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This paper outlines a small study undertaken to assess user perspectives on the concept of social prescription services. Social prescribing is a mechanism linking patients in primary care with non-medical sources of support within the community. The work presented here supports the idea of patients becoming ‘active partners’ by providing health literature that is designed to suit their health literacy along with a service which introduces patients to actual programmes and services in their local area which suit their specific condition. By using innovative digital technology patient engagement is encouraged leading to greater self-care and independence in relation to long-term condition management.
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A University of Ulster Innova&on Lab visit trail.ulster.ac.uk
Case studies in Living Lab application domains
5th ENoLL Living Lab Summer School
2-5 September 2014 Amsterdam
Designing Social Prescrip9on Services to Support People with Long-‐Term Condi9ons
Barry Henderson, Karen Kirby, Adrian McCann, Deirdre McKay, Leeann Monk, Maurice Mulvenna, Jennifer Neff, Maurice O’Kane, Terence
Quigley
Presented by Prof Maurice Mulvenna TRAIL Living Lab @ University of Ulster
Outline
• Context • Project • Conclusions
Context
Context
% people with dementia
% people with Google glass
Context
% people with dementia in UK = 1.3%*
% people with Google glass
= 0.08%**
*hRp://www.alzheimersresearchuk.org/demen9a-‐sta9s9cs/ ** hRp://www.cio.com/ar9cle/2369965/consumer-‐technology/how-‐many-‐people-‐actually-‐own-‐google-‐glass-‐.html
Context
% people with dementia = 1.3%
% people with Google glass
= 0.08% 0.0000104
Context
% people with BMI >25
% people with smartphones
*hRp://www.bbc.com/news/health-‐25576400 **hRp://stakeholders.ofcom.org.uk/market-‐data-‐research/market-‐data/communica9ons-‐market-‐reports/cmr14/northern-‐ireland/
Context
% people with BMI >25 in UK = 64%*
% people with smartphones
in NI = 55%** (tablets = 45%)
*hRp://www.bbc.com/news/health-‐25576400 **hRp://stakeholders.ofcom.org.uk/market-‐data-‐research/market-‐data/communica9ons-‐market-‐reports/cmr14/northern-‐ireland/
Context
% people with BMI >25 in UK = 64%*
% people with smartphones
in NI = 55%** (tablets = 45%)
*hRp://www.bbc.com/news/health-‐25576400 **hRp://stakeholders.ofcom.org.uk/market-‐data-‐research/market-‐data/communica9ons-‐market-‐reports/cmr14/northern-‐ireland/
Context
% people with BMI >25 in UK = 64%*
% people with smartphones
in NI = 55%** (tablets = 45%)
*hRp://www.bbc.com/news/health-‐25576400 **hRp://stakeholders.ofcom.org.uk/market-‐data-‐research/market-‐data/communica9ons-‐market-‐reports/cmr14/northern-‐ireland/
?
Context
% people with BMI >25 in UK = 64%*
% people with smartphones
in NI = 55%** (tablets = 45%)
*hRp://www.bbc.com/news/health-‐25576400 **hRp://stakeholders.ofcom.org.uk/market-‐data-‐research/market-‐data/communica9ons-‐market-‐reports/cmr14/northern-‐ireland/
? .35
Context
Source: hRp://www.nhs.uk/Livewell/loseweight/Pages/10000stepschallenge.aspx
Context
Project
• Funded by Innovation Voucher (€5K) • Local company In Your Element used the
voucher with University of Ulster Bdes Design students
• Tasked to understand needs of people who could benefit from social prescribing process
Social prescriptions
• Links patients in primary care with non-medical sources of support within the community
• People with little money/time should have services from the likes of government that don't add to the burden of decision making
Eldar Shafir, Scarcity
Persona
• “low income people and families are over-represented within the obese, pre-diabetes and type 2 diabetes populations”
• “… as a value brand it needs to offer low-income consumers real benefits”
• “connecting behaviour modifying innovation to the hot spots that need it”
Psychosocial model
Habits Beliefs
A`tudes
Derry - Londonderry - Legenderry
Design Approach
• Adoption of design process to: • Establish project requirements • Understand user groups • Consider user experience (UX) issues • Develop and test User Interface (UI)
• Co-Design – working with client & students over different physical and digital spaces
• Discover and develop workshops with groupings – Discover user tasks (n=20)
• User personas • User journeys • User scenarios
– Develop ideas into prototypes (n=45) • Disseminate digital prototypes
Discover user tasks
Develop ideas into prototypes
Develop ideas into prototypes
Develop ideas into prototypes
Develop ideas into prototypes
Develop ideas into prototypes
Develop ideas into prototypes
Develop ideas into prototypes
How different from these?
Differences
• More blended model of medical and social information
• Location-based services focus on: – Activity measurement
– Sign posting to local social prescriptions
• Gamification – “The Biggest Loser”
Conclusions
• Individuals at a lower socio-economic level or status represent a hard-to-reach group of people who are often time and cash poor and may benefit from greater clarity in social prescription messages and communications aimed at improving their health literacy and subsequently their self-management behaviour and physical and mental health.
Conclusions
• A tailored approach to health and wellbeing improvement ensures that specific conditions and behaviours are assessed before the introduction of the individual to a ‘social’ activity or initiative. Therefore, the likelihood of engagement is stronger given the individual's involvement in choosing from a suite of options available to them in their local area.
Conclusions
• Prevalence of smartphone and tablet computing uptake in NI is now significant
• Opportunity for a value brand for those in need of personalised social prescription to be delivered using smartphone technology
• Next steps are to revisit the user groups and design live prototype
Acknowledgements
The authors wish to recognise the support of Invest NI’s Innovation Voucher programme. On the basis of this project an Innovation Voucher was granted in order to continue this valuable work. Many thanks to Design at Magee year 2 students for bringing a strategic design thinking approach to the project. Students were supervised by module co-ordinator and design lecturer Terry Quigley from the University of Ulster.
…THANKS
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