1. New Technologies for Health Promotion Implications for Clinical PracticeDr. Eric Hekler Assistant Prof, Nutrition & Health Promotion Arizona State University ehekler@asu.edu @ehekler www.designinghealth.org Presentation for University of Arizona Psychology and Technology: Engaging your Clients Workshop Flickr-RansomTech

2. Health is complexIndividual characteristics Over the lifespan 3. Digital technologies arePervasive Interconnected Driven by algorithmsFlickr Stuck in Customs 4. Outline Digital Technologies What has changed? What does this mean for evidence-based practice? Where are these technologies going? 5. Outline Digital Technologies What has changed? What does this mean for evidence-based practice? Where are these technologies going? 6. Cell phones are pervasive, personal, and powerfulFlickr lestaylorphoto 7. The digital cloud/ internet of things has come! 8. The digital cloud/ internet of things has come! 9. The digital cloud/ internet of things has come! 10. Passive Sensing Matthew BumanActivity/Sleep ValidationGeotaggingMatt Buman, ASU; Max Utter, JawboneDavid Mohr, Northwestern 11. We are digitally connectedFlickr tychay 12. Improving Online Support GroupsDavid McDonaldErika Poole 13. The process of creation is changing Expert-sourced Crowd-sourcedo Content generated by expertso Content generated by crowdo Information evaluated by expertso Information evaluated by crowdo Rigorous but slowo Fast but inaccurate?o www.britannica.como www.wikipedia.org Flickr miyagisan 14. Quantified Self 15. A DIY Self-Experimentation Toolkit for Behavior ChangeWin BurlesonEric Hekler Winslow Burleson Jisoo Lee Arizona State University Bob Evans Google 16. Algorithm=useful data-driven insightFlickr Aray Chen 17. 2024 2014 18. What you need to know How our interventions work is changing Other ways to provide interventions Multi-level/multi-component interventions Psychologists role is going to change Stepped care approach? Sense-maker of the data deluge? Evidence-based definition is changing New methods for knowing what works New focus on algorithms 19. Outline Digital Technologies What has changed? What does this mean for evidence-based practice? Where are these technologies going? 20. 500,000th App Accepted on App Store20052006Conceive of a study Gather Pilot Data2007Submit Grant20082009201020112012Conduct the studyReceive FundingSubmit publications for review Flickr Metrix X 21. MILES Study Develop theoretically meaningful smartphone apps for midlife & older adultsPhysical activity & behaviorsedentary Passively assess PA & SB Feedback for behavior changeAbby King 22. Componentsstudy arms mConnec mTrack mSmiles t Calorific Push component X X X X Pull component X X X X "Glance-able" display X X X X Passive activity assessment X X X X Real-time feedback X X X X Self-monitoring X X X X Help tab X X X X Goal-setting X X Feedback about goals X X Problem-solving X X Reinforcement X X X Variable reinforcement schedule X X Attachment X "Play" X "Jack pot" random reinforcement X Hekler et al. 2011, Personal Informatics Workshop at CHI Design paper Social norm comparison X King, Hekler, et al. 2013 PLoS One, King, Hekler, et al. Manuscript in Preparation 23. min/week of activity at study completionPhysical Activity - 8wk Results300 250 200 150Brisk walking (min/week)100 50MVPA (min/week)0 AnalyticSocial Smartphone AppsAffect Paired t [60] = 5.3, p