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Scaling Self-Experimentation

             IDA	
  SIM,	
  CO-­‐FOUNDER	
  
                 September	
  28,	
  2012	
  
                                	
  
                                	
  
           A	
  project	
  of	
  the	
  Tides	
  Center	
  
                                  	
  
           and	
  Professor	
  of	
  Medicine,	
  
       University	
  of	
  California	
  San	
  Francisco	
  
n	
  =	
  1	
  
(n	
  =	
  1).n	
  
n	
  
Σ   (n	
  =	
  1).
data	
  driven	
  feedback	
  loops	
  
2	
  
without	
  better	
  sensemaking	
  to	
  
drive	
  these	
  feedback	
  loops… 	
  
Plateau	
  of	
  Diminished	
  Promise   	
  
open	
  architecture	
  for	
  mobile	
  health	
  
                                                                  activity classification



 graphing
 mobility data
 over time




         a	
  small	
  set	
  of	
  common	
  principles/practices	
  by	
  which	
  	
  
         these	
  modules	
  are	
  described	
  and	
  interface	
  to	
  one	
  another 	
  
enabling	
  reuse,	
  integration,	
  and	
  innovation	
  	
  




       getting	
  further	
  together	
  faster…	
  
n	
  
Σ   (n	
  =	
  1).
does	
  caffeine	
  affect	
  my	
  sleep?	
  
                           N-­‐of-­‐1	
  study	
  design	
  



         caffeine	
                          no	
  caffeine	
                   caffeine	
  
                               sleep	
                          sleep	
  
       no	
  caffeine	
                         caffeine	
                    no	
  caffeine	
  
scaling	
  (n	
  =	
  1)	
  n	
  

Outcome	
  Variables	
  
•  a	
  caffeine	
  definition	
  module	
  	
  
•  a	
  sleep	
  definition	
  module,	
  with	
  APIs	
  for	
  getting	
  sleep	
  data	
  from	
  
   various	
  monitors	
  
•  new	
  variables	
  that	
  take	
  advantage	
  of	
  mobile	
  (e.g.,	
  reality	
  mining)	
  

Scripting	
  study	
  protocols	
  
•  e.g.,	
  modules	
  for	
  setting	
  up	
  an	
  n-­‐of-­‐1	
  study	
  	
  
n	
  
                                              Σ
                      scaling	
  	
  	
  	
  	
  	
  (n=1)	
  
Make	
  the	
  findings	
  comparable	
  for	
  aggregation	
  
•  libraries	
  of	
  standard	
  measures	
  (e.g.,	
  PHQ-­‐9,	
  PROMIS)	
  
•  indexing	
  of	
  variables	
  and	
  results	
  and	
  to	
  standard	
  vocabularies	
  

	
  
	
  


	
  	
  
           	
  	
  
n	
  
                                            Σ
                     scaling	
  	
  	
  	
  	
  	
  (n=1)	
  
Need	
  to	
  describe	
  context	
  to	
  combine	
  apples	
  with	
  apples	
  	
  
•    who	
  is	
  “n”:	
  demographics,	
  important	
  clinical	
  features	
  
•    study	
  approach:	
  ad	
  hoc,	
  n-­‐of-­‐1,	
  etc.	
  	
  
•    activity	
  context:	
  walking?	
  running?	
  
•    social	
  context:	
  …	
  
•    technical	
  context:	
  device,	
  operating	
  system,	
  app,	
  version,	
  sampling	
  
     rate…	
  
•  etc.
	
  

	
  
	
  
2	
  
connect	
  with	
  us
                    	
  
•  Web:	
  www.openmhealth.org	
  	
  
•  Twitter:	
  @open_mhealth	
  
•  	
  email@openmhealth.org	
  	
  

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Scaling Self-Experimentation

  • 1. Scaling Self-Experimentation IDA  SIM,  CO-­‐FOUNDER   September  28,  2012       A  project  of  the  Tides  Center     and  Professor  of  Medicine,   University  of  California  San  Francisco  
  • 4. n   Σ (n  =  1).
  • 5.
  • 8. without  better  sensemaking  to   drive  these  feedback  loops…  
  • 10.
  • 11. open  architecture  for  mobile  health   activity classification graphing mobility data over time a  small  set  of  common  principles/practices  by  which     these  modules  are  described  and  interface  to  one  another  
  • 12. enabling  reuse,  integration,  and  innovation     getting  further  together  faster…  
  • 13. n   Σ (n  =  1).
  • 14. does  caffeine  affect  my  sleep?   N-­‐of-­‐1  study  design   caffeine   no  caffeine   caffeine   sleep   sleep   no  caffeine   caffeine   no  caffeine  
  • 15. scaling  (n  =  1)  n   Outcome  Variables   •  a  caffeine  definition  module     •  a  sleep  definition  module,  with  APIs  for  getting  sleep  data  from   various  monitors   •  new  variables  that  take  advantage  of  mobile  (e.g.,  reality  mining)   Scripting  study  protocols   •  e.g.,  modules  for  setting  up  an  n-­‐of-­‐1  study    
  • 16. n   Σ scaling            (n=1)   Make  the  findings  comparable  for  aggregation   •  libraries  of  standard  measures  (e.g.,  PHQ-­‐9,  PROMIS)   •  indexing  of  variables  and  results  and  to  standard  vocabularies              
  • 17. n   Σ scaling            (n=1)   Need  to  describe  context  to  combine  apples  with  apples     •  who  is  “n”:  demographics,  important  clinical  features   •  study  approach:  ad  hoc,  n-­‐of-­‐1,  etc.     •  activity  context:  walking?  running?   •  social  context:  …   •  technical  context:  device,  operating  system,  app,  version,  sampling   rate…   •  etc.      
  • 18. 2  
  • 19. connect  with  us   •  Web:  www.openmhealth.org     •  Twitter:  @open_mhealth   •   email@openmhealth.org