self tracking medicine 2.0 presentation, 9/18/11
TRANSCRIPT
Anne WrightBodyTrack ProjectCarnegie Mellon
UniversityPittsburgh, PA
Implementing Self-Tracking in the
WildPaul Abramson, M.D.
My Doctor Medical GroupUCSF Clinical Faculty
San Francisco, CA
@paulabramsonMD@annerwright
?
Backstory
Medicine 2.0 Self Tracking Panel
( + ) x 20
= ?
How can we harness this opportunity?
Quant Friendly Doctor: Dr. Paul Abramson
Quant Coach: Anne Wright
Self-Trackers: Allan, Anna, Bari, Dale, Eric, Greg, Kathleen, Paul, Marcy, and Quinn
Self Tracking Project
Want to explore how to:be more active
Motivations to self track
debug interactions with sleep partner
spend less time stressed
Want to understand impact of:exercise/diet on sleep
experience more equanimity
sleep quality on energy/alertness
improve glycemic control
food “Paleoness” on hunger/energy/mood
unknown factors sleep paralysis, gut pain, headaches, etc.
better engage with their work
•Current medical paradigm does not address certain issues well
•Top-down standardized advice about lifestyle change is not always the best tool for the job
•Finding effective strategies may be highly specific to the individual
•Engaging in an exploratory/investigative process can be empowering
Why self tracking?
Anna wants to be more active
Example:
BodyMedia data shows that Anna is more active -- sometimes
Anna was more active (and happy!)when she was taking care of Zoe
Self tracking insight
Anna needs a puppy!
Goal is sustainable activity increase
Puppy would likely be sustainable
Final conference prep – not so much…
Sustainability
Towards a new modelSelf
tracking Ecosystem
Works with self tracker to:
Quant Coach
• Refine their understanding of what they want to work on
• Learn how to apply and configure available tools and techniques
• Develop more precise and personally resonant terminology
• Learn to use data for feedback to reflect on how they’re doing whenHelps optimize time spent with Quant Friendly
Doctor
Quant Friendly Doctor
•Reality check – safety, sanity, and efficacy of plan
•Designing personal experiments
•Obtaining and interpreting data needing a doctor’s order
•Guiding self-tracking project to align with health goals
Providing medical support and context for self-tracking
Works with self tracker collaboratively:
•A new culture of “N of 1” experiments•A collaborative aesthetic•Methods to deploy technology to patients•Data aggregation tools (BodyTrack)•Visualization tools integrated into practice•Ways to help coach and doctor be actively
engaged
Tools for Quant-Medicine
most of the pieces exist, but need integration
Diffuse/environmentally triggered conditions
Greg
Anne
Thomas
Bari
Marcy at Burning Man
Drive to Playa
Packing
Drive Home
Set up camp
Sleep quality transformation
Marcy’s typical sleep pattern:
Night after ritual at Temple of Transition:
Quinn’s writing quest• “How can I better engage with my writing?”• “What factors relate to my ability to engage?”
Candidates:• Sleep quantity/quality• “Role focus” vs. intrusive
thoughts• Activity levels: low activity as
success condition?
“Return from Distraction”High quality writing time
Take Home LessonsData is not the goal
It is a tool to help us to improve the stories we tell ourselves about ourselves and write a better user’s manual
Take Home Lessons
Take Home Lessons
Take Home LessonsWe expect people to be able to undertake very complex endeavors
But we don’t expect them to do it in isolation: it’s socially and culturally supported; self tracking should be too
Anne WrightBodyTrack ProjectCarnegie Mellon
UniversityPittsburgh, PA
Paul Abramson, M.D.
My Doctor Medical GroupUCSF Clinical Faculty
San Francisco, CA
omwww.quantdoctor.co
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