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Innovation in Technology to Improve Adherence Promoting Activity and Participation Among Persons with Arthritis Arthritis State of the Science Meeting Pentagon City, Virginia | April 7, 2014 Kristin Baker, PhD Boston University Promoting


  1. Innovation in Technology to Improve Adherence Promoting Activity and Participation Among Persons with Arthritis Arthritis State of the Science Meeting Pentagon City, Virginia | April 7, 2014 Kristin Baker, PhD Boston University Promoting Activity and Participation Among Persons with Arthritis Arthritis State of the Science Meeting Pentagon City, Virginia | April 7, 2014

  2. Outline • Potential of technology to change/sustain behavior • Capabilities of technology • Access to technology • Behavioral insights • Studies utilizing technology to improve adherence • Summary and future directions • Key references Arthritis State of the Science Meeting Pentagon City, Virginia | April 7, 2014 Goals • Why Technology? • Capabilities of technology • Access to technology • Behavioral insights • What Technology? • Overview of technologies • Specific examples • How Technology? • Studies and data Arthritis State of the Science Meeting Pentagon City, Virginia | April 7, 2014

  3. Why Technology – Why Not ? • History of human race can be mapped using its technological innovations • Extend our capabilities further into the world • Address limitations of the human condition—both physically, cognitively and emotionally Arthritis State of the Science Meeting Pentagon City, Virginia | April 7, 2014 Access to Technology • Access to, and utilization of technology creates opportunities to Encourage , Enable and Empower more sustainable behaviors • Internet within easy reach • Quantified self walking around Arthritis State of the Science Meeting Pentagon City, Virginia | April 7, 2014

  4. Global Explosion of Technology Across all Populations Arthritis State of the Science Meeting Pentagon City, Virginia | April 7, 2014

  5. Arthritis State of the Science Meeting Pentagon City, Virginia | April 7, 2014 The Quantified Self • The Monitored Man The New York Times 3/10/2014 • Wearable Devices: Selfies For Health Nuts? Forbes 3/18/2014 Arthritis State of the Science Meeting Pentagon City, Virginia | April 7, 2014

  6. Can Technology Change Behavior? • Behavior change through a technological lens - YES Arthritis State of the Science Meeting Pentagon City, Virginia | April 7, 2014 However • The potential of technology to change behavior does not lie in simply digitizing current strategies or creating another communication channel • Technology must look through a behavior lens • Technology - Insight led and Human centered • Behavior Change - Sustainable and empowering Arthritis State of the Science Meeting Pentagon City, Virginia | April 7, 2014

  7. Adherence of Wearable Trackers Data via Endeavor Partners, LLC, September 2013. Arthritis State of the Science Meeting Pentagon City, Virginia | April 7, 2014 Sustaining behavior is hard • Aerobic physical activity through leisure- time activity • 45-64 - <50% • 65-74 - 37% • 75+ - 24% • American adults >50 more functional disability than any other developed country CDC/NCHS, National Health Interview Survey, 2008–2010 Crimmins, EM et al., The National Academic Press;2011 Arthritis State of the Science Meeting Pentagon City, Virginia | April 7, 2014

  8. Behavioral Insights to Adherence • Overcoming human limitations • Maintaining momentum • Intention/action gap • Inaccurate recall (lying to our selves) Arthritis State of the Science Meeting Pentagon City, Virginia | April 7, 2014 Information Technology 2 nd Generation 2 nd Generation 3 rd Generation 3 rd Generation 1 st 1 st pre-programed pre-programed recognition recognition Generation Generation reasoning reasoning and inference and inference Quantified Self or Ecological Momentary Assessment SenseCam Trackers (Fit Bit, Jawbone Up, Nike Fuelband) Smart Phone Apps (MapMyFitness) Arthritis State of the Science Meeting Pentagon City, Virginia | April 7, 2014

  9. Research Promoting Activity and Participation Among Persons with Arthritis Arthritis State of the Science Meeting Pentagon City, Virginia | April 7, 2014 ������ Telephone-Linked Communication (TLC) ������������ ������ �'� ���������������� �������������� $�!%����& ���������������� �%������������ ������� ���� �! "#������ �������� �������� � ���������� � �� ���� ��� ����� �������� ���������� ������ ������ Arthritis State of the Science Meeting Pentagon City, Virginia | April 7, 2014

  10. ���#��#����(��'����� �������� ���#��#����(��'����� �������� ���#��#����(��'����� �������� ���#��#����(��'����� �������� ��")� +!�������.����"��������� ��� ��#��������� /���0������������������ ������������� �������������1 1 � � '����� ������������� ������������� 1 1 � � ������� +!������������������ )�������(���'���� )�������(���'���� )�������(���'���� )�������(���'���� ,������������-���������� *��� ��������*������� *��� ��������*������� *��� ��������*������� *��� ��������*������� � �����������'���� � �����������'���� � �����������'���� � �����������'���� +!�������"��������#�������������� +-. Arthritis State of the Science Meeting Pentagon City, Virginia | April 7, 2014 �'��"��������#�������������� +!���������#������� ���(�+((����� ��������#����� +�#������ ���(����������� *��������������� 2�3#������ ������ • ��� ������ ���������+�3���0�� ��������� • �������� ����(��� • )������� • ��� ������ Arthritis State of the Science Meeting Pentagon City, Virginia | April 7, 2014

  11. �'��"��������#���������������+!����� ����������(� ������������������������� ����������������������� �������������!��������4�����������������3#��5�0����������������������5� ��������� �������5��!����������0����������#��#������ ��(����������� (�����6��7������#�����#����������������#������8��,� ���������� ���#��������(��#����#��������#���#���� ���#��������#��������#�� ���#������������������������#����6����������5���#9���0����������6�� 7�#�����#��������������������0�#��0����������������������8���������� �������������6 Arthritis State of the Science Meeting Pentagon City, Virginia | April 7, 2014 Data on TLC • Participants receiving TLC intervention > 6 months • 50% have connected all possible TLC calls • 50% range 31-85% of possible TLC calls • Majority of calls are complete • Average time on call 6:43 • Incomplete calls average 3:25 Arthritis State of the Science Meeting Pentagon City, Virginia | April 7, 2014

  12. Exercise advice by humans versus computers: Maintenance effects at 18 months King AC, et al., Health Psychol. 2014 Feb;33(2):192-6 Arthritis State of the Science Meeting Pentagon City, Virginia | April 7, 2014 Exercise advice by humans versus computers: Maintenance effects at 18 months King AC, et al., Health Psychol. 2014 Feb;33(2):192-6 Arthritis State of the Science Meeting Pentagon City, Virginia | April 7, 2014

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