Stanford Medicine X Proceedings
September 28-30, 2012
Table of Contents
Stanford Medicine X invited authors to submit their work to the conference, taking place at Stanford University September 28-30, 2012. Below are the approved abstracts that presented at the Stanford Medicine X 2012 Conference. They are varied and include business, practice, and research tracks, using both oral and poster presentation formats.
A selection of submissions will be eligible for publication in the conference’s partner journals, PLoS ONE and the Journal of Visualized Experiments (JoVE).
Stanford Medicine X is uniquely situated between the intersection of health and technology, at a time when both fields are experiencing rapid growth. We hope to capture the energy surrounding these two fields and channel it into a body of scholarship devoted to examining the potential of technology to improve patient-centric healthcare.
Fostering innovation in healthcare technology is only possible through collaboration between forward-thinking academics and researchers. Authors from around the world come to Medicine X to present on a variety of topics relating to technology and healthcare. Many of them seek to establish new ways of thinking about patient-centric care, exploring the opportunities technology offers to empower patients in their own healthcare. The abstracts below are a reflection of the high caliber of scholarship available at Medicine X, and I am proud of the opportunity to feature these scholars’ work.
About Medicine X
Medicine X is a 3-day conference that serves as catalyst for new ideas about the future of medicine and health care. The initiative explores how emerging technologies will advance the practice of medicine, improve health, and empower patients to be active participants in their own care.
Where other technology conferences may focus on consumer trends or business-to-business needs, Medicine X brings an academic approach to understanding emerging technologies with the potential to improve health and advance the practice of medicine. Drawing on the best traditions of Stanford—an incubator of Silicon Valley—the conference aims to ignite interdisciplinary thinking and collaboration while encouraging a rigorous, quantitatively driven approach to understanding emerging technologies.
Demo Interactive Presentations
- Proactive Health Consumer Program: Increasing Personal Responsibility for Health and Healthcare
Proactive Health Consumer Program (PHC) is an interactive, mobile-optimized computer-tailored intervention (CTI) and dynamic web portal that promotes personal responsibility for health and health care by promoting informed decision making, shared decision making between patients and health care providers, financially responsible use of health services, and engaging in ongoing wellness activities.
Sara Johnson, PhD
- Keona Online Triage to Improve Appropriate Level of Care in Primary Care Settings
Keona Health offers the revolutionary capability for patients to get recommendations from nurses online, with access to utilize patient history and leverage the time and knowledge of patients to make the nurse’s job more efficient.
- Improving Care Coordination and Patient Outcomes with Next Generation eHealth and Population Health Management Tools
Success in population health management requires physicians and care teams to strengthen relationships with patients, optimize the services they provide before and during office visits, and extend their reach to remain in contact with patients outside of the office. Through the use of eHealth, social and mobile technologies, automation tools can help practices achieve these patient intervention goals, while reducing the administrative, clinical and outreach effort that population health management requires of physicians and care teams.
Russell Olsen, Patrick Flynn
- GeneTegra: Semantic Integration of Biomedical Information
GeneTegra is a novel information integration solution to explore and query diverse data sources from a single graphical user interface. In this paper, we present a comprehensive description of the GeneTegra system and its modeling, integration, and query building and execution mechanisms.
E. Patrick Shironoshita
- A collaborative family health history
Despite widespread agreement on the clinical utility of family medical histories, there exists no easy-to-use tool for collecting them from, and distributing them to, family members. The 23andMe family tree can be the nerve center of a patient’s health: a network of family disease, genetic, and phenotypic information rolled into a sensible report for doctors and patients alike.
- Automated Presentation of Medical Knowledge Objects from a Peer Generated Database During Clinical Encounter Documentation
The purpose of this abstract is to present a proof of concept for automated generation and presentation of case-relevant medical knowledge objects from a peer generated database during documentation of a clinical encounter.
- Using Animated Computer-generated Text and Graphics to Depict the Risks and Benefits of Medical Treatment
Conventional print materials for presenting risks and benefits of treatment often lack visual salience and may be difficult to understand. This study, therefore, was undertaken to evaluate and compare subjects’ understanding and perceptions of risks and benefits presented using animated computerized text and graphics.
Robert Levine, MD
- Reducing diabetes with internet-based technology: Alive-PD
Alive-PD focuses on increasing physical activity and improving food habits, leading to weight loss. If proven effective, Alive-PD could become an important component of the standard of care for those with pre-diabetes, owing to the low cost of its delivery.
Gladys Block, PhD
- The Personas of Well-being
MeYou Health, a healthcare start-up, was founded to engage, educate and empower people to pursue healthy lifestyles. Working with our client, we saw an opportunity to engage people’s social networks to promote well-being concepts and sustained healthy living through game design.
- Human Practice
By leveraging and augmenting existing social networks, Human Practice enables physicians and, for the first time, the general public to reach out far more effectively to find the right healthcare professionals.
Moses Hohman, PhD
- Breaking down clinical barriers with design: prototyping your way to disruptive technology
In this talk, a specialist with over a decade of experience in the health care and design industry, demonstrates how design tools can help uncover user needs, quickly generate solutions, and minimize risks in healthcare.
- Serenity through Tech: How emerging technologies are helping with relief from stress, anxiety and post-traumatic stress disorders
Stress often plays out on the frontiers of medicine, with its reach extending from neuropsychiatric disorders like depression, anxiety and addiction, to chronic and degenerative diseases like heart disease, diabetes and cancer. This abstract discusses and evaluates three compelling areas in which emerging technologies are helping make dramatic advances in relief from stress, anxiety and post-traumatic stress disorders.
- YouMeIBD – An Interactive Online Matchmaker for Patients of IBD/Crohn’s Disease
While surveys among IBD patients show that 87% of patients prefer Facebook to connect to other patients, the network density and communication frequency in these groups is remarkably low and unsatisfactory for patients. Intially targeted for the inflammatory bowel disease (IBD) community, YouMeIBD is intended to be a non-profit prototype, to be extended to other chronic disease groups.
- Web-Based Simulation Games for Medical Education
Educational applications using simulation games, available through the web, represent a new educational aid, pedagogically efficient in explaining complex pathophysiological processes.
- Development of a Personal Health Record with a Diabetes Self-management Tool for Portuguese-speaking Patients
The first-ever PHR in Portugal has been freely available on the web since May 2010. Patient-centered design was employed to guide the development process of this Internet-based, personally controlled, health information system. Furthermore, the “Research-based web design and usability guidelines” were followed throughout the entire project and several usability tests took place during the iterative process.
- The Medical Futures Lab: Digital Knowledge Design for Medical Education
The millennial generation entering medical school today has grown up blending face-to-face communication with digital interfaces, finding and creating knowledge on Wikipedia, and playing collaborative games online. Medical education must build on these students’ skills by integrating their intuitive digital capabilities with critical, ethical understanding and immersive, “experiment-and-improve” learning.
- Turning the daily nebulizer struggle into nurturing moments for parent and child – Designing for Pediatric Adherence and Asthma
To understand the families’ attitude towards asthma, eight technology-savvy families with at least one child between the ages of 5- and 11-years-old diagnosed with asthma participated in the qualitative research. Synthesizing the findings into a design framework and design principles inspired the development of Magic Mask, an interactive storybook prototype.
- Virtual Sprouts: A Mobile Gardening Game to Prevent and Treat Obesity
Using anytime, anywhere technology (mobile/internet) to deliver an engaging gardening game, Virtual Sprouts seeks to decrease childhood obesity in vulnerable populations.
- Automated Web-Based Behavioral Diagnostics for Early Detection of Alzheimer’s Disease
We aim to develop VPC-Web, an automated version of the VPC test, which would enable cognitive assessment of patients and research subjects using any computer with internet access.
- Using Electronic Medical Records to Improve Primary Care in British Columbia: A Failure or Success?
Despite minimal independent research, over the last five years electronic medical records (EMR) in Canada and, more specifically, British Columbia, have been the subject of arduous debate. This presentation reviews the existing literature, the recent BC experience with EMRs, and makes several recommendations for improved implementation.
Francisco Grajales III
- Patients’ ratings of family physicians on the internet: usage and associations with conventional measures of quality in the English NHS
This study examines usage patterns of NHS Choices, a government website which encourages patients to rate the quality of family practices in England, and associations between web-based patient ratings and conventional measures of patient experience and clinical quality.
- The Effects of Complementary Therapies Delivered Via Mobile Technologies on Surgical Patients’ Reports of Anxiety, Pain and Self-Efficacy in Healing: A Randomized Controlled Trial
The scientific value and anticipated gain is to determine if Complementary and Alternative Therapy (CAT) delivered via mobile technology has a positive impact on reducing anxiety, pain and improve self-efficacy in healing for surgical patients.
- Are Doctor Reviews Too Scarce to Be Valuable?
Understanding in more detail the nature of and underlying reasons for the scarcity of doctor reviews is important, both to confirm the trend more thoroughly and because a deeper understanding could aid the design of better tools that provide more value to patients and physicians.
Sehjin Han, MD
- Case Studies of Implementation of Interactive E-Health Tools on Hospital Web Sites
How a hospital can best serve its patients/users online apparently needs further investigation. This study investigated three best-practice cases of hospitals to demonstrate the determinants and outcomes of successful eHealth implementation.
- Wireless Pain Intervention Program for At Risk Youth With Sickle Cell Disease
This is the first study in which children and adolescents with SCD used smartphones to report their symptoms and pain to an APRN who helped them to deal with and resolve their problems using a wireless system.
- Preliminary Effects of Three Different Motivational Frames in Promoting Physical Activity Using Smartphones
While there has been an explosion of mobile phone applications (apps) aimed at physical activity and other health behaviors, few are based on scientific theory and evidence. A major objective of this research is to evaluate the efficacy of smartphone apps harnessing different motivational frames to promote initial physical activity adoption.
- Extended Model of Virtual Communities Goal-Directed Behavior, the Role of Hedonic Value and Trust on Patients Communities Online Action
Online interactions are becoming a significant part of patients’ expectations and behaviors defining social media for health-related communication. What are the main values in patients using social networks? Are patients more susceptible to factors related to emotion because of their mental fragility, compared to typical users? Are issues related to trust and private data major obstacles to the patients’ online action?
- Glu together as one: An Innovative Online Social Network For Engaging Patients with Type 1 Diabetes and their Caregivers and Advancing Research to Improve the Lives of Patients with Type 1 Diabetes
We describe the development and design of a social network for adults and children with type 1 diabetes (T1D) and their caregivers, and planned activities for leveraging research opportunities within a social network.
Joyce Lee, MD
- Direct-to-Consumer Social Media Advertising Risk Assessment Study for Illicit Online Drug Sales
Illicit online drug sellers represent a global public health and patient safety risk that remains unaddressed. The results of this study show there are few barriers to entry into the illicit online pharmacy trade through creation of illicit marketing and high traffic social media outlets.
- Online Social Networking as an Alternative Information Source for Clinical Research
Patient perspectives gathered and shared over social networking sites provide different information regarding symptoms and symptomatic treatment than traditional research data sources, such as survey results and medical records.
Qing Zeng, PhD
- Using computer tablets to empower breast cancer patients undergoing radiation therapy treatment
Efficient information dispersal and effective communication are key issues in increasing quality of care for patients undergoing radiation therapy. Our aim is to explore the potential usefulness of computer tablets as an enabling device for making patient-staff information interchange more accessible and efficient.
- Tendrils: Sexual Renewal for Women after Cancer: Randomized trial of a multimedia, interactive intervention
A multimedia, interactive intervention to improve sexual function and satisfaction. The target audience includes women with any cancer site or stage, across the disease timeline.
Leslie Schover, PhD
- Scaling population-focused HIV prevention through social networking technologies
The purpose of this study is to determine the feasibility, acceptability, and preliminary effectiveness of using social networking technologies as a platform for a peer-delivered HIV prevention intervention among African American and Latino men who have sex with men.
Sean Young, PhD, MS
- What happens when you combine the participatory design research approach and a patient engagement company for a mHealth study?
The objective of this study is to use a participatory design approach, an interactive, iPad-based data collection tool, and investigate the participatory medical model within the context of delivering short message service (SMS) (i.e., text messages) to improve medication adherence in patients with Type 2 Diabetes Mellitus.
Kevin Clauson, PharmD, Dana Lewis, Boris Glants
- Enterprise Tools for Patient Centered Care
To date, patient-centered care has been a noble cause in search of actionable tools. The current challenge is how to deliver patient-centered care on an enterprise scale using a well-defined formula, coupled with effective tools. Our research has established four universal needs of every patient, which we call “Select”, “Connect”, “Inform”, and “Engage”.
Bob Bartlett, MD
- Augmenting Self-Management of Irritable Bowel Syndrome With Wearable Sensors and Detection of Activities of Daily Living
This system has the potential to provide patients and their care providers with high quality, objective information about their food intake, stress response and symptoms. In doing so, we hope to enable patients to better manage their symptoms, improving their quality of life and reducing the overall burden of IBS on the health care system.
- Bringing Mobile and Data Analysis to Resident Education: Slick Evals using Validated Metrics
Using validated metrics and customized questions, SLICKeR provides a platform for evaluations to occur more easily and for the responses to be more valuable. Residents and attendings are able to complete real-time evaluations, maintain case logs, and track improvement over time.
Eric Leroux, MD
- An Excel-based e-Staging Tool for Tumors
This tumor e-Staging tool has been rendered on Excel webpage (.mht) format. The first page of the tool will give the physician the option to select the particular tumor whose Staging is under consideration. Once on that tumor page, the physician will be asked to select successively the appropriate T, N and M status of that tumor. It will take the physician seamlessly through the three steps. The final page will give the Clinical Stage of that tumor in the patient.
- Clinical Clerkship of Breast Surgery: Embedding medical education and professionalism in internet-based technology and Web 2.0
The aim of this study was to design and implement the clinical clerkship of a breast surgery web 2.0 strategy, and to optimize time and resources in a surgical clerkship teaching strategy in the department of surgery at the Hospital Universitario San Ignacio and the Pontificia Universidad Javeriana, Bogota, Colombia.
Nick Tarazona, MD
- Man Diet Plan: Report of a 24 Day Beta Test of an Online, Gender-Specific, Fat Loss Eating Plan Utilizing Predictive Analysis of Testosterone Levels, Text Messaging and Community Competition
We designed an online, gender-specific eating and fitness plan which draws upon men’s metabolic advantages, inherent competitive spirit, modern mobile technology, and a predictive analysis algorithm for total testosterone level to assist men interested in the Man Plan Diet.
John LaPuma, MD
- Exploring the content of sports concussion apps for use by parents of youth sports participants
Concussions arising from participation in sports are a major public health concern as these injuries to the brain have both short- and long-term consequences. The purpose of this study was to identify and review apps related to the assessment of sports concussions which were specifically targeted towards the parents’ of youth sport participants.
- I ate too much! Overeating, Abdominal Pain, and Tweeting to Tell About It
The goal of this study to use tweets to analyze the phenomenon of overindulgence to the point of pain during the holidays. Specifically we have aimed to analyze whether there is increased postprandial abdominal pain during the holidays as opposed non-holidays, and to determine whether abdominal pain secondary to overeating occurs more frequently on the actual holiday or the day after.
- Digital Anamorphosis – Complexity, Cognition and the Mediated Body
The emerging ecosystem of shared information streams and the relevant network of actors (patients, doctors, technologists/innovators, and users) raises several interesting research questions about their increasingly widespread usage, applications, and effects- a few of which we hope to be address in this research.
- Human centered design: The challenge of patient’s health care education in patients with colorectal cancer
The information collected from the design team through observations and context immersions allowed us to obtain information about patients, their different scenarios, and tools used by them to interact with their hospital.
Nick Tarazona, MD
- Evidence Based Surgery: Read, think, write and talk with Web 2.0 generation medical students
A structured program was created for medical students from 4 basic premises: read, think, write and talk. For this, the project was developed through social networks and cloud platforms.
Nick Tarazona, MD
- VioWell: The Automated Guidance Tool that promotes Therapeutic Lifestyle Changes in Medical Encounters
VioWell incorporates a new graphical data collection method that reliably assesses dietary intake. Results are immediately available and include a food pattern analysis, list of foods and nutrients consumed, and a list of practical, targeted suggestions for food changes.
- LIVE ARCHITECTURE: body-fed design
If ‘Architecture’ fundamentally grew out of a need to limit our exposure of our bodies from forces of nature that cause harm when experienced in extremes (temperature, wind and sunlight exposure, storms, wildlife) then it seems apt time to make use of advancing technologies to investigate deeper the complexities of our inner ecosystems to inform our built environments.
Monika Wittig, Lance Walters
- The Age of Social Media Andragogy: Transparent, Interactive and Meaningful Communities of Learning
This abstract presents an overview of how popular social media tools such as Twitter, Wikieducator, YouTube and Facebook are being used for education and demonstrate some healthcare-specific social media learning environments that we use at our institutions to assist with student learning.
Margaret Hansen and Chris Paton
- Opportunity Mapping at the Intersection of Health, Technology and Design
A unique design thinking process called “Opportunity Mapping” – what you develop and the way you deliver it, integrating all stakeholders in the process – is essential in creating easy, appropriate access to a personalized healthcare experience and the devices and technology that support it.