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Design for Wellness Creating Roadmaps for Behavior Change

Design for-wellness-wiad-v7

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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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Page 1: Design for-wellness-wiad-v7

Design for WellnessCreating Roadmaps for Behavior Change

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TopicsAppsSketchnotingBehavior changeDesignLawTruth

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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

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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

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Why and how to get unstuck

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How do you feelin this stuck moment?

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What archetype(s) explain how you’re feeling now?

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How can a person who feels the way you do now ... get unstuck?

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Join a community to elevate (“Lift”) a good habit

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A mapping method that supports behavior design

Establish language

Define context

Identify challenge (goals and constraints)

Proliferate solutions

Identify a path to success

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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

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Eliciting BackgroundProblemGoalValuesMotivationContextObstaclesResources

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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?

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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?

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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.

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What is Behavior?Context

Ability

Trigger

Action

Reward

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How to Change?State goal

Establish intent

Commit to a date

Prepare new habits and supports

Start

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How to Change?ContextAbilityTrigger <-- Figure it outAction <-- Find a substitute

Benefit: Conserve willpowerReward

Ex: relieve or override tensionEx: pride

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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.

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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

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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

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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

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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

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Design projectsfor local groups

Establish language

Define context

Identify challenge (goals and constraints)

Proliferate solutions

Identify a path to success

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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

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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

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Design for Wellness

Questions ...