Stephen Downs, Robert Wood Johnson Foundation

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Designing Everyday Life to be Healthier In the U.S., we spend more on health care than anywhere in the world, but we’re less healthy. While there are many reasons for this result, one is that we’ve created an environment in which it has become hard to be healthy. We eat poorly, we’re largely sedentary, we don’t sleep enough and we’re increasingly socially isolated. But our behaviors are driven by the cultural, physical and technological environments we’ve created. We’re asking people to swim upstream and our response is to tell people to swim harder. It’s not working. Instead we should ask what it would take to reverse the direction of the river. We often use tech to try to change individual behaviors by providing data, information and prompts. What if instead we used tech to re-shape our environments to make healthy lifestyles the default? What if we re-engineered daily life — how we eat, sleep, move from place to place, and entertain ourselves — with health as a design goal? What if, instead of treating health like an app that sits on top of an operating system biased toward unhealthy behaviors, we built health deep into our collective OS? This talk would examine how technology has historically shaped our daily lives, identify behaviors that designers could help facilitate through creative applications of emerging technologies and showcase illustrative examples of tech that’s starting to take on the challenge.

Designing Everyday Life to Be Healthier
Steve Downs
Robert Wood Johnson Foundation

Original image by Max Roser, Our World in Data. Extension by Eric Topol.

Antiqua & Barbuda
Algeria
United States
Iran
Paraguay
Cape Verde
Cuba
Venezuela
Tunisia
Uruguay
United States
International Rank: Age-Related Disease Burden (2017 data)
Source: Chang Y, Skirbekk V, Tyrovolas S, Kassebaum N, Dieleman J. Measuring population ageing: an analysis of the Global Burden of Disease Study 2017.
Lancet Public Health 2019; 4: e159–67.
Switzerland
Singapore
South Korea
Japan
Italy
Kuwait
Spain
France
Israel
Sweden
Peru
Colombia
Iceland
Norway
Canada
Australia
Andorra
Panama
Puerto Rico
Cyprus
Austria
Bermuda
Portugal
Ireland
Bahrain
Finland
Netherlands
Maldives
Nicaragua
Luxembourg
Belgium
Qatar
Denmark
New Zealand
Chile
Malta
United Kingdom
Germany
Costa Rica
Taiwan
Thailand
Ecuador
Iraq
Greece
Jordan
Sri Lanka
Slovenia
Mexico
Turkey
Barbados

photo credit: pandabearphotography

photo credit: Rafiq Sarlie

“The fundamental answer to why so
many humans are now getting sick from
previously rare illnesses is that many of
the body's features were adapted in
environments from which we evolved,
but have become maladapted in the
modern environments we have now
created.”

Photo by Drew Farwell via Unsplash.com

health is not an app

“We shape our buildings;
thereafter they shape us.”

“We shape our buildings technologies;
thereafter they shape us.”

photo credit: UltraSlo1

building health into the OS

cooking real food

moving around

sleeping

building social connection

spending time outdoors

f.lux

Park Time

photo credit: CommScope

photo credits: CommScope, Wiyre Media

photo credit: Olabi Makerspace

photo credits: Nest, Scott Lewis, Sho Hashimoto and Scott Lowensohn

photo credits: Karlis Dambrans, Scott Lewis and Marc van der Chijs

photo credit: Mediated Matter Group, MIT Media Lab

What
Comes
Next?

Thank you!
Steve Downs
@stephenjdowns
sdowns@rwjf.org
www.rwjf.org

@HXDCONF #HXD2019
community.centerhxd.com
Designing for
Systemic Change

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Stephen Downs, Robert Wood Johnson Foundation

1. Designing Everyday Life to Be Healthier Steve Downs Robert Wood Johnson Foundation

2.

3. Original image by Max Roser, Our World in Data. Extension by Eric Topol.

4. Antiqua & Barbuda Algeria United States Iran Paraguay Cape Verde Cuba Venezuela Tunisia Uruguay United States International Rank: Age-Related Disease Burden (2017 data) Source: Chang Y, Skirbekk V, Tyrovolas S, Kassebaum N, Dieleman J. Measuring population ageing: an analysis of the Global Burden of Disease Study 2017. Lancet Public Health 2019; 4: e159–67. Switzerland Singapore South Korea Japan Italy Kuwait Spain France Israel Sweden Peru Colombia Iceland Norway Canada Australia Andorra Panama Puerto Rico Cyprus Austria Bermuda Portugal Ireland Bahrain Finland Netherlands Maldives Nicaragua Luxembourg Belgium Qatar Denmark New Zealand Chile Malta United Kingdom Germany Costa Rica Taiwan Thailand Ecuador Iraq Greece Jordan Sri Lanka Slovenia Mexico Turkey Barbados

5.

6.

7. photo credit: pandabearphotography

8. photo credit: Rafiq Sarlie

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11.

12. “The fundamental answer to why so many humans are now getting sick from previously rare illnesses is that many of the body's features were adapted in environments from which we evolved, but have become maladapted in the modern environments we have now created.”

13. Photo by Drew Farwell via Unsplash.com

14.

15. health is not an app

16. “We shape our buildings; thereafter they shape us.”

17. “We shape our buildings technologies; thereafter they shape us.”

18.

19.

20.

21.

22.

23.

24. photo credit: UltraSlo1

25. building health into the OS

26.

27. cooking real food

28. moving around

30. building social connection

31. spending time outdoors

32.

33.

36.

37. photo credit: CommScope

38. photo credits: CommScope, Wiyre Media

39. photo credit: Olabi Makerspace

40.

41. photo credits: Nest, Scott Lewis, Sho Hashimoto and Scott Lowensohn

42. photo credits: Karlis Dambrans, Scott Lewis and Marc van der Chijs

43. photo credit: Mediated Matter Group, MIT Media Lab

44. What Comes Next?

45. Thank you! Steve Downs @stephenjdowns sdowns@rwjf.org www.rwjf.org

46. @HXDCONF #HXD2019 community.centerhxd.com Designing for Systemic Change