interaction with HCPs

• Branded and unbranded message confusion

• Applications generally not sticky

After 1 day 20% used, after 1 month 5%


Understanding lifestyle will provide stickier solutions

• Make solutions person centric from an information and needs perspective

• Focused on our lifestyle and tell a story

• Allow consented sharing

• New, flexible interfaces

• Provide the entry point to multi-channel support

• Integrate with devices

• Are a platform

Copyright Apple.


Thank you for your time today – any questions?

For more information, contact:

Proteus Duxbury

Managing Consultant

600 Alexander Park Suite 209A

Princeton

New Jersey 08540

Tel: 212 973 5966 Cell: 610 772 0125

E-mail: [email protected]

http://www.paconsulting.com/healthcare

Simon Hall

Managing Consultant

123 Buckingham Palace Road

London SW1W 9SR

United Kingdom

Tel: +44 20 73333 6153

E-mail: [email protected]

main presentation title - the centera may 2012 study demonstrated that hypertensive patients lowered...

Documents