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A 
University 
of 
Ulster 
Innova&on 
Lab 
visit 
trail.ulster.ac.uk
Case studies in Living Lab application domains 
Designing 
Social 
Prescrip9on 
Services 
to 
Support 
People 
with 
Long-­‐Term 
Condi9ons 
Barry 
Henderson, 
Karen 
Kirby, 
Adrian 
McCann, 
Deirdre 
McKay, 
Leeann 
Monk, 
Maurice 
Mulvenna, 
Jennifer 
Neff, 
Maurice 
O’Kane, 
Terence 
Quigley 
Presented 
by 
Prof 
Maurice 
Mulvenna 
TRAIL 
Living 
Lab 
@ 
University 
of 
Ulster 
5th ENoLL Living Lab Summer School 
2-5 September 2014 
Amsterdam
Outline 
• Context 
• Project 
• Conclusions
Context
Context 
% people with 
dementia 
% people with 
Google glass
Context 
% people with 
dementia in UK 
= 1.3%* 
% people with 
Google glass 
= 0.08%** 
*hRp://www.alzheimersresearchuk.org/demen9a-­‐sta9s9cs/ 
** 
hRp://www.cio.com/ar9cle/2369965/consumer-­‐technology/how-­‐many-­‐people-­‐actually-­‐own-­‐google-­‐glass-­‐.html
Context 
% people with 
dementia 
= 1.3% 
% people with 
Google glass 
= 0.08% 
0.0000104
Context 
% people with 
BMI >25 
% people with 
smartphones 
*hRp://www.bbc.com/news/health-­‐25576400 
**hRp://stakeholders.ofcom.org.uk/market-­‐data-­‐research/market-­‐data/communica9ons-­‐market-­‐reports/cmr14/northern-­‐ireland/
Context 
% people with 
BMI >25 in 
UK = 64%* 
% people with 
smartphones 
in NI = 55%** 
(tablets = 45%) 
*hRp://www.bbc.com/news/health-­‐25576400 
**hRp://stakeholders.ofcom.org.uk/market-­‐data-­‐research/market-­‐data/communica9ons-­‐market-­‐reports/cmr14/northern-­‐ireland/
Context 
% people with 
BMI >25 in 
UK = 64%* 
% people with 
smartphones 
in NI = 55%** 
(tablets = 45%) 
*hRp://www.bbc.com/news/health-­‐25576400 
**hRp://stakeholders.ofcom.org.uk/market-­‐data-­‐research/market-­‐data/communica9ons-­‐market-­‐reports/cmr14/northern-­‐ireland/
Context 
% people with 
BMI >25 in 
UK = 64%* 
% people with 
smartphones 
in NI = 55%** 
(tablets = 45%) 
? 
*hRp://www.bbc.com/news/health-­‐25576400 
**hRp://stakeholders.ofcom.org.uk/market-­‐data-­‐research/market-­‐data/communica9ons-­‐market-­‐reports/cmr14/northern-­‐ireland/
Context 
% people with 
BMI >25 in 
UK = 64%* 
% people with 
smartphones 
in NI = 55%** 
(tablets = 45%) 
? 
.35 
*hRp://www.bbc.com/news/health-­‐25576400 
**hRp://stakeholders.ofcom.org.uk/market-­‐data-­‐research/market-­‐data/communica9ons-­‐market-­‐reports/cmr14/northern-­‐ireland/
Context 
Source: 
hRp://www.nhs.uk/Livewell/loseweight/Pages/10000stepschallenge.aspx
Context
Project 
• Funded by Innovation Voucher (€5K) 
• Local company In Your Element used the 
voucher with University of Ulster Bdes Design 
students 
• Tasked to understand needs of people who 
could benefit from social prescribing process
Social prescriptions 
• Links patients in primary care with non-medical 
sources of support within the 
community 
• People with little money/time should have 
services from the likes of government that 
don't add to the burden of decision making 
Eldar Shafir, Scarcity
Persona 
• “low income people and 
families are over-represented 
within the 
obese, pre-diabetes and 
type 2 diabetes 
populations” 
• “… as a value brand it needs 
to offer low-income 
consumers real benefits” 
• “connecting behaviour 
modifying innovation to 
the hot spots that need it” 
A`tudes 
Psychosocial 
model 
Habits 
Beliefs
Derry - Londonderry - Legenderry
Design Approach 
• Adoption of design process to: 
• Establish project requirements 
• Understand user groups 
• Consider user experience (UX) issues 
• Develop and test User Interface (UI) 
• Co-Design – working with client & students over different physical 
and digital spaces 
• Discover and develop workshops with groupings 
– Discover user tasks (n=20) 
• User personas 
• User journeys 
• User scenarios 
– Develop ideas into prototypes (n=45) 
• Disseminate digital prototypes
Discover user tasks
Develop ideas into prototypes
Develop ideas into prototypes
Develop ideas into prototypes
Develop ideas into prototypes
Develop ideas into prototypes
Develop ideas into prototypes
Develop ideas into prototypes
How different from these?
Differences 
• More blended model of medical and social 
information 
• Location-based services focus on: 
– Activity measurement 
– Sign posting to local social prescriptions 
• Gamification – “The Biggest Loser”
Conclusions 
• Individuals at a lower socio-economic level or 
status represent a hard-to-reach group of 
people who are often time and cash poor and 
may benefit from greater clarity in social 
prescription messages and communications 
aimed at improving their health literacy and 
subsequently their self-management 
behaviour and physical and mental health.
Conclusions 
• A tailored approach to health and wellbeing 
improvement ensures that specific conditions 
and behaviours are assessed before the 
introduction of the individual to a ‘social’ 
activity or initiative. Therefore, the likelihood 
of engagement is stronger given the 
individual's involvement in choosing from a 
suite of options available to them in their local 
area.
Conclusions 
• Prevalence of smartphone and tablet 
computing uptake in NI is now significant 
• Opportunity for a value brand for those in 
need of personalised social prescription to be 
delivered using smartphone technology 
• Next steps are to revisit the user groups and 
design live prototype
Acknowledgements 
The authors wish to recognise the support of Invest 
NI’s Innovation Voucher programme. On the basis 
of this project an Innovation Voucher was granted in 
order to continue this valuable work. 
Many thanks to Design at Magee year 2 students 
for bringing a strategic design thinking approach to 
the project. Students were supervised by module 
co-ordinator and design lecturer Terry Quigley from 
the University of Ulster.
…THANKS

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Designing Social Prescription Services to Support People with Long-Term Conditions

  • 1. A University of Ulster Innova&on Lab visit trail.ulster.ac.uk
  • 2. Case studies in Living Lab application domains Designing Social Prescrip9on Services to Support People with Long-­‐Term Condi9ons Barry Henderson, Karen Kirby, Adrian McCann, Deirdre McKay, Leeann Monk, Maurice Mulvenna, Jennifer Neff, Maurice O’Kane, Terence Quigley Presented by Prof Maurice Mulvenna TRAIL Living Lab @ University of Ulster 5th ENoLL Living Lab Summer School 2-5 September 2014 Amsterdam
  • 3. Outline • Context • Project • Conclusions
  • 5. Context % people with dementia % people with Google glass
  • 6. Context % people with dementia in UK = 1.3%* % people with Google glass = 0.08%** *hRp://www.alzheimersresearchuk.org/demen9a-­‐sta9s9cs/ ** hRp://www.cio.com/ar9cle/2369965/consumer-­‐technology/how-­‐many-­‐people-­‐actually-­‐own-­‐google-­‐glass-­‐.html
  • 7. Context % people with dementia = 1.3% % people with Google glass = 0.08% 0.0000104
  • 8. Context % people with BMI >25 % people with smartphones *hRp://www.bbc.com/news/health-­‐25576400 **hRp://stakeholders.ofcom.org.uk/market-­‐data-­‐research/market-­‐data/communica9ons-­‐market-­‐reports/cmr14/northern-­‐ireland/
  • 9. Context % people with BMI >25 in UK = 64%* % people with smartphones in NI = 55%** (tablets = 45%) *hRp://www.bbc.com/news/health-­‐25576400 **hRp://stakeholders.ofcom.org.uk/market-­‐data-­‐research/market-­‐data/communica9ons-­‐market-­‐reports/cmr14/northern-­‐ireland/
  • 10. Context % people with BMI >25 in UK = 64%* % people with smartphones in NI = 55%** (tablets = 45%) *hRp://www.bbc.com/news/health-­‐25576400 **hRp://stakeholders.ofcom.org.uk/market-­‐data-­‐research/market-­‐data/communica9ons-­‐market-­‐reports/cmr14/northern-­‐ireland/
  • 11. Context % people with BMI >25 in UK = 64%* % people with smartphones in NI = 55%** (tablets = 45%) ? *hRp://www.bbc.com/news/health-­‐25576400 **hRp://stakeholders.ofcom.org.uk/market-­‐data-­‐research/market-­‐data/communica9ons-­‐market-­‐reports/cmr14/northern-­‐ireland/
  • 12. Context % people with BMI >25 in UK = 64%* % people with smartphones in NI = 55%** (tablets = 45%) ? .35 *hRp://www.bbc.com/news/health-­‐25576400 **hRp://stakeholders.ofcom.org.uk/market-­‐data-­‐research/market-­‐data/communica9ons-­‐market-­‐reports/cmr14/northern-­‐ireland/
  • 15. Project • Funded by Innovation Voucher (€5K) • Local company In Your Element used the voucher with University of Ulster Bdes Design students • Tasked to understand needs of people who could benefit from social prescribing process
  • 16. Social prescriptions • Links patients in primary care with non-medical sources of support within the community • People with little money/time should have services from the likes of government that don't add to the burden of decision making Eldar Shafir, Scarcity
  • 17. Persona • “low income people and families are over-represented within the obese, pre-diabetes and type 2 diabetes populations” • “… as a value brand it needs to offer low-income consumers real benefits” • “connecting behaviour modifying innovation to the hot spots that need it” A`tudes Psychosocial model Habits Beliefs
  • 18. Derry - Londonderry - Legenderry
  • 19. Design Approach • Adoption of design process to: • Establish project requirements • Understand user groups • Consider user experience (UX) issues • Develop and test User Interface (UI) • Co-Design – working with client & students over different physical and digital spaces • Discover and develop workshops with groupings – Discover user tasks (n=20) • User personas • User journeys • User scenarios – Develop ideas into prototypes (n=45) • Disseminate digital prototypes
  • 21. Develop ideas into prototypes
  • 22. Develop ideas into prototypes
  • 23. Develop ideas into prototypes
  • 24. Develop ideas into prototypes
  • 25. Develop ideas into prototypes
  • 26. Develop ideas into prototypes
  • 27. Develop ideas into prototypes
  • 29. Differences • More blended model of medical and social information • Location-based services focus on: – Activity measurement – Sign posting to local social prescriptions • Gamification – “The Biggest Loser”
  • 30. Conclusions • Individuals at a lower socio-economic level or status represent a hard-to-reach group of people who are often time and cash poor and may benefit from greater clarity in social prescription messages and communications aimed at improving their health literacy and subsequently their self-management behaviour and physical and mental health.
  • 31. Conclusions • A tailored approach to health and wellbeing improvement ensures that specific conditions and behaviours are assessed before the introduction of the individual to a ‘social’ activity or initiative. Therefore, the likelihood of engagement is stronger given the individual's involvement in choosing from a suite of options available to them in their local area.
  • 32. Conclusions • Prevalence of smartphone and tablet computing uptake in NI is now significant • Opportunity for a value brand for those in need of personalised social prescription to be delivered using smartphone technology • Next steps are to revisit the user groups and design live prototype
  • 33. Acknowledgements The authors wish to recognise the support of Invest NI’s Innovation Voucher programme. On the basis of this project an Innovation Voucher was granted in order to continue this valuable work. Many thanks to Design at Magee year 2 students for bringing a strategic design thinking approach to the project. Students were supervised by module co-ordinator and design lecturer Terry Quigley from the University of Ulster.