How to use the Internet, Smartphones, and Digital Health to Improve - - PowerPoint PPT Presentation

How to use the Internet, Smartphones, and Digital Health to Improve the Breastfeeding Experience

Anna Sadovnikova, MPH, MA, Kirat Sandhu, Anita Gunaseelan January 27, 2017 California Breastfeeding Coalition Summit

Conflict of Interest Disclosure

• Anna Sadovnikova is the CEO, co-founder, and

shareholder of LiquidGoldConcept.

• Anita Gunaseelan and Kirat Sandhu are

LiquidGoldConcept consultants.

• LiquidGoldConcept paid for conference registration

for all three presenters.

Agenda

• Internet: How to write a blog post that people will see and

read? [Kirat]

• Activity #1: Using Google Trends to answer your

questions about breastfeeding terms.

• Smartphones: What are the most common features/

functions available in free breastfeeding apps? [Anita]

• Digital Health: What is the future of digital health in

breastfeeding promotion and education? [Anna]

• Activity #2: Your turn to design a breastfeeding app!

Plugged, blocked, vs clogged duct?

How to use Google Trends to write effective online content

1 2

www.google.com/trends Enter your search term

How to use Google Trends to write effective online content

3

Compare your search terms of interest

How to use Google Trends to write effective online content

A comparison of plugged vs. clogged vs. blocked ducts

How to use Google Trends to write effective online content

4

How to use Google Trends to write effective online content

Cater your content to the most popular search term and related queries.

5

Activity #1: Using Google Trends to answer your questions about breastfeeding terms

Objectives

• 1. To identify and review free breastfeeding

smartphone apps available between June 2014 and December 2016

• 2. To categorize unique features/functions
• 3. To develop a metric to evaluate the success of an

app based on number of ‘stars’ and ‘reviews’

0 2 4 6 8 10 12 14 16 18 20 Number of features

Frequency of Features/Functions in Reviewed Apps in 2016

0 5 10 15 20 25 30

# of apps

No dominant color scheme

# of apps

#1 Customize experience by selecting breast shape, size, and skin color #2 Identify breastfeeding concern—plugged duct, trouble pumping, low milk production, breast pain, engorgement, difficult latch, alternative feeding strategy.

#3 Learn a breastfeeding technique through Pixar- style animation. View technique from two

• angles. Choose from over

50 different latch, breast massage, alternative feeding, pumping, and hand expression animations.

#4 Provide feedback, participate in community forum, improve experience by filling out survey #5 Learn about breastfeeding— What’s happening to your body and why what you are doing is helping—in the Breastfeeding Dictionary with video tutorials and term definitions at a 6th grade reading level.

• Technology platform
• What software/hardware are you using? iOS, Android, website?
• Interoperability/Health Information systems context
• EHR integration?
• Intervention delivery
• How will users get your app? Is there provider training involved?
• Intervention content
• Health belief model, social cognitive theory, self-efficacy, etc.
• User feedback
• How many end-users helped you develop your app? Who were they?
• Access of individual participants
• What are the barriers to utilization?
• Cost assessment
• How much does the app cost to make and maintain?

• Adoption inputs/program entry
• How do people find out about your app? What is the cost to your customers?
• Limitations for delivery at scale
• Competitors? Funding? Team? Technology?
• Replicability
• Can this app be used in multiple settings, applied to a different field?
• Data security
• How are user data being protected? Technical, administrative safeguards
• Compliance with national guidelines or regulatory statutes
• Is this app developed with in-country stakeholders and policies?
• Fidelity of the intervention
• Was the app delivered as planned? How do you keep track of users?

Infrastructure (population level)

• 1. Globally, 8 out of 10 of the ~135 million new mothers are Millennials.
• 2. Over 1/3 of the world’s population will have a smartphone in 2017.
• 3. In China, Brazil, UK, US, and Canada, >90% of new mothers use

smartphones.

• 4. In the United States, >75% of low-income (<$30,000) 18-29 year olds own

smartphones.

Monica Anderson. Technology Device Ownership: 2015. Pew Research Center: Internet, Science &

• Tech. October 2015; BabyCenter & IAB 2015 State of Modern Motherhood

Usability/Content Testing

Task1: (Start at the homepage of the dictionary) You are a first time mother. You keep hearing people talk about clogged ducts when they mention mastitis. You use MomKit to learn more about these terms.

Contextual Adaptability

• Tailoring the user experience by breast

shape and skin color allows for MomKit use in any country around the world.

• This social comparison—showing the

mother others who are similar to them succeed in sustained efforts—raises the mother’s beliefs about her own capabilities.

• Guided mastery modeling through Pixar-style

animations is the first step in developing breastfeeding competencies because this method allows for complex skills to be broken down into sub-skills.

Social Cognitive Theory (Bandura 1988)

Activity #2: Design your own breastfeeding app

10 minutes to write down as many ideas as you can for an app, a page in an app, or a feature/function in an app to solve a common breastfeeding problem via mHealth. Feel free to use one of the problems below:

• Lack of breastfeeding support

by father/partner

• Going Back to Work
• No knowledge of breast

anatomy or lactation biology

• No access to lactation

consultant

• English as a second language
• Donor milk
• Medication, tobacco,

supplement, marijuana, alcohol use

• Unusual breast anatomy
• Breastfeeding beyond 12

months

10 minutes to sketch your favorite idea!

University of Michigan School of Information UX Design Clinic LiquidGoldConcept Consultants 2016

Acknowledgements

Rebecca Henry Namita Nisal Janet Cheng Ying-Chen Kuo Tess Daughton Junho Lee Ashlynn Daughton Samantha Koehler Ileisha Sanders Angela Nguyen Jeanne Tayler Rachel Atwood Chris Silva Matt Berg

Thank you!

For questions, comments, and feedback, please, email: Anna Sadovnikova anna@liquidgoldconcept.com