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Design for Wellness: Creating roadmaps for behavior change. Follow @ixdannj, visit www.designforwellness.org. This is an amateur project that looks at what design professionals can do to enable support for people who are serious about improving their wellness. In this talk, we propose an interview format that elicits serious issues, and discuss various approaches to behavior change. We suggest that a sketchnote can serve as a roadmap among the issues that a person faces, and therefore as a guide to what behaviors they may need to adopt or change. In the presentation itself, we do show sample sketchnotes, but they are primarily conversation records. It would take more than a single interview session to build a view that responsibly represents a person's context, goals, and resources, and then what that person believes they need to tackle to improve their wellness. These slides are posted under a Creative Commons ByAttribution-NonCommercial-ShareAlike license. For details, see the info about the CC BY-NC-SA license at http://creativecommons.org/licenses/. The license has its own page, but this page lets you see and compare the different license options so you understand the significance of each factor. Please give credit to IxDA Northern NJ, @ixdannj if you reference, forward, or excerpt these slides. Please also give credit to Amanda Lyons of Visuals for Change, visualsforchange.com, if you include the sketchnotes in your excerpt, or if you're talking about our sketchnoting work.
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Design for WellnessCreating Roadmaps for Behavior Change
TopicsAppsSketchnotingBehavior changeDesignLawTruth
What is wellness?A state of complete physical, mental, and social well being, not merely the absence of disease or infirmity. (W.H.O.)
The path to wellness requires progressive, successful, and sustained behavior change.
Goal: Create a roadmap (and eventually provide tools) for selecting habits to master to get on the road to wellness
The road to wellnessGood intentions are not enoughBehavior change methods are well known, but (so far) insufficiently integrated Vast majority of health apps are used only once (250K downloads)Cognitive reframing: Unstuck app (C)analyzes how you feel in this stuck moment and suggests what to do about itBehavior transformation: Lift app (B) provides communities to help you establish tiny habits
Why and how to get unstuck
How do you feelin this stuck moment?
What archetype(s) explain how you’re feeling now?
How can a person who feels the way you do now ... get unstuck?
Join a community to elevate (“Lift”) a good habit
A mapping method that supports behavior design
Establish language
Define context
Identify challenge (goals and constraints)
Proliferate solutions
Identify a path to success
The InterviewExplored an interview protocol based on sketchnoting (or graphical recording)Complements behavioral approaches (e.g., Tinyhabits.com) by providing a rich map Similar to an intake interview at a medical practiceParticipant controls the informationDisclaimer: Not trying to diagnose illness or recommend treatment
Eliciting BackgroundProblemGoalValuesMotivationContextObstaclesResources
Revealing problem, goal, values, and motivation (C)
What brought you here today?What is your biggest concern about your health?What are your values?Why do you care about achieving that goal?
Identifying context, obstacles, and resources (C + a little B)
Where are you starting?What obstacles prevent you from being healthier?Are there people or circumstances that support what you value?What people, organizations and institutions support you in doing what you need to do?What people, organizations and institutions support you in getting what you need to get?
Participant #1Used to be in good shape. Now overweight.
It’s a problem. How to overcome it?
The biggest obstacle is me.
Am I really ready to change?
Change what I consider sweet: water, carrots
Group debrief afterwards seemed invasive.
What is Behavior?Context
Ability
Trigger
Action
Reward
How to Change?State goal
Establish intent
Commit to a date
Prepare new habits and supports
Start
How to Change?ContextAbilityTrigger <-- Figure it outAction <-- Find a substitute
Benefit: Conserve willpowerReward
Ex: relieve or override tensionEx: pride
Changing one habit
What reward is provided by the existing habit?
What is another way to get that reward?
What triggers the behavior?
Substitute a new action for the same trigger.
Participant #2Feeling tired. Taking a nap some mornings.Diagnose by ruling out all more likely alternativesInactive fatal diseaseNeed an advocate
To accompany a person through the processTo pull the information togetherTo help make sense of it
Making it realHow to get into insight mode?
Telling a story to someone who is really listeningOlder subjects are more likely to be aware of their mortality
Why do we believe it can be effective?Cognitive + behavioral: Insight opportunity, similar to psychodynamicsBehavioral: Identify triggers and context support: need to provide a structure
Why Sketchnote?Guide the Interview
Co-creation with the participantCritical distanceAuthority
Create a roadmap for selecting habitsto master to get on the road to wellnessConvey the results to the recipientAn enduring (but not used!) takeaway
Next stepsStart a movement (... or get funding)
Friendship, new habits, ownershipChallenges
Prove it: outcomes and effectivenessHelp others do it
Develop standard outputsLearn typical patternsTrain sketchnoters
Law, Truth, and Medicine
Design projectsfor local groups
Establish language
Define context
Identify challenge (goals and constraints)
Proliferate solutions
Identify a path to success
ResourcesCognitive reframing
Albert Ellis, Rational emotive therapyAaron Beck, Cognitive behavior therapy
Habit Formation (Fogg, Duhigg)B J Fogg, Persuasive technologyDuhigg, The power of habit
Technology and designHealthcare 2.0 NYCHealthcare Experience Design, March 25th
ContributorsBruce Esrig, Adam Lerner, IxDA Northern NJ
Amanda Lyons, Visuals for Change
Bev Corwin, Bill Cole, IAI
Annie O’Brien Gonzales
Richard Herring, Valerie Rasines
Design for Wellness
Questions ...