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Pervasive is persuasive




A single pixel browser
Ambient Orb
Exposing customers to energy prices
    flattens the demand curve
   CA ISO Data
 SCE Implementation:




                       Off-Peak -------------------------   ----------------- Event Planned / Active




                                                                                                  3
Customer satisfaction index
Vitality addresses each of the root causes of non-adherence




 VITALITY
This is what non-adherence looks like...
Each row is person, each column is a day. Red indicates a missed dose.




                     Control groups=70%
This is what adherence looks like with GlowCaps




                   Over 95%
Existing studies have quantified the cost-savings
of high medication adherence:


                                  Low adherence High adherence                                   savings per
   Condition
                                    care costs    care costs                                        year

   Diabetes                               $8,867                        $4,570                       $4,297                48%


   High
                                         $6,888                         $3,924                       $2,964                43%
   Cholesterol
   High Blood
                                         $10,916                        $6,752                       $4,164                38%
   pressure
   Multiple
                                         $16,498                       $8,886                         $7,612               46%
   ailments
Medical Care, 2005, vol. 43, no6, pp. 521-530 SOKOL Michael C. ; MCGUIGAN Kimberly A. ; VERBRUGGE Robert R. ; EPSTEIN Robert S.
1) Pharmacist deliver medication in a GlowCap

    “The smart pill cap will help you to remember with
    light, sound, and if you want, a reminder call.”
2) At home, you plug in the reminder light.
3) Every day, the GlowCap and reminder light
flash for an hour, then play a ring tone every few
minutes until you open the cap.
4) If you forget, Vitality can call to remind you.
5) Weekly emails show which days you did,
or didn’t, take a medication.
6) Every month you receive a printed
progress report in the mail.
How do we personalize persuasion?
Are we motivated differently?
Financial incentives


                   F1   F2   S1   S2


                   F3   F4   S3   S4




                   D1   D2   C1   C2


                   D3   D4   C3   C4
F1   F2   S1   S2


F3   F4   S3   S4




D1   D2   C1   C2


D3   D4   C3   C4




                    Situational
F1   F2   S1   S2


              F3   F4   S3   S4




              D1   D2   C1   C2


              D3   D4   C3   C4




Personality
Style
Social dynamics

F1   F2   S1   S2


F3   F4   S3   S4




D1   D2   C1   C2


D3   D4   C3   C4
Corresponding services each come at a cost...

                 $20                   $2

                        $20    $24




                        $120   $.01
                                       $.01


               $.01     $10    $10    $250




                 $.01                 $5

                        $.01   $30




...the persuasive effect is quantified and an ROI calculated.
Motivational Map Questions
  Which of the 16 segments fold together? What’s
  missing?

  How effective is tailoring over a randomized
  control?

  If the survey is spread over time and modalities,
  is it perceived as less arduous, less intrusive?

  How portable is this framework to other
  behavioral health goals? Let’s find out!
Motivational Map




   email me to make your map:
   drose@vitality.net
   drose@media.mit.edu

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Persuasive pixels monitor medication adherence

  • 1. Pervasive is persuasive A single pixel browser
  • 3. Exposing customers to energy prices flattens the demand curve CA ISO Data SCE Implementation: Off-Peak ------------------------- ----------------- Event Planned / Active 3
  • 5.
  • 6. Vitality addresses each of the root causes of non-adherence VITALITY
  • 7. This is what non-adherence looks like... Each row is person, each column is a day. Red indicates a missed dose. Control groups=70%
  • 8. This is what adherence looks like with GlowCaps Over 95%
  • 9. Existing studies have quantified the cost-savings of high medication adherence: Low adherence High adherence savings per Condition care costs care costs year Diabetes $8,867 $4,570 $4,297 48% High $6,888 $3,924 $2,964 43% Cholesterol High Blood $10,916 $6,752 $4,164 38% pressure Multiple $16,498 $8,886 $7,612 46% ailments Medical Care, 2005, vol. 43, no6, pp. 521-530 SOKOL Michael C. ; MCGUIGAN Kimberly A. ; VERBRUGGE Robert R. ; EPSTEIN Robert S.
  • 10. 1) Pharmacist deliver medication in a GlowCap “The smart pill cap will help you to remember with light, sound, and if you want, a reminder call.”
  • 11. 2) At home, you plug in the reminder light.
  • 12. 3) Every day, the GlowCap and reminder light flash for an hour, then play a ring tone every few minutes until you open the cap.
  • 13. 4) If you forget, Vitality can call to remind you.
  • 14. 5) Weekly emails show which days you did, or didn’t, take a medication.
  • 15. 6) Every month you receive a printed progress report in the mail.
  • 16. How do we personalize persuasion?
  • 17. Are we motivated differently?
  • 18. Financial incentives F1 F2 S1 S2 F3 F4 S3 S4 D1 D2 C1 C2 D3 D4 C3 C4
  • 19. F1 F2 S1 S2 F3 F4 S3 S4 D1 D2 C1 C2 D3 D4 C3 C4 Situational
  • 20. F1 F2 S1 S2 F3 F4 S3 S4 D1 D2 C1 C2 D3 D4 C3 C4 Personality Style
  • 21. Social dynamics F1 F2 S1 S2 F3 F4 S3 S4 D1 D2 C1 C2 D3 D4 C3 C4
  • 22. Corresponding services each come at a cost... $20 $2 $20 $24 $120 $.01 $.01 $.01 $10 $10 $250 $.01 $5 $.01 $30 ...the persuasive effect is quantified and an ROI calculated.
  • 23. Motivational Map Questions Which of the 16 segments fold together? What’s missing? How effective is tailoring over a randomized control? If the survey is spread over time and modalities, is it perceived as less arduous, less intrusive? How portable is this framework to other behavioral health goals? Let’s find out!
  • 24. Motivational Map email me to make your map: drose@vitality.net drose@media.mit.edu