Category Archives: quantified self

Extreme baby monitoring

  • baby monitoring doesn’t seem to address anything except parental free floating anxiety
  • no insights have yet been gleaned on baby (or parental) behaviour

Source: http://www.fastcompany.com/3021601/innovation-agents/tracked-since-birth-the-pros-and-cons-of-extreme-baby-monitoring

TRACKED SINCE BIRTH: THE RISE OF EXTREME BABY MONITORING

DOES TRACKING A BABY’S EVERY MOVEMENT, CRY, AND WET DIAPER MEAN HAPPIER PARENTS AND HEALTHIER INFANTS, OR ARE WE TURNING OUR KIDS INTO TAMAGOTCHIS FOR NO REASON?

 
Elle Lucero has been tracked since birth.

For the first 10 months of her life, her mother, Yasmin, kept detailed records of Elle’s sleep patterns, feedings, and diaper changes, noting the data points with a pencil and paper on a clipboard. A few months in, she digitized the logs, graphed the data, and became a more knowledgeable parent.

“It helped me feel confident,” she told Fast Company.

Elle wasn’t a very good sleeper, even for a baby. The pediatrician told Yasmin she needed to let her daughter “cry it out” until she fell asleep, but that never worked. For the sake of her sanity (and sleep), Yasmin took problem solving into her own hands. She wanted answers: Did she put Elle to bed too early? Too late? Give her too many naps? Parsing data, she thought, would help her figure it out. “That was the kind of stuff we were looking for,” she said.

Unfortunately for the Lucero family’s sleeping habits, Yasmin never found a definitive answer. Per the data, Elle was just fussy.

The results suggested Yasmin couldn’t engineer better naps, as she’d hoped. Just knowing that, however, made her feel better. “If you come to the conclusion that you have no control, then it’s okay to relax and just do whatever is convenient for you at the moment,” she explained. (Of course, many parents come to this conclusion at the moment of birth, without all that tedious data tracking.) But for Lucero, a conclusion–any conclusion at all–was all she wanted.

Many new and sleep-deprived parents crave that peace of mind and would kill for a data set that helped them determine if putting little Emma down an hour earlier would mean a restful night for the whole family. But unlike Yasmin, most people aren’t trained statisticians. Tired moms and dads with no mathematical background aren’t about to write down hundreds of data points, and might not know how to analyze that information anyway. Twenty-two months into Elle’s life, even Yasmin has semi-abandoned the project, and keeps much less rigorous records now.

In the imminent future, though, any curious parent with an iPhone will have access to helpful analytics, thanks to the rise of wearable gadgets for babies. Following the success of self-trackers for grown-ups, like Jawbone and Fitbit, companies likeSproutlingOwlet, and Mimo want to quantify your infants.

Mimo Onesie

These devices connect to a baby via boot, anklet, or onesie, and record his or her heart rate, breathing patterns, temperature, body position, as well as the ambient conditions of the room. They aim to replace baby monitors, which give an incomplete picture of a sleeping child. There’s also the nascent “smart diaper” market, led by Pixie Scientific, which scans dirty diapers for signs of infection.

In addition to alerting parents of any concerning findings, these companies encourage a big-data approach to parenting. By gathering information on your kid’s poop, sleep, and eating schedules, the idea goes, you can engineer a happier, healthier baby. The accompanying app for the Sproutling monitor, for example, looks at patterns specific to your child and its environment to offer insights–the kind that Yasmin craved–that might help the child sleep better. It might find that little Jake naps better in complete dark, for example.

The Sproutling monitor

In theory, all this data will lead to more rested, relaxed parents and healthier kids. As of now, parents do a lot of this in the dark. “There’s no owner’s manual,” Sproutling CEO Chris Bruce told Fast Company. His company hopes to change that. “It’s smart technology that helps raise the parenting IQ.”

When Bruce talks about “parenting IQ,” he doesn’t just mean his customers. Sproutling and its cohorts want to use their arsenals of data to better inform research. “The promise of big data is that we can monitor every single environmental parameter and we can find correlations and detect patterns,” added Bruce, calling big data the “holy grail” of his business. Both Owlet and Sproutling indicated that they will offer up their intel–anonymously!–to researchers so that all future parents can better understand babies.

Parents like Yasmin, who haven’t had a full night of sleep in months, are desperate to have that information. She didn’t want to know average sleep patterns–information available in baby books–she wanted bell curves. Yasmin knew her baby wasn’t normal, but she didn’t know how abnormal and her own analyses couldn’t clarify that, either. “I wasn’t finding the exact data I wanted to see,” Yasmin said, after scouring the Internet for answers.

An aggregation of Yasmins, however, can provide those insights. At least that’s the hope.

What sounds like a lot of progress for parenting also means handing a digital record of your baby over to an iPhone app. Are the benefits worth that?

While these apps could improve infant health by telling a parent the exact right nap or changing time, the app in large part benefits parents. Anxious first time moms and dads who worry about every little movement (or non-movement) can monitor their children more closely than ever. “You see your baby lying there and you don’t see them moving,” Bruce, who has two young daughters, said of his experience with old-school video monitors. “You can’t see them breathing; your first thought is: ‘Oh my God, something is wrong.'”

Unlike a basic $35 baby-monitor, the $250 Owlet bootie and accompanying app can alert parents if anything serious has gone wrong, like if a kid stops breathing, or if his heart stops beating. That means no more unnecessary freakouts for the over-protective and inexperienced dad like Bruce, which leaves more time for him to do other dad things.

But, to an extent, these apps take advantage of parent anxieties. “SIDS is the number one cause of infant death. That’s really scary to parents,” Jordan Monroe, a cofounder of Owlet, told Fast Company. Monroe has no kids, but while talking to friends and friends of friends with babies, he found that to be a common worry.

Those fears don’t come from a place of reality, though. According to the Center for Disease Control, 4,000 infants die each year from Sudden Unexpected Infant Death. Only a fraction of those deaths occur because of “accidental suffocation and strangulation in bed,” according to the CDC report. And even SIDS–which causes about 2,000 deaths a year–might stem from underlying brain issues, according to recent research. Monitoring a child’s breathing with a high-tech bootie won’t cure SIDS.

As anyone who has ever had any contact with a hypochondriac knows, those facts don’t really matter. Parents will continue to worry. And, as we saw with Yasmin, certainty has a lot of value. A certain type of parent, like TechCrunch’s Leean Rao, thinks that $250 for Owlet or $200 for Mimo’s version–Sproutling hasn’t yet announced pricing–is a reasonable price to pay to worry about one less thing. In her review of Sproutling, she writes:

As a relatively new parent myself, I would have loved to be able to use some of the data from a wearable to help determine optimal sleep patterns for my child. I’m not sure if it would have helped my daughter sleep through the night earlier in her development, but to me as a fledgling parent, knowledge is power.

Of course, the dollar amount is only a part of the price parents pay with these apps. They give up their children’s data and possibly privacy. “We’re creating the largest data set of infant health data,” Monroe said–a chilling statement in certain contexts. Trackers could turn around and sell their troves to insurers or be forced to hand them over to the government. The information is also vulnerable to hackers.

These companies say they take security issues seriously. “Security encryption has been designed in our system from the get-go,” said Bruce. Anonymous sharing with researchers is both opt-in and anonymous for Sproutling users. But, even Bruce admits that our cultural acceptance of privacy changes every day. What seems innocuous today might feel invasive tomorrow (or vice versa).

Is that risk worth the stated benefits? At this point, it’s not clear these monitors offer many health solutions. The breathing and sleeping alerts will calm (and draw) a lot of parents. But, none of these companies see that as the “holy grail.” The main sell is the tracking. And what does that do for parents and babies?

Arguably, it means finding those little tweaks that make life easier. But, as Yasmin discovered, sometimes babies fuss just because. Numbers don’t always offer solutions, as technical theorist and staunch critic of the self-quantified movement Evgeny Morozov wrote in his book To Save Everything, Click Here: The Folly of Technological Solutionism. “Self-trackers gain too much respect for the numbers and forget that other ways of telling the story–and generating action out of it–are possible.”

While pediatricians typically ask new parents to chart and report feedings and bowel movements for a few weeks after bringing babies home to make sure all systems are go, obsessive tracking beyond that could get in the way of parenting, some doctors say. “Often, when babies have regained their birthweight and are 10-14 days old, I instruct families to dial the tracking down,” Dr. Wendy Sue Swanson wrote on her blog. She adds:

I want new parents to gain confidence and appreciate the homeostasis with following a baby’s natural routine. Relying only on the numbers may cause parents to miss out on the nearly unspeakable experience of parenting a new baby and all that a baby intimately communicates from the beginning. It’s better to look up at the sky to know if it’s raining than to consult the weather report on your iPhone.

After all, do you really want to treat your child like a Tamagotchi?

mHealth mediated exercise prescriptions work

  • mobile technologies improve outcome measures associated with exercise interventions when compared to those interventions alone
  • not definitive, but certainly encouraging

Source: http://www.fiercemobilehealthcare.com/story/mhealth-improves-risk-profile-cardiovascular-disease-type-2-diabetes-patien/2013-11-08

Abstract: http://www.biomedcentral.com/1471-2458/13/1051/abstract

Provisional paper (PDF): Lifestyle interventions

mHealth improves risk profile in cardiovascular disease, type 2 diabetes patients

November 8, 2013 | By 

A provisional article published in the peer-reviewed journal BMC Public Health suggests that mHealth technology supporting exercise prescription interventions can be effective.

The findings are based on a Canadian study of 149 adults with at least two metabolic syndrome risk factors, one group using the intervention and one control group.

“Mobile health technologies have proved to be a beneficial tool to achieve blood pressure and blood glucose control in patients with diabetes,” argue the authors, who are currently completing their analyses‎ and will be submitting their data for publication in the next few weeks. “These technologies may address the limited access to health interventions in rural and remote regions. However, the potential as a tool to support exercise-based prevention activities is not well understood.”

The study was undertaken to “investigate the effects of a tailored exercise prescription alone or supported by mobile health technologies to improve metabolic syndrome and related cardiometabolic risk factors in rural community-dwelling adults at risk for cardiovascular disease and type 2 diabetes,” states the article. The authors hypothesized that the primary outcome, systolic blood pressure, and secondary outcomes would be improved in both groups, but to a greater extent in the mobile health intervention group at 12 weeks and that these changes would be better maintained at 24 and 52 weeks in the intervention group with mobile health support, compared with the active control group.

The results of the study “will contribute to the current literature by investigating the utility of mobile health technology support for exercise prescription interventions to improve cardiometabolic risk status and maintain improvements over time, particularly in rural communities,” concludes the provisional article, which serves as a protocol paper.

Study participants were recruited from rural communities in Ontario, Canada. Participants were randomized to either: an intervention group receiving an exercise prescription and devices for monitoring of risk factors with a smartphone data portal equipped with a mobile health application; or an active control group receiving only an exercise prescription.

In addition to the exercise prescription, the intervention group received a mobile health technology kit for self-monitoring of biometrics and physical activity. The kit included a smartphone (Blackberry Curve 8300 or 8530) equipped with Healthanywhere health monitoring app (Biosign Technologies), a Bluetooth-enabled blood pressure monitor (A & D Medical), a glucometer (Lifescan One Touch Ultra2) with Bluetooth adapter (Polymap Wireless) and a pedometer (Omron).

Nevertheless, a recent study in the Journal of Medical Internet Research found that although mobile health interventions are effective in promoting physical activity, their degree of validity reported in studies is unclear.

Using the RE-AIM (reach, effectiveness, adoption, implementation, and maintenance) framework, the review revealed a recent increase in studies conducted to determine the effectiveness of mHealth interventions for the promotion of physical activity. Yet, quantity, not quality, seems to prevail, the authors argued.

To learn more:
– read the article in BMC Public Health

sharing drives behaviour change

http://medcitynews.com/2013/10/calico-communities-legislation-tech-drive-new-era-health/

  • peer support is a powerful model to support behaviour change
  • social media-backed sharing of progress reinforces achievements
  • Stevens is the CEO of KEAS > workplace health interventions

Calico, communities, legislation and tech drive a new era of health

October 14, 2013 12:45 pm by  | 0 Comments

America’s healthcare system has historically taken only baby steps to empower individual health and wellness ownership – until now. Recent events are about to alter existing healthcare paradigms and I believe this to be the most pivotal of moments. With Google’s Calico, the Affordable Care Act (ACA), Penn State’s wellness debacle and the rise of health-oriented social, healthcare entities are now taking a microscope to existing practices and infrastructures. What will they find? An industry destined for a radical makeover that will result in a prevention-based and consumer-driven healthcare network.

 Let’s take a look at the players involved, from the good (social networking and technology), the bad (Penn State’s wellness initiative) and the TBD (Calico and the ACA).

The Emerging Models
Legislation, technology, communities, and social networking are forcing a healthcare overhaul. Consider Google’s Calico: It has the opportunity to create the largest online community to share health information, turning personal health on its head. With a greater global consumer reach than any other organization, Google has the access and resources to throw at this opportunity, making it the ideal company to coordinate this effort – and being led by Art Levinson, the Bill Gates of biotech, doesn’t hurt.

Addressing the issue of aging in a share- and prevention-oriented effort is a response to the growing presence of the “empowered patient.” Calico could finally deliver on the promise for people to have the ability to seize proactive command over their health with a full understanding of their health data and risk factors. Previously constrained by outdated regulations and a healthcare system that doesn’t prioritize prevention, the tables are finally turning. The potential can live up to the hype.

The October 1 launch of ACA-mandated healthcare exchanges is another step toward preventative care and information sharing. While the ACA is polarizing on both sides, (the outcome of its execution remains yet to be seen) the core of the ACA will impact the resulting healthcare industry in a way that empowers individuals to own their well-being and fosters collaboration with all patient caregivers.

The Anti-Model 
Pennsylvania State University recently (and wisely) repealed a recent decision that established apunitive-based health and wellness program. Love or hate it, even the ACA agrees with the ‘carrot’ versus the ‘stick’ (companies can offer a reward of up to 30 percent of health costs for employees who participate in programs like risk assessment). Given the backlash and media attention Penn state received, it was an unfortunate way to learn what not to do.

Additionally, HIPAA is about to be a relic. Designed in a bygone era, HIPAA will be rendered obsolete thanks to the ACA. Because the ACA will provide benefits to those with pre-existing conditions, HIPAA’s privacy laws will only exist as roadblocks to individual health and wellness. The future of healthcare is driven by information sharing. It’s time for HIPAA to die

The Proven Models
Peer support in healthcare is proving to be wildly successful. As consumers, we increasingly seek the wisdom of crowds to create and sustain meaningful behavior change. El Camino Hospital in Mountain View, CA, recently launched a healthcare program for its employees in which social networking was a one of the tent poles in the program. During an 8-week time frame, over 1,000 participants lost over 1,000 pounds and began eating more fruits and vegetables. What was the number one motivating factor? Sharing progress updates with colleagues.

Today, 80 percent of healthcare costs are associated with preventable illnesses such as obesity, diabetes, hypertension and high cholesterol. It’s no wonder people are demanding to take back ownership of their health. Social networking, communities, technology and legislation are propelling old school healthcare into a consumer-driven and preventative-based model. I say bring it on — it’s about time.

AIRO tracks bloods, steps, sleep, stress automatically – I’m getting one

A likely game changer. AIRO uses a special embedded spectrometer to track not just your heart rate, but also your sleep patterns, workout intensity and calories consumed. It’s even able to break down the nutritional intake of your food.

Site: http://www.getairo.com/
Source: http://www.engadget.com/2013/10/28/airo-wristband/

Lunch date with Dickon

From: Paul Nicolarakis [mailto:paul.nicolarakis@outlook.com]
Sent: Thursday, 24 October 2013 8:09 PM
To: ‘Dickon Smart-Gill’
Subject: RE: Singpaore

Beautifully captured Dickon, and thank you for the eBook (it won’t go anywhere).

References for some of my contributions:

–          Online CBT pioneer: Prof. Helen Christensen/Black Dog Institute > blackdoginstitute.org.au // moodgym etc.

–          Research on protein and satiety in locusts, mice and men > Stephen Simpson

–          The Vitality Group (Sth Africa) – 15 min intro video on front page helpful, similarly 1hr webinar http://www.thevitalitygroup.com/

–          A short White Paper on Health Insurance billing analytics

 

Things we didn’t even get to, but expect to at some stage:

–          Antifragile by Nassim Nicholas Taleb (author of Black Swan) >> totally rocked my world, suspect you might enjoy

–          Very strong case for plant based diet by Michael Greger MD

–          4 Hour Body by Timothy Ferris >> where I started my body hacking journey (slow carbs, protein, cruciferous, blow out, but also stuff on sex etc.)

–          Proteus Digital Health – end to end health monitoring, including blood composition via skin patches (warning: interesting but potential ufero)

–          Scanadu – personal medical tricorder

–          Ginger.io – behavioural health analytics platform

–          Omada Health – evidence-driven, online preventive health programs

–          Eatery by Massive Health – recently acquired by Jawbone, but previously doing some interesting things with diet, analytics and amazon’s mechanical turk  (warning: interesting but potential ufero)

–          Kaggle – data modelling competition platform (I’m mates with its founding chairman)

 

Rough vision for what I want to get going over the next 5 years (from diary post):

Over the next five years, I want to develop a health-generating, outcome-remunerated, scalable, for-profit enterprise dedicated to the effective (i.e. live outcome data and analytics, a la rapid learning health system), efficient (i.e. probably not involving doctors) optimization of population health through the application of mobile-mediated behavioural economics, epigenetics, ubiquitous sensors, real time, predictive analytics and the social determinants of health.

 

 

From: Dickon Smart-Gill [mailto:dickon@outlook.com]
Sent: Thursday, 24 October 2013 7:11 PM
To: ‘Paul Nicolarakis’
Subject: RE: Singpaore

 

Notes from our lunch

 

CBT apps are as effective as face to face with professionals. Mood Gym

 

Body by science – Doug McGuff – high intensity, simple exercises.

 

Eatstop eat attached.  A quick and easy read. I bought it, so please don’t forward it on to others just in case my name is encoded into the pdf somehow.

 

Leangains.com – 16-8 protocol. Obviously this guy is genetically gifted, but the fasting technique works for me too.  The key is ‘never any guilt’ if you mess up one day, simply forget it and try the next day.

 

80/20 rule for weight loss 80% being diet, the 20% being exercise.

 

Vitality – south Africa – interesting model to approach insurance companies.

 

Your potential opportunity with the data analysis for medical insurance claims/fraud. Possibility for the same sales approach that they used in the stock trading world.

 

Cauli dabbed with macadamia oil in an 210 degrees fan oven. Crunchy yet still moistish in the centre. Excellent snack food. I suggested adding turmeric (curcumin) for it’s anti inflammatory characteristics. Though not to modify the taste as that is already in order.

 

Standing desks (we both use them and see the benefits).

 

Feel free to add what I missed.

 

Dickon

 

 

 

 

 

From: Paul Nicolarakis [mailto:paul.nicolarakis@outlook.com]
Sent: Wednesday, 23 October, 2013 7:18 PM
To: ‘Dickon Smart-Gill’
Subject: RE: Singpaore

 

Great. How about 1230 for something meaty at:

 

Royal Mail

2 Finlayson Green

Ascott Raffles Place

 

http://www.ladyironchef.com/2012/12/the-royal-mail-prime-ribs-singapore/

 

 

 

 

From: Dickon Smart-Gill [mailto:dickon@outlook.com]
Sent: Wednesday, 23 October 2013 7:02 PM
To: Paul Nicolarakis
Subject: Re: Singpaore

 

Looking good for lunch. Name the time and place. I’m easy.

Sent from my iPhone
On 23 Oct, 2013, at 15:21, “Paul Nicolarakis” <paul.nicolarakis@outlook.com> wrote:

How are you looking for tomorrow? Any chance of lunch or afternoon instead of evening?

 

 

 

From: Paul Nicolarakis [mailto:paul.nicolarakis@outlook.com]
Sent: Friday, 18 October 2013 10:56 AM
To: ‘Dickon Smart-Gill’
Subject: RE: Singpaore

 

done

 

From: Dickon Smart-Gill [mailto:dickon@outlook.com]
Sent: Thursday, 17 October 2013 12:59 PM
To: Paul Nicolarakis
Subject: Re: Singpaore

 

Pencil in the evening of the 24 th.

Sent from my iPhone
On 17 Oct, 2013, at 8:15, “Paul Nicolarakis” <paul.nicolarakis@outlook.com> wrote:

I’m currently leaving on the 25th Dickon, but may stay longer… shall we try for something on the 24th?

 

Cheers, Paul

 

 

 

From: Dickon Smart-Gill [mailto:dickon@outlook.com]
Sent: Thursday, 17 October 2013 12:01 PM
To: ‘Paul Nicolarakis’
Subject: RE: Singpaore

 

Hi Paul,

 

I’m in Bangkok now.

 

However, on the 24th, 25th 26th, I’m in Singapore.

 

Does that overlap with your travel?

 

Dickon

 

From: Paul Nicolarakis [mailto:paul.nicolarakis@outlook.com]
Sent: Thursday, 17 October, 2013 5:31 AM
To: ‘Dickon Smart-Gill’
Subject: Singpaore

 

Checking in again… will be in Singapore next week, let me know if you’re around for a bevvy. Cheers, Paul

 

 

 

From: Dickon Smart-Gill [mailto:dickon@outlook.com]
Sent: Saturday, 14 September 2013 12:47 PM
To: ‘Paul Nicolarakis’
Subject: RE: g’day

 

I’m in Bangkok right now and will still be in Bangkok on Wednesday.

 

Thanks for the invite, if I were in singapore I would definitely have met up with you.

 

Dickon

 

From: Paul Nicolarakis [mailto:blackfriar@gmail.com]
Sent: Saturday, 14 September, 2013 5:05 AM
To: Dickon Smart-Gill
Subject: g’day

 

Hey Dickon,
Am in town through to Wednesday – would be good to catch up if you’re around?
Cheers, Paul