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In 2014, he won a California Journalism Award for his coverage of ride services like Uber and Lyft and the taxi industry. A veteran blogger, he previously worked for Yahoo! in various news writing and editing roles. Jon is also a playwright whose work has been produced in San Francisco, New York, Italy, and around the U.S. He has written about film for his own blog and studied film at Boston University.","avatar":"https://secure.gravatar.com/avatar/98887f7ed1c876ed414d4c915e969584?s=600&d=blank&r=g","twitter":"jbrooksfoy","facebook":null,"instagram":null,"linkedin":null,"sites":[{"site":"arts","roles":["Contributor","editor"]},{"site":"news","roles":["author"]},{"site":"futureofyou","roles":["administrator"]},{"site":"mindshift","roles":["editor"]},{"site":"stateofhealth","roles":["editor"]},{"site":"science","roles":["administrator"]},{"site":"quest","roles":["editor"]}],"headData":{"title":"Jon Brooks | KQED","description":"Digital Editor","ogImgSrc":"https://secure.gravatar.com/avatar/98887f7ed1c876ed414d4c915e969584?s=600&d=blank&r=g","twImgSrc":"https://secure.gravatar.com/avatar/98887f7ed1c876ed414d4c915e969584?s=600&d=blank&r=g"},"isLoading":false,"link":"/author/jbrooks"},"cfarr":{"type":"authors","id":"3252","meta":{"index":"authors_1591205172","id":"3252","found":true},"name":"Christina Farr","firstName":"Christina","lastName":"Farr","slug":"cfarr","email":"cfarr@kqed.org","display_author_email":false,"staff_mastheads":[],"title":null,"bio":"Christina Farr (\u003ca href=\"https://twitter.com/chrissyfarr\">@chrissyfarr\u003c/a>) is the former editor and host of Future of You. She was previously with Reuters, covering digital health and Apple and before that, she reported for Venture Beat. Christina was born and raised in London and has graduate degrees from University of London and the Stanford School of Journalism. Farr’s work has appeared in a variety of publications, including the New York Times, the Daily Telegraph, the Bay Citizen and SFGate.com. She has appeared as a featured expert on NBC, ABC and Reuters TV, among others, and frequently speaks at health and technology conferences. She is also co-founder of Ladies Who Vino, a networking group for women in technology and business.","avatar":"https://secure.gravatar.com/avatar/22c63869a7901c61c15e204391c1261d?s=600&d=blank&r=g","twitter":null,"facebook":null,"instagram":null,"linkedin":null,"sites":[{"site":"futureofyou","roles":["administrator"]},{"site":"stateofhealth","roles":["author"]},{"site":"science","roles":["editor"]}],"headData":{"title":"Christina Farr | KQED","description":null,"ogImgSrc":"https://secure.gravatar.com/avatar/22c63869a7901c61c15e204391c1261d?s=600&d=blank&r=g","twImgSrc":"https://secure.gravatar.com/avatar/22c63869a7901c61c15e204391c1261d?s=600&d=blank&r=g"},"isLoading":false,"link":"/author/cfarr"}},"breakingNewsReducer":{},"campaignFinanceReducer":{},"firebase":{"requesting":{},"requested":{},"timestamps":{},"data":{},"ordered":{},"auth":{"isLoaded":false,"isEmpty":true},"authError":null,"profile":{"isLoaded":false,"isEmpty":true},"listeners":{"byId":{},"allIds":[]},"isInitializing":false,"errors":[]},"navBarReducer":{"navBarId":"home","fullView":true,"showPlayer":false},"navMenuReducer":{"menus":[{"key":"menu1","items":[{"name":"News","link":"/","type":"title"},{"name":"Politics","link":"/politics"},{"name":"Science","link":"/science"},{"name":"Education","link":"/educationnews"},{"name":"Housing","link":"/housing"},{"name":"Immigration","link":"/immigration"},{"name":"Criminal Justice","link":"/criminaljustice"},{"name":"Silicon Valley","link":"/siliconvalley"},{"name":"Forum","link":"/forum"},{"name":"The California Report","link":"/californiareport"}]},{"key":"menu2","items":[{"name":"Arts & Culture","link":"/arts","type":"title"},{"name":"Critics’ Picks","link":"/thedolist"},{"name":"Cultural Commentary","link":"/artscommentary"},{"name":"Food & Drink","link":"/food"},{"name":"Bay Area Hip-Hop","link":"/bayareahiphop"},{"name":"Rebel Girls","link":"/rebelgirls"},{"name":"Arts Video","link":"/artsvideos"}]},{"key":"menu3","items":[{"name":"Podcasts","link":"/podcasts","type":"title"},{"name":"Bay Curious","link":"/podcasts/baycurious"},{"name":"Rightnowish","link":"/podcasts/rightnowish"},{"name":"The Bay","link":"/podcasts/thebay"},{"name":"On Our Watch","link":"/podcasts/onourwatch"},{"name":"Mindshift","link":"/podcasts/mindshift"},{"name":"Consider This","link":"/podcasts/considerthis"},{"name":"Political Breakdown","link":"/podcasts/politicalbreakdown"}]},{"key":"menu4","items":[{"name":"Live Radio","link":"/radio","type":"title"},{"name":"TV","link":"/tv","type":"title"},{"name":"Events","link":"/events","type":"title"},{"name":"For Educators","link":"/education","type":"title"},{"name":"Support KQED","link":"/support","type":"title"},{"name":"About","link":"/about","type":"title"},{"name":"Help Center","link":"https://kqed-helpcenter.kqed.org/s","type":"title"}]}]},"pagesReducer":{},"postsReducer":{"stream_live":{"type":"live","id":"stream_live","audioUrl":"https://streams.kqed.org/kqedradio","title":"Live Stream","excerpt":"Live Stream information currently unavailable.","link":"/radio","featImg":"","label":{"name":"KQED Live","link":"/"}},"stream_kqedNewscast":{"type":"posts","id":"stream_kqedNewscast","audioUrl":"https://www.kqed.org/.stream/anon/radio/RDnews/newscast.mp3?_=1","title":"KQED Newscast","featImg":"","label":{"name":"88.5 FM","link":"/"}},"futureofyou_379828":{"type":"posts","id":"futureofyou_379828","meta":{"index":"posts_1591205157","site":"futureofyou","id":"379828","score":null,"sort":[1495734058000]},"guestAuthors":[],"slug":"tech-insiders-call-out-facebook-for-literally-manipulating-your-brain","title":"Tech Insiders Call Out Facebook for Literally Manipulating Your Brain","publishDate":1495734058,"format":"standard","headTitle":"KQED Future of You | KQED Science","labelTerm":{},"content":"\u003cp>In today's world, you'd have to be looking at your phone all the time not to notice that people are looking at their phones all the time.\u003c/p>\n\u003caside class=\"pullquote alignright\">'The tycoons of social media have to stop pretending that they're friendly nerd-gods building a better world, and admit they're just tobacco farmers in t-shirts selling an addictive product to children.'\u003ccite>Bill Maher, on his HBO show\u003c/cite>\u003c/aside>\n\u003cp>Some device owners are so enamored of their digital companions that even \u003ca href=\"https://www.youtube.com/watch?v=fTOZjXjaCaE\" target=\"_blank\" rel=\"noopener noreferrer\">crossing a busy street\u003c/a> doesn't merit a little look-see at the 3-D world. Last year, when it came to \u003ca href=\"//ww2.kqed.org/futureofyou/2016/07/22/the-number-of-accident-reports-related-to-pokemon-go-is-getting-scary/\" target=\"_blank\" rel=\"noopener noreferrer\">playing\u003c/a> Pokémon Go, \u003ca href=\"https://www.youtube.com/watch?time_continue=1&v=KvA9ZgC73vc\" target=\"_blank\" rel=\"nasioopener noopener noreferrer\">driving a car\u003c/a> or \u003ca href=\"http://www.cnn.com/2016/07/15/health/pokemon-go-players-fall-down-cliff/\" target=\"_blank\" rel=\"noopener noreferrer\">walking toward a cliff\u003c/a> didn't rate some people's full attention, either.\u003c/p>\n\u003cp>[contextly_sidebar id=\"uCXUgpDo1aspjSPrtQWwsV2HUIwMUSVL\"]Recently, a former Google \"design ethicist\" named Tristan Harris has been on a crusade of sorts calling out tech companies like Facebook, Google and Apple for using behavioral techniques and neuroscience to keep you compulsively glued to your phone and computer screens.\u003c/p>\n\u003cp>Harris' campaign is starting to get a lot of media attention -- last month, \"60 Minutes\" ran a \u003ca href=\"http://www.cbsnews.com/news/brain-hacking-tech-insiders-60-minutes/\" target=\"_blank\" rel=\"noopener noreferrer\">segment\u003c/a> looking at the issue. That was followed by the comedian and tele-muckraker Bill Maher making it the subject of one of his HBO commentaries.\u003c/p>\n\u003cp>\"The tycoons of social media have to stop pretending that they're friendly nerd-gods building a better world, and admit they're just tobacco farmers in t-shirts selling an addictive product to children,\" Maher opined. \"Because let's face it, checking your 'likes' is the new smoking.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"Apple, Google, Facebook? They are essentially drug dealers.\"\u003c/p>\n\u003cp>Here's Maher's take (replete with his signature politically incorrect raunch):\u003c/p>\n\u003cp>https://www.youtube.com/watch?v=KDqoTDM7tio\u003c/p>\n\u003cp>While the comedian's view may seem over-the-top, KQED's Lesley McClurg recently reported the \u003ca href=\"https://ww2.kqed.org/futureofyou/2017/04/17/theres-growing-consensus-the-internet-is-addictive/\" target=\"_blank\" rel=\"noopener noreferrer\">story\u003c/a> of a middle-school girl who became hooked on watching YouTube, before her parents sent her to to an actual addiction recovery clinic. The cost: $60,000, paid partly from their retirement accounts.\u003c/p>\n\u003cp>In reporting that story, McClurg interviewed Harris, the former Google ethicist. He called the practice of tech companies using scientific techniques that foster compulsivity \"brain hacking.\" Harris now runs a nonprofit called\u003ca href=\"http://www.timewellspent.io/\" target=\"_blank\" rel=\"noopener noreferrer\"> Time Well Spent\u003c/a>, whose home page invites people to \"reclaim our minds from being hijacked by technology.\"\u003c/p>\n\u003cp>https://www.youtube.com/watch?list=PLtLeT9oxQnyqag7AVKQn1-WYUhKAHzj-b&v=tf9ZhU7zF8s\u003c/p>\n\u003cp>Speaking about the current power of Google, Facebook and Apple to command our collective gaze, Harris tells McClurg: \"Never before in history have a handful of technology designers working at three tech companies ... influenced how a billion people spend their attention.\"\u003c/p>\n\u003cp>Harris says that good, ethical design is being trumped by the quest for profit.\u003c/p>\n\u003cp>\"If your company’s goal and your stock price is based on how much attention they get from someone, it’s not really about ethics,\" he says. \"\u003cspan style=\"font-weight: 400\">They just have to do whatever it takes to get attention.\"\u003c/span>\u003c/p>\n\u003cp>And that has created an eyeballs-seeking arms race.\u003c/p>\n\u003caside class=\"pullquote alignright\">'Asking technology companies, asking content creators to be less good at what they do feels like a ridiculous ask.'\u003ccite>Gabe Zichermann, author of 'The Gamification Revolution,' speaking to '60 Minutes'\u003c/cite>\u003c/aside>\n\u003cp>\"After you finish watching a YouTube video,\" Harris notes, \"it auto-plays the next one right away, so you don't have to make a conscious choice. Let's say that creates a 5 percent lift in how much time people spend on YouTube. So Facebook is sitting there watching their traffic get siphoned away, and Facebook says we have to make our videos auto-play, too.\" (Neither Google nor Facebook returned a request for comment.)\u003c/p>\n\u003cp>Facebook, meanwhile, has every incentive to keep you mousing through its news feed so it can sell more ads. Harris says that's one reason the company uses continuous scroll, so that new content will keep opening up as you hit the bottom of the page. But he thinks a more ethical design would be to enable what an individual user wants to do at any given moment.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">\"Let's say \u003c/span>\u003cspan style=\"font-weight: 400\">your friend texts you that dinner's off,\" he says. \"\u003c/span>\u003cspan style=\"font-weight: 400\">So there you are with \u003c/span>\u003cspan style=\"font-weight: 400\">no plans, and you\u003c/span>\u003cspan style=\"font-weight: 400\"> open up Facebook. A\u003c/span>\u003cspan style=\"font-weight: 400\">t that moment, Facebook has \u003c/span>\u003cspan style=\"font-weight: 400\">about 1,000 people whose job is to get you to just click and scroll and \u003c/span>\u003cspan style=\"font-weight: 400\">watch stuff on the news feed. And that will work. You'll probably end up \u003c/span>\u003cspan style=\"font-weight: 400\">sitting there, an hour later, just kind of having scrolled through the news feed.\"\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">At which point, says Harris, you will have fulfilled Facebook's mission, but perhaps not your own. \u003c/span>\u003c/p>\n\u003caside class=\"pullquote alignright\">'It's not that we \u003cem>shouldn't\u003c/em> be concerned about book burning, but we \u003cem>should\u003c/em> be concerned about a society that distracts us from even wanting to read.' \u003ccite>Tristan Harris, former Google design ethicist\u003c/cite>\u003c/aside>\n\u003cp>But what if Facebook actually asked you what you wanted to do, apart from just using Facebook? Like perhaps finding other people who have no plans?\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">\"It’s about agency,\" says Harris. \"Facebook would have to have some way before you just get dropped in the newsfeed, to say, 'What do you want right now?'\u003c/span>\u003c/p>\n\u003cp>B.J. Fogg runs the Persuasive Technology Lab at Stanford, which teaches students to use these sticky techniques. Many employees of top tech companies, including a cofounder of Instagram, have participated in the lab.\u003c/p>\n\u003cp>Fogg says he got to know some of the early Facebook employees, and found them genuinely motivated by a desire to do good.\u003c/p>\n\u003cp>\"The individual people at Facebook, the people that I met, really wanted to make the world more harmonious, bring people together, create empathy and so on,\" he says.\u003c/p>\n\u003cp>\"Where I think Tristan (Harris) and I would agree a lot is that often their business goals can be at odds with the human-centered approach to design. There's a conflict there between what they need to do as an advertising company and what's going to be really good for people.\"\u003c/p>\n\u003cp>\u003cstrong>Amusing Ourselves to Death\u003c/strong>\u003c/p>\n\u003cp>The reason this matters so much is that technology is going to get more and more persuasive, says Harris.\u003c/p>\n\u003cp>\"We're sitting \u003cspan style=\"font-weight: 400\">at the very edge of what will become a virtual reality and \u003c/span>\u003cspan style=\"font-weight: 400\">augmented reality world. \u003c/span>\u003cspan style=\"font-weight: 400\">If those worlds are e\u003c/span>\u003cspan style=\"font-weight: 400\">ven more persuasive in getting us to spend our time there, where is hum\u003c/span>\u003cspan style=\"font-weight: 400\">an agency in that process?\" \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">And then a warning.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">\"We have to have that conversation now because right now it's \u003c/span>\u003cspan style=\"font-weight: 400\">driving toward not a good direction.\"\u003c/span>\u003c/p>\n\u003caside class=\"pullquote alignright\">'We have now developed a rigorous technology of the human mind, and that is both exciting and terrifying. We have the ability to twiddle some nobs in a machine learning dashboard we build, and around the world hundreds of thousands of people are going to quietly change their behavior ... .'\u003ccite>Ramsay Brown, co-founder, Dopamine Labs\u003c/cite>\u003c/aside>\n\u003cp>He cited a 1985 book, \"\u003ca href=\"https://en.wikipedia.org/wiki/Amusing_Ourselves_to_Death\" target=\"_blank\" rel=\"noopener noreferrer\">Amusing Ourselves to Death\u003c/a>,\" by Neil Postman, that distinguished between two dystopian visions.\u003c/p>\n\u003cp>\"There's one that most people already know: the \"1984\" Big Brother, surveillance future. We have all been trained to look out for that.\u003c/p>\n\u003cp>\"But there is this subtler second vision of power, which was the Aldous Huxley vision in \"\u003ca href=\"https://en.wikipedia.org/wiki/Brave_New_World\" target=\"_blank\" rel=\"noopener noreferrer\">Brave New World\u003c/a>,\" that's so good at giving us amusement and little bits of trivia. In other words, it's not that we \u003cem>shouldn't\u003c/em> be concerned about book burning, but we \u003cem>should\u003c/em> be concerned about a society that distracts us from even wanting to read.\"\u003c/p>\n\u003cp>\u003cstrong>It's the Dopamine\u003c/strong>\u003c/p>\n\u003cp>Ramsay Brown is the co-founder of \u003ca href=\"https://usedopamine.com/\" target=\"_blank\" rel=\"noopener noreferrer\">Dopamine Labs\u003c/a>, which uses artificial intelligence and neuroscience to help app writers attract and retain users.\u003c/p>\n\u003cp>Dopamine Labs makes no bones about what it's trying to do. From a \u003ca href=\"https://usedopamine.com/assets/pdf/Dopamine%20Labs%20Case%20Studies.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">promotional document\u003c/a> on its website.:\u003c/p>\n\u003cblockquote>\u003cp>Keeping users engaged isn’t luck: it’s science. Give users the right \u003ca href=\"https://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2017/05/burst.jpg\">\u003cimg class=\"alignnone size-full wp-image-392383\" src=\"https://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2017/05/burst.jpg\" alt=\"\" width=\"71\" height=\"63\">\u003c/a> of dopamine at the right moment and they’ll stay longer and use your app more.\"\u003c/p>\u003c/blockquote>\n\u003cp>Dopamine is a neurotransmitter associated with rewards and addictive substances. The company is not just being glib when it says it will deliver the chemical to users. Dr. Elias Aboujaoude, the director of Stanford’s Obsessive Compulsive Disorder Clinic, told KQED's McClurg that dopamine and other feel-good brain chemicals spike in people who compulsively use the internet.\u003c/p>\n\u003cp>Brown told me that social media companies use a concept known as variable rewards, something that slot machines use to hook gamblers, to similarly keep users clicking.\u003c/p>\n\u003cp>\"The brain isn't particularly craving any one little feel-good signal as much as it does a really good rhythm and pattern,\" Brown said. Both he and Harris say Facebook and Instagram tailor the timing of the \"notifications\" they deliver to users -- the messages you get that are indicated by a number in red at the top right of the screen -- in order to deliver shots of dopamine to users at times determined by an algorithm.\u003c/p>\n\u003cp>\"Sometimes there’s nothing waiting for you, sometimes there’s a friend request or someone wrote on your wall,\" Brown told me. \"Sometimes there’s just kind of like filler crap. It’s not pertinent to your life, but Facebook's algorithms have figured out that showing it to you then is going to be slightly more surprising then not showing it to you at all or showing it to you later.\"\u003c/p>\n\u003cp>These patterns will keep you coming back.\u003c/p>\n\u003cp>I asked Brown how he knew that's what Facebook was doing.\u003c/p>\n\u003cp>\"It's obvious to anyone who knows the techniques,\" he said.\u003c/p>\n\u003cp>https://www.youtube.com/watch?v=gvQxtotEX-M\u003c/p>\n\u003cp>In the \"60 Minutes\" segment, Larry Rosen, a professor of psychology at California State University, Dominguez Hills, who researches the psychology of tech, said typically, people check their phones every 15 minutes or less. They're not just craving dopamine; he said they're seeking relief from the stress hormone cortisol.\u003c/p>\n\u003cp>\"Half of the time, they check their phone, there’s no alert, no notification,\" said Rosen. \"It’s coming from inside their head, telling them, 'Gee I haven’t checked on Facebook for a while, I haven’t checked on this Twitter feed for a while. I wonder if someone commented on my Instagram post. That then generates cortisol and it starts to make you anxious. Eventually your goal is to get rid of that anxiety, so you check in.\"\u003c/p>\n\u003cp>As Anderson Cooper of \"60 Minutes\" put it: \"Their research suggests our phones are keeping us in a continual state of anxiety in which the only antidote is the phone.\"\u003c/p>\n\u003cp>\u003cstrong>Doing Good\u003c/strong>\u003c/p>\n\u003cp>Ramsay Brown says his own company uses this type of research to help only businesses or organizations it has determined are trying to do good.\u003c/p>\n\u003cp>\"To break the habits we don't want in ourselves or make the habits we do want in ourselves,\" as he puts it.\u003c/p>\n\u003cp>To that end, Dopamine Labs created an \u003ca href=\"http://youjustneedspace.com/\" target=\"_blank\" rel=\"noopener noreferrer\">app\u003c/a> called \"Space,\" intended to help users break troublesome online habits by creating a delay before certain apps will open.\u003c/p>\n\u003cp>Apple initially denied the app for placement in its app store. Brown says he was told by an Apple rep that the rejection came because any app that encouraged people to use other apps less was inappropriate for the store. After the \"60 Minutes\" segment aired, Apple \u003ca href=\"https://itunes.apple.com/us/app/space-because-you-need-a-breather/id1187106675?mt=8\" target=\"_blank\" rel=\"noopener noreferrer\">accepted \u003c/a>the app. (An Apple spokesperson said the rejection had to do with a technical issue and that \"The adjustment had nothing to do with whether the app discouraged people from using other apps or not.\")\u003c/p>\n\u003cp>Even though Dopamine Labs might choose clients according to its own definition of doing good, I wondered if the application of techniques that are as powerful and potentially insidious as he and other researchers say they are is justified, no matter what the product.\u003c/p>\n\u003cp>\"We are in a bit of a Robert Oppenheimer moment,\" Brown said, citing the scientist who is often called the father of the atomic bomb, and who later expressed a deep ambivalence about his work\u003cb>.\u003c/b>\u003c/p>\n\u003cp>\"We have now developed a rigorous technology of the human mind, and that is both exciting and terrifying. We have the ability to twiddle some nobs in a machine learning dashboard we build, and around the world hundreds of thousands of people are going to quietly change their behavior in ways that, unbeknownst to them, feel second-nature but are really by design.\"\u003c/p>\n\u003cp>\"Which means that there's a deep ethical imperative for us to use it for good.\"\u003c/p>\n\u003cp>\u003cstrong>So What's the Harm?\u003c/strong>\u003c/p>\n\u003cp>As KQED's McClurg reported, addictions to social media, video games, texting, shopping and pornography are not officially listed disorders in the Diagnostic and Statistical Manual of Mental Disorders. A consensus is growing, however, that compulsive online behavior is doing real harm.\u003c/p>\n\u003cp>Hundreds of papers have been written on the \u003ca href=\"https://ww2.kqed.org/futureofyou/2016/07/06/does-facebook-really-make-you-depressed/\" target=\"_blank\" rel=\"noopener noreferrer\">negative consequences of using Facebook\u003c/a>, alone. While some studies have also shown positive effects, Jean Twenge, a professor of psychology at San Diego State University and the author of \"Generation Me,\" says more rigorous research has come to a more negative conclusion.\u003c/p>\n\u003cp>“Its pretty clear these days that spending more time on social media leads to a\u003ca href=\"https://www.ncbi.nlm.nih.gov/pubmed/28093386\" target=\"_blank\" rel=\"noopener noreferrer\"> more negative mood\u003c/a>,” she said.\u003c/p>\n\u003cp>Twenge says her research shows that the proliferation of the smartphone is having big effects on people born around 1995. She say that's when the millennial generation morphs into \"iGen\" -- also known as \u003ca href=\"https://en.wikipedia.org/wiki/Generation_Z\" target=\"_blank\" rel=\"noopener noreferrer\">Generation Z\u003c/a>.\u003c/p>\n\u003cp>She pointed to the \u003ca href=\"https://www.bls.gov/emp/ep_table_303.htm\" target=\"_blank\" rel=\"noopener noreferrer\">plummeting employment rate of young men\u003c/a> as one macro-development related to iGen, and \u003cspan style=\"font-weight: 400\">cited \u003c/span>the work of University of Chicago economist Erik Hurst. Last year, in a university \u003ca href=\"https://bfi.uchicago.edu/news/scholar-profile/faculty-spotlight-erik-hurst\" target=\"_blank\" rel=\"noopener noreferrer\">profile\u003c/a>, Hurst discussed his research on the dwindling percentage of young males without a college degree in the labor force and this trend's connection to leisure-time technology:\u003c/p>\n\u003cblockquote>\u003cp>In the 2000s, employment rates for this group dropped sharply – more than in any other group. We have determined that, in general, they are not going back to school or switching careers, so what are they doing with their time? The hours that they are not working have been replaced almost one for one with leisure time. Seventy-five percent of this new leisure time falls into one category: video games. The average low-skilled, unemployed man in this group plays video games an average of 12, and sometimes upwards of 30 hours per week. This change marks a relatively major shift that makes me question its effect on their attachment to the labor market.\u003c/p>\u003c/blockquote>\n\u003cp>\u003cstrong>The Attention Economy\u003c/strong>\u003c/p>\n\u003cp>BJ Fogg says a lot of persuasion methods that Facebook and other tech companies use are not really new.\u003c/p>\n\u003cp>He gave the example of Facebook birthday reminders, which often draw people back into the site to wish someone happy birthday. \"Reminders are not new,\" he said, citing Hallmark TV commercials about mother's day, for example. \"W\u003cspan style=\"line-height: 1.5\">hat ‘s different today is that machines are being created to use these techniques.\"\u003c/span>\u003c/p>\n\u003cp>At this point, I am reminded that those of us who create text for public consumption have also been in the business of attention-grabbing for quite some time. This \u003ca href=\"https://ww2.kqed.org/futureofyou/2017/05/12/how-the-media-came-to-embrace-clickbait-an-internet-history/\" target=\"_blank\" rel=\"noopener noreferrer\">excerpt\u003c/a> we recently posted from Tim Wu's book \"The Attention Merchants,\" is instructive; it takes you through the evolution and eventual mainstream adoption of clickbait -- those headlines that contain just the right words to whet your appetite for a click.\u003c/p>\n\u003cp>While we here at KQED have yet to hire a an actual neuroscientist to help us craft the perfect syntactic arrangement to make our post on the \u003ca href=\"https://ww2.kqed.org/science/2017/04/25/volunteer-brown-pelican-count-aims-to-measure-recovery-of-once-endangered-birds/\" target=\"_blank\" rel=\"noopener noreferrer\">California brown pelican count\u003c/a> irresistible to a mass audience, we have sat through any number of workshops led by self-styled audience-whisperers. And we do use software tools to try to figure out what works and what doesn't in terms of getting people to read an article.\u003c/p>\n\u003cp>Isn't that, crudely, \u003cem>some\u003c/em> form of brain hacking?\u003c/p>\n\u003cp>The point being: \u003cem>Everyone\u003c/em> is in quest of your eyeballs. The question is how far will people go to get them. Where the line gets crossed from superior business model to dirty rotten trick is the subject of much debate, from the halls of government to academia to Thanksgiving brouhahas.\u003c/p>\n\u003cp>On the \"60 Minutes\" segment, Gabe Zichermann, who consults for companies on how to use \"\u003ca href=\"https://en.wikipedia.org/wiki/Gamification\" target=\"_blank\" rel=\"noopener noreferrer\">gamification\u003c/a>\" to make their digital products more appealing, argued that attracting audience is simply the name of the game.\u003c/p>\n\u003cp>\"Asking technology companies, asking content creators to be less good at what they do feels like a ridiculous ask,\" he said. \"It feels impossible. And also it’s very anti-capitalistic. This isn’t the system that we live in.\"\u003c/p>\n\u003cp>The other side of that, expressed by Bill Maher in his televised rant:\u003c/p>\n\u003cp>\"The moral rot in this country began when corporate America decided it wasn’t enough to just successfully sell your product; people needed to be addicted to it.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>Meantime, while you wait for society to figure this issue out, it's probably best to take matters into your own compulsively typing hands. If you've ever said \"I wish I knew how to quit you\" to your phone, see Lesley McClurg's post, '\u003ca href=\"https://ww2.kqed.org/futureofyou/2016/10/24/help-my-phone-is-ruining-my-life-8-tips-for-the-addicted\" target=\"_blank\" rel=\"noopener noreferrer\">Help! My Phone is Ruining My Life!\u003c/a>' for \u003ca href=\"https://ww2.kqed.org/futureofyou/2016/10/19/help-my-phone-is-ruining-my-life-8-tips-for-the-addicted/#tips\" target=\"_blank\" rel=\"noopener noreferrer\">eight tips\u003c/a> on how to detach.\u003c/p>\n\n","blocks":[],"excerpt":"A former Google ethicist is on a crusade to make people aware of what he says are manipulative techniques by tech companies to foster compulsive use of their products. The issue is now getting plenty of media play.","status":"publish","parent":0,"modified":1503503229,"stats":{"hasAudio":false,"hasVideo":true,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":75,"wordCount":2961},"headData":{"title":"Tech Insiders Call Out Facebook for Literally Manipulating Your Brain | KQED","description":"A former Google ethicist is on a crusade to make people aware of what he says are manipulative techniques by tech companies to foster compulsive use of their products. The issue is now getting plenty of media play.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Tech Insiders Call Out Facebook for Literally Manipulating Your Brain","datePublished":"2017-05-25T17:40:58.000Z","dateModified":"2017-08-23T15:47:09.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"379828 https://ww2.kqed.org/futureofyou/?p=379828","disqusUrl":"https://ww2.kqed.org/futureofyou/2017/05/25/tech-insiders-call-out-facebook-for-literally-manipulating-your-brain/","disqusTitle":"Tech Insiders Call Out Facebook for Literally Manipulating Your Brain","source":"KQED Future of You","customPermalink":"2017/05/25/tristan-harris-brain-hacking/","path":"/futureofyou/379828/tech-insiders-call-out-facebook-for-literally-manipulating-your-brain","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>In today's world, you'd have to be looking at your phone all the time not to notice that people are looking at their phones all the time.\u003c/p>\n\u003caside class=\"pullquote alignright\">'The tycoons of social media have to stop pretending that they're friendly nerd-gods building a better world, and admit they're just tobacco farmers in t-shirts selling an addictive product to children.'\u003ccite>Bill Maher, on his HBO show\u003c/cite>\u003c/aside>\n\u003cp>Some device owners are so enamored of their digital companions that even \u003ca href=\"https://www.youtube.com/watch?v=fTOZjXjaCaE\" target=\"_blank\" rel=\"noopener noreferrer\">crossing a busy street\u003c/a> doesn't merit a little look-see at the 3-D world. Last year, when it came to \u003ca href=\"//ww2.kqed.org/futureofyou/2016/07/22/the-number-of-accident-reports-related-to-pokemon-go-is-getting-scary/\" target=\"_blank\" rel=\"noopener noreferrer\">playing\u003c/a> Pokémon Go, \u003ca href=\"https://www.youtube.com/watch?time_continue=1&v=KvA9ZgC73vc\" target=\"_blank\" rel=\"nasioopener noopener noreferrer\">driving a car\u003c/a> or \u003ca href=\"http://www.cnn.com/2016/07/15/health/pokemon-go-players-fall-down-cliff/\" target=\"_blank\" rel=\"noopener noreferrer\">walking toward a cliff\u003c/a> didn't rate some people's full attention, either.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>Recently, a former Google \"design ethicist\" named Tristan Harris has been on a crusade of sorts calling out tech companies like Facebook, Google and Apple for using behavioral techniques and neuroscience to keep you compulsively glued to your phone and computer screens.\u003c/p>\n\u003cp>Harris' campaign is starting to get a lot of media attention -- last month, \"60 Minutes\" ran a \u003ca href=\"http://www.cbsnews.com/news/brain-hacking-tech-insiders-60-minutes/\" target=\"_blank\" rel=\"noopener noreferrer\">segment\u003c/a> looking at the issue. That was followed by the comedian and tele-muckraker Bill Maher making it the subject of one of his HBO commentaries.\u003c/p>\n\u003cp>\"The tycoons of social media have to stop pretending that they're friendly nerd-gods building a better world, and admit they're just tobacco farmers in t-shirts selling an addictive product to children,\" Maher opined. \"Because let's face it, checking your 'likes' is the new smoking.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"Apple, Google, Facebook? They are essentially drug dealers.\"\u003c/p>\n\u003cp>Here's Maher's take (replete with his signature politically incorrect raunch):\u003c/p>\u003c/p>\u003cp>\u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutube'>\n \u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutubeInside'>\n \u003ciframe\n loading='lazy'\n class='utils-parseShortcode-shortcodes-__youtubeShortcode__youtubePlayer'\n type='text/html'\n src='//www.youtube.com/embed/KDqoTDM7tio'\n title='//www.youtube.com/embed/KDqoTDM7tio'\n allowfullscreen='true'\n style='border:0;'>\u003c/iframe>\n \u003c/span>\n \u003c/span>\u003c/p>\u003cp>\u003cp>While the comedian's view may seem over-the-top, KQED's Lesley McClurg recently reported the \u003ca href=\"https://ww2.kqed.org/futureofyou/2017/04/17/theres-growing-consensus-the-internet-is-addictive/\" target=\"_blank\" rel=\"noopener noreferrer\">story\u003c/a> of a middle-school girl who became hooked on watching YouTube, before her parents sent her to to an actual addiction recovery clinic. The cost: $60,000, paid partly from their retirement accounts.\u003c/p>\n\u003cp>In reporting that story, McClurg interviewed Harris, the former Google ethicist. He called the practice of tech companies using scientific techniques that foster compulsivity \"brain hacking.\" Harris now runs a nonprofit called\u003ca href=\"http://www.timewellspent.io/\" target=\"_blank\" rel=\"noopener noreferrer\"> Time Well Spent\u003c/a>, whose home page invites people to \"reclaim our minds from being hijacked by technology.\"\u003c/p>\u003c/p>\u003cp>\u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutube'>\n \u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutubeInside'>\n \u003ciframe\n loading='lazy'\n class='utils-parseShortcode-shortcodes-__youtubeShortcode__youtubePlayer'\n type='text/html'\n src='//www.youtube.com/embed/tf9ZhU7zF8s'\n title='//www.youtube.com/embed/tf9ZhU7zF8s'\n allowfullscreen='true'\n style='border:0;'>\u003c/iframe>\n \u003c/span>\n \u003c/span>\u003c/p>\u003cp>\u003cp>Speaking about the current power of Google, Facebook and Apple to command our collective gaze, Harris tells McClurg: \"Never before in history have a handful of technology designers working at three tech companies ... influenced how a billion people spend their attention.\"\u003c/p>\n\u003cp>Harris says that good, ethical design is being trumped by the quest for profit.\u003c/p>\n\u003cp>\"If your company’s goal and your stock price is based on how much attention they get from someone, it’s not really about ethics,\" he says. \"\u003cspan style=\"font-weight: 400\">They just have to do whatever it takes to get attention.\"\u003c/span>\u003c/p>\n\u003cp>And that has created an eyeballs-seeking arms race.\u003c/p>\n\u003caside class=\"pullquote alignright\">'Asking technology companies, asking content creators to be less good at what they do feels like a ridiculous ask.'\u003ccite>Gabe Zichermann, author of 'The Gamification Revolution,' speaking to '60 Minutes'\u003c/cite>\u003c/aside>\n\u003cp>\"After you finish watching a YouTube video,\" Harris notes, \"it auto-plays the next one right away, so you don't have to make a conscious choice. Let's say that creates a 5 percent lift in how much time people spend on YouTube. So Facebook is sitting there watching their traffic get siphoned away, and Facebook says we have to make our videos auto-play, too.\" (Neither Google nor Facebook returned a request for comment.)\u003c/p>\n\u003cp>Facebook, meanwhile, has every incentive to keep you mousing through its news feed so it can sell more ads. Harris says that's one reason the company uses continuous scroll, so that new content will keep opening up as you hit the bottom of the page. But he thinks a more ethical design would be to enable what an individual user wants to do at any given moment.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">\"Let's say \u003c/span>\u003cspan style=\"font-weight: 400\">your friend texts you that dinner's off,\" he says. \"\u003c/span>\u003cspan style=\"font-weight: 400\">So there you are with \u003c/span>\u003cspan style=\"font-weight: 400\">no plans, and you\u003c/span>\u003cspan style=\"font-weight: 400\"> open up Facebook. A\u003c/span>\u003cspan style=\"font-weight: 400\">t that moment, Facebook has \u003c/span>\u003cspan style=\"font-weight: 400\">about 1,000 people whose job is to get you to just click and scroll and \u003c/span>\u003cspan style=\"font-weight: 400\">watch stuff on the news feed. And that will work. You'll probably end up \u003c/span>\u003cspan style=\"font-weight: 400\">sitting there, an hour later, just kind of having scrolled through the news feed.\"\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">At which point, says Harris, you will have fulfilled Facebook's mission, but perhaps not your own. \u003c/span>\u003c/p>\n\u003caside class=\"pullquote alignright\">'It's not that we \u003cem>shouldn't\u003c/em> be concerned about book burning, but we \u003cem>should\u003c/em> be concerned about a society that distracts us from even wanting to read.' \u003ccite>Tristan Harris, former Google design ethicist\u003c/cite>\u003c/aside>\n\u003cp>But what if Facebook actually asked you what you wanted to do, apart from just using Facebook? Like perhaps finding other people who have no plans?\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">\"It’s about agency,\" says Harris. \"Facebook would have to have some way before you just get dropped in the newsfeed, to say, 'What do you want right now?'\u003c/span>\u003c/p>\n\u003cp>B.J. Fogg runs the Persuasive Technology Lab at Stanford, which teaches students to use these sticky techniques. Many employees of top tech companies, including a cofounder of Instagram, have participated in the lab.\u003c/p>\n\u003cp>Fogg says he got to know some of the early Facebook employees, and found them genuinely motivated by a desire to do good.\u003c/p>\n\u003cp>\"The individual people at Facebook, the people that I met, really wanted to make the world more harmonious, bring people together, create empathy and so on,\" he says.\u003c/p>\n\u003cp>\"Where I think Tristan (Harris) and I would agree a lot is that often their business goals can be at odds with the human-centered approach to design. There's a conflict there between what they need to do as an advertising company and what's going to be really good for people.\"\u003c/p>\n\u003cp>\u003cstrong>Amusing Ourselves to Death\u003c/strong>\u003c/p>\n\u003cp>The reason this matters so much is that technology is going to get more and more persuasive, says Harris.\u003c/p>\n\u003cp>\"We're sitting \u003cspan style=\"font-weight: 400\">at the very edge of what will become a virtual reality and \u003c/span>\u003cspan style=\"font-weight: 400\">augmented reality world. \u003c/span>\u003cspan style=\"font-weight: 400\">If those worlds are e\u003c/span>\u003cspan style=\"font-weight: 400\">ven more persuasive in getting us to spend our time there, where is hum\u003c/span>\u003cspan style=\"font-weight: 400\">an agency in that process?\" \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">And then a warning.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">\"We have to have that conversation now because right now it's \u003c/span>\u003cspan style=\"font-weight: 400\">driving toward not a good direction.\"\u003c/span>\u003c/p>\n\u003caside class=\"pullquote alignright\">'We have now developed a rigorous technology of the human mind, and that is both exciting and terrifying. We have the ability to twiddle some nobs in a machine learning dashboard we build, and around the world hundreds of thousands of people are going to quietly change their behavior ... .'\u003ccite>Ramsay Brown, co-founder, Dopamine Labs\u003c/cite>\u003c/aside>\n\u003cp>He cited a 1985 book, \"\u003ca href=\"https://en.wikipedia.org/wiki/Amusing_Ourselves_to_Death\" target=\"_blank\" rel=\"noopener noreferrer\">Amusing Ourselves to Death\u003c/a>,\" by Neil Postman, that distinguished between two dystopian visions.\u003c/p>\n\u003cp>\"There's one that most people already know: the \"1984\" Big Brother, surveillance future. We have all been trained to look out for that.\u003c/p>\n\u003cp>\"But there is this subtler second vision of power, which was the Aldous Huxley vision in \"\u003ca href=\"https://en.wikipedia.org/wiki/Brave_New_World\" target=\"_blank\" rel=\"noopener noreferrer\">Brave New World\u003c/a>,\" that's so good at giving us amusement and little bits of trivia. In other words, it's not that we \u003cem>shouldn't\u003c/em> be concerned about book burning, but we \u003cem>should\u003c/em> be concerned about a society that distracts us from even wanting to read.\"\u003c/p>\n\u003cp>\u003cstrong>It's the Dopamine\u003c/strong>\u003c/p>\n\u003cp>Ramsay Brown is the co-founder of \u003ca href=\"https://usedopamine.com/\" target=\"_blank\" rel=\"noopener noreferrer\">Dopamine Labs\u003c/a>, which uses artificial intelligence and neuroscience to help app writers attract and retain users.\u003c/p>\n\u003cp>Dopamine Labs makes no bones about what it's trying to do. From a \u003ca href=\"https://usedopamine.com/assets/pdf/Dopamine%20Labs%20Case%20Studies.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">promotional document\u003c/a> on its website.:\u003c/p>\n\u003cblockquote>\u003cp>Keeping users engaged isn’t luck: it’s science. Give users the right \u003ca href=\"https://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2017/05/burst.jpg\">\u003cimg class=\"alignnone size-full wp-image-392383\" src=\"https://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2017/05/burst.jpg\" alt=\"\" width=\"71\" height=\"63\">\u003c/a> of dopamine at the right moment and they’ll stay longer and use your app more.\"\u003c/p>\u003c/blockquote>\n\u003cp>Dopamine is a neurotransmitter associated with rewards and addictive substances. The company is not just being glib when it says it will deliver the chemical to users. Dr. Elias Aboujaoude, the director of Stanford’s Obsessive Compulsive Disorder Clinic, told KQED's McClurg that dopamine and other feel-good brain chemicals spike in people who compulsively use the internet.\u003c/p>\n\u003cp>Brown told me that social media companies use a concept known as variable rewards, something that slot machines use to hook gamblers, to similarly keep users clicking.\u003c/p>\n\u003cp>\"The brain isn't particularly craving any one little feel-good signal as much as it does a really good rhythm and pattern,\" Brown said. Both he and Harris say Facebook and Instagram tailor the timing of the \"notifications\" they deliver to users -- the messages you get that are indicated by a number in red at the top right of the screen -- in order to deliver shots of dopamine to users at times determined by an algorithm.\u003c/p>\n\u003cp>\"Sometimes there’s nothing waiting for you, sometimes there’s a friend request or someone wrote on your wall,\" Brown told me. \"Sometimes there’s just kind of like filler crap. It’s not pertinent to your life, but Facebook's algorithms have figured out that showing it to you then is going to be slightly more surprising then not showing it to you at all or showing it to you later.\"\u003c/p>\n\u003cp>These patterns will keep you coming back.\u003c/p>\n\u003cp>I asked Brown how he knew that's what Facebook was doing.\u003c/p>\n\u003cp>\"It's obvious to anyone who knows the techniques,\" he said.\u003c/p>\u003c/p>\u003cp>\u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutube'>\n \u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutubeInside'>\n \u003ciframe\n loading='lazy'\n class='utils-parseShortcode-shortcodes-__youtubeShortcode__youtubePlayer'\n type='text/html'\n src='//www.youtube.com/embed/gvQxtotEX-M'\n title='//www.youtube.com/embed/gvQxtotEX-M'\n allowfullscreen='true'\n style='border:0;'>\u003c/iframe>\n \u003c/span>\n \u003c/span>\u003c/p>\u003cp>\u003cp>In the \"60 Minutes\" segment, Larry Rosen, a professor of psychology at California State University, Dominguez Hills, who researches the psychology of tech, said typically, people check their phones every 15 minutes or less. They're not just craving dopamine; he said they're seeking relief from the stress hormone cortisol.\u003c/p>\n\u003cp>\"Half of the time, they check their phone, there’s no alert, no notification,\" said Rosen. \"It’s coming from inside their head, telling them, 'Gee I haven’t checked on Facebook for a while, I haven’t checked on this Twitter feed for a while. I wonder if someone commented on my Instagram post. That then generates cortisol and it starts to make you anxious. Eventually your goal is to get rid of that anxiety, so you check in.\"\u003c/p>\n\u003cp>As Anderson Cooper of \"60 Minutes\" put it: \"Their research suggests our phones are keeping us in a continual state of anxiety in which the only antidote is the phone.\"\u003c/p>\n\u003cp>\u003cstrong>Doing Good\u003c/strong>\u003c/p>\n\u003cp>Ramsay Brown says his own company uses this type of research to help only businesses or organizations it has determined are trying to do good.\u003c/p>\n\u003cp>\"To break the habits we don't want in ourselves or make the habits we do want in ourselves,\" as he puts it.\u003c/p>\n\u003cp>To that end, Dopamine Labs created an \u003ca href=\"http://youjustneedspace.com/\" target=\"_blank\" rel=\"noopener noreferrer\">app\u003c/a> called \"Space,\" intended to help users break troublesome online habits by creating a delay before certain apps will open.\u003c/p>\n\u003cp>Apple initially denied the app for placement in its app store. Brown says he was told by an Apple rep that the rejection came because any app that encouraged people to use other apps less was inappropriate for the store. After the \"60 Minutes\" segment aired, Apple \u003ca href=\"https://itunes.apple.com/us/app/space-because-you-need-a-breather/id1187106675?mt=8\" target=\"_blank\" rel=\"noopener noreferrer\">accepted \u003c/a>the app. (An Apple spokesperson said the rejection had to do with a technical issue and that \"The adjustment had nothing to do with whether the app discouraged people from using other apps or not.\")\u003c/p>\n\u003cp>Even though Dopamine Labs might choose clients according to its own definition of doing good, I wondered if the application of techniques that are as powerful and potentially insidious as he and other researchers say they are is justified, no matter what the product.\u003c/p>\n\u003cp>\"We are in a bit of a Robert Oppenheimer moment,\" Brown said, citing the scientist who is often called the father of the atomic bomb, and who later expressed a deep ambivalence about his work\u003cb>.\u003c/b>\u003c/p>\n\u003cp>\"We have now developed a rigorous technology of the human mind, and that is both exciting and terrifying. We have the ability to twiddle some nobs in a machine learning dashboard we build, and around the world hundreds of thousands of people are going to quietly change their behavior in ways that, unbeknownst to them, feel second-nature but are really by design.\"\u003c/p>\n\u003cp>\"Which means that there's a deep ethical imperative for us to use it for good.\"\u003c/p>\n\u003cp>\u003cstrong>So What's the Harm?\u003c/strong>\u003c/p>\n\u003cp>As KQED's McClurg reported, addictions to social media, video games, texting, shopping and pornography are not officially listed disorders in the Diagnostic and Statistical Manual of Mental Disorders. A consensus is growing, however, that compulsive online behavior is doing real harm.\u003c/p>\n\u003cp>Hundreds of papers have been written on the \u003ca href=\"https://ww2.kqed.org/futureofyou/2016/07/06/does-facebook-really-make-you-depressed/\" target=\"_blank\" rel=\"noopener noreferrer\">negative consequences of using Facebook\u003c/a>, alone. While some studies have also shown positive effects, Jean Twenge, a professor of psychology at San Diego State University and the author of \"Generation Me,\" says more rigorous research has come to a more negative conclusion.\u003c/p>\n\u003cp>“Its pretty clear these days that spending more time on social media leads to a\u003ca href=\"https://www.ncbi.nlm.nih.gov/pubmed/28093386\" target=\"_blank\" rel=\"noopener noreferrer\"> more negative mood\u003c/a>,” she said.\u003c/p>\n\u003cp>Twenge says her research shows that the proliferation of the smartphone is having big effects on people born around 1995. She say that's when the millennial generation morphs into \"iGen\" -- also known as \u003ca href=\"https://en.wikipedia.org/wiki/Generation_Z\" target=\"_blank\" rel=\"noopener noreferrer\">Generation Z\u003c/a>.\u003c/p>\n\u003cp>She pointed to the \u003ca href=\"https://www.bls.gov/emp/ep_table_303.htm\" target=\"_blank\" rel=\"noopener noreferrer\">plummeting employment rate of young men\u003c/a> as one macro-development related to iGen, and \u003cspan style=\"font-weight: 400\">cited \u003c/span>the work of University of Chicago economist Erik Hurst. Last year, in a university \u003ca href=\"https://bfi.uchicago.edu/news/scholar-profile/faculty-spotlight-erik-hurst\" target=\"_blank\" rel=\"noopener noreferrer\">profile\u003c/a>, Hurst discussed his research on the dwindling percentage of young males without a college degree in the labor force and this trend's connection to leisure-time technology:\u003c/p>\n\u003cblockquote>\u003cp>In the 2000s, employment rates for this group dropped sharply – more than in any other group. We have determined that, in general, they are not going back to school or switching careers, so what are they doing with their time? The hours that they are not working have been replaced almost one for one with leisure time. Seventy-five percent of this new leisure time falls into one category: video games. The average low-skilled, unemployed man in this group plays video games an average of 12, and sometimes upwards of 30 hours per week. This change marks a relatively major shift that makes me question its effect on their attachment to the labor market.\u003c/p>\u003c/blockquote>\n\u003cp>\u003cstrong>The Attention Economy\u003c/strong>\u003c/p>\n\u003cp>BJ Fogg says a lot of persuasion methods that Facebook and other tech companies use are not really new.\u003c/p>\n\u003cp>He gave the example of Facebook birthday reminders, which often draw people back into the site to wish someone happy birthday. \"Reminders are not new,\" he said, citing Hallmark TV commercials about mother's day, for example. \"W\u003cspan style=\"line-height: 1.5\">hat ‘s different today is that machines are being created to use these techniques.\"\u003c/span>\u003c/p>\n\u003cp>At this point, I am reminded that those of us who create text for public consumption have also been in the business of attention-grabbing for quite some time. This \u003ca href=\"https://ww2.kqed.org/futureofyou/2017/05/12/how-the-media-came-to-embrace-clickbait-an-internet-history/\" target=\"_blank\" rel=\"noopener noreferrer\">excerpt\u003c/a> we recently posted from Tim Wu's book \"The Attention Merchants,\" is instructive; it takes you through the evolution and eventual mainstream adoption of clickbait -- those headlines that contain just the right words to whet your appetite for a click.\u003c/p>\n\u003cp>While we here at KQED have yet to hire a an actual neuroscientist to help us craft the perfect syntactic arrangement to make our post on the \u003ca href=\"https://ww2.kqed.org/science/2017/04/25/volunteer-brown-pelican-count-aims-to-measure-recovery-of-once-endangered-birds/\" target=\"_blank\" rel=\"noopener noreferrer\">California brown pelican count\u003c/a> irresistible to a mass audience, we have sat through any number of workshops led by self-styled audience-whisperers. And we do use software tools to try to figure out what works and what doesn't in terms of getting people to read an article.\u003c/p>\n\u003cp>Isn't that, crudely, \u003cem>some\u003c/em> form of brain hacking?\u003c/p>\n\u003cp>The point being: \u003cem>Everyone\u003c/em> is in quest of your eyeballs. The question is how far will people go to get them. Where the line gets crossed from superior business model to dirty rotten trick is the subject of much debate, from the halls of government to academia to Thanksgiving brouhahas.\u003c/p>\n\u003cp>On the \"60 Minutes\" segment, Gabe Zichermann, who consults for companies on how to use \"\u003ca href=\"https://en.wikipedia.org/wiki/Gamification\" target=\"_blank\" rel=\"noopener noreferrer\">gamification\u003c/a>\" to make their digital products more appealing, argued that attracting audience is simply the name of the game.\u003c/p>\n\u003cp>\"Asking technology companies, asking content creators to be less good at what they do feels like a ridiculous ask,\" he said. \"It feels impossible. And also it’s very anti-capitalistic. This isn’t the system that we live in.\"\u003c/p>\n\u003cp>The other side of that, expressed by Bill Maher in his televised rant:\u003c/p>\n\u003cp>\"The moral rot in this country began when corporate America decided it wasn’t enough to just successfully sell your product; people needed to be addicted to it.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Meantime, while you wait for society to figure this issue out, it's probably best to take matters into your own compulsively typing hands. If you've ever said \"I wish I knew how to quit you\" to your phone, see Lesley McClurg's post, '\u003ca href=\"https://ww2.kqed.org/futureofyou/2016/10/24/help-my-phone-is-ruining-my-life-8-tips-for-the-addicted\" target=\"_blank\" rel=\"noopener noreferrer\">Help! My Phone is Ruining My Life!\u003c/a>' for \u003ca href=\"https://ww2.kqed.org/futureofyou/2016/10/19/help-my-phone-is-ruining-my-life-8-tips-for-the-addicted/#tips\" target=\"_blank\" rel=\"noopener noreferrer\">eight tips\u003c/a> on how to detach.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/379828/tech-insiders-call-out-facebook-for-literally-manipulating-your-brain","authors":["80"],"categories":["futureofyou_452","futureofyou_1","futureofyou_73","futureofyou_1061"],"tags":["futureofyou_235","futureofyou_178","futureofyou_131","futureofyou_1183"],"featImg":"futureofyou_397048","label":"source_futureofyou_379828"},"futureofyou_154214":{"type":"posts","id":"futureofyou_154214","meta":{"index":"posts_1591205157","site":"futureofyou","id":"154214","score":null,"sort":[1461877524000]},"guestAuthors":[],"slug":"new-iphone-apps-manage-diabetes-pregnancy-depression","title":"New iPhone Apps Manage Diabetes, Pregnancy, Depression","publishDate":1461877524,"format":"standard","headTitle":"KQED Future of You | KQED Science","labelTerm":{"site":"futureofyou"},"content":"\u003cp>Apple is edging its way a little further into health care with the release of new iPhone apps that patients can use to manage their own medical conditions — from diabetes to pregnancy and even depression.\u003c/p>\n\u003cp>While there are hundreds of health-related apps on the market, Apple wants to put its stamp on a new ecosystem of treatment programs. Rather than build the apps itself, the tech giant developed a set of software tools and templates, called \"CareKit,\" that health-care groups and health-tech startups can use to create their own programs.\u003c/p>\n\u003cp>Apple says it wanted to help developers build easy-to-use apps for patients to record symptoms, get useful information, track their progress and even send reports to a doctor. Experts say the CareKit program could help bring standards to a relatively new and unruly industry, while giving Apple a toehold in the growing health-tech market.\u003c/p>\n\u003cp>CareKit apps hitting the Apple online store this week include One Drop for diabetics; Start for people taking anti-depression drugs; and two apps from health startup Glow, aimed at women who are pregnant or caring for newborns. Apple says larger organizations, including the University of Rochester and hospitals at the Texas Medical Center, are working on CareKit apps for people with Parkinson's disease and patients who've undergone heart or lung operations.\u003c/p>\n\u003cp>\"These mobile tools can help people reach their health goals,\" said Thomas Goetz of Iodine, a startup that used CareKit in the latest version of its Start app. Along with providing information about side-effects to depression medications, the app asks patients to record their symptoms and answer standardized questions to track how they're doing. Start uses a CareKit feature that lets patients send reports to their doctors; eventually, Goetz said, doctors will be able to respond by adjusting their instructions for medication, diet or exercise.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Data stored on iPhones is encrypted, and Iodine's app provides cautions to make sure patients understand they're sending sensitive information to their doctors. Goetz said his company is also developing back-end software for medical offices that will comply with federal confidentiality rules.\u003c/p>\n\u003cp>But Goetz acknowledged that doctors and insurers \"are still trying to make sense of the world of health care apps. They're trying to understand which ones are valid tools and which aren't necessarily useful.\"\u003c/p>\n\u003cp>Apple's software could help validate new apps, he said, by letting developers build on a standardized template from a well-known company whose products are used by large numbers of people.\u003c/p>\n\u003cp>Apple says it isn't making money directly from CareKit, which grew from tools the company previously developed for researchers to create apps that collect iPhone users' data for health studies. But Apple could benefit if the apps gain wide adoption, making the iPhone an even more useful tool for millions of people with medical conditions.\u003c/p>\n\u003cp>\"Even if you can't point to a revenue stream today, being the hub of an ecosystem related to health care could have great value in the future,\" said analyst Jeff Cribbs, who studies health technology for the Gartner research firm.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Apple CEO Tim Cook has signaled he believes the iPhone and Apple smartwatch can play a bigger role in health care. But the industry is heavily regulated and Apple has not ventured into making specialized devices that would be subject to federal oversight. Instead, the company leaves it to the developers who use Apple's software to determine if an individual app meets any health regulations.\u003c/p>\n\n","blocks":[],"excerpt":"New apps are being built with Apple's CareKit, a set of tools and templates the company created for developers.","status":"publish","parent":0,"modified":1476851592,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":13,"wordCount":590},"headData":{"title":"New iPhone Apps Manage Diabetes, Pregnancy, Depression | KQED","description":"New apps are being built with Apple's CareKit, a set of tools and templates the company created for developers.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"New iPhone Apps Manage Diabetes, Pregnancy, Depression","datePublished":"2016-04-28T21:05:24.000Z","dateModified":"2016-10-19T04:33:12.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"154214 http://ww2.kqed.org/futureofyou/?p=154214","disqusUrl":"https://ww2.kqed.org/futureofyou/2016/04/28/new-iphone-apps-manage-diabetes-pregnancy-depression/","disqusTitle":"New iPhone Apps Manage Diabetes, Pregnancy, Depression","nprByline":"Brandon Bailey\u003cbr />Associated Press","path":"/futureofyou/154214/new-iphone-apps-manage-diabetes-pregnancy-depression","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Apple is edging its way a little further into health care with the release of new iPhone apps that patients can use to manage their own medical conditions — from diabetes to pregnancy and even depression.\u003c/p>\n\u003cp>While there are hundreds of health-related apps on the market, Apple wants to put its stamp on a new ecosystem of treatment programs. Rather than build the apps itself, the tech giant developed a set of software tools and templates, called \"CareKit,\" that health-care groups and health-tech startups can use to create their own programs.\u003c/p>\n\u003cp>Apple says it wanted to help developers build easy-to-use apps for patients to record symptoms, get useful information, track their progress and even send reports to a doctor. Experts say the CareKit program could help bring standards to a relatively new and unruly industry, while giving Apple a toehold in the growing health-tech market.\u003c/p>\n\u003cp>CareKit apps hitting the Apple online store this week include One Drop for diabetics; Start for people taking anti-depression drugs; and two apps from health startup Glow, aimed at women who are pregnant or caring for newborns. Apple says larger organizations, including the University of Rochester and hospitals at the Texas Medical Center, are working on CareKit apps for people with Parkinson's disease and patients who've undergone heart or lung operations.\u003c/p>\n\u003cp>\"These mobile tools can help people reach their health goals,\" said Thomas Goetz of Iodine, a startup that used CareKit in the latest version of its Start app. Along with providing information about side-effects to depression medications, the app asks patients to record their symptoms and answer standardized questions to track how they're doing. Start uses a CareKit feature that lets patients send reports to their doctors; eventually, Goetz said, doctors will be able to respond by adjusting their instructions for medication, diet or exercise.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Data stored on iPhones is encrypted, and Iodine's app provides cautions to make sure patients understand they're sending sensitive information to their doctors. Goetz said his company is also developing back-end software for medical offices that will comply with federal confidentiality rules.\u003c/p>\n\u003cp>But Goetz acknowledged that doctors and insurers \"are still trying to make sense of the world of health care apps. They're trying to understand which ones are valid tools and which aren't necessarily useful.\"\u003c/p>\n\u003cp>Apple's software could help validate new apps, he said, by letting developers build on a standardized template from a well-known company whose products are used by large numbers of people.\u003c/p>\n\u003cp>Apple says it isn't making money directly from CareKit, which grew from tools the company previously developed for researchers to create apps that collect iPhone users' data for health studies. But Apple could benefit if the apps gain wide adoption, making the iPhone an even more useful tool for millions of people with medical conditions.\u003c/p>\n\u003cp>\"Even if you can't point to a revenue stream today, being the hub of an ecosystem related to health care could have great value in the future,\" said analyst Jeff Cribbs, who studies health technology for the Gartner research firm.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Apple CEO Tim Cook has signaled he believes the iPhone and Apple smartwatch can play a bigger role in health care. But the industry is heavily regulated and Apple has not ventured into making specialized devices that would be subject to federal oversight. Instead, the company leaves it to the developers who use Apple's software to determine if an individual app meets any health regulations.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/154214/new-iphone-apps-manage-diabetes-pregnancy-depression","authors":["byline_futureofyou_154214"],"categories":["futureofyou_1060"],"tags":["futureofyou_235","futureofyou_895","futureofyou_894","futureofyou_547"],"featImg":"futureofyou_154215","label":"futureofyou"},"futureofyou_72960":{"type":"posts","id":"futureofyou_72960","meta":{"index":"posts_1591205157","site":"futureofyou","id":"72960","score":null,"sort":[1450886408000]},"guestAuthors":[],"slug":"what-are-apple-google-samsung-and-intel-doing-in-health-care","title":"What are Apple, Google, Samsung and Intel doing in Health Care?","publishDate":1450886408,"format":"standard","headTitle":"KQED Future of You | KQED Science","labelTerm":{},"content":"\u003cp>What these four tech giants are aiming to do in health care is change your life in some way for the better. Like they already have with phones, search, televisions and computer processing.\u003c/p>\n\u003cp>These companies have decades of experience building consumer products that revolutionize how people live and work, and they have ample resources to throw at any problem. Here's a look at where they're throwing resources in healthcare, from personal health to disease treatment:\u003c/p>\n\u003cp>\u003cstrong>APPLE \u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_73814\" class=\"wp-caption alignright\" style=\"max-width: 369px\">\u003cimg class=\" wp-image-73814\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/11/apple-watch-sport-800x533.jpg\" alt=\"The Apple Watch Sport is designed for workouts. \" width=\"369\" height=\"246\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/11/apple-watch-sport-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/apple-watch-sport-400x267.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/apple-watch-sport-1180x786.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/apple-watch-sport-1920x1280.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/apple-watch-sport-960x640.jpg 960w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/apple-watch-sport.jpg 2048w\" sizes=\"(max-width: 369px) 100vw, 369px\">\u003cfigcaption class=\"wp-caption-text\">The Apple Watch Sport is designed for workouts. \u003ccite>(LMYang/Flickr)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Accomplishments?\u003c/strong> In the past few years, Apple has signaled a major interest in health care. The company announced a slew of products including the Apple Watch, which tracks everything from your steps to your heart rate, and \u003ca href=\"http://www.apple.com/researchkit/\" target=\"_blank\">ResearchKit\u003c/a>, which allows researchers to conduct clinical studies using iPhones. Apple CEO Tim Cook \u003ca href=\"http://www.businessinsider.com/tim-cook-on-jim-cramer-2015-3\" target=\"_blank\">recently said\u003c/a> he sees health care as one of the top three frontiers for Apple.\u003c/p>\n\u003cp>\u003cstrong>What can we expect?\u003c/strong> Some journalists (\u003ca href=\"http://www.reuters.com/article/2014/05/05/us-apple-hiring-insight-idUSBREA4409020140505\" target=\"_blank\">myself included\u003c/a>) have speculated that Apple might delve deeper into diabetes management. The company has poached some top biomedical engineers, who were previously working on the holy grail for diabetes: a non-invasive device to monitor blood sugar continuously.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cstrong>Challenges?\u003c/strong> Apple will face competition from Android, its chief rival, as the company attempts to push its operating system into health care. It may also need to grapple with federal regulators, like the U.S. Food and Drug Administration, if it transitions from \"wellness\" apps and tools to helping the chronically-ill.\u003c/p>\n\u003cp>\u003cstrong>GOOGLE/ALPHABET \u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_73809\" class=\"wp-caption alignright\" style=\"max-width: 380px\">\u003cimg class=\" wp-image-73809\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/11/google-lens_custom-8ac35584f948f9c4f4703d6c59fe59a47869c7bc-s800-c85-800x533.jpg\" alt=\"An experimental contact lens being developed by Google can painlessly measure glucose levels in tears.\" width=\"380\" height=\"253\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/11/google-lens_custom-8ac35584f948f9c4f4703d6c59fe59a47869c7bc-s800-c85.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/google-lens_custom-8ac35584f948f9c4f4703d6c59fe59a47869c7bc-s800-c85-400x267.jpg 400w\" sizes=\"(max-width: 380px) 100vw, 380px\">\u003cfigcaption class=\"wp-caption-text\">Google is developing an experimental contact lens that would measure glucose levels painlessly in tears. \u003ccite>(Google)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Accomplishments?\u003c/strong> Google's Life Sciences unit is putting its immense resources behind new initiatives to help people with diabetes live better. Researchers are \u003ca href=\"http://www.npr.org/sections/health-shots/2015/09/06/437570402/why-google-is-going-all-in-on-diabetes\" target=\"_blank\">currently working on a contact lens\u003c/a> to measure blood sugar levels. The team is also developing products for other diseases, like the \u003ca href=\"https://www.liftware.com/\" target=\"_blank\">Liftware\u003c/a> stabilizing spoon for people with Parkinson's. The spoon helps people with hand tremors lift food to their mouths reliably and comfortably.\u003c/p>\n\u003cp>\u003cstrong>What can we expect?\u003c/strong> Google will likely release its products for people with diabetes in the next five to ten years. Some hospitals are hoping Google will release software equivalent to Apple's HealthKit and ResearchKit, so they can develop programs to monitor patients who have Android devices. Google Glass,\u003ca href=\"https://med.stanford.edu/news/all-news/2015/02/medical-students-startup-uses-google-glass.html\" target=\"_blank\"> the company's Internet-connected headgear\u003c/a>, is already showing promise for surgical training, telemedicine and other uses, and will continue to make inroads in health care.\u003c/p>\n\u003cp>\u003cstrong>Challenges? \u003c/strong>Google's first health product, Google Health, shut down in 2011 because of a lack of traction. And the health sector doesn't respond as well to failure as techies in Silicon Valley do. Google may need to prove it learned from its mistakes.\u003c/p>\n\u003cp>\u003cstrong>SAMSUNG\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_73810\" class=\"wp-caption alignright\" style=\"max-width: 395px\">\u003cimg class=\" wp-image-73810\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/11/samsung-800x533.jpg\" alt=\"A Samsung Galaxy Gear smartwatch, which tracks steps and other health metrics.\" width=\"395\" height=\"263\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/11/samsung-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/samsung-400x267.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/samsung-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/samsung-1920x1280.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/samsung-960x640.jpg 960w\" sizes=\"(max-width: 395px) 100vw, 395px\">\u003cfigcaption class=\"wp-caption-text\">The Samsung Galaxy Gear smartwatch tracks steps and other health metrics. \u003ccite>(Cheon Fong Liew/Flickr)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Accomplishments?\u003c/strong> Samsung has ambitious plans in health care. In the past few years, it has released \u003ca href=\"http://www.samsung.com/us/mobile/wearable-tech\" target=\"_blank\">wearable products\u003c/a> with health-tracking capabilities (the Gear smartwatch and Gear Fit wristband), as well as an app called S Health that aims to be a \u003ca href=\"http://shealth.samsung.com/\" target=\"_blank\">personal fitness coach\u003c/a> on a phone. The company has also developed a \u003ca href=\"http://www.samsung.com/us/business/by-industry/healthcare\" target=\"_blank\">slew of medical devices\u003c/a>, including diagnostic imaging equipment.\u003c/p>\n\u003cp>\u003cstrong>What can we expect?\u003c/strong> Like Apple, Samsung is on a mission race to develop more sophisticated health-tracking for its devices. I wouldn't be surprised if Samsung, like Google, were investing resources and energies into innovative ways to track blood glucose.\u003c/p>\n\u003cp>\u003cstrong>Challenges? \u003c/strong>Samsung faces strong competition from Apple and Google, particularly with its consumer health products. It may also need to work more closely with federal regulators in the near future.\u003c/p>\n\u003cp>\u003cstrong>INTEL \u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_73811\" class=\"wp-caption alignright\" style=\"max-width: 385px\">\u003cimg class=\" wp-image-73811\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/11/intel-800x600.jpg\" alt=\"Intel is still better known for its chip-making skills than its consumer health products. \" width=\"385\" height=\"288\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/11/intel-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/intel-400x300.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/intel-960x720.jpg 960w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/intel.jpg 1024w\" sizes=\"(max-width: 385px) 100vw, 385px\">\u003cfigcaption class=\"wp-caption-text\">Intel is still better known for its chip-making skills than its consumer health products. \u003ccite>(Karl-Martin Skontorp/Flickr )\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Accomplishments?\u003c/strong> Intel, the computing company that made a name for itself with semiconductor chips, \u003ca href=\"http://www.intel.com/content/www/us/en/healthcare-it/healthcare-overview.html\" target=\"_blank\">now boasts a health and life unit\u003c/a>. The company is delving into consumer health products with its recent acquisition of \u003ca href=\"http://www.mybasis.com/\" target=\"_blank\">Basis\u003c/a>, a health-tracking watch. The company is alsobuilding tools to help health systems deal with a massive amount of data.\u003c/p>\n\u003cp>\u003cstrong>What can we expect?\u003c/strong> Intel's health researcher Eric Dishman, \u003ca href=\"https://www.ted.com/speakers/eric_dishman\" target=\"_blank\">who is also a TED speaker\u003c/a>, is on a mission to provide more effective health care in the home rather than in the hospital. I hope to see more technologies from Intel that monitor people between doctor's visits, especially for people who are sick and/or aging.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Challenges?\u003c/strong> Intel hasn't achieved much success with its wearables, particularly with younger generations. Intel lacks a certain \"cool\" factor when it comes to consumer health products.\u003c/p>\n\n","blocks":[],"excerpt":"These tech giants have revolutionized people's work and personal lives. Can they do the same for healthcare?","status":"publish","parent":0,"modified":1477272879,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":20,"wordCount":796},"headData":{"title":"What are Apple, Google, Samsung and Intel doing in Health Care? | KQED","description":"These tech giants have revolutionized people's work and personal lives. Can they do the same for healthcare?","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"What are Apple, Google, Samsung and Intel doing in Health Care?","datePublished":"2015-12-23T16:00:08.000Z","dateModified":"2016-10-24T01:34:39.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"72960 http://ww2.kqed.org/futureofyou/?p=72960","disqusUrl":"https://ww2.kqed.org/futureofyou/2015/12/23/what-are-apple-google-samsung-and-intel-doing-in-health-care/","disqusTitle":"What are Apple, Google, Samsung and Intel doing in Health Care?","source":"Big Ideas","path":"/futureofyou/72960/what-are-apple-google-samsung-and-intel-doing-in-health-care","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>What these four tech giants are aiming to do in health care is change your life in some way for the better. Like they already have with phones, search, televisions and computer processing.\u003c/p>\n\u003cp>These companies have decades of experience building consumer products that revolutionize how people live and work, and they have ample resources to throw at any problem. Here's a look at where they're throwing resources in healthcare, from personal health to disease treatment:\u003c/p>\n\u003cp>\u003cstrong>APPLE \u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_73814\" class=\"wp-caption alignright\" style=\"max-width: 369px\">\u003cimg class=\" wp-image-73814\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/11/apple-watch-sport-800x533.jpg\" alt=\"The Apple Watch Sport is designed for workouts. \" width=\"369\" height=\"246\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/11/apple-watch-sport-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/apple-watch-sport-400x267.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/apple-watch-sport-1180x786.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/apple-watch-sport-1920x1280.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/apple-watch-sport-960x640.jpg 960w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/apple-watch-sport.jpg 2048w\" sizes=\"(max-width: 369px) 100vw, 369px\">\u003cfigcaption class=\"wp-caption-text\">The Apple Watch Sport is designed for workouts. \u003ccite>(LMYang/Flickr)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Accomplishments?\u003c/strong> In the past few years, Apple has signaled a major interest in health care. The company announced a slew of products including the Apple Watch, which tracks everything from your steps to your heart rate, and \u003ca href=\"http://www.apple.com/researchkit/\" target=\"_blank\">ResearchKit\u003c/a>, which allows researchers to conduct clinical studies using iPhones. Apple CEO Tim Cook \u003ca href=\"http://www.businessinsider.com/tim-cook-on-jim-cramer-2015-3\" target=\"_blank\">recently said\u003c/a> he sees health care as one of the top three frontiers for Apple.\u003c/p>\n\u003cp>\u003cstrong>What can we expect?\u003c/strong> Some journalists (\u003ca href=\"http://www.reuters.com/article/2014/05/05/us-apple-hiring-insight-idUSBREA4409020140505\" target=\"_blank\">myself included\u003c/a>) have speculated that Apple might delve deeper into diabetes management. The company has poached some top biomedical engineers, who were previously working on the holy grail for diabetes: a non-invasive device to monitor blood sugar continuously.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Challenges?\u003c/strong> Apple will face competition from Android, its chief rival, as the company attempts to push its operating system into health care. It may also need to grapple with federal regulators, like the U.S. Food and Drug Administration, if it transitions from \"wellness\" apps and tools to helping the chronically-ill.\u003c/p>\n\u003cp>\u003cstrong>GOOGLE/ALPHABET \u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_73809\" class=\"wp-caption alignright\" style=\"max-width: 380px\">\u003cimg class=\" wp-image-73809\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/11/google-lens_custom-8ac35584f948f9c4f4703d6c59fe59a47869c7bc-s800-c85-800x533.jpg\" alt=\"An experimental contact lens being developed by Google can painlessly measure glucose levels in tears.\" width=\"380\" height=\"253\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/11/google-lens_custom-8ac35584f948f9c4f4703d6c59fe59a47869c7bc-s800-c85.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/google-lens_custom-8ac35584f948f9c4f4703d6c59fe59a47869c7bc-s800-c85-400x267.jpg 400w\" sizes=\"(max-width: 380px) 100vw, 380px\">\u003cfigcaption class=\"wp-caption-text\">Google is developing an experimental contact lens that would measure glucose levels painlessly in tears. \u003ccite>(Google)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Accomplishments?\u003c/strong> Google's Life Sciences unit is putting its immense resources behind new initiatives to help people with diabetes live better. Researchers are \u003ca href=\"http://www.npr.org/sections/health-shots/2015/09/06/437570402/why-google-is-going-all-in-on-diabetes\" target=\"_blank\">currently working on a contact lens\u003c/a> to measure blood sugar levels. The team is also developing products for other diseases, like the \u003ca href=\"https://www.liftware.com/\" target=\"_blank\">Liftware\u003c/a> stabilizing spoon for people with Parkinson's. The spoon helps people with hand tremors lift food to their mouths reliably and comfortably.\u003c/p>\n\u003cp>\u003cstrong>What can we expect?\u003c/strong> Google will likely release its products for people with diabetes in the next five to ten years. Some hospitals are hoping Google will release software equivalent to Apple's HealthKit and ResearchKit, so they can develop programs to monitor patients who have Android devices. Google Glass,\u003ca href=\"https://med.stanford.edu/news/all-news/2015/02/medical-students-startup-uses-google-glass.html\" target=\"_blank\"> the company's Internet-connected headgear\u003c/a>, is already showing promise for surgical training, telemedicine and other uses, and will continue to make inroads in health care.\u003c/p>\n\u003cp>\u003cstrong>Challenges? \u003c/strong>Google's first health product, Google Health, shut down in 2011 because of a lack of traction. And the health sector doesn't respond as well to failure as techies in Silicon Valley do. Google may need to prove it learned from its mistakes.\u003c/p>\n\u003cp>\u003cstrong>SAMSUNG\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_73810\" class=\"wp-caption alignright\" style=\"max-width: 395px\">\u003cimg class=\" wp-image-73810\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/11/samsung-800x533.jpg\" alt=\"A Samsung Galaxy Gear smartwatch, which tracks steps and other health metrics.\" width=\"395\" height=\"263\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/11/samsung-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/samsung-400x267.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/samsung-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/samsung-1920x1280.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/samsung-960x640.jpg 960w\" sizes=\"(max-width: 395px) 100vw, 395px\">\u003cfigcaption class=\"wp-caption-text\">The Samsung Galaxy Gear smartwatch tracks steps and other health metrics. \u003ccite>(Cheon Fong Liew/Flickr)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Accomplishments?\u003c/strong> Samsung has ambitious plans in health care. In the past few years, it has released \u003ca href=\"http://www.samsung.com/us/mobile/wearable-tech\" target=\"_blank\">wearable products\u003c/a> with health-tracking capabilities (the Gear smartwatch and Gear Fit wristband), as well as an app called S Health that aims to be a \u003ca href=\"http://shealth.samsung.com/\" target=\"_blank\">personal fitness coach\u003c/a> on a phone. The company has also developed a \u003ca href=\"http://www.samsung.com/us/business/by-industry/healthcare\" target=\"_blank\">slew of medical devices\u003c/a>, including diagnostic imaging equipment.\u003c/p>\n\u003cp>\u003cstrong>What can we expect?\u003c/strong> Like Apple, Samsung is on a mission race to develop more sophisticated health-tracking for its devices. I wouldn't be surprised if Samsung, like Google, were investing resources and energies into innovative ways to track blood glucose.\u003c/p>\n\u003cp>\u003cstrong>Challenges? \u003c/strong>Samsung faces strong competition from Apple and Google, particularly with its consumer health products. It may also need to work more closely with federal regulators in the near future.\u003c/p>\n\u003cp>\u003cstrong>INTEL \u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_73811\" class=\"wp-caption alignright\" style=\"max-width: 385px\">\u003cimg class=\" wp-image-73811\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/11/intel-800x600.jpg\" alt=\"Intel is still better known for its chip-making skills than its consumer health products. \" width=\"385\" height=\"288\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/11/intel-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/intel-400x300.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/intel-960x720.jpg 960w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/intel.jpg 1024w\" sizes=\"(max-width: 385px) 100vw, 385px\">\u003cfigcaption class=\"wp-caption-text\">Intel is still better known for its chip-making skills than its consumer health products. \u003ccite>(Karl-Martin Skontorp/Flickr )\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Accomplishments?\u003c/strong> Intel, the computing company that made a name for itself with semiconductor chips, \u003ca href=\"http://www.intel.com/content/www/us/en/healthcare-it/healthcare-overview.html\" target=\"_blank\">now boasts a health and life unit\u003c/a>. The company is delving into consumer health products with its recent acquisition of \u003ca href=\"http://www.mybasis.com/\" target=\"_blank\">Basis\u003c/a>, a health-tracking watch. The company is alsobuilding tools to help health systems deal with a massive amount of data.\u003c/p>\n\u003cp>\u003cstrong>What can we expect?\u003c/strong> Intel's health researcher Eric Dishman, \u003ca href=\"https://www.ted.com/speakers/eric_dishman\" target=\"_blank\">who is also a TED speaker\u003c/a>, is on a mission to provide more effective health care in the home rather than in the hospital. I hope to see more technologies from Intel that monitor people between doctor's visits, especially for people who are sick and/or aging.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Challenges?\u003c/strong> Intel hasn't achieved much success with its wearables, particularly with younger generations. Intel lacks a certain \"cool\" factor when it comes to consumer health products.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/72960/what-are-apple-google-samsung-and-intel-doing-in-health-care","authors":["3252"],"categories":["futureofyou_1060"],"tags":["futureofyou_235","futureofyou_131","futureofyou_685","futureofyou_684","futureofyou_80","futureofyou_683"],"featImg":"futureofyou_86619","label":"source_futureofyou_72960"},"futureofyou_6467":{"type":"posts","id":"futureofyou_6467","meta":{"index":"posts_1591205157","site":"futureofyou","id":"6467","score":null,"sort":[1435258893000]},"guestAuthors":[],"slug":"ucsf-to-use-apples-research-kit-for-lgbt-health-study","title":"UCSF to Use Apple's ResearchKit for LGBT Health Study","publishDate":1435258893,"format":"standard","headTitle":"KQED Future of You | KQED Science","labelTerm":{"site":"futureofyou"},"content":"\u003cp>Mitchell Lunn and Juno Obedin-Maliver, both clinical fellows at the University of California, San Francisco, have spent the past decade studying the health problems that many lesbian, gay, bisexual, transgender and queer identified people face.\u003c/p>\n\u003cp>Their biggest challenge is the lack of population health data about LGBTQ people.\u003c/p>\n\u003cp>The researchers hope that an iPhone app can change that.\u003c/p>\n\u003cp>The new app for iOS, called PRIDE, will ask LQBTQ participants about their health history and concerns. Their answers will inform a longer-term study, which kicks off in January of 2016.\u003c/p>\n\u003cp>The app debuts in the App Store, today, just ahead of a much anticipated \u003ca href=\"http://www.npr.org/sections/itsallpolitics/2015/06/25/417112332/heres-how-the-supreme-court-could-rule-today-on-same-sex-marriage\">Supreme Court ruling\u003c/a> which could decide the fate of millions of same-sex couples in the U.S. June is also Pride month, with celebrations taking place all over the country.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"We know that there are health disparities, but we don't have the data to drive clinical practice and public health priorities,\" said Obedin-Maliver, who also practices as a resident physician in Obstetrics and Gynecology.\u003c/p>\n\u003cp>For example, about \u003ca href=\"http://www.buzzfeed.com/tonymerevick/lgbt-communities-spend-an-estimated-79-billion-per-year-on-c#.jqVyw32YeV\">one in three people from the LGBTQ community\u003c/a> smokes, which is a far higher rate than the average U.S. adult population. Therefore, scientists assume that a higher number of LGBTQ people die from cancer and other diseases that are linked to smoking -- but they do not have a way to prove it.\u003c/p>\n\u003cp>Progress has been slow on that front. \u003ca href=\"http://thefenwayinstitute.org/documents/lgbthealthreportbriefembargoed.pdf\">The Institute of Medicine\u003c/a> in 2011 issued a report finding that LGBT people “have unique health experiences and needs, but as a nation, we do not know exactly what these experiences and needs are.” It wasn't until 2013 that the Centers for Disease Control and Prevention’s annual \u003ca href=\"http://www.cdc.gov/nchs/data/nhsr/nhsr077.pdf\">National Health Interview Survey\u003c/a> included a question about sexual orientation.\u003c/p>\n\u003cp>\u003cstrong>Privacy and Security Concerns\u003c/strong>\u003c/p>\n\u003cp>The researchers found support for their app from Apple employees, who helped connect the team with a mobile design firm.\u003c/p>\n\u003cp>Apple's company's chief executive Tim Cook has emerged in recent years as an outspoken advocate of LGBTQ rights. In a \u003ca href=\"http://www.bloomberg.com/news/articles/2014-10-30/tim-cook-speaks-up\">\u003cem>Bloomberg BusinessWeek\u003c/em> op-ed\u003c/a> published last October, Cook said he doesn't consider himself an activist but is \"proud to be gay.\"\u003c/p>\n\u003cp>The app integrates with Apple's new service, \u003ca href=\"http://www.apple.com/researchkit/?sr=hotnews.rss\">ResearchKit,\u003c/a> which makes it easier for clinical researchers and developers to develop mobile apps that gather data from participants -- with their consent.\u003c/p>\n\u003caside class=\"pullquote alignright\">\"In order for the community to thrive -- not just survive -- we need to incorporate LGBTQ people into all facets of life, including health and research.\"\u003cbr>\n\u003ccite>Juno Obedin-Maliver, clinical fellow at UCSF \u003c/cite>\u003c/aside>\n\u003cp>The first five ResearchKit apps focused on Parkinson's Disease, breast cancer, diabetes, asthma and heart disease. This is the first ResearchKit-powered app targeted to gathering data about population health, rather than a specific disease.\u003c/p>\n\u003cp>\"When Apple launched ResearchKit [last month], we reached out to the team at Apple to ask whether we could think about modifying it to make it more of a tool to engage the community,\" Lunn explained. \"They were very excited.\"\u003c/p>\n\u003cp>Some potential participants may be concerned about sharing their sexual orientation and gender identity with an app. Lunn said they built the app with security and privacy in mind -- it is HIPAA-compliant and includes \"military grade encryption,\" he said.\u003c/p>\n\u003cp>The data will only be available to researchers from UCSF for now. But it may later be shared with researchers in an \"aggregate and de-identified way,\" meaning first name, social security number and contact information will not be visible.\u003c/p>\n\u003cp>\u003cstrong>Thrive, Not Just Survive\u003c/strong>\u003c/p>\n\u003cp>Lunn and Obedin-Maliver say this is the first national public health study focused on LGBTQ people.\u003c/p>\n\u003cp>Other researchers say this kind of data is desperately needed. National cancer registries, \u003ca href=\"http://seer.cancer.gov/registries/\">like SEER\u003c/a>, do not include questions about sexual orientation and gender identity.\u003c/p>\n\u003cp>\"I really need this data,\" said Liz Margolies, founder and executive director of the National LGBT Cancer Network.\u003c/p>\n\u003cp>\"The federal government should be making sure this data is collected, but it takes years. In the meantime, it is very difficult to get funding.\"\u003c/p>\n\u003cp>The study will also highlight some of the discrimination that LGBTQ people face during their treatment. Recent research found that 55 percent of lesbian and gay patients and 70 percent of transgender patients \u003ca href=\"http://www.lambdalegal.org/publications/when-health-care-isnt-caring\">felt they had experienced\u003c/a> discrimination or substandard care.\u003c/p>\n\u003cp>\"In order for the community to thrive -- not just survive -- we need to incorporate LGBTQ people into all facets of life, including health and research,\" said Obedin-Maliver.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"We need to understand their needs in their own words and voices.\"\u003c/p>\n\n","blocks":[],"excerpt":"The research team behind PRIDE, a new iPhone app, say this is the first national public health study focused on the gay and lesbian community.","status":"publish","parent":0,"modified":1477281370,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":26,"wordCount":798},"headData":{"title":"UCSF to Use Apple's ResearchKit for LGBT Health Study | KQED","description":"The research team behind PRIDE, a new iPhone app, say this is the first national public health study focused on the gay and lesbian community.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"UCSF to Use Apple's ResearchKit for LGBT Health Study","datePublished":"2015-06-25T19:01:33.000Z","dateModified":"2016-10-24T03:56:10.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"6467 http://ww2.kqed.org/futureofyou/?p=6467","disqusUrl":"https://ww2.kqed.org/futureofyou/2015/06/25/ucsf-to-use-apples-research-kit-for-lgbt-health-study/","disqusTitle":"UCSF to Use Apple's ResearchKit for LGBT Health Study","path":"/futureofyou/6467/ucsf-to-use-apples-research-kit-for-lgbt-health-study","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Mitchell Lunn and Juno Obedin-Maliver, both clinical fellows at the University of California, San Francisco, have spent the past decade studying the health problems that many lesbian, gay, bisexual, transgender and queer identified people face.\u003c/p>\n\u003cp>Their biggest challenge is the lack of population health data about LGBTQ people.\u003c/p>\n\u003cp>The researchers hope that an iPhone app can change that.\u003c/p>\n\u003cp>The new app for iOS, called PRIDE, will ask LQBTQ participants about their health history and concerns. Their answers will inform a longer-term study, which kicks off in January of 2016.\u003c/p>\n\u003cp>The app debuts in the App Store, today, just ahead of a much anticipated \u003ca href=\"http://www.npr.org/sections/itsallpolitics/2015/06/25/417112332/heres-how-the-supreme-court-could-rule-today-on-same-sex-marriage\">Supreme Court ruling\u003c/a> which could decide the fate of millions of same-sex couples in the U.S. June is also Pride month, with celebrations taking place all over the country.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"We know that there are health disparities, but we don't have the data to drive clinical practice and public health priorities,\" said Obedin-Maliver, who also practices as a resident physician in Obstetrics and Gynecology.\u003c/p>\n\u003cp>For example, about \u003ca href=\"http://www.buzzfeed.com/tonymerevick/lgbt-communities-spend-an-estimated-79-billion-per-year-on-c#.jqVyw32YeV\">one in three people from the LGBTQ community\u003c/a> smokes, which is a far higher rate than the average U.S. adult population. Therefore, scientists assume that a higher number of LGBTQ people die from cancer and other diseases that are linked to smoking -- but they do not have a way to prove it.\u003c/p>\n\u003cp>Progress has been slow on that front. \u003ca href=\"http://thefenwayinstitute.org/documents/lgbthealthreportbriefembargoed.pdf\">The Institute of Medicine\u003c/a> in 2011 issued a report finding that LGBT people “have unique health experiences and needs, but as a nation, we do not know exactly what these experiences and needs are.” It wasn't until 2013 that the Centers for Disease Control and Prevention’s annual \u003ca href=\"http://www.cdc.gov/nchs/data/nhsr/nhsr077.pdf\">National Health Interview Survey\u003c/a> included a question about sexual orientation.\u003c/p>\n\u003cp>\u003cstrong>Privacy and Security Concerns\u003c/strong>\u003c/p>\n\u003cp>The researchers found support for their app from Apple employees, who helped connect the team with a mobile design firm.\u003c/p>\n\u003cp>Apple's company's chief executive Tim Cook has emerged in recent years as an outspoken advocate of LGBTQ rights. In a \u003ca href=\"http://www.bloomberg.com/news/articles/2014-10-30/tim-cook-speaks-up\">\u003cem>Bloomberg BusinessWeek\u003c/em> op-ed\u003c/a> published last October, Cook said he doesn't consider himself an activist but is \"proud to be gay.\"\u003c/p>\n\u003cp>The app integrates with Apple's new service, \u003ca href=\"http://www.apple.com/researchkit/?sr=hotnews.rss\">ResearchKit,\u003c/a> which makes it easier for clinical researchers and developers to develop mobile apps that gather data from participants -- with their consent.\u003c/p>\n\u003caside class=\"pullquote alignright\">\"In order for the community to thrive -- not just survive -- we need to incorporate LGBTQ people into all facets of life, including health and research.\"\u003cbr>\n\u003ccite>Juno Obedin-Maliver, clinical fellow at UCSF \u003c/cite>\u003c/aside>\n\u003cp>The first five ResearchKit apps focused on Parkinson's Disease, breast cancer, diabetes, asthma and heart disease. This is the first ResearchKit-powered app targeted to gathering data about population health, rather than a specific disease.\u003c/p>\n\u003cp>\"When Apple launched ResearchKit [last month], we reached out to the team at Apple to ask whether we could think about modifying it to make it more of a tool to engage the community,\" Lunn explained. \"They were very excited.\"\u003c/p>\n\u003cp>Some potential participants may be concerned about sharing their sexual orientation and gender identity with an app. Lunn said they built the app with security and privacy in mind -- it is HIPAA-compliant and includes \"military grade encryption,\" he said.\u003c/p>\n\u003cp>The data will only be available to researchers from UCSF for now. But it may later be shared with researchers in an \"aggregate and de-identified way,\" meaning first name, social security number and contact information will not be visible.\u003c/p>\n\u003cp>\u003cstrong>Thrive, Not Just Survive\u003c/strong>\u003c/p>\n\u003cp>Lunn and Obedin-Maliver say this is the first national public health study focused on LGBTQ people.\u003c/p>\n\u003cp>Other researchers say this kind of data is desperately needed. National cancer registries, \u003ca href=\"http://seer.cancer.gov/registries/\">like SEER\u003c/a>, do not include questions about sexual orientation and gender identity.\u003c/p>\n\u003cp>\"I really need this data,\" said Liz Margolies, founder and executive director of the National LGBT Cancer Network.\u003c/p>\n\u003cp>\"The federal government should be making sure this data is collected, but it takes years. In the meantime, it is very difficult to get funding.\"\u003c/p>\n\u003cp>The study will also highlight some of the discrimination that LGBTQ people face during their treatment. Recent research found that 55 percent of lesbian and gay patients and 70 percent of transgender patients \u003ca href=\"http://www.lambdalegal.org/publications/when-health-care-isnt-caring\">felt they had experienced\u003c/a> discrimination or substandard care.\u003c/p>\n\u003cp>\"In order for the community to thrive -- not just survive -- we need to incorporate LGBTQ people into all facets of life, including health and research,\" said Obedin-Maliver.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"We need to understand their needs in their own words and voices.\"\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/6467/ucsf-to-use-apples-research-kit-for-lgbt-health-study","authors":["3252"],"categories":["futureofyou_1060"],"tags":["futureofyou_235","futureofyou_542","futureofyou_474","futureofyou_469","futureofyou_470","futureofyou_473","futureofyou_472","futureofyou_294"],"featImg":"futureofyou_6719","label":"futureofyou"},"futureofyou_2703":{"type":"posts","id":"futureofyou_2703","meta":{"index":"posts_1591205157","site":"futureofyou","id":"2703","score":null,"sort":[1431710107000]},"guestAuthors":[{"ID":"2718","displayName":"Gabrielle Guthrie","firstName":"Gabrielle","lastName":"Guthrie","userLogin":"gabrielle-guthrie","userEmail":"gabrielle@moxxly.com","linkedAccount":"","website":"","aim":"","yahooim":"","jabber":"","description":"Gabrielle Guthrie has a Masters in Design from Stanford University. She is co-founder of the women-centered design start up, Moxxly. She lives and works in San Francisco.","userNicename":"gabrielle-guthrie","type":"guest-author"}],"slug":"womens-health-is-too-often-overlooked-will-digital-health-be-the-exception","title":"Women's Health is Too Often Overlooked; Will Digital Health be the Exception?","publishDate":1431710107,"format":"standard","headTitle":"Women’s Health | KQED Future of You | KQED Science","labelTerm":{"term":219,"site":"futureofyou"},"content":"\u003cdiv class=\"page\" title=\"Page 1\">\n\u003cdiv class=\"layoutArea\">\n\u003cdiv class=\"column\">\n\u003cp>\u003cem>Editor's note: This perspective comes from Gabrielle Guthrie. She is co- founder of the women-centered design start up, Moxxly, which is developing the world's first 'smart breast pump'. Gabrielle has a masters in design from Stanford University and lives and works in San Francisco.\u003c/em>\u003c/p>\n\u003cp>Women’s health is often assumed to be similar to men's health. Or not considered at all.\u003c/p>\n\u003cp>That needs to change.\u003c/p>\n\u003cp>In 1956, a clinical trial of the drug Thalidomide ran in the United States involving 875 people. Thalidomide was touted as a wonder drug for insomnia, headaches, and morning sickness. Pregnant women were among the participants. Within five years, Thalidomide \u003ca href=\"http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1849348/\">was pulled from the market\u003c/a> under pressure from the public after it caused malformation of the limbs in 10,000 children and killed an additional 2,000.\u003c/p>\n\u003cp>Following the Thalidomide scare, the industry still considers women to be a higher risk – and therefore a more expensive – participant group. So without requirements in place for industry to include a balanced representation of women, study participants skew heavily male.\u003c/p>\n\u003cp>So now, what is known to be true for men has been assumed to be true for everyone.\u003c/p>\n\u003cp>This assumption is especially dangerous with heart disease, the number one cause of death for women in the United States. Despite its fatality rate – or perhaps because of it - men comprise 76 percent of all heart-related study participants, even after efforts from the FDA Office of Women’s Health has worked to promote gender and racial diversity in the face of industry’s biases toward white, male enrollment in medical studies.\u003c/p>\n\u003cp>\u003cstrong>So What’s the Big Deal?\u003c/strong>\u003c/p>\n\u003cp>The problem occurs when insights from research are applied universally.\u003c/p>\n\u003cp>That left arm tingle we all associate with a classic sign of a heart attack?\u003c/p>\n\u003cp>Turns out that’s actually a classic sign of a heart attack in a man. A woman having a heart attack \u003ca href=\"http://www.npr.org/blogs/health/2015/04/06/397281837/women-having-a-heart-attack-dont-get-treatment-fast-enough\">can present much different symptoms\u003c/a>, such as fatigue, dizziness, or nausea.\u003c/p>\n\u003cp>“Many, many women died because the way we’re taught to recognize a heart attack is based on the symptoms men present,” says Dr. Alicia Carrasco, an internist affiliated with University of California, San Francisco (UCSF) Medical Center.\u003c/p>\n\u003cp>Studies with a gender imbalance can have a double blind affect: Patients may not realize the severity of their symptoms and doctors are more likely to misdiagnose them, with potentially fatal consequences.\u003c/p>\n\u003cp>Heart disease research is not an isolated instance. Non-smoking women for example, are more likely than men to develop lung cancer and we don’t know why. Women are also at a greater risk for depression.\u003c/p>\n\u003cp>Breast cancer research stands as a strong exception to this rule, with $6 billion raised every year. From 2011 to 2013 the National Cancer Institute allocated more than double the amount of funding for breast cancer research than for prostate cancer research, even though one in 31 women will die of breast cancer and one in 38 men will die of prostate cancer.\u003c/p>\n\u003c/div>\n\u003c/div>\n\u003c/div>\n\u003cdiv class=\"page\" title=\"Page 2\">\n\u003cdiv class=\"layoutArea\">\n\u003cdiv class=\"column\">\n\u003cp>But as the NFL goes pink for all of October, heart disease continues to kill one in three American women, according to the American Heart Association. In other words women in the U.S. are ten times more likely to die of heart disease than of breast cancer.\u003c/p>\n\u003cp>Yet cardiovascular disease is still considered a man’s disease.\u003c/p>\n\u003cp>\u003cstrong>Can New Digital Health Tools Change the Ratio?\u003cbr>\n\u003c/strong>\u003c/p>\n\u003cp>This lack of education and understanding of women’s health spreads across the health landscape from research studies to new digital health products.\u003c/p>\n\u003cp>Apple’s \u003ca href=\"http://www.theverge.com/2014/9/25/6844021/apple-promised-an-expansive-health-app-so-why-cant-i-track\">oversight in not including menstruation cycles\u003c/a> in its HealthKit service’s otherwise comprehensive metrics stands as a recent example. Despite the flak it received in the press, the latest software update still doesn’t offer the one health metric many women of childbearing age care most about: Period-tracking.\u003c/p>\n\u003cp>Experts say these types of examples are a frequent oversight, as both the technology and health fields are dominated by men.\u003c/p>\n\u003cp>Which means health issues that affect women are often either overlooked, in the case of HealthKit, or they miss the mark. Most women’s health apps still rely on and reinforce stereotypes of femininity that many women don’t identify with. Yes I’m talking pinks and flowers for everything from period trackers to breastfeeding.\u003c/p>\n\u003cp>“It may not even be a conscious thing. There are just more male doctors,\" said Dr. Carrasco.\u003c/p>\n\u003cp>\"In order for this to change, we need more women in positions of power.\"\u003c/p>\n\u003cp>And engineers, entrepreneurs and venture capitalists.\u003c/p>\n\u003cp>In my opinion, we’re still in the stage of women’s digital health that is operating on stereotypes and assumptions.\u003c/p>\n\u003cp>But digital health offers a new opportunity of understanding beyond the white, male patient.\u003c/p>\n\u003cp>\"We don’t have to rely on scientific studies and pharmaceutical companies to advance female health when we can collect vast quantities of valuable data on our own,” \u003ca href=\"http://pixelhealth.net/author/ida-tin/\">writes Ida Tin\u003c/a>, chief executive of Clue, an app that is focused on fertility.\u003c/p>\n\u003cp>But in order to be successful, women’s digital health products have to be designed for and with women in mind.\u003c/p>\n\u003c/div>\n\u003c/div>\n\u003c/div>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n","blocks":[],"excerpt":"In order to be successful, women’s digital health products have to be designed for and with women in mind.","status":"publish","parent":0,"modified":1596839357,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":31,"wordCount":878},"headData":{"title":"Women’s Health is Too Often Overlooked; Will Digital Health be the Exception? - KQED Future of You","description":"In order to be successful, women’s digital health products have to be designed for and with women in mind.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Women's Health is Too Often Overlooked; Will Digital Health be the Exception?","datePublished":"2015-05-15T17:15:07.000Z","dateModified":"2020-08-07T22:29:17.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"2703 http://ww2.kqed.org/futureofyou/?p=2703","disqusUrl":"https://ww2.kqed.org/futureofyou/2015/05/15/womens-health-is-too-often-overlooked-will-digital-health-be-the-exception/","disqusTitle":"Women's Health is Too Often Overlooked; Will Digital Health be the Exception?","templateType":"standard","featuredImageType":"standard","path":"/futureofyou/2703/womens-health-is-too-often-overlooked-will-digital-health-be-the-exception","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cdiv class=\"page\" title=\"Page 1\">\n\u003cdiv class=\"layoutArea\">\n\u003cdiv class=\"column\">\n\u003cp>\u003cem>Editor's note: This perspective comes from Gabrielle Guthrie. She is co- founder of the women-centered design start up, Moxxly, which is developing the world's first 'smart breast pump'. Gabrielle has a masters in design from Stanford University and lives and works in San Francisco.\u003c/em>\u003c/p>\n\u003cp>Women’s health is often assumed to be similar to men's health. Or not considered at all.\u003c/p>\n\u003cp>That needs to change.\u003c/p>\n\u003cp>In 1956, a clinical trial of the drug Thalidomide ran in the United States involving 875 people. Thalidomide was touted as a wonder drug for insomnia, headaches, and morning sickness. Pregnant women were among the participants. Within five years, Thalidomide \u003ca href=\"http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1849348/\">was pulled from the market\u003c/a> under pressure from the public after it caused malformation of the limbs in 10,000 children and killed an additional 2,000.\u003c/p>\n\u003cp>Following the Thalidomide scare, the industry still considers women to be a higher risk – and therefore a more expensive – participant group. So without requirements in place for industry to include a balanced representation of women, study participants skew heavily male.\u003c/p>\n\u003cp>So now, what is known to be true for men has been assumed to be true for everyone.\u003c/p>\n\u003cp>This assumption is especially dangerous with heart disease, the number one cause of death for women in the United States. Despite its fatality rate – or perhaps because of it - men comprise 76 percent of all heart-related study participants, even after efforts from the FDA Office of Women’s Health has worked to promote gender and racial diversity in the face of industry’s biases toward white, male enrollment in medical studies.\u003c/p>\n\u003cp>\u003cstrong>So What’s the Big Deal?\u003c/strong>\u003c/p>\n\u003cp>The problem occurs when insights from research are applied universally.\u003c/p>\n\u003cp>That left arm tingle we all associate with a classic sign of a heart attack?\u003c/p>\n\u003cp>Turns out that’s actually a classic sign of a heart attack in a man. A woman having a heart attack \u003ca href=\"http://www.npr.org/blogs/health/2015/04/06/397281837/women-having-a-heart-attack-dont-get-treatment-fast-enough\">can present much different symptoms\u003c/a>, such as fatigue, dizziness, or nausea.\u003c/p>\n\u003cp>“Many, many women died because the way we’re taught to recognize a heart attack is based on the symptoms men present,” says Dr. Alicia Carrasco, an internist affiliated with University of California, San Francisco (UCSF) Medical Center.\u003c/p>\n\u003cp>Studies with a gender imbalance can have a double blind affect: Patients may not realize the severity of their symptoms and doctors are more likely to misdiagnose them, with potentially fatal consequences.\u003c/p>\n\u003cp>Heart disease research is not an isolated instance. Non-smoking women for example, are more likely than men to develop lung cancer and we don’t know why. Women are also at a greater risk for depression.\u003c/p>\n\u003cp>Breast cancer research stands as a strong exception to this rule, with $6 billion raised every year. From 2011 to 2013 the National Cancer Institute allocated more than double the amount of funding for breast cancer research than for prostate cancer research, even though one in 31 women will die of breast cancer and one in 38 men will die of prostate cancer.\u003c/p>\n\u003c/div>\n\u003c/div>\n\u003c/div>\n\u003cdiv class=\"page\" title=\"Page 2\">\n\u003cdiv class=\"layoutArea\">\n\u003cdiv class=\"column\">\n\u003cp>But as the NFL goes pink for all of October, heart disease continues to kill one in three American women, according to the American Heart Association. In other words women in the U.S. are ten times more likely to die of heart disease than of breast cancer.\u003c/p>\n\u003cp>Yet cardiovascular disease is still considered a man’s disease.\u003c/p>\n\u003cp>\u003cstrong>Can New Digital Health Tools Change the Ratio?\u003cbr>\n\u003c/strong>\u003c/p>\n\u003cp>This lack of education and understanding of women’s health spreads across the health landscape from research studies to new digital health products.\u003c/p>\n\u003cp>Apple’s \u003ca href=\"http://www.theverge.com/2014/9/25/6844021/apple-promised-an-expansive-health-app-so-why-cant-i-track\">oversight in not including menstruation cycles\u003c/a> in its HealthKit service’s otherwise comprehensive metrics stands as a recent example. Despite the flak it received in the press, the latest software update still doesn’t offer the one health metric many women of childbearing age care most about: Period-tracking.\u003c/p>\n\u003cp>Experts say these types of examples are a frequent oversight, as both the technology and health fields are dominated by men.\u003c/p>\n\u003cp>Which means health issues that affect women are often either overlooked, in the case of HealthKit, or they miss the mark. Most women’s health apps still rely on and reinforce stereotypes of femininity that many women don’t identify with. Yes I’m talking pinks and flowers for everything from period trackers to breastfeeding.\u003c/p>\n\u003cp>“It may not even be a conscious thing. There are just more male doctors,\" said Dr. Carrasco.\u003c/p>\n\u003cp>\"In order for this to change, we need more women in positions of power.\"\u003c/p>\n\u003cp>And engineers, entrepreneurs and venture capitalists.\u003c/p>\n\u003cp>In my opinion, we’re still in the stage of women’s digital health that is operating on stereotypes and assumptions.\u003c/p>\n\u003cp>But digital health offers a new opportunity of understanding beyond the white, male patient.\u003c/p>\n\u003cp>\"We don’t have to rely on scientific studies and pharmaceutical companies to advance female health when we can collect vast quantities of valuable data on our own,” \u003ca href=\"http://pixelhealth.net/author/ida-tin/\">writes Ida Tin\u003c/a>, chief executive of Clue, an app that is focused on fertility.\u003c/p>\n\u003cp>But in order to be successful, women’s digital health products have to be designed for and with women in mind.\u003c/p>\n\u003c/div>\n\u003c/div>\n\u003c/div>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/2703/womens-health-is-too-often-overlooked-will-digital-health-be-the-exception","authors":["2718"],"series":["futureofyou_172","futureofyou_219"],"categories":["futureofyou_1060","futureofyou_1062"],"tags":["futureofyou_235","futureofyou_264","futureofyou_103","futureofyou_175","futureofyou_34","futureofyou_273","futureofyou_80","futureofyou_269","futureofyou_276","futureofyou_275"],"featImg":"futureofyou_2707","label":"futureofyou_219"},"futureofyou_2694":{"type":"posts","id":"futureofyou_2694","meta":{"index":"posts_1591205157","site":"futureofyou","id":"2694","score":null,"sort":[1430758873000]},"guestAuthors":[],"slug":"the-promise-and-potential-pitfalls-of-apples-researchkit","title":"The Promise and Potential Pitfalls of Apple's ResearchKit","publishDate":1430758873,"format":"standard","headTitle":"Contributor | Future of You | KQED Future of You | KQED Science","labelTerm":{"term":54,"site":"futureofyou"},"content":"\u003cp>Most of the tech buzz these days has centered on the new Apple Watch -- including on the potential for \u003ca href=\"http://www.npr.org/blogs/alltechconsidered/2015/04/25/402039156/as-health-apps-hop-on-the-apple-watch-privacy-will-be-key\">health-related apps\u003c/a>. Less attention has been given to Apple's \u003ca href=\"https://www.apple.com/researchkit/\">ResearchKit\u003c/a>, an open-source mobile software platform released in March.\u003c/p>\n\u003cp>But the medical world is paying attention.\u003c/p>\n\u003cp>\"It's designed to let medical researchers and developers create apps that can be downloaded through the app store, and then users can decide to join a study that's conducted solely through their phones,\" Arielle Duhaime-Ross, a science reporter at The Verge, tells NPR's Arun Rath.\u003c/p>\n\u003cp>So far, researchers have developed ResearchKit apps to study diseases including breast cancer, asthma and Parkinson's disease. \u003ca href=\"http://www.bloomberg.com/news/articles/2015-03-11/apple-researchkit-sees-thousands-sign-up-amid-bias-criticism\">Thousands of volunteers\u003c/a> have signed up.\u003c/p>\n\u003cp>But Duhaime-Ross tells Rath there are concerns about privacy and informed consent. Here are some interview highlights:\u003c/p>\n\u003chr>\n\u003cp>\u003cstrong>On privacy concerns\u003c/strong>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>When you join a [ResearchKit] study, you go through an informed consent process where they tell you about the risks of joining the study. They'll ask you whether you want to share your data with other researchers and any other partners, but they do explain that they will make that data anonymous.\u003c/p>\n\u003cp>And really, Apple is relying on these researchers, these institutions, to make sure that everything is kosher. And that's where it might get a little bit hairy, where data breaches might occur. It's very young and it's very unclear whether there will be any issues later on.\u003c/p>\n\u003cp>\u003cstrong>On the question of informed consent\u003c/strong>\u003c/p>\n\u003cp>Every app that I've tested so far tells you toward the end that there is no guarantee that we can protect your data completely. Usually when you do this, you do this in person with the researcher or on the phone. You have the opportunity to ask a number of questions. You have the opportunity to demonstrate that maybe you don't quite understand what you're signing up for.\u003c/p>\n\u003cp>Now, the informed consent process with the apps, they do ask you a number of questions to verify that you understand everything that you've just read. But these questions are yes/no questions and it's very easy to essentially fudge the process. ...\u003c/p>\n\u003cp>If you go into the Parkinson's disease app ... when you first decide to join the study, it asks you three questions. One of them is \"Are you over 18?\" The first time that I downloaded it, I pressed on \"no\" ... It said, \"You're not eligible.\" I was able to press on the back button very easily and then I was able to answer again and say that I was over 18. So there's definitely a question about the ethics of this process.\u003c/p>\n\u003cp>\u003cstrong>On how Apple addressed some concerns after the release\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Apple has asked ... that all apps have institutional review board approval. This means that at the institutions where they are based in, they need to have an independent ethics board review the work to make sure that the people who are partaking in it are properly informed about the risks, are aware of how everything will run, that the questions are valuable questions that are being asked and that we're not conducting a study of little value.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2015 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=The+Promise+And+Potential+Pitfalls+Of+Apple%27s+ResearchKit+&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\" alt=\"\">\u003c/div>\n\u003cdiv class=\"fullattribution\">\u003c/div>\n\u003cdiv class=\"fullattribution\">\u003ca href=\"http://www.npr.org/blogs/alltechconsidered/2015/05/03/404023370/the-promise-and-potential-pitfalls-of-apples-researchkit\">Read the full transcript of the interview here. \u003c/a>\u003c/div>\n\n","blocks":[],"excerpt":"Apple's new mobile software platform is designed to help collect data for medical research, but concerns have been raised about privacy and informed consent.","status":"publish","parent":0,"modified":1477282718,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":16,"wordCount":558},"headData":{"title":"The Promise and Potential Pitfalls of Apple's ResearchKit | KQED","description":"Apple's new mobile software platform is designed to help collect data for medical research, but concerns have been raised about privacy and informed consent.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"The Promise and Potential Pitfalls of Apple's ResearchKit","datePublished":"2015-05-04T17:01:13.000Z","dateModified":"2016-10-24T04:18:38.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"2694 http://ww2.kqed.org/futureofyou/?p=2694","disqusUrl":"https://ww2.kqed.org/futureofyou/2015/05/04/the-promise-and-potential-pitfalls-of-apples-researchkit/","disqusTitle":"The Promise and Potential Pitfalls of Apple's ResearchKit","nprByline":"NPR Staff","nprStoryId":"404023370","nprApiLink":"http://api.npr.org/query?id=404023370&apiKey=MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004","nprHtmlLink":"http://www.npr.org/blogs/alltechconsidered/2015/05/03/404023370/the-promise-and-potential-pitfalls-of-apples-researchkit?ft=nprml&f=404023370","nprRetrievedStory":"1","nprPubDate":"Mon, 04 May 2015 09:37:00 -0400","nprStoryDate":"Sun, 03 May 2015 18:44:00 -0400","nprLastModifiedDate":"Mon, 04 May 2015 09:37:03 -0400","nprAudio":"http://pd.npr.org/anon.npr-mp3/npr/atc/2015/05/20150503_atc_apple_research_kit.mp3?orgId=1&topicId=1019&d=273&p=2&story=404023370&t=progseg&e=404027989&seg=5&ft=nprml&f=404023370","nprAudioM3u":"http://api.npr.org/m3u/1404028033-69b76a.m3u?orgId=1&topicId=1019&d=273&p=2&story=404023370&t=progseg&e=404027989&seg=5&ft=nprml&f=404023370","path":"/futureofyou/2694/the-promise-and-potential-pitfalls-of-apples-researchkit","audioUrl":"http://pd.npr.org/anon.npr-mp3/npr/atc/2015/05/20150503_atc_apple_research_kit.mp3?orgId=1&topicId=1019&d=273&p=2&story=404023370&t=progseg&e=404027989&seg=5&ft=nprml&f=404023370","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Most of the tech buzz these days has centered on the new Apple Watch -- including on the potential for \u003ca href=\"http://www.npr.org/blogs/alltechconsidered/2015/04/25/402039156/as-health-apps-hop-on-the-apple-watch-privacy-will-be-key\">health-related apps\u003c/a>. Less attention has been given to Apple's \u003ca href=\"https://www.apple.com/researchkit/\">ResearchKit\u003c/a>, an open-source mobile software platform released in March.\u003c/p>\n\u003cp>But the medical world is paying attention.\u003c/p>\n\u003cp>\"It's designed to let medical researchers and developers create apps that can be downloaded through the app store, and then users can decide to join a study that's conducted solely through their phones,\" Arielle Duhaime-Ross, a science reporter at The Verge, tells NPR's Arun Rath.\u003c/p>\n\u003cp>So far, researchers have developed ResearchKit apps to study diseases including breast cancer, asthma and Parkinson's disease. \u003ca href=\"http://www.bloomberg.com/news/articles/2015-03-11/apple-researchkit-sees-thousands-sign-up-amid-bias-criticism\">Thousands of volunteers\u003c/a> have signed up.\u003c/p>\n\u003cp>But Duhaime-Ross tells Rath there are concerns about privacy and informed consent. Here are some interview highlights:\u003c/p>\n\u003chr>\n\u003cp>\u003cstrong>On privacy concerns\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>When you join a [ResearchKit] study, you go through an informed consent process where they tell you about the risks of joining the study. They'll ask you whether you want to share your data with other researchers and any other partners, but they do explain that they will make that data anonymous.\u003c/p>\n\u003cp>And really, Apple is relying on these researchers, these institutions, to make sure that everything is kosher. And that's where it might get a little bit hairy, where data breaches might occur. It's very young and it's very unclear whether there will be any issues later on.\u003c/p>\n\u003cp>\u003cstrong>On the question of informed consent\u003c/strong>\u003c/p>\n\u003cp>Every app that I've tested so far tells you toward the end that there is no guarantee that we can protect your data completely. Usually when you do this, you do this in person with the researcher or on the phone. You have the opportunity to ask a number of questions. You have the opportunity to demonstrate that maybe you don't quite understand what you're signing up for.\u003c/p>\n\u003cp>Now, the informed consent process with the apps, they do ask you a number of questions to verify that you understand everything that you've just read. But these questions are yes/no questions and it's very easy to essentially fudge the process. ...\u003c/p>\n\u003cp>If you go into the Parkinson's disease app ... when you first decide to join the study, it asks you three questions. One of them is \"Are you over 18?\" The first time that I downloaded it, I pressed on \"no\" ... It said, \"You're not eligible.\" I was able to press on the back button very easily and then I was able to answer again and say that I was over 18. So there's definitely a question about the ethics of this process.\u003c/p>\n\u003cp>\u003cstrong>On how Apple addressed some concerns after the release\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Apple has asked ... that all apps have institutional review board approval. This means that at the institutions where they are based in, they need to have an independent ethics board review the work to make sure that the people who are partaking in it are properly informed about the risks, are aware of how everything will run, that the questions are valuable questions that are being asked and that we're not conducting a study of little value.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2015 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=The+Promise+And+Potential+Pitfalls+Of+Apple%27s+ResearchKit+&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\" alt=\"\">\u003c/div>\n\u003cdiv class=\"fullattribution\">\u003c/div>\n\u003cdiv class=\"fullattribution\">\u003ca href=\"http://www.npr.org/blogs/alltechconsidered/2015/05/03/404023370/the-promise-and-potential-pitfalls-of-apples-researchkit\">Read the full transcript of the interview here. \u003c/a>\u003c/div>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/2694/the-promise-and-potential-pitfalls-of-apples-researchkit","authors":["byline_futureofyou_2694"],"programs":["futureofyou_54"],"series":["futureofyou_172"],"categories":["futureofyou_1060"],"tags":["futureofyou_235","futureofyou_34","futureofyou_138","futureofyou_61","futureofyou_270","futureofyou_80","futureofyou_272","futureofyou_269","futureofyou_271"],"featImg":"futureofyou_2697","label":"futureofyou_54"},"futureofyou_2122":{"type":"posts","id":"futureofyou_2122","meta":{"index":"posts_1591205157","site":"futureofyou","id":"2122","score":null,"sort":[1429830690000]},"guestAuthors":[],"slug":"these-apps-are-turning-the-apple-watch-into-a-personal-health-coach","title":"These Apps are Turning the Apple Watch into a Personal Health Coach","publishDate":1429830690,"format":"standard","headTitle":"KQED Future of You | KQED Science","labelTerm":{"site":"futureofyou"},"content":"\u003cp>You're waiting in line for a coffee, eyeing a pastry, and your wrist-watch buzzes with a warning.\u003c/p>\n\u003cp>Flashing on the tiny screen of your \u003ca href=\"https://www.apple.com/watch/\">Apple Watch\u003c/a> is a message from an app called \u003ca href=\"http://lark.com/\">Lark\u003c/a>, suggesting that you lay off the carbs for today. Speak into the Apple Watch's built-in mic about your food, sleep and exercise, and the app will send helpful tips back to you.\u003c/p>\n\u003cp>The notion of receiving nutrition advice from artificial intelligence on your wrist may seem like science fiction. But health developers like Lark are making a bet that Apple's first wearable device, the Apple Watch, will fly off the shelves and this kind of behavior will become the norm.\u003c/p>\n\u003cfigure id=\"attachment_2276\" class=\"wp-caption alignright\" style=\"max-width: 263px\">\u003cimg class=\" wp-image-2276\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/04/Screenshots-with-Apple-Watch.002.png\" alt=\"A typical interaction with a Lark weight loss coach\" width=\"263\" height=\"301\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/04/Screenshots-with-Apple-Watch.002.png 436w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/Screenshots-with-Apple-Watch.002-400x457.png 400w\" sizes=\"(max-width: 263px) 100vw, 263px\">\u003cfigcaption class=\"wp-caption-text\">A typical interaction with a Lark weight loss coach \u003ccite>(Lark)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Lark is just one of over a dozen health developers with new apps for the Apple Watch, which are focused on improving people's health and fitness. Some of these apps are essentially a smaller version of an existing iPhone app; others take advantage of the unique capabilities of the Apple Watch.\u003c/p>\n\u003cp>Apple has made no secret of its interest in medicine, and has recruited industry experts to work on services like \u003ca href=\"https://www.apple.com/pr/library/2015/04/14Apple-Announces-ResearchKit-Available-Today-to-Medical-Researchers.html\">ResearchKit\u003c/a> and \u003ca href=\"https://developer.apple.com/healthkit/\">HealthKit\u003c/a>, which aim to open up the flow of health data between consumers, mobile developers and medical researchers.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>But as it dabbles in health care, a notoriously regulated and privacy-conscious sector, Apple has also made steps to put you in control of how your data is shared.\u003c/p>\n\u003cp>Here's how it works for the Apple Watch: You can choose to share health information with third-party apps like Lark, including the amount of steps you've walked, via \u003ca href=\"https://www.apple.com/ios/whats-new/health/\">Apple's Health app\u003c/a>, which comes with the device. Your health data, collected via the Apple Watch or the iPhone, is stored on Apple's \u003ca href=\"https://developer.apple.com/healthkit/\">HealthKit.\u003c/a>\u003c/p>\n\u003cp>In advance of the Apple Watch's April 24th ship-date (although recent reports \u003ca href=\"http://www.denverpost.com/news/ci_27957664/dont-plan-line-up-apple-watch-next-week\">suggest there will be delays\u003c/a> before the watch reaches your local Apple Store), \u003cem>KQED\u003c/em> spoke with mobile developers from startups and big brands. Their offerings for the Apple Watch range from medication management apps to \u003ca href=\"http://hitconsultant.net/2015/04/13/healthtaps-apple-watch-app/\">a button that provides instant, virtual access to a doctor. \u003c/a>\u003c/p>\n\u003cp>\"We haven't had a developer ecosystem for a product like a smartwatch,\" said Ben Bajarin, who specializes in consumer technology for Creative Strategies, a consulting firm. Similarly to the iPhone, the Apple Watch has its own App Store, \u003ca href=\"http://blogs.wsj.com/digits/2015/04/23/as-first-watches-ship-apple-opens-app-store-for-new-device/\">which goes live on Thursday\u003c/a>.\u003c/p>\n\u003cp>\"This is unchartered territory.\"\u003c/p>\n\u003cp>\u003cstrong>A Message on the Wrist \u003c/strong>\u003c/p>\n\u003cp>Health app developers hope the Apple Watch will improve how doctors and patients communicate, particularly when it comes to sending urgent notifications and alerts.\u003c/p>\n\u003cp>Imagine a doctor receiving a buzz on the wrist for an e-prescription request, which could be approved with a few taps. A patient could receive a similar alert when test results are available, and caregivers might receive a flashing message on their Apple Watch when an elderly patient has taken a bad fall and needs assistance.\u003c/p>\n\u003cp>Developers are exploring all these possibilities and more.\u003c/p>\n\u003cp>[Scroll down to the graphic at the bottom for a more extensive list of apps. \u003ca href=\"http://ww2.kqed.org/futureofyou/2015/04/23/29-of-the-most-promising-apple-watch-health-apps-graphic/\">Or click the link here.\u003c/a>]\u003c/p>\n\u003cp>Those of us with a smartphone have grown accustomed to receiving notifications from apps, such as an email from a medical clinic, which often goes unchecked. But with the watch, the notification is seen, heard, and most importantly, felt on the body.\u003c/p>\n\u003cp>\"We are predisposed to small changes on the skin. It was not that long ago -- and is still the case in parts of the world -- that mosquitoes used to kill us with a light touch,\" said Ron Gutman, chief executive of \u003ca href=\"http://healthtap.com\">HealthTap\u003c/a>, a website and mobile app for secure video calls with a doctor.\u003c/p>\n\u003cp>\"It is so easy to turn off a notification from a website, but you can't ignore what's on your wrist,\" he said.\u003c/p>\n\u003caside class=\"pullquote alignright\">\"How does this change people's behaviors and goal settings for the better? That’s the step that has been missing in the wearables trend. That’s where we need to go.\"\u003cbr>\n\u003ccite>Ben Bajarin, Director at Creative Strategies \u003c/cite>\u003c/aside>\n\u003cp>Gutman was so intrigued by Apple's smartwatch that he developed three apps: One to help you \u003ca href=\"https://itunes.apple.com/us/app/healthtap-immediate-doctor/id466079030?mt=8\">manage you meds\u003c/a> with notification reminders; another that\u003ca href=\"http://hitconsultant.net/2015/04/13/healthtaps-apple-watch-app/\"> connects you to a primary care doctor\u003c/a> with the touch of a button\u003ca href=\"http://hitconsultant.net/2015/04/13/healthtaps-apple-watch-app/\">;\u003c/a> and a third, which helps physicians\u003ca href=\"https://itunes.apple.com/us/app/healthtap-for-u.s.-doctors/id466099564?mt=8\"> reach new patients\u003c/a>.\u003c/p>\n\u003cp>Electronic health record company \u003ca href=\"http://drchrono.com\">Drchrono\u003c/a> developed two apps for the Watch. Both these apps (one is targeted to the patient; the other for the physician) are intended to help people manage chronic medical conditions, including diabetes and heart disease.\u003c/p>\n\u003cp>\"Sometimes having alerts on your wrist is critical,\" said Daniel Kivatinos, cofounder of Drchrono.\u003c/p>\n\u003cp>\"We've all had the experience of going to a hospital or doctor's office, and having no idea that they messaged me blood test results four or five months ago,\" he said.\u003c/p>\n\u003cp>\u003cstrong>Managing Medications\u003c/strong>\u003c/p>\n\u003cp>Gutman isn't the only developer delivering notifications to the wrist, with the hopes of changing people's behavior.\u003c/p>\n\u003cp>One popular category of the early Apple Watch apps is medication management. For people who are juggling a variety of medications -- all with different dose requirements -- an app that sends alerts to the wrist could prove useful.\u003c/p>\n\u003cp>\u003ca href=\"http://webmd.com\">WebMD\u003c/a>, the company used by millions of people to check their medical symptoms, tossed around a bunch of ideas before settling on medication adherence.\u003c/p>\n\u003cp>\"Of all the options we looked at, medication reminders was the crown jewel,\" said Ben Greenberg, who heads up mobile products at WebMD. Greenberg said the ideal interaction between the app and the user should be 10 seconds or less.\u003c/p>\n\u003cp>\"All we wanted is for the user to be reminded that it's time to take their medication, and then quickly tell us whether they plan to take it or skip it or snooze. That interaction demands so little,\" he said. The app also instructs people whether to take their medication with food, or at a certain time of day.\u003c/p>\n\u003cp>Other companies that are developing medication adherence apps for the Apple Watch include \u003ca href=\"http://mangohealth.com\">MangoHealth\u003c/a>, which can also tell you \u003ca href=\"http://techcrunch.com/2015/03/16/mango-health-smartwatch-app/\">how well you've managed your prescriptions\u003c/a> over time, and pharmacy giant \u003ca href=\"http://www.walgreens.com/\">Walgreens\u003c/a>.\u003c/p>\n\u003cp>\u003cstrong>Appealing to Doctors\u003c/strong>\u003c/p>\n\u003cp>Some developers hope the Apple Watch will appeal to doctors to help them manage an overload of information.\u003c/p>\n\u003cfigure id=\"attachment_2279\" class=\"wp-caption alignright\" style=\"max-width: 310px\">\u003cimg class=\" wp-image-2279\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/04/bajarin-450x600.jpg\" alt=\"Analyst Ben Bajarin received early access to the Apple Watch, which he uses during exercize\" width=\"310\" height=\"413\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/04/bajarin-450x600.jpg 450w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/bajarin-400x533.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/bajarin-885x1180.jpg 885w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/bajarin-1180x1573.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/bajarin-960x1280.jpg 960w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/bajarin.jpg 1224w\" sizes=\"(max-width: 310px) 100vw, 310px\">\u003cfigcaption class=\"wp-caption-text\">Analyst Ben Bajarin received early access to the Apple Watch, which he uses during exercise\u003c/figcaption>\u003c/figure>\n\u003cp>Kivatinos, a developer and cofounder of Drchrono, is convinced that digitally-savvy doctors will flock to buy an Apple Watch, particularly those who work in small medical practices.\u003c/p>\n\u003cp>\"Doctors are finally getting amazing hardware that just works, and they're willing to pay a premium for it,\" he said. Using DrChrono's app for the watch, a doctor can receive alerts, such as when a patient has arrived at their office.\u003c/p>\n\u003cp>The watch could prove useful in helping doctors communicate with each other about tricky medical cases, as well as with their patients. \u003ca href=\"http://doximity.com\">Doximity\u003c/a>, the Facebook for doctors, \u003ca href=\"http://www.pcworld.com/article/2911732/first-apple-watch-health-it-apps-bring-important-messages-to-the-wrist.html\">has developed an app that care providers can use\u003c/a> to dictate notes, send messages, and receive notifications that a fax has arrived.\u003c/p>\n\u003cp>However, the Apple Watch's appeal may be limited to certain specialties, such as family physicians and dermatologists.\u003c/p>\n\u003cp>Unlike Google Glass, the futuristic eyewear \u003ca href=\"http://well.blogs.nytimes.com/2014/06/01/google-glass-enters-the-operating-room/?_r=0\">which has found some success in operating theaters\u003c/a>, many surgeons routinely remove their rings and watches before procedures, to ensure their hands stay sterile.\u003c/p>\n\u003cp>\u003cstrong>Opportunities and Challenges\u003c/strong>\u003c/p>\n\u003cp>Privacy experts and policymakers have long-been concerned about developers that collect and sell personal health information.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"Doctors are finally getting amazing hardware that just works, and their willing to pay a premium for it\"\u003cbr>\n\u003ci>Daniel Kivatinos, cofounder of Drchrono \u003c/i>\u003c/aside>\n\u003cp>Apple has responded to some of these fears by \u003ca href=\"https://www.apple.com/privacy/\">stressing its commitment to privacy\u003c/a>, and barring third-party developers from selling health data to advertisers that it collects via Apple devices, like the iPhone and Apple Watch. After some high-profile hacks to celebrities' accounts, \u003ca href=\"http://www.cnbc.com/id/101967634\">Apple forbade developers\u003c/a> from storing sensitive health information in \u003ca href=\"https://www.icloud.com/\">iCloud\u003c/a>.\u003c/p>\n\u003cp>\"Apple has clear privacy rules, but consumers should still be on guard,\" said Morgan Reed, executive director at \u003ca href=\"http://actonline.org/\">The App Association\u003c/a>, a Washington, D.C. nonprofit that works with patient advocates and app developers.\u003c/p>\n\u003cp>\"Be prepared to take charge of your health information, and feel free to say no to sharing data with apps,\" said Reed.\u003c/p>\n\u003cp>In the future, there may be new privacy questions and concerns. Health experts and analysts expect to see far more sophisticated health-tracking in the Apple Watch, including a sweat sensor. At that point, the Watch may function as a regulated medical device of sorts, rather than a glorified fitness tracker.\u003c/p>\n\u003cp>Many health developers hope the watch will prove to be a tool for behavior change, as well as a new communications tool for doctors and patients alike.\u003c/p>\n\u003cp>\"What we do know is that the general tracking of your steps and calorie intake isn't enough,\" said Bajarin, the analyst with Creative Strategies.\u003c/p>\n\u003cp>\"How does this change people's behaviors and goal settings for the better? That’s the step that has been missing in the wearables trend. That’s where we need to go.\"\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cimg src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/04/1.1-Medical-IWatch-apps.jpg\" alt=\"\">\u003cimg src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/04/2.2-Medical-IWatch-apps.jpg\" alt=\"\">\u003cimg src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/04/3.2-Medical-IWatch-apps.jpg\" alt=\"\">\u003cimg src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/04/4.1-Medical-IWatch-apps.jpg\" alt=\"\">\u003cimg src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/04/5.1-Medical-IWatch-apps.jpg\" alt=\"\">\u003cimg src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/04/6.1-Medical-IWatch-apps.jpg\" alt=\"\">\u003cimg src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/04/7.1-Medical-IWatch-apps.jpg\" alt=\"\">\u003cimg src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/04/8.2-Medical-IWatch-apps.jpg\" alt=\"\">\u003c/p>\n\n","blocks":[],"excerpt":"The new health and fitness apps for the Apple Watch can do everything from medication alerts to weight loss management. ","status":"publish","parent":0,"modified":1477282940,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":48,"wordCount":1616},"headData":{"title":"These Apps are Turning the Apple Watch into a Personal Health Coach | KQED","description":"The new health and fitness apps for the Apple Watch can do everything from medication alerts to weight loss management. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"These Apps are Turning the Apple Watch into a Personal Health Coach","datePublished":"2015-04-23T23:11:30.000Z","dateModified":"2016-10-24T04:22:20.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"2122 http://ww2.kqed.org/futureofyou/?p=2122","disqusUrl":"https://ww2.kqed.org/futureofyou/2015/04/23/these-apps-are-turning-the-apple-watch-into-a-personal-health-coach/","disqusTitle":"These Apps are Turning the Apple Watch into a Personal Health Coach","path":"/futureofyou/2122/these-apps-are-turning-the-apple-watch-into-a-personal-health-coach","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>You're waiting in line for a coffee, eyeing a pastry, and your wrist-watch buzzes with a warning.\u003c/p>\n\u003cp>Flashing on the tiny screen of your \u003ca href=\"https://www.apple.com/watch/\">Apple Watch\u003c/a> is a message from an app called \u003ca href=\"http://lark.com/\">Lark\u003c/a>, suggesting that you lay off the carbs for today. Speak into the Apple Watch's built-in mic about your food, sleep and exercise, and the app will send helpful tips back to you.\u003c/p>\n\u003cp>The notion of receiving nutrition advice from artificial intelligence on your wrist may seem like science fiction. But health developers like Lark are making a bet that Apple's first wearable device, the Apple Watch, will fly off the shelves and this kind of behavior will become the norm.\u003c/p>\n\u003cfigure id=\"attachment_2276\" class=\"wp-caption alignright\" style=\"max-width: 263px\">\u003cimg class=\" wp-image-2276\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/04/Screenshots-with-Apple-Watch.002.png\" alt=\"A typical interaction with a Lark weight loss coach\" width=\"263\" height=\"301\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/04/Screenshots-with-Apple-Watch.002.png 436w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/Screenshots-with-Apple-Watch.002-400x457.png 400w\" sizes=\"(max-width: 263px) 100vw, 263px\">\u003cfigcaption class=\"wp-caption-text\">A typical interaction with a Lark weight loss coach \u003ccite>(Lark)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Lark is just one of over a dozen health developers with new apps for the Apple Watch, which are focused on improving people's health and fitness. Some of these apps are essentially a smaller version of an existing iPhone app; others take advantage of the unique capabilities of the Apple Watch.\u003c/p>\n\u003cp>Apple has made no secret of its interest in medicine, and has recruited industry experts to work on services like \u003ca href=\"https://www.apple.com/pr/library/2015/04/14Apple-Announces-ResearchKit-Available-Today-to-Medical-Researchers.html\">ResearchKit\u003c/a> and \u003ca href=\"https://developer.apple.com/healthkit/\">HealthKit\u003c/a>, which aim to open up the flow of health data between consumers, mobile developers and medical researchers.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>But as it dabbles in health care, a notoriously regulated and privacy-conscious sector, Apple has also made steps to put you in control of how your data is shared.\u003c/p>\n\u003cp>Here's how it works for the Apple Watch: You can choose to share health information with third-party apps like Lark, including the amount of steps you've walked, via \u003ca href=\"https://www.apple.com/ios/whats-new/health/\">Apple's Health app\u003c/a>, which comes with the device. Your health data, collected via the Apple Watch or the iPhone, is stored on Apple's \u003ca href=\"https://developer.apple.com/healthkit/\">HealthKit.\u003c/a>\u003c/p>\n\u003cp>In advance of the Apple Watch's April 24th ship-date (although recent reports \u003ca href=\"http://www.denverpost.com/news/ci_27957664/dont-plan-line-up-apple-watch-next-week\">suggest there will be delays\u003c/a> before the watch reaches your local Apple Store), \u003cem>KQED\u003c/em> spoke with mobile developers from startups and big brands. Their offerings for the Apple Watch range from medication management apps to \u003ca href=\"http://hitconsultant.net/2015/04/13/healthtaps-apple-watch-app/\">a button that provides instant, virtual access to a doctor. \u003c/a>\u003c/p>\n\u003cp>\"We haven't had a developer ecosystem for a product like a smartwatch,\" said Ben Bajarin, who specializes in consumer technology for Creative Strategies, a consulting firm. Similarly to the iPhone, the Apple Watch has its own App Store, \u003ca href=\"http://blogs.wsj.com/digits/2015/04/23/as-first-watches-ship-apple-opens-app-store-for-new-device/\">which goes live on Thursday\u003c/a>.\u003c/p>\n\u003cp>\"This is unchartered territory.\"\u003c/p>\n\u003cp>\u003cstrong>A Message on the Wrist \u003c/strong>\u003c/p>\n\u003cp>Health app developers hope the Apple Watch will improve how doctors and patients communicate, particularly when it comes to sending urgent notifications and alerts.\u003c/p>\n\u003cp>Imagine a doctor receiving a buzz on the wrist for an e-prescription request, which could be approved with a few taps. A patient could receive a similar alert when test results are available, and caregivers might receive a flashing message on their Apple Watch when an elderly patient has taken a bad fall and needs assistance.\u003c/p>\n\u003cp>Developers are exploring all these possibilities and more.\u003c/p>\n\u003cp>[Scroll down to the graphic at the bottom for a more extensive list of apps. \u003ca href=\"http://ww2.kqed.org/futureofyou/2015/04/23/29-of-the-most-promising-apple-watch-health-apps-graphic/\">Or click the link here.\u003c/a>]\u003c/p>\n\u003cp>Those of us with a smartphone have grown accustomed to receiving notifications from apps, such as an email from a medical clinic, which often goes unchecked. But with the watch, the notification is seen, heard, and most importantly, felt on the body.\u003c/p>\n\u003cp>\"We are predisposed to small changes on the skin. It was not that long ago -- and is still the case in parts of the world -- that mosquitoes used to kill us with a light touch,\" said Ron Gutman, chief executive of \u003ca href=\"http://healthtap.com\">HealthTap\u003c/a>, a website and mobile app for secure video calls with a doctor.\u003c/p>\n\u003cp>\"It is so easy to turn off a notification from a website, but you can't ignore what's on your wrist,\" he said.\u003c/p>\n\u003caside class=\"pullquote alignright\">\"How does this change people's behaviors and goal settings for the better? That’s the step that has been missing in the wearables trend. That’s where we need to go.\"\u003cbr>\n\u003ccite>Ben Bajarin, Director at Creative Strategies \u003c/cite>\u003c/aside>\n\u003cp>Gutman was so intrigued by Apple's smartwatch that he developed three apps: One to help you \u003ca href=\"https://itunes.apple.com/us/app/healthtap-immediate-doctor/id466079030?mt=8\">manage you meds\u003c/a> with notification reminders; another that\u003ca href=\"http://hitconsultant.net/2015/04/13/healthtaps-apple-watch-app/\"> connects you to a primary care doctor\u003c/a> with the touch of a button\u003ca href=\"http://hitconsultant.net/2015/04/13/healthtaps-apple-watch-app/\">;\u003c/a> and a third, which helps physicians\u003ca href=\"https://itunes.apple.com/us/app/healthtap-for-u.s.-doctors/id466099564?mt=8\"> reach new patients\u003c/a>.\u003c/p>\n\u003cp>Electronic health record company \u003ca href=\"http://drchrono.com\">Drchrono\u003c/a> developed two apps for the Watch. Both these apps (one is targeted to the patient; the other for the physician) are intended to help people manage chronic medical conditions, including diabetes and heart disease.\u003c/p>\n\u003cp>\"Sometimes having alerts on your wrist is critical,\" said Daniel Kivatinos, cofounder of Drchrono.\u003c/p>\n\u003cp>\"We've all had the experience of going to a hospital or doctor's office, and having no idea that they messaged me blood test results four or five months ago,\" he said.\u003c/p>\n\u003cp>\u003cstrong>Managing Medications\u003c/strong>\u003c/p>\n\u003cp>Gutman isn't the only developer delivering notifications to the wrist, with the hopes of changing people's behavior.\u003c/p>\n\u003cp>One popular category of the early Apple Watch apps is medication management. For people who are juggling a variety of medications -- all with different dose requirements -- an app that sends alerts to the wrist could prove useful.\u003c/p>\n\u003cp>\u003ca href=\"http://webmd.com\">WebMD\u003c/a>, the company used by millions of people to check their medical symptoms, tossed around a bunch of ideas before settling on medication adherence.\u003c/p>\n\u003cp>\"Of all the options we looked at, medication reminders was the crown jewel,\" said Ben Greenberg, who heads up mobile products at WebMD. Greenberg said the ideal interaction between the app and the user should be 10 seconds or less.\u003c/p>\n\u003cp>\"All we wanted is for the user to be reminded that it's time to take their medication, and then quickly tell us whether they plan to take it or skip it or snooze. That interaction demands so little,\" he said. The app also instructs people whether to take their medication with food, or at a certain time of day.\u003c/p>\n\u003cp>Other companies that are developing medication adherence apps for the Apple Watch include \u003ca href=\"http://mangohealth.com\">MangoHealth\u003c/a>, which can also tell you \u003ca href=\"http://techcrunch.com/2015/03/16/mango-health-smartwatch-app/\">how well you've managed your prescriptions\u003c/a> over time, and pharmacy giant \u003ca href=\"http://www.walgreens.com/\">Walgreens\u003c/a>.\u003c/p>\n\u003cp>\u003cstrong>Appealing to Doctors\u003c/strong>\u003c/p>\n\u003cp>Some developers hope the Apple Watch will appeal to doctors to help them manage an overload of information.\u003c/p>\n\u003cfigure id=\"attachment_2279\" class=\"wp-caption alignright\" style=\"max-width: 310px\">\u003cimg class=\" wp-image-2279\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/04/bajarin-450x600.jpg\" alt=\"Analyst Ben Bajarin received early access to the Apple Watch, which he uses during exercize\" width=\"310\" height=\"413\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/04/bajarin-450x600.jpg 450w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/bajarin-400x533.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/bajarin-885x1180.jpg 885w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/bajarin-1180x1573.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/bajarin-960x1280.jpg 960w, https://ww2.kqed.org/app/uploads/sites/13/2015/04/bajarin.jpg 1224w\" sizes=\"(max-width: 310px) 100vw, 310px\">\u003cfigcaption class=\"wp-caption-text\">Analyst Ben Bajarin received early access to the Apple Watch, which he uses during exercise\u003c/figcaption>\u003c/figure>\n\u003cp>Kivatinos, a developer and cofounder of Drchrono, is convinced that digitally-savvy doctors will flock to buy an Apple Watch, particularly those who work in small medical practices.\u003c/p>\n\u003cp>\"Doctors are finally getting amazing hardware that just works, and they're willing to pay a premium for it,\" he said. Using DrChrono's app for the watch, a doctor can receive alerts, such as when a patient has arrived at their office.\u003c/p>\n\u003cp>The watch could prove useful in helping doctors communicate with each other about tricky medical cases, as well as with their patients. \u003ca href=\"http://doximity.com\">Doximity\u003c/a>, the Facebook for doctors, \u003ca href=\"http://www.pcworld.com/article/2911732/first-apple-watch-health-it-apps-bring-important-messages-to-the-wrist.html\">has developed an app that care providers can use\u003c/a> to dictate notes, send messages, and receive notifications that a fax has arrived.\u003c/p>\n\u003cp>However, the Apple Watch's appeal may be limited to certain specialties, such as family physicians and dermatologists.\u003c/p>\n\u003cp>Unlike Google Glass, the futuristic eyewear \u003ca href=\"http://well.blogs.nytimes.com/2014/06/01/google-glass-enters-the-operating-room/?_r=0\">which has found some success in operating theaters\u003c/a>, many surgeons routinely remove their rings and watches before procedures, to ensure their hands stay sterile.\u003c/p>\n\u003cp>\u003cstrong>Opportunities and Challenges\u003c/strong>\u003c/p>\n\u003cp>Privacy experts and policymakers have long-been concerned about developers that collect and sell personal health information.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"Doctors are finally getting amazing hardware that just works, and their willing to pay a premium for it\"\u003cbr>\n\u003ci>Daniel Kivatinos, cofounder of Drchrono \u003c/i>\u003c/aside>\n\u003cp>Apple has responded to some of these fears by \u003ca href=\"https://www.apple.com/privacy/\">stressing its commitment to privacy\u003c/a>, and barring third-party developers from selling health data to advertisers that it collects via Apple devices, like the iPhone and Apple Watch. After some high-profile hacks to celebrities' accounts, \u003ca href=\"http://www.cnbc.com/id/101967634\">Apple forbade developers\u003c/a> from storing sensitive health information in \u003ca href=\"https://www.icloud.com/\">iCloud\u003c/a>.\u003c/p>\n\u003cp>\"Apple has clear privacy rules, but consumers should still be on guard,\" said Morgan Reed, executive director at \u003ca href=\"http://actonline.org/\">The App Association\u003c/a>, a Washington, D.C. nonprofit that works with patient advocates and app developers.\u003c/p>\n\u003cp>\"Be prepared to take charge of your health information, and feel free to say no to sharing data with apps,\" said Reed.\u003c/p>\n\u003cp>In the future, there may be new privacy questions and concerns. Health experts and analysts expect to see far more sophisticated health-tracking in the Apple Watch, including a sweat sensor. At that point, the Watch may function as a regulated medical device of sorts, rather than a glorified fitness tracker.\u003c/p>\n\u003cp>Many health developers hope the watch will prove to be a tool for behavior change, as well as a new communications tool for doctors and patients alike.\u003c/p>\n\u003cp>\"What we do know is that the general tracking of your steps and calorie intake isn't enough,\" said Bajarin, the analyst with Creative Strategies.\u003c/p>\n\u003cp>\"How does this change people's behaviors and goal settings for the better? That’s the step that has been missing in the wearables trend. That’s where we need to go.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cimg src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/04/1.1-Medical-IWatch-apps.jpg\" alt=\"\">\u003cimg src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/04/2.2-Medical-IWatch-apps.jpg\" alt=\"\">\u003cimg src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/04/3.2-Medical-IWatch-apps.jpg\" alt=\"\">\u003cimg src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/04/4.1-Medical-IWatch-apps.jpg\" alt=\"\">\u003cimg src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/04/5.1-Medical-IWatch-apps.jpg\" alt=\"\">\u003cimg src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/04/6.1-Medical-IWatch-apps.jpg\" alt=\"\">\u003cimg src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/04/7.1-Medical-IWatch-apps.jpg\" alt=\"\">\u003cimg src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/04/8.2-Medical-IWatch-apps.jpg\" alt=\"\">\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/2122/these-apps-are-turning-the-apple-watch-into-a-personal-health-coach","authors":["3252"],"categories":["futureofyou_1060"],"tags":["futureofyou_235","futureofyou_236","futureofyou_537","futureofyou_241","futureofyou_240","futureofyou_243","futureofyou_237","futureofyou_244","futureofyou_80","futureofyou_242","futureofyou_238","futureofyou_239","futureofyou_245","futureofyou_227","futureofyou_246"],"featImg":"futureofyou_2280","label":"futureofyou"}},"programsReducer":{"possible":{"id":"possible","title":"Possible","info":"Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? 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You ask the questions. You decide what Bay Curious investigates. 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Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />","airtime":"SUN 9pm-10pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Code-Switch-Life-Kit-Podcast-Tile-360x360-1.jpg","meta":{"site":"radio","source":"npr"},"link":"/radio/program/code-switch-life-kit","subscribe":{"apple":"https://podcasts.apple.com/podcast/1112190608?mt=2&at=11l79Y&ct=nprdirectory","google":"https://podcasts.google.com/feed/aHR0cHM6Ly93d3cubnByLm9yZy9yc3MvcG9kY2FzdC5waHA_aWQ9NTEwMzEy","spotify":"https://open.spotify.com/show/3bExJ9JQpkwNhoHvaIIuyV","rss":"https://feeds.npr.org/510312/podcast.xml"}},"commonwealth-club":{"id":"commonwealth-club","title":"Commonwealth Club of California Podcast","info":"The Commonwealth Club of California is the nation's oldest and largest public affairs forum. 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You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg","imageAlt":"KQED MindShift: How We Will Learn","officialWebsiteLink":"/mindshift/","meta":{"site":"news","source":"kqed","order":"2"},"link":"/podcasts/mindshift","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/mindshift-podcast/id1078765985","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5","npr":"https://www.npr.org/podcasts/464615685/mind-shift-podcast","stitcher":"https://www.stitcher.com/podcast/kqed/stories-teachers-share","spotify":"https://open.spotify.com/show/0MxSpNYZKNprFLCl7eEtyx"}},"morning-edition":{"id":"morning-edition","title":"Morning Edition","info":"\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. 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