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Design for
            Wellness
Creating Roadmaps for Behavior Change
Topics
Apps
Sketchnoting
Behavior change
Design
Law
Truth
What is wellness?
A state of complete physical, mental, and social well
being, not merely the absence of disease or
infirmity. (W.H.O.)

The path to wellness requires progressive,
successful, and sustained behavior change.

Goal: Create a roadmap (and eventually provide
tools) for selecting habits to master to get on the
road to wellness
The road to wellness
 Good intentions are not enough
 Behavior change methods are well known, but (so
 far) insufficiently integrated
 Vast majority of health apps are used only once
 (250K downloads)
 Cognitive reframing: Unstuck app (C)analyzes
 how you feel in this stuck moment and suggests
 what to do about it
 Behavior transformation: Lift app (B) provides
 communities to help you establish tiny habits
Why and how to get
unstuck
How do you feel
in this stuck moment?
in this stuck moment?
What archetype(s) explain
how you’re feeling now?
How can a person who feels the
way you do now ... get unstuck?
Join a community to elevate
(“Lift”) a good habit
A mapping method that
supports behavior design
 Establish language

 Define context

 Identify challenge (goals and constraints)

 Proliferate solutions

 Identify a path to success
The Interview

 Explored an interview protocol based on
 sketchnoting (or graphical recording)
 Complements behavioral approaches (e.g.,
 Tinyhabits.com) by providing a rich map
 Similar to an intake interview at a medical practice
 Participant controls the information
 Disclaimer: Not trying to diagnose illness or
 recommend treatment
Eliciting Background
 Problem
 Goal
 Values
 Motivation
 Context
 Obstacles
 Resources
Revealing problem, goal, values,
and motivation (C)
 What brought you here today?
 What is your biggest concern about your health?
 What are your values?
 Why do you care about achieving that goal?
Identifying context, obstacles,
and resources (C + a little B)
 Where are you starting?
 What obstacles prevent you from being healthier?
 Are there people or circumstances that support what
 you value?
 What people, organizations and institutions support
 you in doing what you need to do?
 What people, organizations and institutions support
 you in getting what you need to get?
Design for-wellness-wiad-v7
Participant #1
 Used to be in good shape. Now overweight.

 It’s a problem. How to overcome it?

   The biggest obstacle is me.

   Am I really ready to change?

   Change what I consider sweet: water, carrots

 Group debrief afterwards seemed invasive.
What is Behavior?
Context

Ability

Trigger

Action

Reward
How to Change?
State goal

Establish intent

Commit to a date

Prepare new habits and supports

Start
How to Change?
Context
Ability
Trigger <-- Figure it out
Action <-- Find a substitute
  Benefit: Conserve willpower
Reward
  Ex: relieve or override tension
  Ex: pride
Changing one habit

 What reward is provided by the existing habit?

 What is another way to get that reward?

 What triggers the behavior?

 Substitute a new action for the same trigger.
Design for-wellness-wiad-v7
Participant #2

 Feeling tired. Taking a nap some mornings.
 Diagnose by ruling out all more likely alternatives
 Inactive fatal disease
 Need an advocate
   To accompany a person through the process
   To pull the information together
   To help make sense of it
Making it real
 How to get into insight mode?
   Telling a story to someone who is really listening
   Older subjects are more likely to be aware of their
   mortality
 Why do we believe it can be effective?
   Cognitive + behavioral: Insight opportunity, similar
   to psychodynamics
   Behavioral: Identify triggers and context
   support: need to provide a structure
Why Sketchnote?
Guide the Interview
  Co-creation with the participant
  Critical distance
  Authority
Create a roadmap for selecting habits
to master to get on the road to wellness
Convey the results to the recipient
An enduring (but not used!) takeaway
Next steps
 Start a movement (... or get funding)
   Friendship, new habits, ownership
 Challenges
   Prove it: outcomes and effectiveness
   Help others do it
     Develop standard outputs
     Learn typical patterns
     Train sketchnoters
   Law, Truth, and Medicine
Design projects
for local groups
for local groups
 Establish language

 Define context

 Identify challenge (goals and constraints)

 Proliferate solutions

 Identify a path to success
Resources
Cognitive reframing
  Albert Ellis, Rational emotive therapy
  Aaron Beck, Cognitive behavior therapy
Habit Formation (Fogg, Duhigg)
  B J Fogg, Persuasive technology
  Duhigg, The power of habit
Technology and design
  Healthcare 2.0 NYC
  Healthcare Experience Design, March 25th
Contributors
Bruce Esrig, Adam Lerner, IxDA Northern NJ

Amanda Lyons, Visuals for Change

Bev Corwin, Bill Cole, IAI

Annie O’Brien Gonzales

Richard Herring, Valerie Rasines
Design for Wellness



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Design for-wellness-wiad-v7

  • 1. Design for Wellness Creating Roadmaps for Behavior Change
  • 3. What is wellness? A state of complete physical, mental, and social well being, not merely the absence of disease or infirmity. (W.H.O.) The path to wellness requires progressive, successful, and sustained behavior change. Goal: Create a roadmap (and eventually provide tools) for selecting habits to master to get on the road to wellness
  • 4. The road to wellness Good intentions are not enough Behavior change methods are well known, but (so far) insufficiently integrated Vast majority of health apps are used only once (250K downloads) Cognitive reframing: Unstuck app (C)analyzes how you feel in this stuck moment and suggests what to do about it Behavior transformation: Lift app (B) provides communities to help you establish tiny habits
  • 5. Why and how to get unstuck
  • 6. How do you feel in this stuck moment? in this stuck moment?
  • 7. What archetype(s) explain how you’re feeling now?
  • 8. How can a person who feels the way you do now ... get unstuck?
  • 9. Join a community to elevate (“Lift”) a good habit
  • 10. A mapping method that supports behavior design Establish language Define context Identify challenge (goals and constraints) Proliferate solutions Identify a path to success
  • 11. The Interview Explored an interview protocol based on sketchnoting (or graphical recording) Complements behavioral approaches (e.g., Tinyhabits.com) by providing a rich map Similar to an intake interview at a medical practice Participant controls the information Disclaimer: Not trying to diagnose illness or recommend treatment
  • 12. Eliciting Background Problem Goal Values Motivation Context Obstacles Resources
  • 13. Revealing problem, goal, values, and motivation (C) What brought you here today? What is your biggest concern about your health? What are your values? Why do you care about achieving that goal?
  • 14. Identifying context, obstacles, and resources (C + a little B) Where are you starting? What obstacles prevent you from being healthier? Are there people or circumstances that support what you value? What people, organizations and institutions support you in doing what you need to do? What people, organizations and institutions support you in getting what you need to get?
  • 16. Participant #1 Used to be in good shape. Now overweight. It’s a problem. How to overcome it? The biggest obstacle is me. Am I really ready to change? Change what I consider sweet: water, carrots Group debrief afterwards seemed invasive.
  • 18. How to Change? State goal Establish intent Commit to a date Prepare new habits and supports Start
  • 19. How to Change? Context Ability Trigger <-- Figure it out Action <-- Find a substitute Benefit: Conserve willpower Reward Ex: relieve or override tension Ex: pride
  • 20. Changing one habit What reward is provided by the existing habit? What is another way to get that reward? What triggers the behavior? Substitute a new action for the same trigger.
  • 22. Participant #2 Feeling tired. Taking a nap some mornings. Diagnose by ruling out all more likely alternatives Inactive fatal disease Need an advocate To accompany a person through the process To pull the information together To help make sense of it
  • 23. Making it real How to get into insight mode? Telling a story to someone who is really listening Older subjects are more likely to be aware of their mortality Why do we believe it can be effective? Cognitive + behavioral: Insight opportunity, similar to psychodynamics Behavioral: Identify triggers and context support: need to provide a structure
  • 24. Why Sketchnote? Guide the Interview Co-creation with the participant Critical distance Authority Create a roadmap for selecting habits to master to get on the road to wellness Convey the results to the recipient An enduring (but not used!) takeaway
  • 25. Next steps Start a movement (... or get funding) Friendship, new habits, ownership Challenges Prove it: outcomes and effectiveness Help others do it Develop standard outputs Learn typical patterns Train sketchnoters Law, Truth, and Medicine
  • 26. Design projects for local groups for local groups Establish language Define context Identify challenge (goals and constraints) Proliferate solutions Identify a path to success
  • 27. Resources Cognitive reframing Albert Ellis, Rational emotive therapy Aaron Beck, Cognitive behavior therapy Habit Formation (Fogg, Duhigg) B J Fogg, Persuasive technology Duhigg, The power of habit Technology and design Healthcare 2.0 NYC Healthcare Experience Design, March 25th
  • 28. Contributors Bruce Esrig, Adam Lerner, IxDA Northern NJ Amanda Lyons, Visuals for Change Bev Corwin, Bill Cole, IAI Annie O’Brien Gonzales Richard Herring, Valerie Rasines