1. Amplifying humanity via precision behavior change Dr. Eric
Hekler Director Designing Health Lab Arizona State University
@ehekler Talk @ Apple 5/19/2015 Flickr -B.S. Wise 2. Amplifying
creativity www.apple.com 3. http://youtu.be/QPKKQnijnsM Flickr
just.Luc Flickr-meanMrmustard 4. Behavior is complex Hovell M,
Wahlgren D, Adams M. The logical and empirical basis for the
behavioral ecological model. Emerging theories in health promotion
practice and research. 2009;2:347-85. 5. @ehekler 6. Flickr Stuck
in Customs@ehekler 40 15 5 10 30 Sub-Optimal Health behaviors
Social Circumstances Environmental Exposures Healthcare Genetics
McGinnis, et al. 2002 Health Affairs Behavior 7. Open science
@ehekler 8. We need help friko-diamondsdesigns.blogspot.com 9.
Flickr Stuck in Customs@ehekler Personal, powerful, & pervasive
https://www.apple.com/iwatch/ 10. What is precision behavior
change? @ehekler Just in time Adaptive Flickr -Casgen 11.
Meaningful moments
https://www.google.com/culturalinstitute/u/0/asset-viewer/luncheon-of-the-boating-
party/mgHsTKDNJVzPAg?utm_source=google&utm_medium=kp&hl=en&projectId=art-project
12. Ping pollution Flickr_Eric_Longstaff
Flickr_Alex_Valentinehttp://globalmoxie.com/blog/smart-watches-wearables-data-rash.shtml
13. Design silence http://www.123posters.com/images/f-mdavis.jpg
14. Meaningful moments Flickr - Dave Gray 15. Flickr - Rob
Marquardt@ehekler Opportunity 16. Receptivity 0 1 2 3 4 5 6 7 8 9
10 1 4 7 10 13 16 19 22 Value/Burden(10=high) Interactions with the
system Value/burden ratio Value Burden 17. Eric Hekler (ASU)Aaron
Coleman (Fitabase) Sayali Phatak (ASU) Exploring Strategies to
Improve Acceptability and Usability of a Just In Time Adaptive
Intervention via Incorporation of Proximity Sensors and a
Smartwatch 18. Why Context Matters (fictitious hourly activity
graph) 19. Why Context Matters Nightstand Nightstand Nightstand
Nightstand Nightstand Nightstand Nightstand Nightstand Nightstand
Nightstand Desk Desk Desk Desk Desk Desk Desk Desk Desk Desk Home
Home Home Home Home Home Home Home HomeHome Home 20. The honeybee
is natures best collector and communicator of data. Project
HoneyBee explores the transformational promise of continuous
physiological measurement to sustain health through the prevention
and early detection of disease. HoneyBees Clinical Validation
Network for Observational Clinical Trials (OCTs) 21. Precision
adaptation Individual/User Controlled System Controlled
Individual/System Balanced Control @ehekler
www.agilescience.orgHeartSteps NIH-Funded (PI, Klasnja) 22.
System-controlled Giving a fish NSF IIS-1449751: EAGER: Defining a
Dynamical Behavioral Model to Support a Just in Time Adaptive
Intervention, PIs, Hekler & Rivera @ehekler 23. 0 2000 4000
6000 8000 10000 12000 14000 1000 3000 5000 7000 9000 11000 13000
15000 ActualDailySteps Recommended Goal Dynamic "Sweet Spot" 24.
Impacting the sweet spot @ehekler 25. Personal trajectory
predictions Hekler, et al. 2013 Health Education and Behavior
@ehekler 26. Message selection based on: - time of day - location -
weather - current activity Two types of messages: - promote
activity - interrupt sedentary behavior Klasnja, P. (PI), Hekler,
E.B., (Co-I), Tewari, A., (Co-I), Jackson, E., (Co-I)), Murphy, S.,
(Co-I)) NHLBI, R01HL125440 27. Eric Hekler, Jisoo Lee, Erin Walker,
Winslow Burleson, Arizona State University; Bob Evans, Google
Flickr Juhan Sonin Individual-controlled Teach to Fish 28. Goal
Behavior Change Technique(s) Create a plan Plan = + @ehekler 29.
Measure success towards goal Results Evaluate your plan Plan +
Implement for 1 week @ehekler 30. Technology support 31.
http://commons.wikimedia.org/wiki/File:Symptoms_of_multiple_sclerosis.svg
Dynamic "Sweet Spot" Chiauzzi (PI), Hekler (Co-I), Rodarte(Co-I),
32. Enabling precision behavior change
https://www.apple.com/iwatch/ 33. Building the ecosystem of
precision https://www.apple.com/ios/whats-new/health/
http://researchkit.github.io/ 34. Academia now Flickr-alsotop What
we should be Flickr-Stuck in Customs 35. Classic evidence pipeline
Phase 1 Define & Design Phase 2 Pilot and Proof of Concept
Phase 3 Efficacy Trial (RCT) Phase 4 Effectiveness Trial @ehekler
36. What do we get from RCTs? Stead LF, Lancaster T. Group
behaviour therapy programmes for smoking cessation. Cochrane
Database of Systematic Reviews 2005, Issue 2. Art. No.: CD001007.
DOI: 10.1002/14651858.CD001007.pub2.@ehekler 37. What do we get
from RCTs? Mohr DC, Ho J, Hart TL, Baron KG, Berendsen M, Beckner
V, et al. Translational Behavioral Medicine. 2014:1-17.@ehekler 38.
What do we get from RCTs? @ehekler 39. @ehekler What are useful
products from science? 40. What are useful products from science?
41. Flickr Metrix X 2005 2006 2007 2008 2009 2010 2011 2012
Conceive of a study Gather Pilot Data Submit Grant Receive Funding
Conduct the study Submit publications for review 500,000th App
Accepted on App Store @ehekler 42. Horst Rittels wicked problems
Rith C, Dubberly H. Why Horst WJ Rittel matters. Design Issues.
2007;23(1):72-91. @ehekler 43. Wicked problems reformulated
@ehekler 44. Smaller meaningful tools of precision @ehekler 45.
Linda M. Collins The Methodology Center Penn State
methodology.psu.edu@ehekler 46. Micro-randomization design
Sequential, full factorial designs Randomize intervention component
Each time we might deliver component Multiple components can be
randomized Randomized 100s or 1000s of times Klasnja, Hekler,
Shiffman, Boruvka, Almirall, Tewari, Murphy, under review 47.
System identification informative experiment -100 100 300 500 700
900 1100 1300 1500 0 2000 4000 6000 8000 10000 12000 14000 1 8 15
22 29 36 43 50 57 64 71 78 85 92 99 Points Stepsperday Days Points
Provided (100, 300, 500) Fictionalized actual steps per day Daily
step goal ((Baseline Median) to (Baseline Median+100% Baseline
Median)) NSF IIS-1449751: EAGER: Defining a Dynamical Behavioral
Model to Support a Just in Time Adaptive Intervention, PIs, Hekler
& Rivera 48. Agile science www.agilescience.org@ehekler 49.
Agile science products Modules System architectures Matchmaking
algorithms @ehekler www.agilescience.org 50. Modules Smallest,
meaningful, repurposable, and concrete Flickr - Benjamin
Esham@ehekler www.agilescience.org 51. System architecture
wwww.agilescience.org@ehekler 52. Matchmaking algorithms @ehekler
www.agilescience.org 53. Getting scientists to amplify creativity
@ehekler Perfect intervention Tools for meaningful moments Flickr -
Paul Swansen Flickr - Benjamin Esham www.agilescience.org 54. Agile
science process @ehekler 55. Sprint phase @ehekler 56.
methodology.psu.edu Optimization phase @ehekler 57. Product release
www.agilescience.org 58. Build & iterate together
www.pacoapp.com@ehekler 59. Ecosystem of precision
https://www.apple.com/ios/whats-new/health/
http://researchkit.github.io/ 60. Enabling precision behavior
change @ehekler 61. Move scientists from building & evaluating
@ehekler this, to this. Flickr - Paul Swansen Flickr - Benjamin
Esham 62. To amplify creativity of individuals to create this
Flickr- Tony Fischer@ehekler 63. Thank you! Dr. Eric Hekler Arizona
State University [email protected] @ehekler Flickr- Tony Fischer
