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Kelly Blasko, Ph.D.
Lead Psychologist
Military Family Technology-Focused Prevention Program
National Center for Telehealth & Technology
Defense Center of Excellence
11 September 2014
Health Happens In The
White Space
1
Disclaimer
The views expressed are those of the author and do not reflect the official policy or position of the U.S.
Department of Defense or the U.S. Government.
2
White Space Defined
“A snapshot of the average year with the average patient
shows that healthcare providers spend approximately 100
minutes with their patient during that year. How much
health happens in those 100 minutes?...But what happens in
the remaining 525,600 minutes of that year? What happens
in the ‘White Space?’ I will tell you what I think happens –
that is where health is built, that is where people live.”
Lieutenant General Patricia D. Horoho
The Surgeon General of the United State Army
Testimony for Committee on Appropriations
8 March 2012
3 11 September 2014
Fundamental Goal: Flourishing
• Feeling good & functioning effectively
• Self-report & subjective measure
• Have better health & life expectancy
– Learn effectively
– Work productively
– Better social relationships
4 11 September 2014
Source: Huppert & So (2009)
Me: A Day in a Life
• Sleep
• Eat
• Exercise
• Work
• Errands
• Leisure
• Socialize
• Family
5 11 September 2014
Technology & Accessibility: A Day in a Life
• Which device?
• Where?
• What for?
• When?
6 11 September 2014
Where Is The Overlap?
7 11 September 2014
“Within the 100 minutes” Paradigm
8 11 September 2014
Collaborative
Relationship
Knowledge, Skills
Technology
For
Healthy Living
Technology
As
Provider
“White Space” Paradigm
9 11 September 2014
Empowerment
Healthy Habits Augment Care
Key Elements of Development
10 11 September 2014
Technology
Provider
Expertise
Scenario #1: Education
• Megan experiencing the return of her father from a
deployment with post-traumatic stress disorder
• Unknowns:
– Why is my Dad acting differently?
– Why am I feeling angry?
– What is going to happen to my family
11 11 September 2014
Step 1: Web-Based Passive Learning
12 11 September 2014
Animated Graphic Novel
Micro-Documentaries
Basic Sharing
Step 2: Responsive Web Interactive Learning
13
11 September 2014
Step 3: Education with Skill-Building
14
11 September 2014
Scenario #2: Tracking
• John feels like he is always feeling down because he
is overwhelmed with work and family
responsibilities.
• Unknowns:
– Why am I feeling down?
– What can I do to make myself feel better?
– When will I feel better?
15 11 September 2014
Step #1: Web-Based Education & Self-
Assessment
16 11 September 2014
Step #2: Mobile App-Based Tracking
11 September 2014
Step #3: Quantified Self Dashboard
18 11 September 2014
Scenario #3: Skill-Building
• Mary and Bill just found out that they have to move
in 3 months. They are worried about how their four-
year-old daughter will handle it.
• Unknowns:
– How will she react to the news?
– What can we do to help her adjust to moving?
19 11 September 2014
Step #1: Web-Based Guides
20 11 September 2014
Step #2: Mobile App-Based Skill-Building
21 11 September 2014
“White Space” & You, The Provider
• Technology in the “white space” does NOT mean
replace care but rather enhance treatment
– Lowering barriers to treatment
– Boosting Treatment as Usual
– Keeping up with patients
• What about the provider’s white space? Office?
Personal?
• More data, more productive, more patients?
22 11 September 2014
Not Just Technology But Motivation
• Design to motivate
• Just building it isn’t enough
• Must show the immediate value to the patient
• Explore behavior change models
23 11 September 2014
Harness the White Space
• White Space is vast and full of opportunity
• “Spend time with time wasters”: Where are the
inefficiencies?1
• Look for disruptive innovations in design
• Look for the overlaps between “the day in the life” of
people and technology
24
1Source: May 2012 Wired magazine article “How To Spot The Future” by Thomas Goetz
11 September 2014
Bibliography
Diener, E., Helliwell, J., Lucas, R. & Schimmack, U. (2009) Well-being for Public Policy. USA: Oxford University Press.
Huppert, F.A. (2009) Psychological well-being: Evidence regarding its causes and consequences. Applied Psychology: Health and
Well-being, 1(2), 137-164.
Huppert, F.A. & So, T.T.C. (July 2009). What percentage of people in Europe are flourishing. Presented at OECD/IQOLS meeting.
Florence, Italy.
25 25 July 2014
Contact Information
Kelly Blasko, Ph.D.
Lead Psychologist Military Family Technology-Focused Prevention Program National Center for Telehealth & Technology Defense Center of Excellence
http://t2health.dcoe.mil
http://militarykidsconnect.dcoe.mil
26 25 July 2014
