Ændring af livstil ved hjælp af teknologi af Henrik Wieland

© 2012 IBM Corporation

Belief, Motivation and Access- Changing Lifestyle with Technology

NOCOGO, Billund, 22 October 2012

Henrik Wieland, Associate Partner, Healthcare Industry Leader, IBM Global Business Services

© 2012 IBM Corporation2

A New Set of Digital Transformation Drivers is Emerging

Mobile RevolutionMobile Revolution Speed / Speed /

ImmediacyImmediacy Always OnAlways On Location AwareLocation Aware

Social Media ExplosionSocial Media Explosion Shared Shared

knowledgeknowledge ConnectednessConnectedness

Hyper DigitizationHyper Digitization

Streaming videoStreaming video Sensor networksSensor networks

The Power of AnalyticsThe Power of Analytics

IntelligenceIntelligence Optimal Optimal

responseresponse

© 2012 IBM Corporation3

Determinants of poor health (60% of disease burden)*

Hypertension

Tobacco use

Harmful use of alcohol

High serum cholesterol

Overweight

Unhealthy diet

Insufficient physical activity

Can technology help improve health through Can technology help improve health through behavioural change?behavioural change?

* WHO European Health Report 2009


Motivation for Behaviour Change – Transtheoretical Model*

The individual needs to decide that the goal is important to them, and there are 5 different stages of motivation:

.

Pre-contemplation—no intention to change in the foreseeable futureContemplation—seriously considering changing, but has not committed to taking

actionPreparation—intends to take action in the next month and has unsuccessfully

taken action in the past year Action—has performed the desired behavior consistently for less than six monthsMaintenance—has consistently performed the desired behavior for six or more

months

Prochaska, J.O., DiClemente, C.C., Norcross, J.C. “In search of how people change: Applications to addictive behaviors,” Amer Psych, 47(9), (Sep 1992), 1102-14.

Technologies can be used selectively to support these different stages of health and wellness improvement


Motivation for Behaviour Change – Transtheoretical Model*

Prochaska, J.O., DiClemente, C.C., Norcross, J.C. “In search of how people change: Applications to addictive behaviors,” Amer Psych, 47(9), (Sep 1992), 1102-14.

Stage of Behaviour Change Characteristics Type of Support Needed

Pre-contemplation No intention to change in the foreseeable future

Education

Contemplation Seriously considering changing, but has not committed to taking action

Overcoming barriers, rewards for performing behaviours

Preparation Intends to take action in the next month and has unsuccessfully taken action in the past year

Rewarding behaviours, increasing awareness of patterns of behaviour

Action Has performed the desired behavior consistently for less than six months

Keeping track of progress, and social influence (peer group)

Maintenance Has consistently performed the desired behavior for six or more months

Coping strategies, showing clear progress towards the intended goal


The Role of Technology in Changing Lifestyles

A look at two promising areas:

1. Using Connected Devices to monitor health status and measure activity levels

2. Shared Care services to empower the patient and enable improved health management


Today the health device industry reflects a proprietary, device-centric strategy

Pedometer

Medication

Thermometer

GlucoseMeter

Blood-pressure

Tracking

Fitnessequipment

WeightScale

PulseOximeter

Spirometer

Examples of healthcare devices

Cholesterol Monitor

Homesensing &

control

Bed / ChairSensors

ImplantMonitors

BabyMonitors

PERS

ConsumerElectronics

Today’s health device is an instrument, apparatus, appliance and/or software which can:-Sense, monitor, or measure a person’s vital signs

-Targeted at wellness, diagnostic or therapeutic purposes

-Used alone or in combination with other devices

-Single or multi-function-High level of innovation

Sources: WHO definitions; IBM Institute for Business Value Analysis

The current state of health devices


Connected Devices

We see users in the health device market split between three main segments:

-Motivated Healthy: Fitness focused, highly health conscious-Information seekers: Aware of the benefits from monitoring activity, lifestyle, and conditions that are not life threatening

-Chronically Monitored: Terminally or chronically ill patients that require constant condition monitoring

Current product offerings have focused on the needs of the Motivated Healthy and Chronically Monitored segments


For health devices to be more widely successful, they must address the needs of consumers outside their typical focus

Motivated Healthy

Chronically Monitored

Information seekers

Ramon is 35…

he’s physically active and very health conscious. He has two small children. He’s

very aware of his family history, is

taking care of himself, wants to teach his children

to do the same

Andrew is 48 …

his intensive activity is largely centered

around a stressful work schedule. He needs to lose about 8kg and has been

taking hypertension medication for a few

years. He’s struggled to find time to exercise

Maggie is 52…

she’s very active during the day, but finds that her mood can

swing wildly as she’s dealing with

menopause. She’s tried a few different

medications, but can’t get a

consistent read on whether they’re

helping her

Kevin is 10…

he was diagnosed with ADHD during his

first year of school. His parents and

doctors have struggled finding the right medication and dosage to manage his condition or for

him to describe how he feels

Ann is 75…

she’s had a stroke and surgery for cancer. She’s not debilitated

and continues to live with her

husband in their home. She visits

the doctor monthly

One family’s story…

Sources: IBM Institute for Business Value Analysis

The current state of health devices


Information seekers – The Quantified Self


Increasing sophistication of connected devices for health and wellness – improved design and integration with personal goals

Apple and Nike

Combines running and music for the fitness market. Smartphone applications collect data from sensors in fitness equipment, enabling users to monitor their performance

Motivated Healthy and Information Seekers

Fitbit

Monitors activity with motion and provides online data storage and analytical tools. Does not provide ability share data outside of its walled garden

Nike+ FuelBand

3-Axis sports-tested accelerometer, monitors activity as steps, calories and Nike Fuel, which can be uploaded with Nike+ Connect to set goals, collect rewards


Consumer interest in health care devices is shifting towards preventive care and remote monitoring

Primary function of the current / future device

Measure and manage a known health

problem

Encourage physical activity

Inform others of someone’s changing

health condition

20% less

30% more

100% more

51%

41%

13%

17%

5%

10%

Consumers are eager to shift to prevention and remote monitoring, but may not be familiar with available solutions

While half of current devices in use today are for known health problems…

…interest in using devices for preventive health is expected to rise in the next two years

Source: IBM Institute for Business Value, 2009 Connected Health Devices Survey (Current Devices: N = 1256, Total mentions = 1507; Future Devices: N=604, Total mentions = 503)

Current

Future


Obtaining feedback from health care professionals is nearly as important as results from the device

Importance of the ability to get feedback on health data from sources

In addition, consumers want health professionals to accept and incorporate the data from health devices into their care

Source: IBM Institute for Business Value, 2009 Connected Health Devices Survey (N = 678, Total Mentions = 697), % rating ‘Important’ and ‘Very Important’

Device feedback is criticalFeedback is expected in real-time, easy to read and understand

Provider feedback is as wellFeedback could be in “near-time”, online or used in a subsequent visit.Feedback from the device does not replace personalized feedback from healthcare professionals—whether it is done online or in-person at a later time.

Feedback from healthcare

professionals

Feedback from device 86%

77%


The potential capabilities of home-based gaming and fitness devices are also evolving and converging, thanks to advances in sensor technologies

Human-machine interfaces are evolving to a state where accurate measurements of movement are possible

Technology that makes current gaming possible could be used to develop healthcare monitoring capabilities

Providing an accurate health condition assessment may soon be possible remotely and automatically

Potential Opportunities

Withings Internet Connected Body ScaleWifi-enabled scale marketed as an interactive weight loss tool. Data can be analyzed using pc and Smart phone applications, stored in electronic health record repositories, and shared with via email and social networking websites

XBox Kinect Sensor array and processing software that directs game play by recognizing and evaluating gestures, faces, and voices


Optimal coordination can provide great benefits for all parties

Effective coordination between patients, relatives and health professionals will lead to:– Early detection and early active effort– Coherent carepaths across the healthcare sector– Empowerment and motivation of the patient in relation to their own treatment and care– More qualified decision based on a holistic view.

Shared Carecoordination

General practitioners

Municipality (Care)

Hospital

Patient

Telemedicine


360 degree view of the patient/citizen

16

Patient’s schedule

Treatment goals and status in

relation to patient

The Patient’s diary

Activity list

Relevant links

Notes about the patient

Patient’s clinical values

Health professional

contactsInstructions

Medication


During the visitation conversation the

doctor/nurse will be able to search for the actual patient and get the patient’s Activity list

During the visitation conversation the

doctor/nurse will be able to search for the actual patient and get the patient’s Activity list

The healthcare professional will get support to remember questions/task to a current activity – for example in the

visitation conversation.

The healthcare professional will get support to remember questions/task to a current activity – for example in the

visitation conversation.

Individual treatment goals can now be added based on the questionnaire and

the conversation. The goals will be used for

further monitoring of the patient across the

healthcare sector, in relation to relatives and the

patient. Data from home monitoring included.

Individual treatment goals can now be added based on the questionnaire and

the conversation. The goals will be used for

further monitoring of the patient across the

healthcare sector, in relation to relatives and the

patient. Data from home monitoring included.

An activity for a patient may be to complete a questionnaire as preparation to the visitation

conversation. This can be completed online by the patient in the Activity list

in Shared Care.

An activity for a patient may be to complete a questionnaire as preparation to the visitation

conversation. This can be completed online by the patient in the Activity list

in Shared Care.

Follow up and support to the carepath

For example, questions about:

- Diet

- Smoking

- Alcohol

- Exercise

- Blood pressure

- Cholesterol

- BMI

Data is available for the patient and for healthcare professionals across the

healthcare sector

Data is available for the patient and for healthcare professionals across the

healthcare sector


Summary

Sustained behavioural change is needed in order to reduce health risks, and manage long-term conditions well

Technology in the form of Connected Devices can be used to provide motivation and support

For those living with long-term conditions, well designed Shared Care services can increase motivation and self-management

Health & Medicine

Ændring af livstil ved hjælp af teknologi af Henrik Wieland