Health Happens In The White Space Kelly Blasko, Ph.D. Lead Psychologist Military Family Technology-Focused Prevention Program National Center for Telehealth & Technology Defense Center of Excellence 11 September 2014 1
Disclaimer The views expressed are those of the author and do not reflect the official policy or position of the U.S. Department of Defense or the U.S. Government. 2
White Space Defined A snapshot of the average year with the average patient shows that healthcare providers spend approximately 100 minutes with their patient during that year. How much health happens in those 100 minutes?...but what happens in the remaining 525,600 minutes of that year? What happens in the White Space? I will tell you what I think happens that is where health is built, that is where people live. Lieutenant General Patricia D. Horoho The Surgeon General of the United State Army Testimony for Committee on Appropriations 8 March 2012 3 11 September 2014
Fundamental Goal: Flourishing Source: Huppert & So (2009) Feeling good & functioning effectively Self-report & subjective measure Have better health & life expectancy Learn effectively Work productively Better social relationships 4 11 September 2014
Me: A Day in a Life Sleep Eat Exercise Work Errands Leisure Socialize Family 5 11 September 2014
Technology & Accessibility: A Day in a Life Which device? Where? What for? When? 6 11 September 2014
7 11 September 2014 Where Is The Overlap?
Within the 100 minutes Paradigm Collaborative Relationship Knowledge, Skills 8 11 September 2014
White Space Paradigm Technology For Healthy Living Empowerment Technology As Provider Healthy Habits Augment Care 9 11 September 2014
Key Elements of Development Technology Provider Expertise 10 11 September 2014
Scenario #1: Education Megan experiencing the return of her father from a deployment with post-traumatic stress disorder Unknowns: Why is my Dad acting differently? Why am I feeling angry? What is going to happen to my family 11 11 September 2014
Step 1: Web-Based Passive Learning Animated Graphic Novel Micro-Documentaries Basic Sharing 12 11 September 2014
13 11 September 2014 Step 2: Responsive Web Interactive Learning
14 11 September 2014 Step 3: Education with Skill-Building
Scenario #2: Tracking John feels like he is always feeling down because he is overwhelmed with work and family responsibilities. Unknowns: Why am I feeling down? What can I do to make myself feel better? When will I feel better? 15 11 September 2014
16 11 September 2014 Step #1: Web-Based Education & Self- Assessment
Step #2: Mobile App-Based Tracking 11 September 2014
18 11 September 2014 Step #3: Quantified Self Dashboard
Scenario #3: Skill-Building Mary and Bill just found out that they have to move in 3 months. They are worried about how their fouryear-old daughter will handle it. Unknowns: How will she react to the news? What can we do to help her adjust to moving? 19 11 September 2014
20 11 September 2014 Step #1: Web-Based Guides
Step #2: Mobile App-Based Skill-Building 21 11 September 2014
White Space & You, The Provider Technology in the white space does NOT mean replace care but rather enhance treatment Lowering barriers to treatment Boosting Treatment as Usual Keeping up with patients What about the provider s white space? Office? Personal? More data, more productive, more patients? 22 11 September 2014
Not Just Technology But Motivation Design to motivate Just building it isn t enough Must show the immediate value to the patient Explore behavior change models 23 11 September 2014
Harness the White Space White Space is vast and full of opportunity Spend time with time wasters : Where are the inefficiencies? 1 Look for disruptive innovations in design Look for the overlaps between the day in the life of people and technology 1 Source: May 2012 Wired magazine article How To Spot The Future by Thomas Goetz 24 11 September 2014
Bibliography Diener, E., Helliwell, J., Lucas, R. & Schimmack, U. (2009) Well-being for Public Policy. USA: Oxford University Press. Huppert, F.A. (2009) Psychological well-being: Evidence regarding its causes and consequences. Applied Psychology: Health and Well-being, 1(2), 137-164. Huppert, F.A. & So, T.T.C. (July 2009). What percentage of people in Europe are flourishing. Presented at OECD/IQOLS meeting. Florence, Italy. 25 25 July 2014
Contact Information Kelly Blasko, Ph.D. Lead Psychologist Military Family Technology-Focused Prevention Program National Center for Telehealth & Technology Defense Center of Excellence kelly.a.blasko2.civ@mail.mil http://t2health.dcoe.mil http://militarykidsconnect.dcoe.mil 26 25 July 2014