BodiMojo app: Patient Engagement for Self-Management Elizabeth - - PowerPoint PPT Presentation
BodiMojo app: Patient Engagement for Self-Management Elizabeth Donovan, Ph.D., CEO and Founder Tara Cousineau, Ph.D., Director of Research and Evaluation New England Genetics Collaborative Annual Meeting Confidential, BodiMojo Inc. 2014 Agenda
Confidential, BodiMojo Inc. 2014
Elizabeth Donovan, Ph.D., CEO and Founder Tara Cousineau, Ph.D., Director of Research and Evaluation
New England Genetics Collaborative Annual Meeting
Confidential, BodiMojo Inc. 2014
New England Genetics Collaborative Annual Meeting
people with metabolic disorders?
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Elizabeth Donovan, Ph.D. Tara Cousineau, Ph.D. Debra Franko, Ph.D. Rachel Rodgers, Ph.D. Kayla McGowan, B.A. Funded by NIDDK, grant # 2 R44 DK 85748 02
Aim
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To test the feasibility of using mobile technology to deliver a self- compassion and mindfulness- based intervention to underserved youth
Why mobile?
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(Pew, 2014)
Mobile-based interventions are effective at changing a range of health behaviors
(Free, Phillips, Watson, Felix, Edwards, Patel & Haines, 2013)
Self compassion
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Self-kindness Common humanity Mindfulness
(Neff, 2003a, 2003b)
Hypotheses
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Hypotheses
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Mission: to bridge economic, social and racial divisions by providing underserved youth with the keys to self-sufficiency through paid employment in the arts
Developed with funding from the National Institutes of Health (NIDDK), Small Business Innovative Research Program (Phase II).
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Overview of user-centered development
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November, 2013 feedback on wireframes April, 2014 feedback on partially- functioning app October-November, 2014pilot test with fully-functioning app
User testing: Round 1
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User testing: Round 2
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Fully-functioning app and dashboard
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Create an account
Create an account
Home page
Show me how strongly you’re feeling! Shake me up!. The whiter the screen the stronger your feeling.
Feelings tracker
Mood Cloud
Now take a few deep breaths to those areas. Ready?
Feedback from virtual coach
Don’t worry, this feeling will pass!
Those are some strong feelings! Don’t worry. This feeling will pass!
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Feedback from virtual coach, cont.
Where are your feelings located in your body – can you feel them in your head, throat, chest, stomach, gut? Now take a few deep breaths to those areas. Ready?
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Home page
Show me how strongly you’re feeling! Shake me up!. The whiter the screen the stronger your feeling.
Boosts
“Place your hands over your heart. Skin to skin. Feel the warmth. Notice your heart beating. Breathe deeply and say something kind: “Dude, you rock...” or ”I love you, man...“ “When life gives you lemons, make lemonade. Corny, but true. How optimistic are you? Take this quiz to find
“Shhh. I'm visualizing myself on a warm beach. Breathe in and out
relaxed, doesn't it?” “Show Up. Sometimes the hardest thing in life is to just be there. Do it anyway, even if it scares
to show up for today? Be there.”
Pilot study: Goals
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mobile app
compassion and mindfulness
Pilot study: Method
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Participants: 20 teens Design: single group, pre/post test Procedure: teens used the app for 30 days
Mean age 16.95 (SD=1.27)
Pilot study results: Usage
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Pilot study results: Satisfaction
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How much did you enjoy using the program? “Not at all” to “Very much so” (1 to 7) 6.23 Did the program help you focus on how you are feeling? “Not at all” “Very much so” to (1 to 7) 6.07 If it was available to you, would you continue to use the program? “Definitely no” to “Definitely yes” (1 to 7) 6.0 Would you recommend the program to a friend? “Definitely no” to “Definitely yes” (1 to 7) 6.07
Pilot study results: Need
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We are interested in what is currently available to you to help you manage stress in daily life. Have much have you learned from teachers or other staff members at school about how to manage stress? “Not much” to “A lot” (1 to 7) 2.43 Do you think teens could benefit from programs designed to help them to manage stress? “Not at all” to “Very much so” (1 to 7) 6.71
Pilot study results: Focus groups
“It did change my mood. I started to focus more on positive things…I could go to the app….it was the first thing I’d go to” “I was on the bus when I actually figured out the meditation thing…I just pressed the button...then all of a sudden I heard voices, but it was really
actually listened to it and started paying attention to my surroundings. It was really nice” “One day, I think the tip was ‘focus on the things around you, and like, don’t rush to where you’re going’…so when I was walking back from the bus , I just stood there and looked around at like, my surroundings”
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“I liked the mood cloud best. I felt like I was getting happier.,,not happier, but I reflected on my day”
Pilot study results: Focus groups
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“It would be good to include short recipes, things that take maybe five minutes and taste good.” “Maybe like a social kind of thing…. see other people’s feelings” “I wish his face wasn’t so straight” Maybe you could save tips, because at the moment they just go away.”
What would you change?
Pilot study results: Mindfulness
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Lack of Mindfulness Awareness (n=14)
Mindfulness Attention Awareness Scale-Adolescent (Brown, West, Loverich, & Biegel, 2011).
Pilot study results: Self-compassion
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Self-compassion (n=14)
Self-Compassion Scale-Short form (Raes, Pommier, Neff, & Van Gucht, 2011)
Subscale Time 1 Time 2 Self-Judgment 6.64 6.28 Over-Identification 5.29 5.93 Isolation 5.71 5.79 Common Humanity 6.57 7.36 Self-Kindness 7.14 7.5 Mindfulness 7.8 8.08
Conclusion
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Next Steps
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Brainstorm questions
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References
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Brown, K. W., West, A. M., Loverich, T. M., & Biegel, G. M. (2011). Assessing adolescent mindfulness: Validation of an adapted Mindful Attention Awareness Scale in adolescent normative and psychiatric populations. Psychological Assessment, 23, 1023-1033 Free, C., Phillips, G., Galli, L., Watson, L., Felix, L., Edwards, P., Patel, V. & Haines, A. (2013). The effectiveness of mobile-health technology-based health behaviour change or disease management interventions for health care consumers: A systematic review. PLoS Medicine, 10 Neff, K.D. (2003a).The development and validation of a scale to measure self-
Neff, K. D. (2003b). Self-compassion: An alternative conceptualization of a healthy attitude toward oneself. Self and Identity, 2, 85–102. Raes, F., Pommier, E., Neff, K. D., & Van Gucht, D. (2011). Construction and factorial validation of a short form of the Self-Compassion Scale. Clinical Psychology & Psychotherapy. 18, 250-255 Rainie, L. (2014). Pew Internet Project: Mobile. Retrieved from: http://pewinternet.org/Commentary/2012/February/Pew-Internet- Mobile.aspx