ePatCon11: Miron-Shatz - Inserting the Human Factor in Advanced Technology

TALYA MIRON-SHATZ, PH.D. University of Pennsylvania

The (missing) Human Factor in Advanced Technology Talya Miron-Shatz, Ph.D. CEO, co-founder, CureMyWay ePatient Connections – Philadelphia – September 21st, 2011

Talya Miron-Shatz, Phd. talya@CureMyWay.com Cure MyWay Personalized Adherence Solutions

What makes us stick with anything digital? ,[object Object],[object Object],[object Object],[object Object]

An analogy: digital technology and adherence to medication ,[object Object]

Extent and cost of drop-out: not picking up prescriptions; failing to follow orders. Talya Miron Shatz PhD talyam@wharton.upenn.edu ,[object Object],[object Object],In Billions of Prescriptions A third of prescriptions do not even make it to the pharmacis t. 2 Although in some cases these prescriptions are not vital (i.e. pain-killers that the patient can pick up as needed), the figure is nonetheless alarming. Even when prescriptions are picked up, compliance rates are still no where near perfect as seen in the lower bar graph.

Why, oh, why? The Adherence Estimator Colleen A. McHorney, U.S. Outcomes Research, Merck ,[object Object],[object Object],[object Object],[object Object],[object Object],Talya Miron Shatz PhD [email_address]

1. Making sure ‘doing the right thing’ feels good vs. bland ,[object Object],Talya Miron Shatz PhD [email_address]

Do patients get it? ,[object Object]

Talya Miron Shatz PhD [email_address] ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Talya Miron Shatz PhD [email_address]

The exact way Cymbalta works in people is unknown . Watch how Cymbalta is believed to increase the activity of chemicals in the brain and spinal cord. Understanding Depression Major depressive disorder (depression) is not just a temporary mood, and it's not a sign of personal weakness. Depression is a serious medical condition with a variety of symptoms. Emotional symptoms can include sadness, loss of interest in things you once enjoyed, feelings of guilt or worthlessness, restlessness, and trouble concentrating or making decisions. Physical symptoms can include fatigue, lack of energy, and changes in weight or sleep patterns. Additional symptoms of depression may include irritability, anxiety, and thoughts of death or suicide. There are many theories about the cause of depression. One common theory is that depression is caused by an imbalance of naturally occurring substances in the brain and spinal cord.

The Beta Blocker Enigma ,[object Object],Talya Miron Shatz PhD [email_address]

Self explanatory? To whom? ,[object Object],[object Object],Talya Miron Shatz PhD [email_address]

The Mystery of NYC’s Empire Hotel Shower: What you don’t know your clients don’t know Talya Miron Shatz PhD [email_address]

However – information is not enough ,[object Object],Talya Miron Shatz PhD [email_address]

Making sure ‘doing the right thing’ feels good vs. bland ,[object Object],Talya Miron Shatz PhD [email_address]

Internal Motivation + Inherent Reward developed by Dr. Margaret Morris, Intel Talya Miron Shatz PhD [email_address]

S2H: Being rewarded for offline behavior Talya Miron Shatz PhD [email_address]

Or for the real thing Talya Miron Shatz PhD [email_address]

Combining knowledge with motivation ,[object Object],Talya Miron Shatz PhD [email_address]

A coherent picture of ‘the right thing’: Health scorecard ( Talya Miron-Shatz with Scott Ratzan, J&J ) Talya Miron Shatz PhD [email_address]

And sometimes – making doing the wrong thing feel bad ,[object Object],[object Object],Talya Miron Shatz PhD talyam@wharton.upenn.edu

2. Creating motivation through personalized messages Talya Miron Shatz PhD [email_address]

What creates Motivation ,[object Object],Talya Miron Shatz PhD [email_address]

Talya Miron Shatz PhD talyam@wharton.upenn.edu

My doctor knows me as a person ,[object Object],Talya Miron Shatz PhD [email_address]

First, use their first name ,[object Object],Talya Miron Shatz PhD [email_address]

3.Addressing what really hurts the patient – go figure what this is Talya Miron Shatz PhD [email_address]

The conundrum of non-adherence to FDA recommendations ,[object Object],Talya Miron Shatz PhD [email_address]

Experience = Immunity to Warning (Miron-Shatz, Barron, Hanoch, Gummerum, & Doniger, 2010). ,[object Object],[object Object],[object Object],Talya Miron Shatz PhD [email_address]

A successful digital blood sugar level measurement tool ,[object Object],[object Object],Talya Miron Shatz PhD [email_address]

CureMyWay’s UDA ™ solution: Takeaways for developers ,[object Object],[object Object],[object Object],[object Object],Talya Miron Shatz PhD [email_address]

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ePatCon11: Miron-Shatz - Inserting the Human Factor in Advanced Technology

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