Contenu connexe Similaire à Self tracking, Sensors, and mHealth: Trends and Opportunities Similaire à Self tracking, Sensors, and mHealth: Trends and Opportunities (20) 1. Self-tracking, Sensors, and mHealth: Trends and Opportunities Carol E. Torgan, PhD., FACSM Kinetics Consulting :: From lab bench to park bench www.caroltorgan.comTwitter @ctorgan mHealth Networking Conference, March 2011 © Carol Torgan, Ph.D. 2011 2. What is self-tracking? Who’s doing it? Why are we doing it? How do we do it? What do we do with the info? What’s next? 3. “Finally: Self-Tracking is Cool Enough for Viral Advertising” information aesthetics. Where form follows data. Feb 15, 2011 http://infosthetics.com/archives/2011/02/finally_self-tracking_is_cool.html http://www.pushsnowboarding.com/ © Carol Torgan, Ph.D. 2011 5. Self-tracking Tracking your life weight, exercise, diet, sleep, menstrual cycle, heart rate, mood, …. physiological, behavioral social, environmental Life-logging Data-driven lifestyle Personal informatics Personal analytics Personal monitoring Living by numbers Quantified self http://quantifiedself.com Gary Wolf, Kevin Kelly © Carol Torgan, Ph.D. 2011 6. Who is tracking Patients Professionals Acute and chronic health conditions Asthma Cancer Diabetes Mental health … Athletes Astronauts Soldiers Firefighters Scientists © Carol Torgan, Ph.D. 2011 8. Who is self-tracking? Unpublished data courtesy of Susannah Fox, Pew Internet Pew Internet Project & California HealthCare Foundation national survey: 15% of U.S. internet users have tracked their weight, diet, or exercise routine online 17% of U.S. internet users have tracked any other health indicators or symptoms online Women internet users more likely than male users to do these activities Internet users who experienced a significant recent health change more likely to track (gain/lost weight, quit smoking, pregnancy) www.pewinternet.org © Carol Torgan, Ph.D. 2011 10. Why track? “For many self-trackers, the goal is unknown. Although they may take up tracking with a specific question in mind, they continue because they believe their numbers hold secrets that they can’t afford to ignore, including answers to questions they have not yet thought to ask.” – Gary Wolf, The Data-Driven Life, The New York Times, April 26, 2010 © Carol Torgan, Ph.D. 2011 12. iChemoDiary Lose It! Pregnancy Tracker Mood Reporter Pedometer Menstrual Calendar RunKeeper Pro Mole Measure Crohn’s Diary Glucose Buddy © Carol Torgan, Ph.D. 2011 13. What can be tracked vs. What should be tracked Source: PricewaterhouseCooper HRI survey, 2010 PricewaterhouseCoopers, Healthcare unwired, Sept 2010 © Carol Torgan, Ph.D. 2011 14. Sensor technology Issues: Cost Tissue compatibility, safety Range, response time Sensitivity, specificity Reproducibility Clinically relevant information © Carol Torgan, Ph.D. 2011 15. Sensors that connect to the body Polar Zeo BodyMedia Fitbit IDEAL LIFE iHealth Withings Sleeptracker … © Carol Torgan, Ph.D. 2011 16. Wearable sensors Attach to clothing or integrate into fabric e-fibers smart clothing interactive clothing e-textiles smart textiles interactive textiles e-fabrics smart fabrics Unobtrusive, direct skin contact Issues: friction, bending, stretching washable, light weight © Carol Torgan, Ph.D. 2011 17. Under Armour® / Zephyr E39 biometric compression shirt Removable electronic monitor (‘bug’) Heart rate Breathing rate Skin surface temperature Triaxial acceleration Real time data Monitor performance Share and compare Store on internal hard drive > handheld or laptop Debuted NFL combine Feb 2011 Available to public 2012 www.underarmour.com/e39 (photo from Under Armour®) © Carol Torgan, Ph.D. 2011 18. Screen-print sensor onto fabric: Smarty pants Carbon sensor arrays on elastic band of underwear Tight contact, direct skin exposure Sensors survive large deformations Electrochemical detection of sweat (hydrogen peroxide, ethanol, lactate) Applications: Healthcare Sport Military Yang-Li Yang et al, Analyst, 135:1230-1234, 2010 (photo from Royal Society of Chemistry) © Carol Torgan, Ph.D. 2011 19. Ingestible core body thermometer pill Partnership Johns Hopkins University Applied Physics Lab NASA / Goddard Space Flight Center Silicone coating, wireless telemetry Microminiaturized circuitry, microbattery Quartz crystal temperature sensor Pill in system 18 to 30 hours 1988 Commercially available (research, university, military) 1998 John Glenn used for medical experiments on Space Shuttle Discovery Applications: astronauts, athletes, firefighters NASA http://www.sti.nasa.gov/tto/Spinoff2006/hm_1.html © Carol Torgan, Ph.D. 2011 20. Heart Failure: CardioMEMS 6 million heart failure patients in U.S. > 1 million hospitalizations each year $39 billion yearly direct cost of care Heart functions poorly, fluid builds-up Traditionally measure body weight Miniature wireless sensor MEMS = microelectromechanical system Permanently implant in pulmonary artery Transmits real-time pressure data Patients take daily readings Send to doctor (handheld or computer) Doctor modify meds = prevent hospitalization 39% drop in hospitalizations in treated patients, shorter stays WT Abraham, et al, The Lancet, 377:658-666, 2011; www.cardiomems.com © Carol Torgan, Ph.D. 2011 21. Data visualization How do we: Make the data tell a story? Use the data to educate and empower? Make the data actionable? Have the data answer questions that haven’t been asked? Data issues: Cause and effect vs. correlational False positives / false negatives Signal vs. noise Customize data vs. aggregate data Photo courtesy of Chris.T. (Eng) on Flickr © Carol Torgan, Ph.D. 2011 23. Health Literacy —the degree to which a person can obtain, process, and understand basic health information and services needed to make appropriate health decisions. Nearly 9 out of 10 adults have difficulty using everyday health information that is available in health care facilities, retail outlets, media, and communities. Innovations in Health Literacy - Workshop Summary March 10, 2011 Institute of Medicine Report www.iom.edu/Reports/2011/Innovations-in-Health-Literacy.aspx © Carol Torgan, Ph.D. 2011 27. ‘Weight loss’ on Flickr Photos courtesy of Flickr, clockwise L to R: uneduex, 157/365; Christi Nielsen, Diet; bark, 40+290 Notch; Vernon_White, Weight_Loss_Montage_2009-03-04_side © Carol Torgan, Ph.D. 2011 28. What to do with our data: Track, share Twitter: #Withings www.withings.com www.tweetwhatyoueat.com © Carol Torgan, Ph.D. 2011 29. Track, share, compare 1in4internet users living with chronic conditions has looked online for someone with similar health concerns. www.patientslikeme.comwww.curetogether.com Peer-to-peer Healthcare, Pew Internet, Feb 2011 www.pewinternet.org/Reports/2011/P2PHealthcare.aspx © Carol Torgan, Ph.D. 2011 30. Track, share, compare*, care Integrate data with health records & health care team PHRs & EHRs *N=1 Case Study Personalized Medicine Biological Passport © Carol Torgan, Ph.D. 2011 31. Track, share, compare, publish: Data donorship N=1,000 www.jmir.org/2011/1/e6/ www.tudiabetes.org www.23andme.com http://asthmapolis.com/ © Carol Torgan, Ph.D. 2011 32. Opportunities: Baby Boomers ~78 million baby boomers ~56% have high willingness to use in-home health monitoring devices in tandem with care from their primary physician “Boomers want to shape the technology they use, unlike younger generations who allow their lives to be shaped by it.” – Michael Rogers, Practical Futurist, in MIT Enterprise Forum Northwest Report Key values & Key health issues © Carol Torgan, Ph.D. 2011 33. Corporations Workplace disease prevention & health promotion programs Amt spent on programs: $1.00 Medical costs fall $3.27 Absenteeism costs fall $2.73 Health risk assessments Incentives Key interventions Baicker, K. et al, Health Affairs, 29(2):1-8, 2010 © Carol Torgan, Ph.D. 2011 34. Data coaches Front line specialists: Nutritionists Diabetes educators Personal trainers School nurses Physicians Psychologists Coaches When asked about the last time they had a health issue, 70% of adults in the U.S. say they received information, care, or support from a health professional. –Peer-to-Peer Healthcare, Pew Internet, Feb 2011 www.pewinternet.org/Reports/2011/P2PHealthcare.aspx © Carol Torgan, Ph.D. 2011 35. Global: Noncommunicable diseases-NCDs(cardiovascular, respiratory, diabetes, some cancers) ~35 million deaths a year 60% of all deaths globally 80% in low- & middle-income countries Half of deaths are in people under 70 Twice (2x) the number of deaths as infectious diseases maternal and perinatal conditions nutritional deficiencies combined Up to 80% of heart disease, stroke, type 2 diabetes, & over a third of cancers are preventable! www.who.int/chp/en/ © Carol Torgan, Ph.D. 2011 36. The future of sensors Measure compressive stresses in spine Monitor CSF for biomarkers of Alzheimer’s disease Monitor blood for medication concentrations Knee implants, stents, … Monitor our Microbiome Microbial cells : human cells = 10:1 (10-100 trillion microbes in our intestine) Conditions that may be influenced: obesity, psoriasis, heart disease, asthma, IBS … “What used to take up a building now fits in my pocket, and what fits in my pocket will fit inside a blood cell in 25 years.” – Ray Kurzweil, inventor and futurist © Carol Torgan, Ph.D. 2011 38. Carol Torgan, PhD., FACSM Kinetics Consulting www.caroltorgan.com carol@carol.torgan.com Twitter @ctorgan List of talk resources are posted at: http://www.caroltorgan.com/self-tracking-sensors-mhealth/ © Carol Torgan, Ph.D. 2011 Notes de l'éditeur Driven by 2 ends of a continuumWhere innovation occursPat and profs – lives may depend on the data Screen print or weave into fabric Takes less than 10 minutes[Radiofrequency (RF) energy] Patterns, comparisonsGoal: Use data to predict, prevent, treat, manage age, culture, language, literacy uneduex, 157/365 Heeee. I have a waist now. And this girl with her newly found waistline must go to work.Christi Nielsen, Diet; Bark, 40+290 Notch So apparently all this crap about eating right and going to the gym is true! Sliding my belt in a notch. Yay me! http://itunes.apple.com/us/app/pedometer/id286050544?mt=8 On January 1, 2011 10,000 thousand turned 65 Each day 10,000 more will turn 65 This will continue for the next 19 yearsBruce springsteen Richard Branson Madonna George Clooney Tom Cruise – Basse papers – Dow Corning – employees self track as part of wellness program – give cash rewards, pool numbers to show company success, $ saved (mtg – bought fried chicken??!) 2008 survey; 77% large manufacturing employers offer a formal health and wellness program. - self tracking mecca! World's biggest killers
