Health Resilience Interactive Technology: transforming self-management for individual and community health via inbodied interaction design

健康弹性互动技术：通过体内互动设计改变个人和社区健康的自我管理

• 批准号: EP/T007656/1
• 负责人: Mc Schraefel
• 金额: $ 202.07万
• 依托单位: University of Southampton
• 依托单位国家: 英国
• 项目类别: Fellowship
• 财政年份: 2020
• 资助国家: 英国
• 起止时间: 2020 至 无数据
• 项目状态: 未结题
• 来源: https://gtr.ukri.org/projects?ref=EP%2FT007656%2F1
• 关键词: Health; Resilience; Interactive; Technology; transforming

We urgently need proactive health support at the level of the general population: we have become, on average, an unhealthy nation. The new statistical norm is overweight to obese (60% of men and 49% of women). Co-related conditions from heart disease to type II diabetes, cost the NHS £48 Bn/year. Lack of sleep costs £40Bn. Stress costs £40Bn. 6% of our GDP goes to preventable "lifestyle conditions." Of the top 20 western nations, the UK ranks 18th or lower in QoL, Health, Wealth, Education and Democracy. Our productivity is 20% lower than the rest of the G7. While there is incredible optimism and investment in the potential benefits of ubiquitous, pervasive technology to help redress these conditions, digital health approaches to date have had low impact. This fellowship hypothesises that the lack of broad and sustained uptake of digital health technology is not a fault of the technology per se but with the range of models that inform how these technologies are designed. The current state of the art in digital health tech is (i) targeted at individuals although health practices are significantly influenced by social contexts; (ii) it assumes that given the right data we will make a rational decision to adopt a health practice without taking into account how the rest of our bodies - from our gut to our nervous system - is involved in decision processes (iii) the tools themselves can be antagonistic to rather than supporting of how the body works. E.g. a "smart alarm" that still disrupts sleep rather than finds ways to help us get sleep is antagonistic to our physiology which requires certain amounts of sleep to stay healthy. While current digital health technologies can and do work for some of the people some of the time, they have not been sufficient to deliver health in the complex contexts in which the UK lives and works. We need to develop better models to inform health tech design. This fellowship proposes to develop and test Inbodied Interaction (the alignment of health tech with how the body optimally performs) as a foundation to deliver and sustain personal and social Health Resilience: the capacity for individuals and their groups to build health knowledge, skills and practice to recover from and redress health challenges, from stress at home to shift changes at work.In line with EPSRC's challenge to "transform community health" by enabling better "self-management," digital interactive technologies must be aligned with how we work as organic-physical-cognitive-social complex systems. In respect of that model of "self" the fellowship will innovate on three strands of inbodied interaction technology:1) Environment-Body Aligned: designing technology to support our physiology, from displays that help us maintain peripheral vision to stay more creative, to light use in VR lenses to improve cognitive performance. 2) Experience-to-Practice Aligned: to provide rapid access to the effects of better health experiences, and connect these with personally effective means to maintain these.3) Group-to-Culture Aligned: to support groups identify and build more health resilient practices that work for their contexts.Thus "self-management" is transformed into our 3-level model of how this "self" is empowered by health tech in various contexts to create build and maintain "health." Through our co-design we will be engaging directly with hundreds of participants, and thousands more citizens virtually through our nation-wide Citizen Scientist web trials. We also have regular engagement with our expert advisory team representing industry, policy, and a range of disciplines. The Team is committed to help translate our work from project to practice, from policy to process, for transformational impact. By Fellowship end, we will have new digital health technologies and validated models for those tools to deliver Health Resilience for a Healthy Nation, and so help #makeNormalBetter@scale, for all.

我们迫切需要在普通民众一级提供积极主动的保健支助：平均而言，我们已成为一个不健康的国家。新的统计标准是超重到肥胖（60%的男性和49%的女性）。从心脏病到II型糖尿病的相关疾病，每年花费NHS 480亿英镑。睡眠不足花费400亿英镑。压力花费400亿英镑。我们GDP的6%用于可预防的“生活方式”。“在前20名西方国家中，英国在生活质量、健康、财富、教育和民主方面排名第18或更低。我们的生产力比G7其他国家低20%。虽然人们对无处不在、无处不在的技术的潜在好处感到难以置信的乐观和投资，以帮助解决这些问题，但迄今为止，数字健康方法的影响力很小。该奖学金假设，缺乏对数字健康技术的广泛和持续的吸收并不是技术本身的错误，而是一系列模型的错误，这些模型为这些技术的设计提供了信息。数字健康技术的当前状态是（i）针对个人，尽管健康实践受到社会环境的显著影响;（ii）它假设，只要有正确的数据，我们就会做出采取健康做法的理性决定，而不考虑我们身体的其他部分--从我们的肠道到神经系统--是如何参与决策过程的。这些工具本身可能与身体的工作方式相反，而不是支持身体的工作方式。例如，一个“智能闹钟”仍然会扰乱睡眠，而不是找到帮助我们睡眠的方法，这与我们的生理学是对立的，我们的生理学需要一定的睡眠来保持健康。虽然目前的数字健康技术可以在某些时候为一些人工作，但它们不足以在英国生活和工作的复杂环境中提供健康。我们需要开发更好的模型来为医疗技术设计提供信息。该奖学金计划开发和测试Inbodied Interaction（健康技术与身体最佳表现的一致性）作为提供和维持个人和社会健康弹性的基础：个人及其群体建立健康知识、技能和做法的能力，以便从健康挑战中恢复并采取补救措施，从家庭的压力到工作中的转变。与EPSRC通过实现更好的“自我管理”来“改变社区健康”的挑战相一致，“数字互动技术必须与我们作为有机-物理-认知-社会复杂系统的工作方式保持一致。在“自我”模型方面，该奖学金将在三条内在交互技术上进行创新：1）环境-身体对齐：设计技术来支持我们的生理机能，从帮助我们保持周边视觉以保持更具创造力的显示器，到VR镜头中的光线使用以提高认知性能。2)经验与实践相结合：提供快速获取更好的健康体验的效果，并将这些与个人有效的手段相联系，以维持这些效果。3）团体与文化相结合：支持团体识别和建立更多的健康弹性实践，为他们的环境工作。因此，“自我管理”转化为我们的3级模型，这个“自我”在各种情况下，健康技术赋予了它创造、建立和保持“健康”的能力。“通过我们的共同设计，我们将直接与数百名参与者接触，并通过我们全国范围的公民科学家网络试验与数千名公民接触。我们还与代表行业、政策和一系列学科的专家咨询团队定期接触。该团队致力于帮助将我们的工作从项目转化为实践，从政策转化为流程，以产生变革性影响。到奖学金结束时，我们将拥有新的数字健康技术和经过验证的模型，这些工具将为健康国家提供健康弹性，从而帮助所有人实现#makeNormalBetter@规模。

项目成果

Inbodied Interaction 102: Exploring Neuro-Physio Pathways for Self-Tuning

身体互动 102：探索自我调节的神经生理途径

• DOI: 10.1145/3411763.3445010
• 发表时间: 2021
• 作者: Schraefel M

Editorial: Inbodied interaction

社论：内在互动

• DOI: 10.3389/fcomp.2023.1295041
• 发表时间: 2023
• 期刊: Frontiers in Computer Science
• 影响因子: 2.6
• 作者: Schraefel M

Introducing Peripheral Awareness as a Neurological State for Human-computer Integration

• DOI: 10.1145/3313831.3376128
• 发表时间: 2020-04
• 期刊: Proceedings of the 2020 CHI Conference on Human Factors in Computing Systems
• 作者: Josh Andrés;M. Schraefel;N. Semertzidis;Brahmi Dwivedi;Y. Kulwe;Jürg von Känel;F. Mueller

Inbodied Interaction 101

身体互动101

• DOI: 10.1145/3411763.3445009
• 发表时间: 2021
• 作者: Schraefel M

Discomfort: a new material for interaction design

• DOI: 10.3389/fcomp.2023.958776
• 发表时间: 2023-08-10
• 期刊: FRONTIERS IN COMPUTER SCIENCE
• 影响因子: 2.6
• 作者: Schraefel，M. C.;Jones，Michael
• 通讯作者: Jones，Michael