tracking personal health
DESCRIPTION
Presentation at SVForum Mobile Internet SIG event on mHealth (August 4, 2011) — the self-quantification movement; survey of tools for tracking personal health; the commonplace complexity of health and the need to track a wide variety of health issues & activities; and an overview of the Tonic self care app.TRANSCRIPT
Tracking Personal Health
Rajiv Mehta, Bhageera Consulting [email protected]
SVForum, Mobile Internet SIG, 4 Aug 2011
OutlineThe self-quantification movement
Survey of mHeath tracking solutions
Commonplace complexity of health
Overview of Tonic app
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Self-quantification movement
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Quantified Selfself knowledge through numbers
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Quantified Self
Self knowledge through numbers
28–29 May 2011 Computer History MuseumMountain View California quantifiedself.com
San FranciscoAmsterdamBostonBrusselsCape TownChicagoEdinburghHawaiiHoustonLondonLos AngelesLouisvilleMarinMontrealNew YorkOttawa
ParisPhiladelphia
PittsburghPortland
San DiegoSeattle
Silicon ValleySpain
SydneyToronto
TulsaVancouver
VermontVictoria
Washington DC
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Trends Driving QS1. Access to technology — sophisticated tools
available to general public: sensors, mobile computing, web tools, ...
2. Access to knowledge — greater awareness of diversity of health & medical practices and opinions
3. Skepticism about “expert opinion” — both the limits of expert knowledge & their willingness/ability to focus on you
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Nike +
Adidas miCoach Pacer Basis
BodyMedia SenseWear
Philips DirectLife
FitBit
Jawbone UP Healthstats & HPFitLinxx ActiPed
Activity Trackers
Tracking Sleep
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Zeo
WakeMate
Withings
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Scale
BP Cuff
Baby Monitor
VitaDock
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Glucose Temperature Blood Pressure Weight
Apps to track anything
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What you EatYour Exercise
Where you’ve Been Meditation
Apps to track anything
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Asthmapolisasthma inhalerusage
Glucose Buddydiabetes: glucose level, medication, diet
I’m Expectingpregnancy symptoms
“You can have lice and fleas at the same time”
Sir William Osler
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Individual complexityNot only complex diversity across population
Complexity within an individual
•Multiple chronic conditions + temporary ailments
•Diversity of medical practices
- MD + chiropractor + fitness trainer + dietician + herbalist + faith healer + ...
•Diversity of health activities
- Meds + biometrics + therapies + food + exercise + observations + ...
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“Deep medical diversity”
Being and Well-BeingHealth and the Working Bodies of Silicon Valleyby J. A. English-Lueck
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Many have multiple chronic conditions
17Source: “Rising Out-of-Pocket Spending for Chronic Conditions: A Ten-Year Trend”, Paez, Zhao and Hwang; Health Affairs 28, no. 1 (2009): 15-25
USA Population 2005
Nearly 25% of population has 2+ chronic conditions
Roughly 50% of those aged 65+ have 3+ chronic conditions
0%
25.0%
50.0%
75.0%
100.0%
0-19 20-44 45-64 65-79 80+ All
Age Range
Three or more Two One NoneNumber of Chronic Conditions
Not just the elderly
18Source: “Rising Out-of-Pocket Spending for Chronic Conditions: A Ten-Year Trend”, Paez, Zhao and Hwang; Health Affairs 28, no. 1 (2009): 15-25
USA Population 2005
Ages 45-6417m: 3+ chronic con’s 12m: 2+ chronic con’s
Ages 65-older17m: 3+ chronic con’s8m: 2+ chronic con’s
0
25
50
75
100
125
0-19 20-44 45-64 65-79 80+
Mill
ions
of P
eop
le
Age Range
Three or more Two One NoneNumber of Chronic Conditions
Variety of conditions
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Most commonly highlighted diseases
•In order of prevalence:
•Hypertension, Asthma, Diabetes, Coronary Heart Disease, COPD, Cancer, CHF
But there are other major conditions and a very long tail of diseases
•Obesity, Depression, Back pain, Chronic pain, ...
•Rare diseases
Daily self-care not simpleMuch to remember & much to keep track of
Example: person with diabetes & hypertension
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Doctor’s advice Personal decisions
Medications • Insulin Novolin • Insulin Novolog• Metformin • ACE Inhibitor
• Multi-vitamin • Ibuprofen• Herbal supplements
Biometrics • Blood glucose • Weight• Blood pressure & pulse
Therapies • Foot massage • Breathing exercises
Exercise • Yoga • Walking • Swimming
Diet • Food journal • Carbs
Observations • Excessive thirst• Excessive sweating
• Sleep • Mood
Inescapable Complexity
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... of real world health
Woman, age 30, with cystic fibrosis
Inescapable Complexity
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A medication ...
Inescapable Complexity
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... and associated metrics & symptoms ...
Inescapable Complexity
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... and everything else prescribed ...
Inescapable Complexity
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... plus other health practices ...
Inescapable Complexity
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... plus other health practices ...
Meds: ~13Other: ~7Times: ~18
Inescapable Complexity
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... that change over time ...
Inescapable Complexity
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... for everyone in the family
Tonic • Self Care AssistantRemember and track all health and wellness activities
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www.tonicselfcare.com
Remember & record un/planned activities
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Remember & record un/planned activities
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Remember & record un/planned activities
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Remember & record un/planned activities
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Tonic supports anything in your health regimen
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Tonic supports anything in your health regimen
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Tonic supports anything in your health regimen
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Tonic supports anything in your health regimen
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Tonic supports anything in your health regimen
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Review & export all data
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Review & export all data
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Review & export all data
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Summary
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Growing self-quantification movement, often health-focused
Growing collection of tools for capturing personal health data, automatic and/or user-entered
Day-to-day health is complex, multi-faceted
Tonic makes day-to-day health management much easier
Need for wide range of tools
• Specialized: Deep, focused, rich — used when & where needed
• Commonplace: Broad, flexible, customizable — used all the time
