#CBCConf2015 Harnessing Digital Technology for Health Behaviour Change UCL Centre for Behaviour Change CBC Conference 2015 UCL CENTRE FOR BEHAVIOUR CHANGE Contents 1. Introduction: Professor Susan Michie UCL Centre for Behaviour Change 2. Keynote Speakers 3-7. Monday Schedule 8. Upcoming Events at the UCL Centre for Behaviour Change 9-12. Tuesday Schedule 13-14. Poster Titles Catering & Housekeeping Catering will be available in the Crush Hall: Monday: Lunch (12-1pm) / Afternoon Tea (3:35 - 4:15pm) / Evening Reception (5.50 - 7.30pm) Tuesday: Lunch (12-1pm) / Afternoon Tea (3:35 - 4:15pm) Location Closest Tube Stations Senate House Russell Square (Piccadilly Line) Goodge Street (Northern Line) Tottenham Court Road (Central Line) Malet Street, London WC1E 7HU Bus Routes: 10 (King’s Cross), 29 (Charing Cross), 73 (Victoria) i CBC CONFERENCE 2015 UCL CENTRE FOR BEHAVIOUR CHANGE Susan Michie is Professor of Health Psychology and Director of the Centre for Behaviour Change at University College London, UK. She completed her undergraduate and doctoral education in psychology at the University of Oxford and her clinical psychology training at the Institute of Psychiatry, University of London. She is a chartered clinical and health psychologist and a Fellow of the Academy of Social Sciences, the European Health Psychology Society and the British Psychological Society. I am delighted to welcome you to our first conference, ‘Harnessing Digital Technology for Health Behaviour Change’. This conference brings together UCL academic expertise across a range of disciplines (for example, behavioural science, computer science, engineering, human-computer interaction) with representatives from key organisations in the commercial, government and NGO sectors, including software companies and health organisations. We are fortunate to have attracted outstanding speakers who will address issues such as how to: • Apply evidence and theory in development and evaluation • Engage users, without which the most impressive technologies will be of little use • Evaluate the quality and ethics of products • Implement digital technologies at scale to maximise their potential in improving global health. We have ensured plenty of time for discussion and for networking since much is learnt in the conversations outside the formal sessions. We reached our capacity of 300 delegates two weeks ago and sadly had to turn people away. Given the interest, we aim to make this an annual event. We would like to hear your experiences and suggestions for next year, so please complete the evaluation forms – they will shape our future activities. This conference is for you. Susan Michie, Director, UCL Centre for Behaviour Change, University College London. With many thanks to the Conference Steering Committee: Prof. Robert West Dr Caroline Wood Dr Henry Potts Dr Jamie Brown Prof. Ann Blandford Prof. Elizabeth Murray Dr Eric de Silva Dr Stephanie Lietz Dr Fiona Hamilton Dr Rosie Webster Dr Kristina Curtis Dave Crane Daniel Fozzati Dr Patty Kostkova Luke Raskino Sean Bamberger About the UCL Centre for Behaviour Change The Centre for Behaviour Change is a unique initiative, harnessing the breadth and depth of academic expertise in behaviour change at UCL to address key challenges facing society. Behaviour change is increasingly recognised as central to human well-being, social cohesion and sustainability. Changing behaviour is a challenging and complex process, requiring theories, methods and evidence from many academic disciplines. With initial funding from the Provost’s Strategic Development Fund, UCL’s Grand Challenge of Human Wellbeing and five Faculty Deans, we are working to become self-sustaining by 2016. The Centre’s Director is Susan Michie, Professor of Health Psychology; Dr Caroline Wood is Assistant Director, Dr Lou Atkins is Senior Teaching Fellow, Dr Stephanie Lietz is Project Manager and Sean Bamberger is Research Administrator. We are supported by a cross-disciplinary Executive Committee and an Advisory Board that covers key areas of engagement within and external to UCL. We aim to become a leading and world-renowned centre for expertise in behaviour change. 1 CBC CONFERENCE 2015 - INTRODUCTIONS What kind of evaluation study moves the behaviour change field forward? Prof. Jeremy Wyatt - University of Leeds This talk explores how to design evaluation studies to test a theory so that they deliver results which are not only valid, but are also of general interest to the behaviour change community. Examples from the work of our research group will be used to illustrate this. After setting up and directing the Institute for Digital Health Care in Warwick University, Jeremy was appointed Leadership Chair in eHealth Research at Leeds Institute of Health Sciences. Before Warwick, Jeremy directed the Dundee Health Informatics & eHealth Centre, set up and directed a new R&D programme for NICE, and was the NHS Academic Adviser on knowledge management. His research explores how to design and evaluate complex interventions such as technologies for disseminating evidence, supporting self-care and preventing long-term conditions. He helped found the Cochrane Collaboration in 1992 and set up Cochrane’s Effective Practice & Organisation of Care review group in 1994. Online Profile: http://medhealth.leeds.ac.uk/profile/600/239/jeremy_wyatt The person-based approach to developing digital behaviour change interventions Prof. Lucy Yardley - Southampton University The Person-Based Approach to intervention development offers a distinctive and systematic means of enabling intervention designers to build a deep understanding of the psychosocial context of users and their views of the behavioral elements of the intervention. Insights from this process can be used to ensure that the intervention is experienced as persuasive, relevant and feasible by users. Based on our experience of carrying out over a thousand interviews with users, while developing public health and illness management interventions that have proven effective in trials involving tens of thousands of users, this talk illustrates how the person-based approach can enhance the use of theory– and evidence-based approaches to intervention development. https://www.lifeguideonline.org/ Lucy Yardley is Professor of Health Psychology at the University of Southampton and Director of the Centre for Applications of Health Psychology (CAHP). She pioneered and leads the ‘LifeGuide’ programme of research which has developed unique open source software for creating digital interventions, and has developed and evaluated numerous digital interventions for public health and illness management. Online Profile: http://www.southampton.ac.uk/psychology/lucyyardley Harnessing mobile health technologies for health behaviour change Prof. Bonnie Spring - Northwestern University Bonnie Spring is Professor of Preventive Medicine, Psychology, Psychiatry, and Public Health, and Director of the Center for Behavior and Health at Northwestern University. She is an internationally recognized expert in developing and evaluating efficient, effective, scalable technology-supported interventions to support multiple health behaviour changes. Her research has been supported continuously for more than 30 years and her NIH-funded learning modules on evidence-based practice (www.ebbp.org) and the science of team science (www. teamscience.net) are freely available online. Online Profile: https://fsmweb.northwestern.edu/faculty/facultyprofile.cfm?xid=16136 2 CBC CONFERENCE 2015 - KEYNOTE SPEAKERS Monday, 23rd February 2015 The Science of Behaviour Change: Developing and Evaluating Digital Interventions 09.00 - 10.00 10.00 - 10.10 10.10 - 10.40 10.45 - 12.00 12.00 - 13.00 13.00 - 14.15 14.20 - 15.35 15.35 - 16.15 16.15 - 17.15 Registration and Coffee / Tea - Foyer Conference Welcome: Prof. Susan Michie (UCL Centre for Behaviour Change) Opening Keynote: Prof. Jeremy Wyatt (University of Leeds) Developing Content Based on Theory and Evidence Spotlight On: Gamification And Games Chair: Dr Rosie Webster Showcasing practical examples of how behaviour change theory and evidence can inform the content of digital technologies to change health behaviours Chair: Jo Iacovides Focusing on how games and game mechanics can be used to motivate and support behaviours related to health and wellbeing Dr Rosie Webster (University College London) Dr Jamie Brown (University College London) Dr Charlotte Dack (University of Bath) Dr Felix Naughton (University of Cambridge) Prof. Pam Kato (Coventry University) Simon Fox (Playlab London) Dr Alexandra Lang (University of Nottingham) Dr Kathrin Gerling (University of Lincoln) Lunch, Session Demos and Networking Evaluation: Wicked Challenges and Golden Opportunities Spotlight On: User Engagement and Impact Assessment Chair: Prof. Susan Michie New solutions for new problems in the evaluation of new technologies to change behaviour and advance our understanding of behaviour change. Chair: Dr Patty Kostkova Strategies for sustainable assessment of user engagement and impact. Prof. Robert West (University College London) Prof. Jeremy Wyatt (University of Leeds) Prof. Susan Michie (University College London) Prof. Lucy Yardley (University of Southampton) Prof. Mounia Lalmas (Yahoo! Research) Dr Patty Kostkova (University College London) David Farrell (Caledonian University) Dr Andreea Molnar (University of Portsmouth) Design and Evaluation of Complex Systems for Use ‘in the Wild’ mHealth Development and Engagement Chair: Prof. Ann Blandford Featuring research on how people use, misuse and fail to use technologies designed to support long-term health management Chair: Kristina Curtis Four approaches to mHealth development and user engagement with one collective goal: to improve end-users’ health and wellbeing for public and mental health conditions Dr Anne Hsu (Queen Mary University of London) Nikki Newhouse (University College London) Prof. Ann Blandford (University College London) Aisling O’Kane (University College London) Umar Taj (Warwick Business School) Rupert Tebb (Paper Ltd) David Crane (University College London) Dr Andres Fonseca (Virtually Free Ltd) Coffee / Tea and Networking Developing and Evaluating Digital Interventions Using Technological Devices to Improve Health Outcomes Chair: Dr Eric De Silva Chair: Prof. Susan Michie A panel discussion of key issues raised by today’s Novel examples of wearable and healthcare technology developed by researchers at UCL. sessions. Panel Features: Prof. Lucy Yardley, Prof. Jeremy Wyatt, Prof. Ann Blandford, Prof. Robert West, Prof. Elizabeth Murray, Prof. Philip Treleaven, Prof. Bonnie Spring, Luke Raskino 17.20 - 17.50 17.50 - 19.30 Prof.Rob Horne (University College London) Dr Catherine Holloway (University College London) Dr Nadia Berthouze (University College London) Dr Rui Loureiro (University College London) Keynote Speaker: Prof. Bonnie Spring (Northwestern University) Poster Session and Networking Reception 3 CBC CONFERENCE 2015 - OUTLINE PROGRAMME: MONDAY Developing Content Based on Theory and Evidence Showcasing practical examples of how behaviour change theory and evidence can inform the content of digital technologies to change health. (Chair: Dr Rosie Webster) [Beveridge Hall] Developing a theory-based interactive website to increase condom use in men Dr Rosie Webster - University College London This talk will demonstrate how behaviour change theory was used to develop an interactive website to increase condom use in men, including how behaviour change techniques were conceptualised as engaging interactive features. The development and evaluation of StopAdvisor: A theory-based interactive internet-based smoking cessation intervention Dr Jamie Brown - University College London StopAdvisor is an interactive smoking cessation website designed with particular attention directed to people with low socioeconomic status. The talk will focus on explaining how the development was informed by the PRIME theory of motivation, evidence, and user-testing. The user testing was done exclusively in smokers with low socioeconomic status and a large randomised trial indicated that this was successful in producing an effective website for that group. Developing HeLP-Diabetes: An internet self-management intervention for people with Type 2 Diabetes Dr Charlotte Dack - University of Bath This talk will describe how we integrated theoretical frameworks and user data from patients with type 2 diabetes and health professionals to develop a new internet self-management intervention: HeLPDiabetes. Using smartphone sensing and machine learning to translate theory and evidence into intervention content Dr Felix Naughton - University of Cambridge Ths talk focuses on a smoking cessation smartphone app (Q Sense) designed to use sensing and machine learning to help translate theory and evidence into support content and inform content delivery. In particular, Q Sense can generate and use within-app evidence of smoking behaviour and support content preferences to tailor when and what content is delivered. Spotlight On: Gamification And Games Focusing on how games and game mechanics can be used to motivate and support behaviours. (Chair: Jo Iacovides) [MacMillan Hall] The role of the researcher in industry collaborations on serious games for health Prof. Pam Kato - Coventry University This talk will describe how behavioral researchers can define and clarify their roles in serious games and gamification projects. This talk will be helpful for those who are working in collaboration with academics or with industry. This talk is based on my experience in working on local and global projects DON’T PANIC: How to use a game to make people measurably more healthy. Simon Fox: PlayLab London 1 in 5 of us will experience a chronic mental health condition, but the vast majority will never seek treatment. With Flowy Simon and Playlab have created a mobile game which demonstrates a measurable effect on its users wellbeing. Flowy is a mobile game currently being used by people who experience panic and anxiety disorders to help manage their symptoms. Simon will talk about the challenges of creating delightful, usable, rigorously evaluated software on a startup budget. The challenges of serious games for behaviour change in teenage health promotion: non serious and non tedious. Dr Alexandra Lang - University of Nottingham The presentation outlines the work of the EU funded PEGASO project. It provides insight into some of the key challenges of designing technologies for health promotion in teenagers. It then discusses the application of serious gaming for use with this young user population. Describing how gaming can combat some of the challenges, with a view to promoting personal monitoring and awareness and eventual behaviour change through engagement with an mHealth system over time. Video games for older adults: Prescribed health intervention or empowering pastime? Dr Kathrin Gerling - University of Lincoln Video games hold the promise of providing physical and mental stimulation for older adults. In this talk, I explore potentials and limitations of interactive interventions for this audience with a focus on how age-related changes influence how older adults in long-term care engage in play. 4 CBC CONFERENCE 2015 - MONDAY SESSIONS Evaluation: Wicked Challenges and Golden Opportunities New solutions for new problems in the evaluation of new technologies to change behaviour and advance our understanding of behaviour change. (Chair: Prof. Susan Michie) [Beveridge Hall] Automated assessment of key behavioural outcomes in intervention studies: What are the prospects? Prof. Robert West - University College London Digital devices are ideal for automated recording of data but when it comes to important behavioural outcomes that rely on self-report (e.g., smoking cessation, alcohol consumption), research is needed to make sure they can be relied on bearing in mind the possibility of misreporting and missing data. This talk will examine the current evidence and discuss future possibilities. Some methodological challenges in evaluating behaviour change interventions Prof. Jeremy Wyatt - University of Leeds Behaviour change interventions are usually complex and evaluation studies often rely on new sources of data to test their impact. This contribution will review these and other challenges and suggest some possible solutions. Harnessing the power of digital technology to develop and test behaviour change theory Prof. Susan Michie - University College London Digital devices provide unprecedented access to data in real time from large number of people. They can also deliver behaviour change interventions with perfect fidelity and be specified 100%. In principle this could revolutionise development and testing of behaviour change theory but it will require much more strategic thinking about what data need to be collected, how it should be stored and structured and what collaborations need to be forged. Using visualisation techniques to analyse engagement with digital interventions Prof. Lucy Yardley - University of Southampton Some digital interventions (such as those developed using the LifeGuide software) automatically record everything that users view and enter, providing an unprecedented wealth of detailed data from large samples providing information about users’ receipt and usage of each intervention element. This talk describes how a new method of ‘visualisation’ analysis can be used to make sense of this data and gain valuable insights into how users engage with digital interventions, and how this may mediate outcomes. Spotlight On: User Engagement and Impact Assessment Strategies for sustainable assessment of userengagement and impact. (Chair: Dr Patty Kostkova) [MacMillan Hall] Measuring user engagement: a holistic view Prof. Mounia Lalmas - Yahoo! Research User engagement is the phenomena associated with wanting to use an application longer and frequently. Common ways to evaluate user engagement include self-report measures, physiological methods, and web analytics. This talk presents various efforts aiming at combining approaches to measure engagement. What difference do they make? Impact assessment of digital libraries and games Dr Patty Kostkova - University College London Digital technology for health covers online portals, digital libraries, mhealth technology and serious games. But do they make a difference? This talk will provide an overview of impact assessment methods and illustrate successful approaches. The right kind of engagement in Games for Health David Farrell - Caledonian University Video games have great potential in supporting and motivating behaviour change. But creating the right kind of emotional engagement in a Serious Game is essential for this potential to be realised. This talk will explore this idea and argue for harmony between game systems and narrative theme. Impact assessment strategies in Games for Health Dr Andreea Molnar - University of Portsmouth This talk will cover the strategies used for seamlessly integrating the educational content evaluation in edugames4all/e-bug games. We discuss how the integrated assessment affected players perception on the games using as case studies an interactive digital storytelling based game and a platform game. 5 CBC CONFERENCE 2015 - MONDAY SESSIONS Design and Evaluation of Complex Systems for Use ‘in the Wild’ Featuring research on how people use, misuse and fail to use technologies designed to support long-term health management.(Chair: Prof. Ann Blandford) [Beveridge Hall] A mobile application for reducing snack cravings Dr Anne Hsu - Queen Mary University of London A central challenge in weight management is the difficulty of overcoming desires for excessive and unhealthy food. In order to alleviate the former and support the latter, we designed, implemented and tested a mobile application for improving snacking behaviour. Our application delivers a food craving reduction intervention at the moment of need and allows users to track how often they successfully resisted cravings. Online patient experience as an information resource: What does the right ‘dose’ look like? Nikki Newhouse - University College London The internet has transformed the way that people experience illness and is increasingly the first place that people turn to when seeking out information, support and practical advice. The EXPERT trial develops the science underpinning the delivery of online patient experiences by examining how online information from different sources supports wellbeing, self-management and behaviour change. Staying safe, staying well: Designing to support self-management of chronic kidney disease Prof. Ann Blandford - University College London] This talk focuses on the practices and experiences of people using haemodialysis technology at home: how the design of the technology, and people’s values and experiences, shape use. I will draw out more general lessons for the design of technologies that support people in managing their own health. Concealing or revealing mobile medical devices? Designing for onstage and offstage presentation Aisling Ann O’Kane - University College London The social act of broadcasting versus hiding mobile medical devices used for the self-management of chronic conditions presents a dilemma for designers. Should they design future self-care technologies to be hidden from view or make them more visible, perhaps as fashion items? To help address this question, we propose using Goffman’s theatrical framing of the ways that people present themselves mHealth Development and Engagement Four approaches to mHealth development and user engagement with one collective goal: to improve end-users’ health and wellbeing for public and mental health conditions. (Chair: Kristina Curtis) [MacMillan Hall] Improving medication adherence: Can games help you get better? Umar Taj - Warwick Business School Modelling patient behaviour through the use of games and providing a lab based platform to test various interventions before expanding them in the field. Prototyping an alcohol reduction service for young adults Rupert Tebb - Paper Ltd A case study that demonstrates how behavioural science, prototyping and randomised control test combine to produce robust and usable services. The development of a highly popular smoking cessation app Dave Crane - University College London With over 500,000 downloads, 1m user sessions per month and 1,900 five star reviews, Smoke Free is the most popular smoking cessation app in the UK. This talk will discuss the process and principles underlying its development. Development of an app to treat specific phobias using exposure therapy Dr Andres Fonseca - Virtually Free Ltd We developed an iOS app to treat specific phobia of spiders using games and augmented reality to deliver exposure therapy. I describe the process we went through from inception to release. 6 CBC CONFERENCE 2015 - MONDAY SESSIONS Developing and Evaluating Digital Interventions A panel discussion of key issues raised by today’s sessions.(Chair: Prof. Susan Michie) [Beveridge Hall] Panel: Prof. Lucy Yardley, Prof.Jeremy Wyatt, Prof. Ann Blandford, Prof. Robert West, Prof. Elizabeth Murray, Prof. Philip Treleaven, Prof. Bonnie Spring, Luke Raskino Discussion Topic Examples: How best to sustain development over the long-term? What is the role of randomised trials? What is the future for automatic data collection of outcomes? Using Technological Devices to Improve Health Outcomes Novel examples of wearable and healthcare technology developed by researchers at UCL. (Chair: Dr Eric De Silva) [MacMillan Hall] IDB Helper - an on-line tailored intervention supporting patient engagement with essential medication for Inflammatory Bowel Disease (IBD) Prof. Rob Horne IBD comprises two chronic conditions: Crohn’s disease and ulcerative colitis. Both are inflammatory conditions of the gut characterised by periods of intense symptoms (‘flare-ups’) and remission. Treatment involves taking daily anti-inflamatory drugs, even during periods of symptomless remission. Nonadherence rates are high reducing quality of life and increasing demand for healthcare. In this study, funded by Crohn’s and Colitis UK, we co-created an on-line intervention tailored to the needs of the individual by profiling and addressing the perceptions (eg beliefs about IBD and its treatment) and practicalities (e.g. capacity and resources) influencing their motivation and ability to adhere to treatment. We report the results of a controlled trial conducted online, and discuss lessons learned. Able Tech: The future of assistive technologies Dr Catherine Holloway - University College London The talk will explain the work being done at UCL to develop Able Technologies – the next generation of assistive technologies. It will introduce the SenseWheel (an instrumented wheelchair wheel designed to reduce shoulder injuries to wheelchair users ),Wearable Assistive Materials (exoskeletons made to fit like a glove) and how we are making the wheelchair part of the Internet of Things. Interactive sensing technology to facilitate physical activity in chronic pain Dr Nadia Berthouze - University College London Nadia will present the Emo & Pain project. The project aims at developing interactive technology that detects levels of perceived pain, anxiety and fear of movement in people with chronic pain while during physical activity. She will also present two systems that sonify people’s movement and physiological changes to increase awareness in their body, confidence in moving and self-efficacy. Immersive behavioural therapies for the treatment of chronic pain Dr Rui Loureiro - University College London This talk will summarise our on-going work on the development of new therapies that aim to investigate the cortical reorganisation processes associated with upper limb amputation using an immersive movement training and visualisation paradigm. 7 CBC CONFERENCE 2015 - MONDAY SESSIONS Upcoming Events Visit us at: http://www.ucl.ac.uk/behaviour-change 8 UPCOMING EVENTS AT THE UCL CENTRE FOR BEHAVIOUR CHANGE Tuesday 24th February 2015 Future Vision for Behaviour Change: Delivering Effective Digital Interventions 09.00 - 10.00 10.00 - 12.00 Registration and Coffee / Tea Global Institute for Digital Health Excellence (GLIDHE) Launch and Panel Discussion Chair: Prof. David Price Alan Payne (Bupa) Prof. Philip Treleaven (University College London) Prof. Susan Michie (University College London) Prof. Robert West (University College London) Panel Discussion with Industry & Academia - Q&A with Audience 12.00 - 13.00 13.00 - 14.15 Lunch, Session Demos and Networking Thinking Big: Rolling out Effective Digital Interventions into PolicyDriven Initiatives Chair: Prof. Susan Michie Featuring case studies related to behaviour change with policy applications; discussion of the challenges and strategies of implementing effective interventions. Diarmaid Crean (Public Health England) Prof. Elizabeth Murray (University College London) Gieta Ellul (Public Health England) 14.20 - 15.35 Academia Meets Industry: What Can we Learn from One Another? Quality, Standards, Ownership, Ethics and Regulation Chair: Prof. Richard Moorhead Ethical problems raised by new technologies and the questions of what should be regulated and how. Prof. Jeremy Wyatt (University of Leeds) Dr Prince Saprai (University College London) Dr Chris Vincent (University College London) Alan Payne (Bupa) Wearable Technology: Sensors and the Internet of Things (IOT) Chair: Prof. Robert West Real-life examples from academics and industry partners, including how to overcome the barriers to effective communication and collaborative working. Chair: David Raskino How wearable technology is developed by applying the principles of behavioural science. Luke Raskino (CURB) Daniel West (British Websites / Silverback IS) Dr Adam Winstock (Kings College London) Dr Tomaso Aste (University College London) Marco Peluso (Qardio) Dr Neal Lathia (University of Cambridge) Danny Harrison (University College London) Rodrigo Mazzora (TicTrac) 15.35 - 16.15 Coffee / Tea and Networking 16.15 - 16.45 16.45 - 17.00 Closing Keynote: Prof. Lucy Yardley (University of Southampton) Conference Closing Words: Prof. Susan Michie (University College London) 9 CBC CONFERENCE 2015 - OUTLINE PROGRAMME: TUESDAY Global Institute for Digital Health Excellence (GLIDHE) Launch & Panel Discussion [Beveridge Hall] Opening - Prof. David Price An introduction to GLIDHE Alan Payne - Bupa With the ever increasing demands in healthcare how are new technologies and connectivities creating a healthcare paradigm shift? What is GLIDHE and why this collaboration is uniquely positioned to deliver innovative solutions for longer, healthier, happier lives. The role of behaviour change Prof. Susan Michie - University College London What are the GLIDHE partnership aims and the challenge of changing behaviour. Disciplines need to collaborate and GLIDHE brings behavioural science, computer science and engineering together. What are some of the key behavioural principles, core ideas and the opportunities to advance behavioural science provided by digital technologies. Opportunities to conduct research on a global scale Prof. Philip Treleaven - University College London This talk will focus on the value that Engineering/Computer Science sees in collaborating on behavioural change with behavioural science and a company like Bupa where we can conduct research on a global scale. Benefits of a global collaboration from a public health and behavioural science perspective Prof. Robert West - University College London What is the role of behaviour change in the global public health challenge? There are opportunities for truly global behavioural science and for a virtuous circle of research-practice-research. Where do digital interventions fit into a broader public health approach and clinical medicine. Where is GLIDHE starting - smoking and BupaQuit. Information Bupa, UCL’s Centre for Behaviour Change and UCL’s Department of Computer Science are delighted to announce their new collaborative project, the Global Institute for Digital Health Excellence (GLIDHE), which combines Bupa’s global health expertise with UCL’s research capabilities. With the intention of reducing global demands on healthcare and improving quality of life, GLIDHE will research, create, test and evaluate innovative, commercially sustainable digital tools which promote healthier lifestyles. The aim is to improve the lives of millions of people and create a significant evidence base to shape the future of digital health. GLIDHE will also fund PhD and MSc students at UCL, creating a legacy in the field of digital health. 10 CBC CONFERENCE 2015 - TUESDAY SESSIONS Thinking Big: Rolling out Effective Digital Interventions into Policy-Driven Initiatives Featuring case studies related to behaviour change with policy applications; discussion of the challenges and strategies of implementing effective interventions. (Chair: Prof. Susan Michie) [Beveridge Hall] Diarmaid Crean - Public Health England Public Health England was established on 1 April 2013 to bring together public health specialists from more than 70 organisations into a single public health service. We protect and improve the nation’s health and wellbeing, and reduce health inequalities. This talk will discuss conference issues from the perspective of Public Health England. Getting evidence into practice: Why and How? Prof. Elizabeth Murray - University College London The public health benefits of digital interventions are largely predicated on widescale use. Achieving this is challenging! This talk will explore why academics need to think about implementation and how to achieve it. Stop Advisor – supporting tobacco policy with a digital solution Gieta Ellul - Public Health England StopAdvisor, a tailored internet-based support programme, was found in a large randomised controlled trial to help lower income smokers to stop. Public Health England is now developing this into one of its suite of digital offerings. This talk will describe the process as an example of partnership working with the academic sector. Quality, Standards, Ownership, Ethics and Regulation Ethical problems raised by new technologies and the questions of what should be regulated and how. (Chair: Prof. Richard Moorhead) [MacMillan Hall] Some quality criteria for health related apps Prof. Jeremy Wyatt - University of Leeds This contribution will describe our proposed quality criteria for health related apps, and how they could add a new Darwinian selection pressure to the apps market. The ethics of digital monitoring of medicines Dr Prince Saprai- University College London This talk will discuss the ethical and legal implications of smart pills that enable the digital monitoring of the uptake of prescription medications. Digital technology to support health and wellbeing: What are the regulatory and safety issues? Dr Chris Vincent - University College London] This talk will examine the challenge of introducing digital technology. It will outline ways in which safeguards can be introduced in a proportionate, flexible and agile way. Healthcare Ethics in an era of digital hedonism Alan Payne - Bupa Technology is moving far faster than regulation, so what can we do to champion the consumer in an era of unparalleled digital and social change. Is this an opportunity for altruistic insight to reduce healthcare costs, or a “Orwellian” dystopian future in the making? 11 CBC CONFERENCE 2015 - TUESDAY SESSIONS Academia Meets Industry: What Can we Learn from One Another? Real-life examples from academics and industry partners, including how to overcome the barriers to effective communication and collaborative working. (Chair: Prof. Robert West) [Beveridge Hall] Evidence meets Traction Luke Raskino - Curb Academia measures success in solving problems through scientific evidence …. Startups, through market traction. Where does scientific evidence meet traction? These two worlds need to collide more than ever when it comes to digital health. Why? And how? The importance of a collaborative effort in website development for behaviour change Daniel West - Silverback IS To achieve the goals of digital behaviour change interventions the relationship between web developer and academic must be one of partnership rather than customer and provider. This means building a relationship based on flexibility and very strong communication. This in turn requires both parties to become better educated in each other’s worlds and effective communication and development systems. This talk will briefly review the lessons we have learned in how to achieve this. ‘I’m just like everyone else and I like getting drunk’ (The Drinks Meter : Using personalised feedback, brief interventions & social norms to nudge people’s drinking) Dr Adam Winstock - Kings College London We all tell ourselves stories to make us feel OK about the ‘less smart’ decisions we make in life. Dismantle those and you can create ambivalence that fuels motivation for change. Package your tool, make it look pretty and remove barriers to access and you might have something useful. This talk reviews data from our apps to evidence our approach and future plans. Behavioural change patterns in a large global collection of runners’ data Dr Tomaso Aste - University College London We present data analytics from a global dataset of hundred of thousands runners that use data from Tictrac dashboards of wearable devices. We discuss a large scale global experiment aiming to capture, model and induce behavioural change. Wearable Technology: Sensors and the Internet of Things How wearable technology is developed by applying the principles of behavioural science. (Chair: David Raskino) [MacMillan Hall] Turbo-charging heart health Marco Peluso - Qardio Marco Peluso, CEO of Qardio, will talk about how the richer, more comprehensive data generated by the company’s sensors and high performance cloud analytics drive the shift towards true preventative care, cost efficiency and enhanced diagnostic yields, revolutionizing the most significant healthcare issue of our time. Smartphone sensing & behaviour change Dr Neal Lathia - Cambridge University Over 70% of the UK population now use smartphones: sensor-rich, computationally powerful, and interactive devices. In this talk, two questions will be discussed: What behaviours can we detect and monitor using these devices? How can be build data-driven behaviour-change applications that leverage these sensors? In the wild activity tracking: academic research with commercial systems Danny Harrison - University College London Commercial physical activity tracking systems embody behaviour change techniques previously studied in academic research. My research focuses on evaluating use of these technologies in the real world over a long term period, highlighting successes and difficulties encountered. Data analytics and feedback from wearable devices for fitness and training to induce behavioural change Rodrigo Mazorra - TicTrac This talk presents an adaptive approach that uses information form wearable devices to provide feedback inducing self-motivated dynamical changes in the users. 12 CBC CONFERENCE 2015 - TUESDAY SESSIONS Behaviour Change Theme ‘Helpmedoit!’ a web and text based intervention to facilitate social support to achieve and maintain health related change in physical activity and dietary behaviour. Sharon Simpson - University of Glasgow An ecological momentary assessment of lapse occurrences in dieters Heather McKee - British Lung Foundation A scientific evaluation of the most downloaded Smartphone apps for weight management Margaret Allman-Farinelli - University of Sydney A smartphone game for smoking cessation: qualitative analysis of user feedback Dr. Elizabeth Ann Edwards - Queen Mary University of London Evaluation of a smartphone application to help people moderate their drinking: exploring motivations, patterns of application usage and changes in self-reported drinking behaviours Katie Morton - St. Mary’s University College Developing the COM-B-Q Self-Assessment Questionnaire to Understand Dietary and Exercise Target Behaviours in European Teenagers within a Personalized ICT Guidance Services for Optimizing Lifestyle through Awareness, Motivation and Engagement (PEGASO) Dr Laura Condon - University of Nottingham Exploration of the Effectiveness of NHS Choices Couch to 5K app Katie Pickering - Leeds Beckett University Evaluation of online interactive stage-matched weight-loss program – preliminary results Vesna Gavrilov-Jerković, Dragana Brdarić, Veljko Jovanović, Dragan Žuljević - University of Novi Sad A randomised controlled trial of a novel smartphone-based stop smoking intervention focused on craving management (BupaQuit) Aleksandra Herbec, Harveen Kaur Ubhi, Robert West - University College London Novel smartphone-based smoking cessation intervention focused on adherence to nicotine replacement therapy –development and evaluation. Aleksandra Herbec, Jamie Brown, Robert West, Tobias Raupach - University College London - Self-Care Theme Creating mobile phone support groups for HIV positive adolescents in South Africa Anna - The SHM Foundation CAN WE INCREASE ADHERENCE TO SELF CARE BEHAVIOURS IN HEART FAILURE VIA AN AUTOMATED BUT TAILORED EDUCATION AND COACHING PROGRAMME? C.Deighan, W. Stut , W. Armitage, M. Clark, J. G. Cleland, T. Jaarsma - HeartCycle research consortium partners myCOPD solution - an electronic self management system for patients with COPD Mal North - HealthQuest Solutions The development of a digital Heart Manual programme in collaboration with patient ‘graduates’ Dr Carolyn Deighan - NHS Lothian Designing a gamified system to promote health and wellbeing in older people Erica Kucharczyk - De Montfort University Improving Medication Adherence - can games help you get better? Umar Taj - University of Warwick Testing the use of a biofeedback videogame to teach young people diaphragmatic breathing for stress management Kathleen Collett & Naomi Stoll - Shift Improving patient safety for older people with multimorbidity: The use of digital technologies in research and as resources Rebecca Hays, Gavin Daker-White, Brian Minor, Wendy Barlow, Peter Bower - The University of Manchester Using a Human Centred Design methodology to design a ‘Balance Health’ application Shruti Grover - Royal College of Art 13 CBC CONFERENCE 2015 - POSTER TITLES Digital Interventions in Healthcare Theme 3D visualisation of the human anatomy for biofeedback therapy in swallowing disorder Benjamin Nicholls - The University of Kent SmartWatches as a Tool in Memory Rehabilitation Narinder Kapur - University College London Telemonitoring for early detection and treatment of undernutrition in the elderly: design and methods for evaluation Marije van Doorn-van Atten, MSc; Annemien Haveman-Nies, PhD; Jeanne de Vries, PhD; Lisette de Groot; PhD - Wageningen University A mixed methods analysis of key stakeholder experience of, and engagement with, Connected Health in Ireland Dr Maria Quinlan - University College Dublin Evaluating the implementation of HeLP-Diabetes within the NHS Jamie Ross - University College London Development and piloting of an android mobile application for “malaria testing and tracking” for first-time smart phone/mobile app users in low-resource settings Kalyani Prasad - Malaria Consortium Digital System to Quantify Eating Behaviour Martin Henderson - University of Kent Development of a behaviour change intervention to improve delivery of physical activity advice by cancer care professionals – a case study on the use of the Behaviour Change Wheel. Risqat Fabunmi-Alade - Macmillan Cancer Support Changing HIV testing behaviour through innovative use of technology and digital platforms Cary James - Terrence Higgins Trust Design & Evaluation Theme State of the Evidence Regarding Behaviour Change Theories in Sexual Health Education Serious Video Games Development Sara Mathieu C. - University of Montreal A systematic review of the methods used to evaluate mobile health behaviour change interventions Pritaporn Kingkaew - University of Leeds Developing a quality control framework for mobile app based health behaviour change interventions: Adapting the NICE behaviour change guidance. Brian McMillan - University of Sheffield Using psychophysiology to assess the arousal and valance associated with affective and instrumental behaviour change text messages Gabriel Mata-Cervantes - University of Leeds BiB mCohort: Exploring the role of smartphones in health research within a large multi-ethnic birth cohort Laura Lamming - Bradford Teaching Hospital Foundation Trust Testing a sensor based application for physical activity and food intake with an N of 1 study design: Connecting devices to theories Ari Haukkala - University of Helsinki Challenging the ‘hierarchy of evidence’ in digital health interventions research: Using the Medical Research Council (MRC) framework to evidence Breaking Free Online Sarah Elison - Breaking Free Online The Effectiveness of Technology-Based Strategies to Promote Engagement with Digital Interventions: A Systematic Review Ghadah Alkhaldi - University College London 14 CBC CONFERENCE 2015 - POSTER TITLES UCL CENTRE FOR BEHAVIOUR CHANGE About UCL (University College London) Founded in 1826, UCL was the first English university established after Oxford and Cambridge, the first to admit students regardless of race, class, religion or gender, and the first to provide systematic teaching of law, architecture and medicine. We are among the world’s top universities, as reflected by performance in a range of international rankings and tables. UCL currently has over 35,000 students from 150 countries and more than 11,000 staff. Our annual income is more than £1 billion. UCL’s Centre for Behaviour Change (CBC) harnesses expertise across disciplines to address the wide range of challenges facing society. Professor Robert West, a CBC Associate, leads a programme of digital health interventions at UCL, focusing on reducing smoking and excessive alcohol consumption. Professor Susan Michie’s research seeks to improve the application of theories and scientific methods to the development and evaluation of behaviour change interventions. UCL’s Department of Computer Science is a global leader in research in experimental computer science. The 2014 Research Excellence Framework evaluation ranked UCL 1st place for Computer Science. 61% of its research output is rated world-leading, 96% of its research output is rated internationally excellent. UCL Computer Science has made a deep, lasting and sustained impact on all aspects of society, including healthcare; medical image computing has led to faster prostate cancer diagnosis, and developed software to help surgeons avoid damage to essential communication pathways while performing neurosurgery. It continues to create innovative technologies that changes lives with computers. For more information, visit: www.ucl.ac.uk external link | Follow us on Twitter @uclnews external link | Watch our YouTube channel YouTube.com/UCLTV external link About Bupa: Bupa’s purpose is longer, healthier, happier lives. As a leading international healthcare group, we offer health insurance and medical subscription products, run care homes, retirement villages, hospitals, primary care centres and dental clinics. We also provide workplace health services, home healthcare, health assessments and long-term condition management services. We have over 22 million customers in 190 countries. With no shareholders, we invest our profits to provide more and better healthcare and fulfil our purpose. We employ more than 70,000 people, principally in the UK, Australia, Spain, Poland, New Zealand and Chile, as well as Saudi Arabia, Hong Kong, India, Thailand, and the USA. For more information, visit www.bupa.com. About the National Institute for Health Research: The National Institute for Health Research (NIHR) is funded through the Department of Health to improve the health and wealth of the nation through research. It is a large, multi-faceted and nationally distributed organisation. Together, NIHR people, facilities and systems represent the most integrated clinical research system in the world, driving research from bench to bedside for the benefit of patients and the economy. This event was partly funded by the National Institute for Health Research (NIHR)’s School for Public Health Research (SPHR). The views expressed are those of the author(s) and not necessarily those of the NHS, the NIHR or the Department of Health. 15 CBC CONFERENCE 2015 - ABOUT The UCL Centre for Behaviour Change website is a regularily updated hub for news, resources and events in the world of behaviour change. Visit us at: http://www.ucl.ac.uk/behaviour-change Social Media: Twitter: @UCLBehaveChange Facebook: UCLBehaviourChange YouTube: UCLBehaviourChange Contact Details: UCL Centre for Behaviour Change 1-19 Torrington Place, University College London London, WC1E 7HB 020 7679 1627 behaviourchange@ucl.ac.uk