HCOM515 Mobile Health Design

1. HCOM515 Mobile Health Design June 20, 2012, 5:30-8:30pm

2. Agenda • 5:30 Elizabeth Comeau and Chelsea Conaboy • Group presentations: 20 minutes with 10 minutes for questions. Use your rubric! • 6:15 Group 1 • 6:45 Group 2 • 7:15 Break • 7:25 Group 3 • 7:55 Group 4 • 8:25-8:30 More to think about and survey

4. A Health and Weight Loss APPfor Caregivers HCOM 515 Mobile Health Design GROUP 1 Julie Berkley, Geetha Gopalan, Samantha Noderer and Lauren Parks

5. Target Audience Incorporating fitness, nutrition, and overall wellness to take care of those who take care of others!

6. App Name? You can help us vote later in the evaluation phase!! • A Helping Hand  • A Healthy Dose   • The Good Life  • Bene-Fit • Gather Around the Table • Sip n’ Saver (Savor—play on words?)

7. Benefits and Supporting Research Benefits: • Provides resources for caregivers to develop and sustain a healthy lifestyle through healthy eating and active living Supporting Research • Healthy People 2020 • Promoting a healthy diet and individual behavior change • "Consume a variety of nutrient dense foods within and across the food groups" • USDA MyPlate • "Cook more often at home" & "When eating out, make better choices"

8. Design Decisions • Healthy recipe suggestions • Healthy menu options for restaurant dining • Food shopping support and reference • Daily physical activity suggestions • "Local" features – geo-locating • Accessible to range of SES • Social networking through community forum

9. A Review of Personas Monique Peter Mitch & Priscilla Becky

10. Monique Single, working mother her late 30’s 3 kids: 10, 11, and 13 Son has ADHD and frequently has difficulties in school Father visits with kids regularly

11. What Monique Needs in an App VERY user-friendly: an app that has a lot of video tutorials, as well as more images than words Geo-location features: an app that can help Monique find supermarkets and neighborhood gardens, free family outdoor activities, and related resources in nearby communities Reminders: an app that will remind her periodically throughout the day when and what to eat Flexible: because she does not yet have a smartphone, the app should be something that can be used via texting as well as through smartphone app technology Alternative choices: the app can provide her with healthier options (e.g., recipes, brands) for the foods that she loves Fitness planner and instruction: the app could suggest various ways she and her kids could exercise within the community, or in nearby areas that are safer

12. Peter • 46 years old • Single father of two teenage daughters, Kelsey 15 and Alexandra, 17 • Wife, Elaine, passed away 5 years ago from breast cancer • Lives in a suburb of Boston

13. What Peter Needs in an App Not time consuming Easy to learn Healthy, fast recipes, that are tailored to his tastes Support and guidance in sticking to an exercise plan Healthy suggestions for what to order out at restaurants

14. Mitch & Priscilla 67 and 63 years old Parents of two twin girls who are graduated from college and out of the house Married for 35 years, they moved to the beach in Naples, FL a few years ago to start a new chapter post-kids

15. What Mitch & Priscilla Need in an App Mitch - any app with cutting edge features Priscilla - needs something user-friendly that will not leave her flustered when Mitch is not around Need help making better choices while eating outside the home Suggestions for cooking and exercising together is welcome – good for health and marriage Suggestions to expand physical activity beyond Yoga

16. Becky Married woman in her 50s 2 grown children Helping care for her mother, age 75, who has Multiple Sclerosis and is living in an assisted living facility right down the road Colitis Very tech savvy, has smart phone, iPad and new laptop computer

17. QUOTE “Stuck in a rut” (Thinking: What now?)

18. What Becky needs in an app Geo-location features: an app that can help Becky find healthy lunch and snaking options while on-the-go Reminders: an app that will remind her periodically throughout the day when and what to eat; also to keep hydrated Alternative Fitness planner and instruction: the app could suggest various ways she and her mom could exercise within the community (aquatic aerobics, yoga, etc.) Tracking walks with her dog? Or finding groups to walk with? Quick Entry:constantly busy, she needs an app that doesn’t require lots of typing and might be better suited for voice entry or choosing pictures of foods Website Connectivity: since she wants to share ideas with her mom or help her mom also better track, she would need some way of printing things off of the computer since her mom does not have any link to technology.

19. Design Implications Very user-friendly • Video tutorials • More images than words • Not time consuming - Quick entry--maybe by voice? • Easy to learn, but still cutting edge! Geo-location features • Find supermarkets and neighborhood gardens • Free family outdoor activities • Related resources in nearby communities • Healthy lunch and snacking on-the-go Reminders and Personalization • Reminders of when and what to eat and stay hydrated • Learn food and activity preferences

20. Design Implications Flexibility • For someone without a smartphone – texting options? Recipes and Restaurant Recommendations • Alternative choices and healthier options • Cooking together or “cooking for two” • “Healthier” menu options for eating out Fitness planner and instruction • Personalized, age appropriate suggestions for exercising in the community (ex. seniors - aquatic aerobics) • Safe areas for exercise outdoors • Support and guidance • Recommendations beyond yoga and outdoors Website connectivity • A way to print things off to better show tracking

21. A Review of Competitive Analysis Fooducate Sparkrecipes Jenny Craig Dining Out Nike Training Camp

22. Fooducate Best: Simple, clean, friendly Uses icons, photos of food and text Literacy and numeracy level is high Worst: Only works for items with barcode Doesn't provide general guidance or tips

23. SparkRecipes Best features Simple, user-friendly design and interface Accessible reading level Emphasizes low-cost ingredients Worst features No link between app and website Lack of advanced features on app

24. Dining Out Best Layout allows for quick and easy searches Quizzes help create nutritional awareness Jenny Craig brand equity Worst Database should cover more restaurants Portion guide could be more readable

25. Nike Training Club BEST Personalized Quick Demonstrations, music, and voice-over instructions WORST No baseline Repetitive

26. Design Implications • Easy ratings for “healthiness” of foods • Give alternative food choices or recipe substitutions • Allow users to leave comments • Use icons and photos of food and text • Simple, clean, FAMILIAR • Accessible reading level--8th grade or lower? • Emphasize LOW cost options (ingredients, stores, restaurants)

27. Design Implications • Have apparent link between website and app • Potentially use quizzes to create nutritional awareness • Need large database of restaurants • Readable and easy to understand portion guide • Workout instruction that is easy to incorporate in a busy, daily routine • Some way for people to baseline • Always have something new so the app does not become repetitive with its suggestions

28. ApP Structure Map

29. Path Ex 1: Food Shopping

30. Path Ex 2: Cooking

31. Path Ex 3: fitness

32. Evaluation Formative evaluation Script sessions • Name and branding, usability, literacy levels, design, and relevancy Field evaluation • Trial users, real-life environments, return usage? • Summarizing and incorporate findings into development Ongoing evaluation User surveys

33. Marketing and Promotion Partnership • USDA/MyPlate & Consumer Reports Promotion • App store & partner websites Platform • Android? More users and SES accessibility • Preference – BOTH – difficulties in designing Price • Free, plus additional community forum features for $1.99

34. Limitations and Constraints • Too many features? • Appeal to broad age range? • Which platform is best? Android reaches a wider range of SES, but iPhone reaches the more tech savvy willing to pay for advanced features. • Is this design actually feasible for a programmer?

35. Mobile Health DesignSlimSwap Group 2 Julie Bromberg Linda DePoto Julie Gilliam Paula Power

36. SlimSwap Approach to Weight Loss Weight loss should be: • Sustained behavior change • Not a chore, but a process of discovery • Long-term perspective • Realistic Weight loss often is: • Viewed as temporary • Fad/extreme/yo yo dieting • Short-term success but long-term failure • Feeling helpless and out of control

37. Target Audience • Age: 18-50ish Sex: male and female Ethnicity:  all ethnicities • Economic situation: all SES groups  • Family Status: single or married; kids or no kids • Health/nutrition literacy skills: low-mid health/nutrition literacy • Health status: users who are overweight and seeking a weight loss app, but also for users who want to eat healthier • Weight loss activities: users may not be as interested in exercise and may want to focus on diet/nutrition • Technology skills: any level of mobile device skill • Eating habits: users who are willing to purchase food at a grocery store and prepare it (not users who eat out for most their meals)

38. Evidence-Based Guidelines CDC Healthy Weight Initiative • Make commitment • Define current health status and lifestyle • Set goals • Access resources for education and support • Monitor progress NHLBI Obesity Education Initiative Key Points • Targeted caloric reduction better than non-targeted • Maintenance of weight loss is difficult long-term; continued monitoring is necessary

39. SlimSwap Key Features • Provides healthier recipe alternatives (swaps) • Provides key comparison nutrition information that is accessible to the layperson • Gets smarter the more you use it • Links to a calorie tracker app • Exports selected recipe to a grocery list • Allows linking to social networks • Meets you where you are in your weight loss journey

40. How it Works Did you know? The American Heart Association recommends no more than 15g of saturated fat per day. High intake of saturated fat is linked to the development of heart disease. Swap out … Cheeseburger Calories: 1110 Saturated fat: 24g Sodium: 2250mg Fiber: 6g Swap in … Turkey Burger Calories: 278 Saturated Fat: 1.2g Sodium: 949mg Fiber: 2.4g Recipe Calories saved with this swap: 832 Swap in … Red-Lentil Burger Calories: 324 Saturated Fat: 1.6g Sodium: 688 mg Fiber: 5.8g Recipe Calories saved with this swap: 786

41. Personas • Thomas, recently diagnosed with diabetes 20 year old • Uses SlimSwap on-the-go to plan healthy meals for the week and read nutrition tips • Share with his friends • Sarah, busy mom of three • Personalize information • Easy access to favorite recipes and grocery list

42. Competitive Analysis: Comparison Apps

43. Competitive Analysis: Design Implications Easy to use, intuitive design Professional look and feel, simple design Personalization: tailoring the diet, having access to favorites, etc. Quick nutrition tips that appeal to a wide range of health literacy (the “why” of eating this way) Evidence-based Not a calorie tracker, but a nutrition educator

44. Evaluation Plan • Recruit smartphone users through grocery store • Give the participants time to explore the app on their own and then provide them with tasks • Sample Questions • What do you like/dislike about the app? • Describe to me what this app is telling you about nutrition/food options. • Does this seem like something you would download and use? How often would you use it? • What features would you change or add to make this something that you would use on a regular basis? • Adjust app design, and repeat