Designing Social Prescription Services to Support People with Long-Term Conditions

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%*


= 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%


= 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%*


in NI = 55%** (tablets = 45%)


Context



in NI = 55%** (tablets = 45%)


Context



in NI = 55%** (tablets = 45%)


?

Context



in NI = 55%** (tablets = 45%)


? .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







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

Education

Designing Social Prescription Services to Support People with Long-Term Conditions