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Contents
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9. TS Wicklund A look back at the highs and not so highs of ces those designing digital health solutions arent taking into account the user 1 51 12 1
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19. Payne 2006 29 Kuusisto Meyer 2003 830 UX 1 09241 210 2010 Ergonomics of human system interaction Part 210 Human centered design fo
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21. Emotions and choice mechanism of behavioral change Phelps Elizabeth Anya VS 19 1123 The basic idea is to reward players for accomplishing desired tasks 20
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24. 32 Witell 2011 for use for others Essentially customer co creation concerns different ways of communicating and interacting with customers and their context Chesbrough 2010 Tacit knowledge interferes with the ability of suppliers and customers to communicate with one another It can be very difficult for a supplier to understand what a customer really want 1 1 3 1
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31. Nuffield Aladder of intervention Behaviour Change Synthesis A summary of learning and theories 2011 1 5 12 Ryan Deci am Self Determination Theory SDT
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65. A specific goal that people are willing to work for a sense of purpose Rules that stimulate creativity within specified boundaries A feedback system that lets individuals know how they are doing with respect to the goal B L Voluntary acceptance of the goal rules and feedback information TFerguson 1 1 8 2 Caillois 1958 Agon Alea Mimicry Ilinx st 0 4
66. 5 14 3 4 mobile health news 2012 repot 4 1 2 ICT Diet Support Product Service System DSPSS 1
67. NTT Walgreens Balance Rewards 2012 9 1 20 5 000 5 10 000 10 40 000 50 Walgreens Steps with Balance 2013 4 2018 6 15 16
68. gt ae _ effectiveness of using incentives is not well understood TPO While a great variety of incentives types such as cash cash equivalents and cost sharing and approaches to incentive program design are being experimented with it is not clear if incentives improve health or just add costs What s widely assumed is that they work what s unclear is what types of incentives produce the targeted return 18 NIH seience of behavior change amp Comparative efficacy acceptance and effectiveness of health incentive structures Halpern Scott David 4
69. major environment changes will take time to be implemented and are still in the early stages of effectiveness testing overweight and obese persons are living their lives in the resent environment and seek more effective solutions and ask for advice on how to deal with their excess weight 24 2003 6 p 7
70. 2013 4 19 ICT 17 Deloitte Center for Health Solutions Breaking constraints 2013 ClX 4 v The impact and
71. 1 5 Table 1 Examples of health related food taxes Country US Norway Samoa Australia French Polynesia Fiji Nauru Finland Hungary Denmark France Date introduced Various 1981 1984 2000 2002 2006 2007 2011 2011 2011 2012 Foods taxed Tax rate Sugar sweetened drinks in 23 1 896 states Sugar chocolate and sugary Variable drinks Soft drinks 0 40 tala L 0 11 0 14 0 18 Soft drinks confectionary 1096 biscuits and bakery products Sweetened drinks 60 franc L 0 41 confectionary and ice cream 0 55 0 66 for imported drinks Soft drinks 596 on imported drinks Sugar confectionary 3096 import levy carbonated drinks cordial and flavoured milks Soft drinks and confectionary Soft drinks 0 075 L 0 06 0 10 confectionary 0 75 kg Foods high in sugar fat or salt 10 forint 0 03 0 04 and sugary drinks 0 05 per item Products with more than 2 396 Kr16 kg 1 76 2 15 of saturated fat meat dairy 2 84 of saturated fat products animal fats and oils Drinks containing added sugar 072 L or sweetener Taxing unhealthy food and drinks to improve health 57 Nelson 28 28 Re 1 7
72. 2 3 4 1 2 Eliminate choice regulate to eliminate choice entirely Restrict choice regulate to restrict the options available to people Guide choice through disincentives use financial or other disincentives to influence people to not pursue certain activities Guide choice through incentives use financial and other incentives to guide people to pursue certain activities Guide choice through changing the default make healthier choices the default option for people Greater levels of intervention Enable choice enable people to change their behaviours Provide information inform and educate people Do nothing or simply monitor the current situation Behaviour Change Synthesis 1 5 55 TIS 1 6
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77. 4 1 2 3 POMS Profile of Mood States 3 Motivation self determination and 1ong term weight control SDT Self Determination Theory
78. Collect Data II Refine Changes Take Action Communicate Feedback Harnessing the power of feedback loops 1 8 58 1 6 N 1 884 20 30 40 50 60 12 196 16 496 17 296 21 596 38 096 14 4 15 6 21 7 25 9 41 5 24 1 7 N 185 75 7 20 596 3 8 45 496 12 496 42 196 48 696 10 396 41 196 14 1 35 1 50 8 1 8 N 7 877 20 30 40 50 60 71 5 78 4 85 4 78 8 81 1 88 8 88 4 78 8 87 7 90 2 22 1 N 1 884 20 30 40 50 60 51 7 56 6 61 7 71 9 75 9 63 3 73 0 71 1 79 3 79 0 24
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87. I21 22 Ferguson 2012 Games are rapidly becoming an important tool for improving health behaviors such as healthy lifestyle habits and behavior modification self management of illness and chronic conditions and motivating and supporting physical activity 472 Gamification Wiki 2015 Gartner by 2015 more than 50 percent of organizations that manage innovation processes will gamify those processes 22 McGonia 4
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90. http www liferoute jp user 41 pebnote 2009 42 http www karadakarute jp tanita index jsp 43 run amp walk run auone jp 44 Norman Donald A The Invisible Computer 2000 45 2009 46 8 1 13 2004 47 Teixeira Perdo J et al Motivation self determination and long term weight control International Journal of Behavioral Nutrition and Physical Activity 2012 48 KASD aE BRAKE KUED TIER ak e ALTE A 2 4 VIC BITS 2012 49 6 61 http mjin doshisha ac jp R 61 61 html 50 Continua Health http www contiunaalliance org
91. 51 Sarasohn Kahn Jane Can consumers and health IT find a business model 1health Beat 2013 50 1 1 BMI 25 Healthy weight overweight and obesity among adults aged 20 and over by selected characteristics United States selected years 1960 1962 through 2007 2010 Updated data when available Excel PDF more data years and standard errors http www cdc gov nchs hus contents201 2 htm 068 Data are based on measured height and weight of a sample of the civilian noninstitutionalized population Sex age race Overweight includes obesity BMI greater than or equal to 25 0 and Hispanic origin or dela eh S and percent of poverty level 1960 1962 1971 1974 1976 1980 1988 1994 1999 2002 2003 2006 2007 2010 20 74 years age adjusted Percent of population ee 448 477 47 4 56 0 65 2 66 9 68 5 49 5 547 529 61 0 68 8 72 6 73 3 EE D acti Rf 40 2 41 1 42 0 512 61 7 61 2 63 9 Health United States 2012 Trends in Overweight and Obesity among Adults United States 1962 2010 Overweight W Obesity Extreme obesity 80 70 322353 10 1962 1974 1980 1994 2000 2002 2004 2008 2010 A text description of this image is available on a separate page Source Ogden amp Carroll 2010 Flegal et al 2012 Data for 1960 1980 are for adults ages 20 to 74 data for 1988 2010 are for adults ag
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94. http www selfdeterminationtheory org 48 health 2012 16 balance rewards https www walgreens com balancerewwards balance rewards jsp erule balance _rewards 17 2013 18 Deloitte University press Breaking constraints Can incentives change consumer health choices 2013 19 NIH http commonfund nih gov behaviorchange 20 Ferguson Bill The Emergence of Games for health Games for Health Journal vol 1 number 1 2012 21 EER RB Provision No 76 winter 2013 22 http www gamification org 23 Product Service System Vol 65 12 December 2012 24 Chesbrough Henry Open Services Innovation Jossey Bass 2010 25 Lasalle and Britton 2004 26 Brown Tim 2010 27 Teboul James 2005 28 London Schoo
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98. the single greatest opportunity to improve health and reduce premature deaths lies in personal behavior Schroeder 2007 However even the most successful behavior change interventions are limited in their ability to induce significant long term behavioral changes in the majority of adults Often changes occurs only for the highly motivated and is limited to a single health behavior rather than multiple behaviors Schroeder 2007 11 2010 Healthy Lives Healthy People Our Strategy for Public Health in England OFT nudging people in the right direction rather than banning or significantly restricting their choices P30
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111. Title J AIST Repository https dspace jaist ac jp ICIHHHHHHHHHHHHHHHHHHHHHHH um Author s OU HH Citation Issue Date 2013 09 Type Thesis or Li ssertati on Text version aut hor URL htt p hdl handl e net 10119 11502 Rights Description Supervi sor Q 00 HHHHHHH OU AIST JAPAN ADVANCED INSTITUTE OF amp SCIENCE AND TECHNOLOGY J apan Advanced Institute of Science and Technology ICT BE BS 0950352 aka al EE EA k 2013 8 Copyright 2013 by Yasuji Suda 38 38 to Ti CO Ti N D sc NOMEN LOO a asi at nee leat eae ete nan are eon 1 Wi uO c CB la Aas Mont een DN 1 KM Pe SS BUN re tein bon EE 15 re eR PR 19 OE Ce yale 19 kk 20 dag CUMBRE ees asta ana ide cdd ed eee cese 20 Sr TD Si PUE EE ment e E EDT SDN CT 99 eb o M M M iy 22 PAG UU T Mr 25 E S 27
112. United States 2012 3 22 2012 4 Marketdata Diet Market Table 2013 2013 5 IT IT 2013 6 Bartoo Carole A Smart Approach to Weight Loss VanderbiltMedicine 2013 7 2009 8 gt 2 2008 9 google health http google blogspot com 2011 06 update on google health and google html 10 mobihealthnews com Healthy Feedback Loops devices apps and portals mobihealthnews 2012 report 2013 11 NIH http obssr od nih gov scientific areas health behaviour behaviour changes inde X aspx 12 East Midlands Health Trainer Partnership Hub Behaviour Change Synthesis Asummary of learning and theories 2011 13 Ryan Patrick Deci and Williams Facilitating health behavior change and its maintenance interventions based on self determination theory the European health psychologist vol 10 March 2008 14 15 Mytton Clarke and Rayner Taxing unhealthy food and drinks to improve
113. e 20 and older Health United States 2012 51 1 1 BMTI 25 96 35 30 25 20 15 14 15 16 17 18 19 20 21 22 23 13 24 1 2 BMI25 Population Approach SHIFT the whole risk factor distribution in the target population High Risk Approach IDENTIFY by screening individuals at high risk for individualized management BMI Source Rose G The Strategy of Preventive Medicine Oxford Press 1992 Nutbeam amp Harris 2004 1 3 52 1 2 Number of Dieters By Type Program Used 2012 Baritaricians RDs Nutritionists not Number of Dieters Percent Total Dieters 108 000 000 100 096 Do it yourself Dieters design own 88 560 000 82 0 plan use diet books websites etc Commercial Weight Loss Centers 9 720 000 9 0 OTC Diet Pills non prescription sold 3 780 000 3 5 retail MLM mail order Internet Meal Replacements shakes bars sold 6 480 000 6 0 retail MLM mail order Internet Health Clubs based Weight Loss 3 348 000 3 1 Programs Healthcare Professionals MDs 2 160 000 2 0 part of clin
114. ic chains Hospitals amp Clinics including top 6 1 620 000 1 5 clinic chains VLCD programs Worksite based Programs 432 000 0 4 Residential Facilities 324 000 0 3 Weight Loss Surgery 187 000 0 18 ncludes usage of OTC diet pills and meal replacements Numbers will not add to 100 due to overlap of programs Source Marketdata estimates 53 Diet Market Table 2013 1 3 billions 2009 2010 2011 2012 Diet soft drinks 21 06 21 15 21 78 22 15 Artificial sweeteners 2 48 2 52 2 60 2 66 Health clubs revenues 19 5 19 5 21 4 22 0 Commercial weight loss 3 23 3 29 3 42 3 42 centers Low cal diet foods 2 27 2 32 2 24 2 16 Retail amp multi level meal 2 75 2 69 2 72 2 78 replacements diet pills Bariatric surgery 3 36 3 21 2 97 2 85 Prescription diet drugs 494 546 533 DAT VLCD LCD programs 480 480 432 408 Bariatricians plans 648 600 540 525 Hospital clinic MD 850 850 909 959 plans All Medical Plans 5 83 5 69 5 38 5 26 subtotal Diet books cassettes 1 21 1 21 1 02 1 18 exercise videos TOTAL INDUSTRY 58 03 58 37 60 56 61 56 Diet Market Table 2013 1 4 54 1 4 1
115. l of Economics co creation new pathways to value an overview promise corporation 2009 29 Gustafsson Anders et al Customer co creation in service innovation a matter of communication Journal of Service Management 2012 30 OECD Promoting innovation in services Working Party on Innovation and Technology Policy 2005 31 ISO9241 210 http www iso org iso catalogue_detail htm csnumber 52075 32 74 2012 49 33 2012 5 2012 34 http bizjournal jp 2012 09 post 633 html 35 Goetz Thomas Harnessing the power of feedback loops wired magazine 2011 36 M J 2013 E 6 H 5 HAK 1000 F 37 2010 38 21 2 2012 39 www wellnesslink jp
116. r interactive systems BASU WS 81 UX o UNDER e UX 7239 BL 2012 12 NN Hoyer et al
117. tter information people can make smarter choices whether in regard to managing personal health and wellness or saving money and conserving energy at home But we haven t found a way to translate that limited usage into widespread adoption in the daily health routines of millions of people 9 Shankar 5 2006 google health 3
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