0_Mobile Technology to Keep Us Well

7/31/2019 0_Mobile Technology to Keep Us Well

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Mobile Technology to Get Us

Healthy and Keep Us Well

Alex Gerwer

Principal PartnerAKN

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The White House: Getting Us Moving


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RWJF: Technology to Get Us Moving

Ruckus Nation

A competition to find

product ideas to

increase physical activity in

11 14 year-old kids

Cosponsored by the Pioneer Portfolio of the

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Robert Wood Johnson Foundations Health Games Research initiative


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Mobility + Gaming +Social Networking

Click on the titles for full texts.

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http://www.economist.com/node/21541164http://jama.ama-assn.org/content/early/2011/03/25/jama.2011.408.extracthttp://blogs.wsj.com/venturecapital/2011/06/03/beyond-farmville-social-games-to-improve-health/http://www.fastcompany.com/magazine/162/health-industry-smartphones-tablets


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Benefits of Telehealth

Increased access to healthcare andhealth-related information, particularly forhard-to-reach populations

Improved ability to diagnose and trackdiseases

Timelier, more actionable public health

information Expanded access to ongoing medical

education and training for health workers

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Target Markets for Telehealth

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Consumers Welcome mHealth

Consumers believe that within the next three yearsmobile health will improve the convenience (46%),

cost (52%), and quality (48%) of their healthcare.

Consumers expect that mhealth will change the way

in which chronic conditions (48%), their medication

(48%), and their overall health (49%) are managed.

The top three reasons why consumers want to use

mHealth are: to have more convenient access totheir doctor or healthcare provider (46%), to reduce

out-of-pocket healthcare costs (43%), and to take

greater control over their health (32%).

7Source: Price Waterhouse Coopers; Emerging mHealth: Paths for Growth; 2012


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Technology in mHealth Applications

Source: Vital Wave Consulting8


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The Evolution of a Convergence

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1980 1989 2004

1997 2003

2008

160 x 144 pixels

640x960 pixels

Interactive Portable Connected

Gaming Mobility Social Networking


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Mobile Health Games: A Perfect Storm

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Mobility

Social

Networks

Gaming

Wellness

Fitness

Health

Games for Health


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Why Mobile Health Games Now?

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Who Cares and Why?

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A Solution to Our Healthcare Crisis:

A Unique Collaboration

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Mobile Health Games

What each component does: Mobile: anywhere, anytime

Social Networking: motivation, support

Gaming: engagement through interaction

Sectors

Exercise: physical activity

Eating: diet

Cognitive intervention

Disease management

Corporate wellness and fitness14


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Types of Cognitive Mobile Health

Games

Pain management

Medication adherence

Memory enhancement Addiction treatment

Eating

Drug addiction Alcoholism

Smoking

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An Emerging Ecosystem

SELF-HELPCONSUMERWELLNESS

EMPLOYEEWELLNESS

BRAINGAMES

DISEASEMANAGEMENT

MEDADHERENCE

ADDICTIONRELAPSE

W E L L N E S S

C H R O N I C D I S E A S E

Source: Barbara Feldman 16


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What is a Serious Game?

A game-based activity that leads the user to obtain:- New knowledge on a serious topic (educate)- Positive changes in behavior (modify behavior)

Research and development of serious games arepredominantly routed in the history and theory of Edu-Gaming.

The ultimate goal of a serious game is to:- Be as engaging as a main-stream leisure game- Lead to new skill set or individual knowledge development- Reinforce new behavior beyond the point of game play

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Learning

Serious Games for Health: Cognitive

Jetset

Silverbackers

Freedom

eSmart

TopDoc

BrainAge


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Hospital patients areparticularly amenable tochanging their behaviour toimprove their health

Examples of the success ofhospital interactiveeducational systems include: Diabetes

(http://spectrum.diabetesjournals.org/content/14/2/99.full)

Stoma management(http://www.springerlink.com/content/20hn3v141j7231pr/)
http://spectrum.diabetesjournals.org/content/14/2/99.fullhttp://spectrum.diabetesjournals.org/content/14/2/99.fullhttp://spectrum.diabetesjournals.org/content/14/2/99.fullhttp://spectrum.diabetesjournals.org/content/14/2/99.fullhttp://www.springerlink.com/content/20hn3v141j7231pr/http://www.springerlink.com/content/20hn3v141j7231pr/http://www.springerlink.com/content/20hn3v141j7231pr/http://www.springerlink.com/content/20hn3v141j7231pr/http://www.springerlink.com/content/20hn3v141j7231pr/http://www.springerlink.com/content/20hn3v141j7231pr/http://www.springerlink.com/content/20hn3v141j7231pr/http://www.springerlink.com/content/20hn3v141j7231pr/http://spectrum.diabetesjournals.org/content/14/2/99.fullhttp://spectrum.diabetesjournals.org/content/14/2/99.fullhttp://spectrum.diabetesjournals.org/content/14/2/99.fullhttp://spectrum.diabetesjournals.org/content/14/2/99.full


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Boy genius Murphy discovers a world Tween

He brings in favorite foods and activities

Junk food and sedentary activities become

pervasive Creatures become unhealthy

Murphy enlists the student to help him:

Adopt a creature

Bring it back to health

Learn why the food and activities make it

unhealthy

Learn how to keep the creature healthy

Set own (student) goals for the real world20


Tween


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Virtual Reality Serious Games for Pain

Management: Snow World (2008)

Game has proven to be very effective in

reducing pain in burns victims Used during and after treatment

Has been evidence-based through MRI

studies in 2010

Problems:- In hospital use only at present. Home

Virtual Reality systems still expensive.

- Repeated means may lead to decline in

therapy outcome over time.

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Games for Mental Health:- ReachOut Central! (aka ROC) &Second Life

These modalities claim to assistyouth aged 12-25 with depression,

anxiety and social fearfulness.

ROC is set in a soap opera settingwith you being the central characterlearning how to adjust to a seriousof social problems most youth areoften faced with.

http://www.reachoutcentral.com.au/

Second Life is a Virtual World thatdoes have virtual therapists (!?)

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http://www.reachoutcentral.com.au/http://www.reachoutcentral.com.au/


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Journey to the Wild Divine(Biofeedback gaming for ADHDAmon & Campbell, 2008)

Scientifically tested over 4 years at

Sydney University with ADHD children.- Found to increase attention- Improve memory recall- Promote self-calming- Translate to behaviour improvementwithout the game being played!

As seen on the7:30 Report June, 2008http://www.abc.net.au/7.30/content/2007/s2265178.htm

Biofeedback Games have been found to increase learning and attention.

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http://www.abc.net.au/7.30/content/2007/s2265178.htmhttp://www.abc.net.au/7.30/content/2007/s2265178.htmhttp://www.abc.net.au/7.30/content/2007/s2265178.htmhttp://www.abc.net.au/7.30/content/2007/s2265178.htmhttp://www.abc.net.au/7.30/content/2007/s2265178.htmhttp://www.abc.net.au/7.30/content/2007/s2265178.htmhttp://www.abc.net.au/7.30/content/2007/s2265178.htmhttp://www.abc.net.au/7.30/content/2007/s2265178.htm


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Games for Cancer Kids:

Re-Mission (2006) by HopeLabs

Aims to reduce fear and give

empowerment to kids undergoingCancer Treatment.

Study in 2006 found the game did

more than empower kids!

http://www.abc.net.au/tv/goodgame/stories/s2067977.htm

Problem:

- Medical Trial Testing

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7 cancers

19 patients 20 levels

Power Lies Within

Roxxi the nanobot battles cancer

in the bodies of teens
http://www.abc.net.au/tv/goodgame/stories/s2067977.htmhttp://www.abc.net.au/tv/goodgame/stories/s2067977.htmhttp://www.abc.net.au/tv/goodgame/stories/s2067977.htmhttp://www.abc.net.au/tv/goodgame/stories/s2067977.htm


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Knowledge

Treatmentadherence

Emotion/

Motivation

Re-Mission Attitudes StudyJennifer Aaker, Ph.D., Stanford University



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Interactive play Passive exposure

Caudate

Thalamus

Hippocampus

Caudate

Thalamus

Hippocampus

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Cancer Knowledge

Baseline Follow-upInter

vention-targeted

knowledge(%

correct)

Control

Re-Mission

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60

65

70

Self-Efficacy

Ca

ncer-specificself-efficacy(1-7scale)

5.6

5.8

6.0

6.2

Baseline Follow-up

Control

Re-Mission

p= .034 p= .027

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0

10

20

30

40

TotalMEMSCapEvents

C

ontrol

Antibiotics

p= .008

Plasma6MP(log10)

Control

Re-Mission

Chemotherapy: Oral 6MP

p= .002

3.2

3.4

3.6

3.8

Baseline Follow-upIn press, Pediatrics

Re-Mission Outcomes StudyRCT34 hospitals, 374 AYA with cancer


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Serious Games for Health: Diet

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Mindless Eating

Challenge

OrderUp! PickChow!

You are what you eat.


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Serious Games for Health: Addiction

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Thank you for not smoking.

Nicot My Stop

Smoking Coach

Lit

Rush

Lit

Relaxed


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Games For Health: Disease Management

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Health games?

Allergies Attack Colorfall Peggle


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Games for Health: Exercise

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Lifestyle?

TextJab My Happy Planet

Can Exercise Games Increase Energy


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Can Exercise Games Increase Energy

Expenditure Enough to Impact Fitness

and Obesity?

Wii FitWii SportsEA Sports ActiveSony EyetoyPS2 DDRRockband

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TRSResults

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TRSResults

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TRSResults

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Presence impacts motivation to play

Presence is the failure to perceive technological mediation

the feeling of being there

Presence predicts motivation to play a game, andmotivation predicts play

(Ryan et al., 2006)

Presence has been found to increase energy expended

during exergame play

(Ijsselsteijn et al., 2006)

Gaming Added to Traditional Exercise

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Video game activity levels, in METs

Vigorous

Moderate

Light

Sedentary

Lyons, E.J., Tate, D.F., Erickson, K.E., Vaughn, A., & Ward, D.S. (2008). Energy expenditure during Wii Sports minigames in overweight children: comparing data parameterselection. Presented at the Obesity Society Annual National Meeting, October 3-7, Phoenix, AZ.

Includes: Borusiak, 2007; Graves, 2007; Lanningham-Foster, 2006; Maddison, 2007; Sell, 2008; Straker, 2007; Unnithan, 2006; Wang, 2006


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Exergaming can increase energyexpenditure to a level that isconsidered at least moderateintensity.

The level of energy expenditure

varies, with boxing related gamestending to increase energyexpenditure the most.

Long term efficacy of exergames toreduce the prevalence of obesitystill remains to be seen

The continual development of newexciting games that increase energyexpenditure is crucial if exergamingwill have any long term impacts.

Conclusions

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Family Fit Zone

Insurance-covered 7-wk program

Started in 2005

Positive results from pilot studies

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The Future: Sensors, Data & Analytics

Source: Barbara Feldman 62


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Thank You

Alex Gerwer

[email protected]

(562)726-4256www.linkedin.com/pub/1/264/32b
http://www.linkedin.com/pub/1/264/32bhttp://www.linkedin.com/pub/1/264/32b

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0_Mobile Technology to Keep Us Well