This document proposes using sketchnoting interviews and behavioral design methods to help people change unhealthy habits and achieve wellness goals. It involves identifying context, challenges, triggers and substituting new actions to establish supportive habits. Sample interviews explore problems like feeling tired and lack of exercise. Creating insight through stories and identifying how context and triggers influence behaviors could help people get "unstuck" from old patterns. The method aims to produce individualized roadmaps to sustain behavior change over time.
3. What is wellness?
A state of complete physical, mental, and social well
being, not merely the absence of disease or
infirmity. (W.H.O.)
The path to wellness requires progressive,
successful, and sustained behavior change.
Goal: Create a roadmap (and eventually provide
tools) for selecting habits to master to get on the
road to wellness
4. The road to wellness
Good intentions are not enough
Behavior change methods are well known, but (so
far) insufficiently integrated
Vast majority of health apps are used only once
(250K downloads)
Cognitive reframing: Unstuck app (C)analyzes
how you feel in this stuck moment and suggests
what to do about it
Behavior transformation: Lift app (B) provides
communities to help you establish tiny habits
10. A mapping method that
supports behavior design
Establish language
Define context
Identify challenge (goals and constraints)
Proliferate solutions
Identify a path to success
11. The Interview
Explored an interview protocol based on
sketchnoting (or graphical recording)
Complements behavioral approaches (e.g.,
Tinyhabits.com) by providing a rich map
Similar to an intake interview at a medical practice
Participant controls the information
Disclaimer: Not trying to diagnose illness or
recommend treatment
13. Revealing problem, goal, values,
and motivation (C)
What brought you here today?
What is your biggest concern about your health?
What are your values?
Why do you care about achieving that goal?
14. Identifying context, obstacles,
and resources (C + a little B)
Where are you starting?
What obstacles prevent you from being healthier?
Are there people or circumstances that support what
you value?
What people, organizations and institutions support
you in doing what you need to do?
What people, organizations and institutions support
you in getting what you need to get?
15.
16. Participant #1
Used to be in good shape. Now overweight.
It’s a problem. How to overcome it?
The biggest obstacle is me.
Am I really ready to change?
Change what I consider sweet: water, carrots
Group debrief afterwards seemed invasive.
18. How to Change?
State goal
Establish intent
Commit to a date
Prepare new habits and supports
Start
19. How to Change?
Context
Ability
Trigger <-- Figure it out
Action <-- Find a substitute
Benefit: Conserve willpower
Reward
Ex: relieve or override tension
Ex: pride
20. Changing one habit
What reward is provided by the existing habit?
What is another way to get that reward?
What triggers the behavior?
Substitute a new action for the same trigger.
21.
22. Participant #2
Feeling tired. Taking a nap some mornings.
Diagnose by ruling out all more likely alternatives
Inactive fatal disease
Need an advocate
To accompany a person through the process
To pull the information together
To help make sense of it
23. Making it real
How to get into insight mode?
Telling a story to someone who is really listening
Older subjects are more likely to be aware of their
mortality
Why do we believe it can be effective?
Cognitive + behavioral: Insight opportunity, similar
to psychodynamics
Behavioral: Identify triggers and context
support: need to provide a structure
24. Why Sketchnote?
Guide the Interview
Co-creation with the participant
Critical distance
Authority
Create a roadmap for selecting habits
to master to get on the road to wellness
Convey the results to the recipient
An enduring (but not used!) takeaway
25. Next steps
Start a movement (... or get funding)
Friendship, new habits, ownership
Challenges
Prove it: outcomes and effectiveness
Help others do it
Develop standard outputs
Learn typical patterns
Train sketchnoters
Law, Truth, and Medicine
26. Design projects
for local groups
for local groups
Establish language
Define context
Identify challenge (goals and constraints)
Proliferate solutions
Identify a path to success
27. Resources
Cognitive reframing
Albert Ellis, Rational emotive therapy
Aaron Beck, Cognitive behavior therapy
Habit Formation (Fogg, Duhigg)
B J Fogg, Persuasive technology
Duhigg, The power of habit
Technology and design
Healthcare 2.0 NYC
Healthcare Experience Design, March 25th
28. Contributors
Bruce Esrig, Adam Lerner, IxDA Northern NJ
Amanda Lyons, Visuals for Change
Bev Corwin, Bill Cole, IAI
Annie O’Brien Gonzales
Richard Herring, Valerie Rasines