observations of daily living personalized health monitoring

Observations of Daily Living

Personalized Health Monitoring & Feedback

Abrahm CoffmanAnnette GreinerMatt GedigianJames TuckerNathaniel Wharton

Personal Health Tracking

Building a Platform

KidOoDL

Personal Health TrackingPatient Care

Chronic Illnesses / Preventative MedicinePatient Narrative / Recall Bias

Social HealthSharing similar experiencesSocial motivation / peer pressure

ResearchEpidemiology, Clinical Trials

What Are We Tracking?Thinking about the Data

Sensors vs. ObservationsQuantitative vs. Qualitative

Referring to the DataVital SignsBasic BiometricsObservations of Daily Living!!

“Patterns & Realities of Daily Life”

WeightHeart RateBlood PressureBlood GlucoseBrain WavesMedicationDietExerciseSleepMoodPain

WeightHeart RateBlood PressureBlood GlucoseBrain WavesMedicationDietExerciseSleepMoodPain

Adoption ChallengesMedical Community

Physician WorkflowsHealth Information Standards Support

Patient CommunityData Entry

Can you provide immediate gratification? Rewards?Sparse data is much less useful

Behavioral ChangeThe ultimate goal is probably the hardest


Building a Platform

KidOoDL

Platform Architecture

Data Model

Architecture (Implementation)


Building a Platform

KidOoDL

Data to trackDoctor’s recommend tracking for all newborns:

Eat – frequency and amountSleep – frequency and amountElimination – type and frequencyEspecially important for preemies!

MilestonesPhysical and emotional skills children develop by

specific age ranges Baby can lift head while on stomach by end of 3rd month

Combined represent to parent and doctor alike the baby’s health and development

NeedsParents want

to know the baby is health (in the normal range)to see where baby is above average (can brag)to find patterns and correlations

eat at X amount at Y time and then sleeps Z hoursto provide this to the doctor quickly and easily

Doctors wantclear, concise, useful information that fits in their

workflow and decision making processesinput into what parents track

ChallengesMultiple caregivers require multiple data entry

points and modes for the same childParents, Family, Daycare, Nanny: all need to track

and share the same informationDifficult to remember to track at 4:00AM with little

sleepRecall bias – best to track at moment of

occurrence, not hour or days laterTravel

Not in location where tracking device isSchedule for child is thrown off

Our AnswersKidOoDL

iPhone applicationMobile, everywhere, convenient, easy data entryInformation Visualization

WebsiteAccount managementAccess managementInformation storageInformation VisualizationIntegration with Google Health

UI Design – Competitive AnalysisFor the iPhone,Baby BrainBabyConnectiTrackBabyBaby Activity LoggerNursingLogTotal BabyBaby GeekBantWeightbot

For Android,Baby ESP

For the web,Trixie TrackerKeastheCarrotPatientsLikeMeProject HealthDesign

UI Design – PersonasRick – gadget-loving working fatherAngela – tech-shy mother, primary personaScott – academic pediatricianEmma – community pediatricianSusan – entrepreneurial babysitter

UI Design – Paper Prototypes

UI Design – Usability TestingSingle-click data entry doesn’t workConsistent navigation is better than contextual“Charts” are for doctors and developersParents are turned off by the idea of archivingTimers don’t work for long-term eventsCross-platform consistency is expected

UI Design - iPhone App

UI Design – Web App

UI Design – Graphic Design

UI Design – Visualizations

Web App - Screen Shot

Web App – Screen Shot

iPhone – Screen Shots

Where do we go from here?Incorporate ‘Berkeley Health Informatics’Expand framework and ODLs supportedPilot Programs

Lucile Packard Children’s HospitalUCSF

Develop Social Interaction FrameworkAdditional application development

KidOoDL on Android, Blackberry, Win Mobile 7

observations of daily living personalized health monitoring

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