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

我们迫切需要在普通人口层面上提供积极主动的卫生支持：平均而言，我们已经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型糖尿病等相关疾病，每年花费NHS GB 480亿英镑。睡眠不足造成400亿英镑的损失。压力造成了400亿英镑的损失。我们国内生产总值的6%花在了可预防的“生活方式”上。在排名前20的西方国家中，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。我们的生产率比G7其他国家低20%。尽管人们对无处不在、无处不在的技术的潜在好处持乐观态度，并进行了令人难以置信的投资，以帮助纠正这些疾病，但到目前为止，数字健康方法的影响很小。这一奖学金的假设是，缺乏对数字健康技术的广泛和持续采用并不是技术本身的错误，而是决定这些技术是如何设计的一系列模型的错误。数字健康技术目前的现状是：(I)尽管健康实践受到社会背景的显著影响，但目标是个人；(Ii)它假设，如果有正确的数据，我们将做出理性的决定，采用健康实践，而不考虑我们身体的其他部分--从肠道到神经系统--如何参与决策过程(Iii)工具本身可能与身体的工作方式对立，而不是支持。例如，“智能闹钟”仍然会扰乱睡眠，而不是找到帮助我们获得睡眠的方法，这与我们需要一定数量的睡眠才能保持健康的生理机能是对立的。虽然目前的数字医疗技术可以而且确实在某些时候为一些人工作，但它们还不足以在英国生活和工作的复杂背景下提供健康。我们需要开发更好的模型来为卫生技术设计提供信息。该奖学金建议开发和测试体内互动(健康技术与身体如何最佳表现的一致性)作为交付和维持个人和社会健康韧性的基础：个人及其群体建立健康知识、技能和实践的能力，以从家庭压力到工作变化中恢复和应对健康挑战。与EPSRC通过实现更好的“自我管理”来“改变社区健康”的挑战一致，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”模式方面，该奖学金将在三个身体互动技术方面进行创新：1)环境-身体对齐：设计支持我们生理的技术，从帮助我们保持外围视力以保持更具创造力的显示器，到VR镜片中使用灯光来改善认知表现。2)体验与实践一致：提供快速获得更好健康体验的效果，并将这些与个人有效的方式联系起来，以维持这些效果。3)群体与文化一致：支持团体识别并建立更具健康弹性的实践，这些实践适用于他们的环境。因此，“自我管理”转变为我们的三级模型，即如何在不同的背景下通过卫生技术赋予这个“自我”权力，以创造、建立和维持“健康”。通过我们的共同设计，我们将直接与数百名参与者接触，并通过我们的全国公民科学家网络试验虚拟地与数千名公民互动。我们还定期与代表行业、政策和一系列学科的专家咨询团队接触。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，以产生转型影响。到联谊会结束时，我们将拥有新的数字健康技术和经过验证的模型，这些工具将为一个健康的国家提供健康弹性，从而帮助#Make NorMalBetter@Scale，为所有人服务。

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.