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Observations of Daily Living. Personalized Health Monitoring & Feedback. Abrahm Coffman Annette Greiner Matt Gedigian James Tucker Nathaniel Wharton. Personal Health Tracking Building a Platform KidOoDL. Personal Health Tracking. Patient Care Chronic Illnesses / Preventative Medicine
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Observations of Daily Living Personalized Health Monitoring & Feedback Abrahm Coffman Annette Greiner Matt Gedigian James Tucker Nathaniel Wharton
Personal Health Tracking Building a Platform KidOoDL
Personal Health Tracking • Patient Care • Chronic Illnesses / Preventative Medicine • Patient Narrative / Recall Bias • Social Health • Sharing similar experiences • Social motivation / peer pressure • Research • Epidemiology, Clinical Trials
What Are We Tracking? • Thinking about the Data • Sensors vs. Observations • Quantitative vs. Qualitative • Referring to the Data • Vital Signs • Basic Biometrics • Observations of Daily Living!! • “Patterns & Realities of Daily Life” Weight Heart Rate Blood Pressure Blood Glucose Brain Waves Medication Diet Exercise Sleep Mood Pain
Adoption Challenges • Medical Community • Physician Workflows • Health Information Standards Support • Patient Community • Data Entry • Can you provide immediate gratification? Rewards? • Sparse data is much less useful • Behavioral Change • The ultimate goal is probably the hardest
Personal Health Tracking Building a Platform KidOoDL
Personal Health Tracking Building a Platform KidOoDL
Data to track • Doctor’s recommend tracking for all newborns: • Eat – frequency and amount • Sleep – frequency and amount • Elimination – type and frequency • Especially important for preemies! • Milestones • Physical and emotional skills children develop by specific age ranges • Baby can lift head while on stomach by end of 3rd month • Combined represent to parent and doctor alike the baby’s health and development
Needs • Parents want • to know the baby is health (in the normal range) • to see where baby is above average (can brag) • to find patterns and correlations • eat at X amount at Y time and then sleeps Z hours • to provide this to the doctor quickly and easily • Doctors want • clear, concise, useful information that fits in their workflow and decision making processes • input into what parents track
Challenges • Multiple caregivers require multiple data entry points and modes for the same child • Parents, Family, Daycare, Nanny: all need to track and share the same information • Difficult to remember to track at 4:00AM with little sleep • Recall bias – best to track at moment of occurrence, not hour or days later • Travel • Not in location where tracking device is • Schedule for child is thrown off
Our Answers • KidOoDL • iPhone application • Mobile, everywhere, convenient, easy data entry • Information Visualization • Website • Account management • Access management • Information storage • Information Visualization • Integration with Google Health
UI Design – Competitive Analysis For the iPhone, • Baby Brain • BabyConnect • iTrackBaby • Baby Activity Logger • NursingLog • Total Baby • Baby Geek • Bant • Weightbot For Android, • Baby ESP For the web, • Trixie Tracker • Keas • theCarrot • PatientsLikeMe • Project HealthDesign
UI Design – Personas • Rick – gadget-loving working father • Angela – tech-shy mother, primary persona • Scott – academic pediatrician • Emma – community pediatrician • Susan – entrepreneurial babysitter
UI Design – Usability Testing • Single-click data entry doesn’t work • Consistent navigation is better than contextual • “Charts” are for doctors and developers • Parents are turned off by the idea of archiving • Timers don’t work for long-term events • Cross-platform consistency is expected
Where do we go from here? • Incorporate ‘Berkeley Health Informatics’ • Expand framework and ODLs supported • Pilot Programs • Lucile Packard Children’s Hospital • UCSF • Develop Social Interaction Framework • Additional application development • KidOoDL on Android, Blackberry, Win Mobile 7