'Help! My Phone Is Ruining My Life' -- 8 Tips for the Addicted
How This Teen Uses an iPhone To Manage His Diabetes
How Seniors Are Taking Advantage of Wearable Tech
Which Activity Trackers are the Most Reliable?
UC Riverside Professor Slams Feds, Stands By His Health App
How Tiny Sensors Are Driving Innovation in Medicine
How One Doctor Used Mobile Tech to Aid Diabetes Patients
Telephone Therapy is Helping Older People In Underserved Rural Areas
Bay Area Doctors Quit Medicine to Work for Digital Health Startups
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My Phone Is Ruining My Life' -- 8 Tips for the Addicted","publishDate":1477328404,"format":"standard","headTitle":"KQED Future of You | KQED Science","labelTerm":{"site":"futureofyou"},"content":"\u003cp>We all know that texting while driving is \u003ca href=\"http://journalistsresource.org/studies/environment/transportation/multitasking-texting-and-distracted-driving-academics-discuss-the-cognitive-effects-and-risks\" target=\"_blank\">perilous\u003c/a> and answering a phone during a face to face conversation is rude. Many of us now understand that screen time before bed \u003ca href=\"https://ww2.kqed.org/futureofyou/2016/03/01/once-again-reminder-for-the-sleepless-quit-checking-your-email/\">inhibits sleep\u003c/a>.\u003c/p>\n\u003cp>[contextly_sidebar id=\"eNzQ8IsiA6FljS77Q2owwiTNbjQ5luPK\"]And, as we recently \u003ca href=\"https://ww2.kqed.org/futureofyou/2016/10/17/your-devices-are-probably-lowering-your-productivity-heres-why/\" target=\"_blank\">reported\u003c/a>, we only \u003cem>think\u003c/em> we can multitask, when in fact \u003ca href=\"http://research.microsoft.com/en-us/um/people/horvitz/CHI_2007_Iqbal_Horvitz.pdf\" target=\"_blank\">research\u003c/a> shows the process of splitting our attention usually leads to delays and mistakes.\u003c/p>\n\u003cp>Yet, with all this awareness of how the digital world overwhelms us, breaking this destructive tether seems near impossible.\u003c/p>\n\u003cp>\u003cstrong>Does Your Heart Skip a Beat When Your Phone Dies?\u003c/strong>\u003c/p>\n\u003caside class=\"alignright\">\u003ca href=\"#tips\">8 tips for detaching from your phone\u003c/a>\u003c/aside>\n\u003cp>If you need a little more incentive, though, research continues to pile up on the psychological effects of digital dependence. \u003cem>Smartphone separation anxiety--\u003c/em>that's actually a thing. Researchers are calling it \u003ca href=\"https://www.scientificamerican.com/article/scientists-study-nomophobia-mdash-fear-of-being-without-a-mobile-phone/\" target=\"_blank\">nomophobia\u003c/a> (no-mobile phone phobia), and Iowa State University academics have devised a \u003ca href=\"http://www.news.iastate.edu/news/2015/08/26/nomophobia\" target=\"_blank\">questionnaire\u003c/a> to diagnose it. (Rate on a scale of one to seven if \"Running out of battery in my smartphone would scare me.\")\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>https://www.youtube.com/watch?v=vEEzoUeb15A\u003c/p>\n\u003cp>Luckily, there are some practical strategies to break nomophobia and increase health and well-being. UCSF neuroscientist Dr. Adam Gazzeley and California State University, Dominguez Hills professor emeritus Larry D. Rosen offer tips in their new book, \"\u003ca href=\"https://mitpress.mit.edu/distracted\" target=\"_blank\">The Distracted Mind: Ancient Brains in a High Tech World\u003c/a>.\" We've categorized them into three areas.\u003c/p>\n\u003cp>\u003ca id=\"tips\">\u003c/a>\u003cb>Socializing\u003c/b>\u003c/p>\n\u003cp>Even though social media allows us to collect thousands of digital friends, our physical relationships are taking a hit. \u003ca href=\"http://eab.sagepub.com/content/early/2014/05/31/0013916514539755\" target=\"_blank\">Research \u003c/a>shows that digital devices are impacting closeness and connection with loved ones. One \u003ca href=\"http://spr.sagepub.com/content/30/3/237.full.pdf+html\" target=\"_blank\">study\u003c/a> found a correlation between the mere presence of a phone at the dinner table and a diminished sense of trust and empathy between individuals.\u003c/p>\n\u003cp>\u003cem>Tips\u003c/em>\u003c/p>\n\u003cul>\n\u003cli>Declare places like the dining room to be technology-free zones.\u003c/li>\n\u003cli>When engaging in an important conversation, set a timer for a predetermined period during which you and the person you're talking to will refrain from checking your phones.\u003c/li>\n\u003cli>If you’re worried about missing urgent calls, then use an app like \u003ca href=\"https://play.google.com/store/apps/details?id=com.sifakas.essential.calls&hl=en\">Essential Calls\u003c/a> or \u003ca href=\"https://play.google.com/store/apps/details?id=com.noshufou.selectivesilence&hl=en\">Selective Silence\u003c/a> for Android devices, or Do Not Disturb coupled with the Allow Calls function on an iPhone.\u003c/li>\n\u003c/ul>\n\u003cp>\u003cb>Sleep\u003c/b>\u003c/p>\n\u003cp>I used to think it was relaxing to scroll through my email or Facebook feed one last time before shutting my eyes at night, but screen time \u003ca href=\"https://sleep.org/articles/ways-technology-affects-sleep/\" target=\"_blank\">messes \u003c/a>with your sleep. The blue light emitted by a smartphone or tablet affects melatonin, a hormone that controls the natural sleep-wake cycle. Mounting \u003ca href=\"https://ww2.kqed.org/futureofyou/2016/03/01/once-again-reminder-for-the-sleepless-quit-checking-your-email/\" target=\"_blank\">evidence\u003c/a> has found that--unlike reading a book--online browsing stimulates the brain.\u003c/p>\n\u003cp>\u003cem>Tips\u003c/em>\u003c/p>\n\u003cul>\n\u003cli>Remove your digital devices from the bedroom.\u003c/li>\n\u003cli>If that sounds impossible, a \u003ca href=\"http://www.journalsleep.org/Resources/Documents/2013AbstractSupplement.pdf\">Mayo clinic study\u003c/a> advises dimming devices and holding the screen at least 14 inches away from your face to reduce the blue light infiltrating your eyes, so as not to inhibit the release of melatonin.\u003c/li>\n\u003c/ul>\n\u003cp>\u003cb>Safe Driving\u003c/b>\u003c/p>\n\u003cp>At 55 mph, taking your eyes off the road for five seconds to respond to a text message is the equivalent of driving 100 yards -- the length of a football field--with your eyes closed. Hand-free devices, you should consider, are not the solution; A recent \u003ca href=\"http://www.psychologicalscience.org/index.php/news/motr/even-hands-free-devices-are-dangerously-distracting.html\">study\u003c/a> revealed that drivers can remain distracted for up to 27 seconds after hanging up a call, even if it was enabled by a voice assistant.\u003c/p>\n\u003cp>The U.S. Department of Transportation \u003ca href=\"https://www.transportation.gov/tags/distracted-driving\">reports\u003c/a> that in 2013 distracted driving claimed 3,154 lives and injured an estimated 424,000 Americans, all of which were 100 percent preventable.\u003c/p>\n\u003cp>\u003cem>Tips\u003c/em>\u003c/p>\n\u003cul>\n\u003cli>Leave your phone in your trunk with the Bluetooth off.\u003c/li>\n\u003cli>If that’s too much to bear, give your device to a passenger to monitor.\u003c/li>\n\u003cli>Apps can help. \u003ca href=\"http://www.getsafedrive.com/\">SafeDrive\u003c/a> gives you points when you restrict yourself from your phone while you're driving faster than 6 mph. You can use the points to receive discounts at participating stores. \u003ca href=\"https://drivemode.com/\">DriveMode\u003c/a> reads incoming messages by turning texts into audio. Parents can check out \u003ca href=\"https://www.cellcontrol.com/\">Cellcontro\u003c/a>l, DriveMode and \u003ca href=\"https://play.google.com/store/apps/details?id=com.call.disconnect&hl=en\">Live2Txt \u003c/a>for teens behind the wheel.\u003c/li>\n\u003c/ul>\n\u003cp>\u003c/p>\n\u003cp>Gazzeley says none of this is about opting out of technology. Rather, the point is to create boundaries and carve out time to focus on a single task. This means we will all have to stop responding every time our phone rings, dings or otherwise beckons.\u003c/p>\n\n","blocks":[],"excerpt":"How to prevent your phone from endangering your safety, inhibiting your sleep and eroding your relationships. ","status":"publish","parent":0,"modified":1477332000,"stats":{"hasAudio":false,"hasVideo":true,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":19,"wordCount":756},"headData":{"title":"'Help! My Phone Is Ruining My Life' -- 8 Tips for the Addicted | KQED","description":"How to prevent your phone from endangering your safety, inhibiting your sleep and eroding your relationships. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"'Help! My Phone Is Ruining My Life' -- 8 Tips for the Addicted","datePublished":"2016-10-24T17:00:04.000Z","dateModified":"2016-10-24T18:00:00.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"260662 http://ww2.kqed.org/futureofyou/?p=260662","disqusUrl":"https://ww2.kqed.org/futureofyou/2016/10/24/help-my-phone-is-ruining-my-life-8-tips-for-the-addicted/","disqusTitle":"'Help! My Phone Is Ruining My Life' -- 8 Tips for the Addicted","customPermalink":"2016/10/19/help-my-phone-is-ruining-my-life-8-tips-for-the-addicted/","path":"/futureofyou/260662/help-my-phone-is-ruining-my-life-8-tips-for-the-addicted","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>We all know that texting while driving is \u003ca href=\"http://journalistsresource.org/studies/environment/transportation/multitasking-texting-and-distracted-driving-academics-discuss-the-cognitive-effects-and-risks\" target=\"_blank\">perilous\u003c/a> and answering a phone during a face to face conversation is rude. Many of us now understand that screen time before bed \u003ca href=\"https://ww2.kqed.org/futureofyou/2016/03/01/once-again-reminder-for-the-sleepless-quit-checking-your-email/\">inhibits sleep\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>And, as we recently \u003ca href=\"https://ww2.kqed.org/futureofyou/2016/10/17/your-devices-are-probably-lowering-your-productivity-heres-why/\" target=\"_blank\">reported\u003c/a>, we only \u003cem>think\u003c/em> we can multitask, when in fact \u003ca href=\"http://research.microsoft.com/en-us/um/people/horvitz/CHI_2007_Iqbal_Horvitz.pdf\" target=\"_blank\">research\u003c/a> shows the process of splitting our attention usually leads to delays and mistakes.\u003c/p>\n\u003cp>Yet, with all this awareness of how the digital world overwhelms us, breaking this destructive tether seems near impossible.\u003c/p>\n\u003cp>\u003cstrong>Does Your Heart Skip a Beat When Your Phone Dies?\u003c/strong>\u003c/p>\n\u003caside class=\"alignright\">\u003ca href=\"#tips\">8 tips for detaching from your phone\u003c/a>\u003c/aside>\n\u003cp>If you need a little more incentive, though, research continues to pile up on the psychological effects of digital dependence. \u003cem>Smartphone separation anxiety--\u003c/em>that's actually a thing. Researchers are calling it \u003ca href=\"https://www.scientificamerican.com/article/scientists-study-nomophobia-mdash-fear-of-being-without-a-mobile-phone/\" target=\"_blank\">nomophobia\u003c/a> (no-mobile phone phobia), and Iowa State University academics have devised a \u003ca href=\"http://www.news.iastate.edu/news/2015/08/26/nomophobia\" target=\"_blank\">questionnaire\u003c/a> to diagnose it. (Rate on a scale of one to seven if \"Running out of battery in my smartphone would scare me.\")\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>\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/vEEzoUeb15A'\n title='//www.youtube.com/embed/vEEzoUeb15A'\n allowfullscreen='true'\n style='border:0;'>\u003c/iframe>\n \u003c/span>\n \u003c/span>\u003c/p>\u003cp>\u003cp>Luckily, there are some practical strategies to break nomophobia and increase health and well-being. UCSF neuroscientist Dr. Adam Gazzeley and California State University, Dominguez Hills professor emeritus Larry D. Rosen offer tips in their new book, \"\u003ca href=\"https://mitpress.mit.edu/distracted\" target=\"_blank\">The Distracted Mind: Ancient Brains in a High Tech World\u003c/a>.\" We've categorized them into three areas.\u003c/p>\n\u003cp>\u003ca id=\"tips\">\u003c/a>\u003cb>Socializing\u003c/b>\u003c/p>\n\u003cp>Even though social media allows us to collect thousands of digital friends, our physical relationships are taking a hit. \u003ca href=\"http://eab.sagepub.com/content/early/2014/05/31/0013916514539755\" target=\"_blank\">Research \u003c/a>shows that digital devices are impacting closeness and connection with loved ones. One \u003ca href=\"http://spr.sagepub.com/content/30/3/237.full.pdf+html\" target=\"_blank\">study\u003c/a> found a correlation between the mere presence of a phone at the dinner table and a diminished sense of trust and empathy between individuals.\u003c/p>\n\u003cp>\u003cem>Tips\u003c/em>\u003c/p>\n\u003cul>\n\u003cli>Declare places like the dining room to be technology-free zones.\u003c/li>\n\u003cli>When engaging in an important conversation, set a timer for a predetermined period during which you and the person you're talking to will refrain from checking your phones.\u003c/li>\n\u003cli>If you’re worried about missing urgent calls, then use an app like \u003ca href=\"https://play.google.com/store/apps/details?id=com.sifakas.essential.calls&hl=en\">Essential Calls\u003c/a> or \u003ca href=\"https://play.google.com/store/apps/details?id=com.noshufou.selectivesilence&hl=en\">Selective Silence\u003c/a> for Android devices, or Do Not Disturb coupled with the Allow Calls function on an iPhone.\u003c/li>\n\u003c/ul>\n\u003cp>\u003cb>Sleep\u003c/b>\u003c/p>\n\u003cp>I used to think it was relaxing to scroll through my email or Facebook feed one last time before shutting my eyes at night, but screen time \u003ca href=\"https://sleep.org/articles/ways-technology-affects-sleep/\" target=\"_blank\">messes \u003c/a>with your sleep. The blue light emitted by a smartphone or tablet affects melatonin, a hormone that controls the natural sleep-wake cycle. Mounting \u003ca href=\"https://ww2.kqed.org/futureofyou/2016/03/01/once-again-reminder-for-the-sleepless-quit-checking-your-email/\" target=\"_blank\">evidence\u003c/a> has found that--unlike reading a book--online browsing stimulates the brain.\u003c/p>\n\u003cp>\u003cem>Tips\u003c/em>\u003c/p>\n\u003cul>\n\u003cli>Remove your digital devices from the bedroom.\u003c/li>\n\u003cli>If that sounds impossible, a \u003ca href=\"http://www.journalsleep.org/Resources/Documents/2013AbstractSupplement.pdf\">Mayo clinic study\u003c/a> advises dimming devices and holding the screen at least 14 inches away from your face to reduce the blue light infiltrating your eyes, so as not to inhibit the release of melatonin.\u003c/li>\n\u003c/ul>\n\u003cp>\u003cb>Safe Driving\u003c/b>\u003c/p>\n\u003cp>At 55 mph, taking your eyes off the road for five seconds to respond to a text message is the equivalent of driving 100 yards -- the length of a football field--with your eyes closed. Hand-free devices, you should consider, are not the solution; A recent \u003ca href=\"http://www.psychologicalscience.org/index.php/news/motr/even-hands-free-devices-are-dangerously-distracting.html\">study\u003c/a> revealed that drivers can remain distracted for up to 27 seconds after hanging up a call, even if it was enabled by a voice assistant.\u003c/p>\n\u003cp>The U.S. Department of Transportation \u003ca href=\"https://www.transportation.gov/tags/distracted-driving\">reports\u003c/a> that in 2013 distracted driving claimed 3,154 lives and injured an estimated 424,000 Americans, all of which were 100 percent preventable.\u003c/p>\n\u003cp>\u003cem>Tips\u003c/em>\u003c/p>\n\u003cul>\n\u003cli>Leave your phone in your trunk with the Bluetooth off.\u003c/li>\n\u003cli>If that’s too much to bear, give your device to a passenger to monitor.\u003c/li>\n\u003cli>Apps can help. \u003ca href=\"http://www.getsafedrive.com/\">SafeDrive\u003c/a> gives you points when you restrict yourself from your phone while you're driving faster than 6 mph. You can use the points to receive discounts at participating stores. \u003ca href=\"https://drivemode.com/\">DriveMode\u003c/a> reads incoming messages by turning texts into audio. Parents can check out \u003ca href=\"https://www.cellcontrol.com/\">Cellcontro\u003c/a>l, DriveMode and \u003ca href=\"https://play.google.com/store/apps/details?id=com.call.disconnect&hl=en\">Live2Txt \u003c/a>for teens behind the wheel.\u003c/li>\n\u003c/ul>\n\u003cp>\u003c/p>\n\u003cp>Gazzeley says none of this is about opting out of technology. Rather, the point is to create boundaries and carve out time to focus on a single task. This means we will all have to stop responding every time our phone rings, dings or otherwise beckons.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/260662/help-my-phone-is-ruining-my-life-8-tips-for-the-addicted","authors":["11229"],"categories":["futureofyou_1"],"tags":["futureofyou_56","futureofyou_1103","futureofyou_469","futureofyou_1107","futureofyou_80","futureofyou_59","futureofyou_1108"],"featImg":"futureofyou_266209","label":"futureofyou"},"futureofyou_62692":{"type":"posts","id":"futureofyou_62692","meta":{"index":"posts_1591205157","site":"futureofyou","id":"62692","score":null,"sort":[1447786482000]},"guestAuthors":[],"slug":"how-this-teen-uses-an-iphone-to-manage-his-diabetes","title":"How This Teen Uses an iPhone To Manage His Diabetes","publishDate":1447786482,"format":"standard","headTitle":"KQED Future of You | KQED Science","labelTerm":{"site":"futureofyou"},"content":"\u003cp>Blake Atkins receives regular messages from his mom when he's at school. But unlike most teenagers, he doesn't seem to mind.\u003c/p>\n\u003cp>That's because Atkins, 15, who lives in San Carlos, was diagnosed with Type 1 diabetes four years ago. His mom, Lori, sends him a text whenever his blood sugar levels are out of the normal range.\u003c/p>\n\u003cp>\"I do like that my mom can look at my numbers,\" Atkins says. \"It keeps me sane. It helps keep her sane.\"\u003c/p>\n\u003cp>While enlisting caregivers might seem like a logical way to manage diabetes, it's only recently that such tools have been available. Health experts say sophisticated devices to monitor blood sugar have been around for years, but it's been a challenge to share health data securely with a smartphone -- and from there, add it to a patient's medical record.\u003c/p>\n\u003cp>\"Families of children living with diabetes have been seeking these kinds of tools for years,\" says Michael Chae, Bay Area regional director for the American Diabetes Association, \"and there have been people working on these solutions for some time.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>But Chae hopes sharing glucose data via mobile technology will make a big difference for the \u003ca href=\"http://www.diabetes.org/diabetes-basics/statistics/\" target=\"_blank\">approximately 1.25 million patients in the U.S.\u003c/a> with Type 1 diabetes.\u003c/p>\n\u003cfigure id=\"attachment_68474\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg class=\"size-full wp-image-68474\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/11/graphic.jpg\" alt=\"How data flows from Blake's continuous glucose monitor to his mobile phone, and from there, to his caregivers.\" width=\"1920\" height=\"960\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/11/graphic.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/graphic-400x200.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/graphic-800x400.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/graphic-1180x590.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/graphic-960x480.jpg 960w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">How data flows from Blake's continuous glucose monitor to his mobile phone, and from there, to his caregivers. \u003ccite>(David Pierce )\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>'It Has Made My Life a Lot Easier'\u003c/strong>\u003c/p>\n\u003cp>For years, Lori Atkins had little insight into her son's health when he left for school. But she did the best she could in the evenings and on weekends to record Blake's blood sugar levels and his diet in a notebook.\u003c/p>\n\u003caside class=\"pullquote alignleft\">'I do like that my mom can look at my numbers. It keeps me sane. It helps keep her sane.'\u003cbr>\n\u003ccite>Blake Atkins, 15, a patient with diabetes \u003c/cite>\u003c/aside>\n\u003cp>But several months ago, her son's doctor Dr. Rajiv Kumar, an endocrinologist at Lucile Packard Children's Hospital, suggested the family enroll in a new pilot program that turns the iPhone into a sophisticated tool for home health monitoring.\u003c/p>\n\u003cp>The pilot is one of the first to take advantage of a new service from Apple, called \u003ca href=\"https://developer.apple.com/healthkit/\" target=\"_blank\">HealthKit\u003c/a>, which helps people view their health information in one place. Apple launched HealthKit in 2014 and is attracting the interest\u003ca href=\"http://www.reuters.com/article/2015/02/05/us-apple-hospitals-exclusive-idUSKBN0L90G920150205\" target=\"_blank\"> \u003c/a>of\u003ca href=\"http://www.reuters.com/article/2015/02/05/us-apple-hospitals-exclusive-idUSKBN0L90G920150205\" target=\"_blank\"> top hospitals\u003c/a>.\u003c/p>\n\u003cp>For Blake's doctor, it offers new opportunities to monitor his patients from home -- and potentially cut costs by decreasing the number of in-person consultations. Kumar says he can now see his patients' glucose levels with a three-hour time delay.\u003c/p>\n\u003cp>\"Last time he [Blake] was sick, I wrote Dr. Kumar an email with all this data I'd manually collected and waited for a response,\" she says. But now, Kumar can check in on a patients' blood sugar levels at any time and assess whether there's a serious problem.\u003c/p>\n\u003cp>Kumar says he doesn't have time to monitor a continuous stream of Blake's data. Instead, he receives a report every two weeks from the hospital with all of his patients' analyses and trends. The report clearly shows which patients consistently have the lowest blood sugar overnight, for instance.\u003c/p>\n\u003cp>\"It has made my life a lot easier and I worry less,\" says Kumar.\u003c/p>\n\u003cp>\u003cstrong>How Does It Work?\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_68591\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-68591\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/11/glucose-800x598.jpg\" alt=\"High glucose readings on a glucose meter. \" width=\"800\" height=\"598\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/11/glucose-800x598.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/glucose-400x299.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/glucose-1180x881.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/glucose-1920x1434.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/glucose-960x717.jpg 960w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">High glucose readings on a glucose meter. \u003ccite>(Mike Mozart/Flickr)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>How does data travel from Blake's glucose monitor to his mother and his doctor? The system is complex, but it typically works like this: He tracks his glucose levels using a Bluetooth-connected continuous glucose monitor or CGM, which was developed by a company called \u003ca href=\"http://www.dexcom.com/\">Dexcom\u003c/a>. The CGM measures glucose through a glucose sensor that is inserted under the skin.\u003c/p>\n\u003cp>With Blake's permission, the data then travel to his smartphone via Apple's HealthKit. From there, Blake's health information is sent to his medical record through an app that his doctor uses from \u003ca href=\"http://www.epic.com/\">Epic Systems\u003c/a>. Apple is currently partnered with Epic and half a dozen other electronic health record companies.\u003c/p>\n\u003cp>Blake's doctor can subsequently send him a secure message through Epic's app, which is called MyChart. His mother Lori can access the data in real-time as the designated caregiver.\u003c/p>\n\u003cp>\"I usually check in on Blake's glucose levels every lunchtime when he's at school,\" says Lori Atkins. \"He doesn't usually know or care, as it's all through the mobile phone.\"\u003c/p>\n\u003cp>\u003cstrong>Barriers to Adoption?\u003c/strong>\u003c/p>\n\u003cp>Doctors tell me these types of mobile monitoring programs can improve the outcome for patients and cut costs. They're particularly effective for patients with Type 1 diabetes, who often rely on educated guesswork to determine how much insulin they need.\u003c/p>\n\u003cp>\"Type 1 diabetes is a low-hanging fruit, from the perspective of the major health systems,\" says Suneil Koliwad, a researcher and endocrinologist at UCSF, who specializes in treating patients with diabetes.\u003c/p>\n\u003caside class=\"pullquote alignright\">'Such systems have tremendous potential to help doctors spot potential dangers that could become big problems.'\u003cbr>\n\u003ccite>Suneil Koliwad, Researcher and Clinician at UCSF \u003c/cite>\u003c/aside>\n\u003cp>The major challenge for patients and their doctors is to determine how much insulin to give and how to give it. A great \"first step,\" Koliwad says, is to analyze a patient's blood sugar levels over time. Eventually, health systems can use months and months of data to make a prediction about what will happen next.\u003c/p>\n\u003cp>\"Using technology, you can overcome the crux of the problem,\" he says. \"Mobile tools have tremendous potential to help doctors spot potential dangers that could become big problems.\"\u003c/p>\n\u003cp>But most doctors do not have time to pore over numbers in Excel spreadsheets. So Koliwad says hospitals either need to invest in tools to present this data clearly to doctors, or hire teams of people to monitor the data streams and be responsive to patients.\u003c/p>\n\u003cp>Once doctors are on board, health systems will need to convince the patients. And that might be a major challenge.\u003c/p>\n\u003cp>\"From talking to other parents I know that every teen's journey is different,\" says Lori Atkins. \"Some kids get this burnout where they don't want to test themselves or take their insulin. Even Blake could rebel next week and stop wearing his glucose monitor.\"\u003c/p>\n\u003cp>But Blake says it's unlikely that he'll give up or get embarrassed about his disease.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\"I don't really care what people think,\" he says. \"Anyways, I know that the alternative is grim. Having diabetes, it does make you grow up a bit.\"\u003c/p>\n\n","blocks":[],"excerpt":"A pilot program at Stanford Children's' Hospital helps patients with diabetes share their blood sugar levels in real-time with caregivers and doctors. ","status":"publish","parent":0,"modified":1477273185,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":31,"wordCount":1157},"headData":{"title":"How This Teen Uses an iPhone To Manage His Diabetes | KQED","description":"A pilot program at Stanford Children's' Hospital helps patients with diabetes share their blood sugar levels in real-time with caregivers and doctors. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"How This Teen Uses an iPhone To Manage His Diabetes","datePublished":"2015-11-17T18:54:42.000Z","dateModified":"2016-10-24T01:39:45.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"62692 http://ww2.kqed.org/futureofyou/?p=62692","disqusUrl":"https://ww2.kqed.org/futureofyou/2015/11/17/how-this-teen-uses-an-iphone-to-manage-his-diabetes/","disqusTitle":"How This Teen Uses an iPhone To Manage His Diabetes","path":"/futureofyou/62692/how-this-teen-uses-an-iphone-to-manage-his-diabetes","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Blake Atkins receives regular messages from his mom when he's at school. But unlike most teenagers, he doesn't seem to mind.\u003c/p>\n\u003cp>That's because Atkins, 15, who lives in San Carlos, was diagnosed with Type 1 diabetes four years ago. His mom, Lori, sends him a text whenever his blood sugar levels are out of the normal range.\u003c/p>\n\u003cp>\"I do like that my mom can look at my numbers,\" Atkins says. \"It keeps me sane. It helps keep her sane.\"\u003c/p>\n\u003cp>While enlisting caregivers might seem like a logical way to manage diabetes, it's only recently that such tools have been available. Health experts say sophisticated devices to monitor blood sugar have been around for years, but it's been a challenge to share health data securely with a smartphone -- and from there, add it to a patient's medical record.\u003c/p>\n\u003cp>\"Families of children living with diabetes have been seeking these kinds of tools for years,\" says Michael Chae, Bay Area regional director for the American Diabetes Association, \"and there have been people working on these solutions for some time.\"\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 Chae hopes sharing glucose data via mobile technology will make a big difference for the \u003ca href=\"http://www.diabetes.org/diabetes-basics/statistics/\" target=\"_blank\">approximately 1.25 million patients in the U.S.\u003c/a> with Type 1 diabetes.\u003c/p>\n\u003cfigure id=\"attachment_68474\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg class=\"size-full wp-image-68474\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/11/graphic.jpg\" alt=\"How data flows from Blake's continuous glucose monitor to his mobile phone, and from there, to his caregivers.\" width=\"1920\" height=\"960\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/11/graphic.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/graphic-400x200.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/graphic-800x400.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/graphic-1180x590.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/graphic-960x480.jpg 960w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">How data flows from Blake's continuous glucose monitor to his mobile phone, and from there, to his caregivers. \u003ccite>(David Pierce )\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>'It Has Made My Life a Lot Easier'\u003c/strong>\u003c/p>\n\u003cp>For years, Lori Atkins had little insight into her son's health when he left for school. But she did the best she could in the evenings and on weekends to record Blake's blood sugar levels and his diet in a notebook.\u003c/p>\n\u003caside class=\"pullquote alignleft\">'I do like that my mom can look at my numbers. It keeps me sane. It helps keep her sane.'\u003cbr>\n\u003ccite>Blake Atkins, 15, a patient with diabetes \u003c/cite>\u003c/aside>\n\u003cp>But several months ago, her son's doctor Dr. Rajiv Kumar, an endocrinologist at Lucile Packard Children's Hospital, suggested the family enroll in a new pilot program that turns the iPhone into a sophisticated tool for home health monitoring.\u003c/p>\n\u003cp>The pilot is one of the first to take advantage of a new service from Apple, called \u003ca href=\"https://developer.apple.com/healthkit/\" target=\"_blank\">HealthKit\u003c/a>, which helps people view their health information in one place. Apple launched HealthKit in 2014 and is attracting the interest\u003ca href=\"http://www.reuters.com/article/2015/02/05/us-apple-hospitals-exclusive-idUSKBN0L90G920150205\" target=\"_blank\"> \u003c/a>of\u003ca href=\"http://www.reuters.com/article/2015/02/05/us-apple-hospitals-exclusive-idUSKBN0L90G920150205\" target=\"_blank\"> top hospitals\u003c/a>.\u003c/p>\n\u003cp>For Blake's doctor, it offers new opportunities to monitor his patients from home -- and potentially cut costs by decreasing the number of in-person consultations. Kumar says he can now see his patients' glucose levels with a three-hour time delay.\u003c/p>\n\u003cp>\"Last time he [Blake] was sick, I wrote Dr. Kumar an email with all this data I'd manually collected and waited for a response,\" she says. But now, Kumar can check in on a patients' blood sugar levels at any time and assess whether there's a serious problem.\u003c/p>\n\u003cp>Kumar says he doesn't have time to monitor a continuous stream of Blake's data. Instead, he receives a report every two weeks from the hospital with all of his patients' analyses and trends. The report clearly shows which patients consistently have the lowest blood sugar overnight, for instance.\u003c/p>\n\u003cp>\"It has made my life a lot easier and I worry less,\" says Kumar.\u003c/p>\n\u003cp>\u003cstrong>How Does It Work?\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_68591\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-68591\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/11/glucose-800x598.jpg\" alt=\"High glucose readings on a glucose meter. \" width=\"800\" height=\"598\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/11/glucose-800x598.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/glucose-400x299.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/glucose-1180x881.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/glucose-1920x1434.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/glucose-960x717.jpg 960w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">High glucose readings on a glucose meter. \u003ccite>(Mike Mozart/Flickr)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>How does data travel from Blake's glucose monitor to his mother and his doctor? The system is complex, but it typically works like this: He tracks his glucose levels using a Bluetooth-connected continuous glucose monitor or CGM, which was developed by a company called \u003ca href=\"http://www.dexcom.com/\">Dexcom\u003c/a>. The CGM measures glucose through a glucose sensor that is inserted under the skin.\u003c/p>\n\u003cp>With Blake's permission, the data then travel to his smartphone via Apple's HealthKit. From there, Blake's health information is sent to his medical record through an app that his doctor uses from \u003ca href=\"http://www.epic.com/\">Epic Systems\u003c/a>. Apple is currently partnered with Epic and half a dozen other electronic health record companies.\u003c/p>\n\u003cp>Blake's doctor can subsequently send him a secure message through Epic's app, which is called MyChart. His mother Lori can access the data in real-time as the designated caregiver.\u003c/p>\n\u003cp>\"I usually check in on Blake's glucose levels every lunchtime when he's at school,\" says Lori Atkins. \"He doesn't usually know or care, as it's all through the mobile phone.\"\u003c/p>\n\u003cp>\u003cstrong>Barriers to Adoption?\u003c/strong>\u003c/p>\n\u003cp>Doctors tell me these types of mobile monitoring programs can improve the outcome for patients and cut costs. They're particularly effective for patients with Type 1 diabetes, who often rely on educated guesswork to determine how much insulin they need.\u003c/p>\n\u003cp>\"Type 1 diabetes is a low-hanging fruit, from the perspective of the major health systems,\" says Suneil Koliwad, a researcher and endocrinologist at UCSF, who specializes in treating patients with diabetes.\u003c/p>\n\u003caside class=\"pullquote alignright\">'Such systems have tremendous potential to help doctors spot potential dangers that could become big problems.'\u003cbr>\n\u003ccite>Suneil Koliwad, Researcher and Clinician at UCSF \u003c/cite>\u003c/aside>\n\u003cp>The major challenge for patients and their doctors is to determine how much insulin to give and how to give it. A great \"first step,\" Koliwad says, is to analyze a patient's blood sugar levels over time. Eventually, health systems can use months and months of data to make a prediction about what will happen next.\u003c/p>\n\u003cp>\"Using technology, you can overcome the crux of the problem,\" he says. \"Mobile tools have tremendous potential to help doctors spot potential dangers that could become big problems.\"\u003c/p>\n\u003cp>But most doctors do not have time to pore over numbers in Excel spreadsheets. So Koliwad says hospitals either need to invest in tools to present this data clearly to doctors, or hire teams of people to monitor the data streams and be responsive to patients.\u003c/p>\n\u003cp>Once doctors are on board, health systems will need to convince the patients. And that might be a major challenge.\u003c/p>\n\u003cp>\"From talking to other parents I know that every teen's journey is different,\" says Lori Atkins. \"Some kids get this burnout where they don't want to test themselves or take their insulin. Even Blake could rebel next week and stop wearing his glucose monitor.\"\u003c/p>\n\u003cp>But Blake says it's unlikely that he'll give up or get embarrassed about his disease.\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>\"I don't really care what people think,\" he says. \"Anyways, I know that the alternative is grim. Having diabetes, it does make you grow up a bit.\"\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/62692/how-this-teen-uses-an-iphone-to-manage-his-diabetes","authors":["3252"],"categories":["futureofyou_1060"],"tags":["futureofyou_61","futureofyou_469","futureofyou_80"],"featImg":"futureofyou_68471","label":"futureofyou"},"futureofyou_61717":{"type":"posts","id":"futureofyou_61717","meta":{"index":"posts_1591205157","site":"futureofyou","id":"61717","score":null,"sort":[1446659266000]},"guestAuthors":[],"slug":"how-seniors-are-taking-advantage-of-wearable-tech","title":"How Seniors Are Taking Advantage of Wearable Tech","publishDate":1446659266,"format":"standard","headTitle":"KQED Future of You | KQED Science","labelTerm":{"site":"futureofyou"},"content":"\u003cp>When Elisabeth Handler, 71, of San Jose decided to commit to losing weight, she started using an activity tracker from Fitbit. Handler wears the tracker on her wrist to monitor her daily step count.\u003c/p>\n\u003cp>We rarely hear stories in the press about people who use wearable technology that aren't young, fit and generally healthy. But Handler is far from alone in finding value in apps and activity trackers later in life.\u003c/p>\n\u003cp>New research is finding that seniors are monitoring their health using wearable trackers at similar rates as their younger counterparts. A recent \u003cspan style=\"font-weight: 400\">\u003ca href=\"http://rockhealth.com/reports/digital-health-consumer-adoption-2015/\">survey\u003c/a> of \u003c/span>\u003cspan style=\"font-weight: 400\">4,017 Americans, conducted by \u003ca href=\"https://rockhealth.com/\">Rock Health\u003c/a>, found that demographic variables, like age and income, had no statistically significant effect on adoption of digital health. In other words, seniors are just as likely to use a Fitbit or Jawbone device as a millennial.\u003c/span>\u003c/p>\n\u003cfigure id=\"attachment_62089\" class=\"wp-caption alignright\" style=\"max-width: 302px\">\u003cimg class=\" wp-image-62089\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/11/elisabeth-588x600.jpg\" alt=\"Elisabeth Handler sports her Fitbit Flex at this year's Pinot Noir harvest in the Santa Cruz mountains. \" width=\"302\" height=\"308\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/11/elisabeth-588x600.jpg 588w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/elisabeth-400x409.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/elisabeth-1155x1180.jpg 1155w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/elisabeth-1180x1205.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/elisabeth-960x980.jpg 960w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/elisabeth-32x32.jpg 32w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/elisabeth-64x64.jpg 64w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/elisabeth-75x75.jpg 75w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/elisabeth.jpg 1363w\" sizes=\"(max-width: 302px) 100vw, 302px\">\u003cfigcaption class=\"wp-caption-text\">Elisabeth Handler sports her Fitbit Flex at this year's Pinot Noir harvest in the Santa Cruz mountains. \u003ccite>(Elisabeth Handler)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\"We were surprised, but pleased, that age wasn't a significant factor in determining adoption, because it implies that digital health technologies are reaching the senior population,” said Rock Health's Teresa Wang, one of the researchers behind the survey.\u003c/p>\n\u003cp>\u003cstrong>How Can Seniors Benefit From Wearable Tech? \u003c/strong>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>I spoke with several retired people over the age of 65, who said they had more time to tackle the health challenges they have been putting off for a lifetime. And wearable health trackers provided the data they needed to meet their goals.\u003c/p>\n\u003cp>“When I was working, I always said I wanted to exercise,” said Janice Chow, a 66-year-old resident of Castro Valley who uses a Jawbone Up24 tracker. “Now that I’m retired, I have time to exercise twice a day.”\u003c/p>\n\u003cp>Chow resumed regular exercise with activities she loved: Walking and hiking. She describes herself as \"technologically challenged,\" but when she received a wearable fitness tracker as a gift, she found it integrated easily into her workouts. It could tell her how many steps she had taken and how far she had hiked.\u003c/p>\n\u003cp>Her Jawbone device (and the several Fitbits she had previously lost) began inspiring her to do more. At its suggestion, she has integrated more dynamic activity into her workout regime.\u003c/p>\n\u003cp>“I take aerobics because the Jawbone would tell me, ‘Try to get your heart rate up,’” Chow said. “I’m trying to tone my muscles and be healthier. It motivates me to do more.”\u003c/p>\n\u003cp>\u003cb>'Awareness Around My Physical Life'\u003c/b>\u003c/p>\n\u003cp>Handler has been relying on technology to manage her health for years now. When she needed a new hip 11 years ago, she turned to the Internet to find a surgeon. Today, she uses an online portal to access her health records, make appointments and email doctors.\u003c/p>\n\u003cp>But her most enthusiastically-adopted piece of technology will always be her health tracker.\u003c/p>\n\u003cp>Handler said her health habits began to evolve when she retired from a traditional career in favor of working from home as a consultant. She signed up for a 30-week health program through Kaiser in 2013, during which she abided by a rigorous supervised diet and bought a treadmill desk. She quickly became frustrated with tracking her workouts on paper.\u003c/p>\n\u003cp>She had used pedometers in the past, but never felt like they were accurate enough. This time, she bought a Fitbit Flex, a thin wristband that can track factors like steps, calories burned and sleep patterns. She monitors the data it collects in an app called MyFitnessPal, which can also log her food consumption.\u003c/p>\n\u003caside class=\"pullquote alignright\">“It [my activity tracker] gave me a really tangible, un-fudgeable, un-manipulatable way of being honest about what I’m doing.\"\u003cbr>\n\u003ccite>Elisabeth Handler\u003c/cite>\u003c/aside>\n\u003cp>Handler eventually lost 50 pounds. She’s found it isn’t hard to keep active during the day if she keeps her exercise simple. During our interview, Handler admitted she was currently walking at a very slow speed on the treadmill.\u003c/p>\n\u003cp>“For me, the tracker was a very easy entry-point into kind of a whole ecosystem of awareness around my physical life,” Handler said. “It gave me a really tangible, un-fudgeable, un-manipulatable way of being honest about what I’m doing.\"\u003c/p>\n\u003cp>\u003cb>Tracking Sleep\u003c/b>\u003c/p>\n\u003cp>Both Handler and Chow said their wearables helped them improve their sleep. In Chow’s case, the reports she received on her sleeping patterns helped her improve her quality of sleep. When Handler paired her step counts with overnight reports, she realized more activity led to better sleep.\u003c/p>\n\u003cp>“If I have a high number of steps on Tuesday, Tuesday night I sleep better,” Handler said. “It’s a clear correlation. That to me was an enormous ‘aha.’”\u003c/p>\n\u003cp>The next step is, of course, to track more. Handler is eyeing an upgrade that would allow her to monitor her heart rate. Chow would like to start logging her water consumption--something the Jawbone app keeps bugging her to do. But she’s not quite sure how to do it.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">“My daughter says she’ll help me figure that out,”she said. \u003c/span>\u003c/p>\n\n","blocks":[],"excerpt":"New research is finding that seniors are monitoring their health using wearable trackers at similar rates as millennials. ","status":"publish","parent":0,"modified":1477273402,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":24,"wordCount":898},"headData":{"title":"How Seniors Are Taking Advantage of Wearable Tech | KQED","description":"New research is finding that seniors are monitoring their health using wearable trackers at similar rates as millennials. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"How Seniors Are Taking Advantage of Wearable Tech","datePublished":"2015-11-04T17:47:46.000Z","dateModified":"2016-10-24T01:43:22.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"61717 http://ww2.kqed.org/futureofyou/?p=61717","disqusUrl":"https://ww2.kqed.org/futureofyou/2015/11/04/how-seniors-are-taking-advantage-of-wearable-tech/","disqusTitle":"How Seniors Are Taking Advantage of Wearable Tech","nprByline":"Signe Brewster ","path":"/futureofyou/61717/how-seniors-are-taking-advantage-of-wearable-tech","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>When Elisabeth Handler, 71, of San Jose decided to commit to losing weight, she started using an activity tracker from Fitbit. Handler wears the tracker on her wrist to monitor her daily step count.\u003c/p>\n\u003cp>We rarely hear stories in the press about people who use wearable technology that aren't young, fit and generally healthy. But Handler is far from alone in finding value in apps and activity trackers later in life.\u003c/p>\n\u003cp>New research is finding that seniors are monitoring their health using wearable trackers at similar rates as their younger counterparts. A recent \u003cspan style=\"font-weight: 400\">\u003ca href=\"http://rockhealth.com/reports/digital-health-consumer-adoption-2015/\">survey\u003c/a> of \u003c/span>\u003cspan style=\"font-weight: 400\">4,017 Americans, conducted by \u003ca href=\"https://rockhealth.com/\">Rock Health\u003c/a>, found that demographic variables, like age and income, had no statistically significant effect on adoption of digital health. In other words, seniors are just as likely to use a Fitbit or Jawbone device as a millennial.\u003c/span>\u003c/p>\n\u003cfigure id=\"attachment_62089\" class=\"wp-caption alignright\" style=\"max-width: 302px\">\u003cimg class=\" wp-image-62089\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/11/elisabeth-588x600.jpg\" alt=\"Elisabeth Handler sports her Fitbit Flex at this year's Pinot Noir harvest in the Santa Cruz mountains. \" width=\"302\" height=\"308\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/11/elisabeth-588x600.jpg 588w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/elisabeth-400x409.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/elisabeth-1155x1180.jpg 1155w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/elisabeth-1180x1205.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/elisabeth-960x980.jpg 960w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/elisabeth-32x32.jpg 32w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/elisabeth-64x64.jpg 64w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/elisabeth-75x75.jpg 75w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/elisabeth.jpg 1363w\" sizes=\"(max-width: 302px) 100vw, 302px\">\u003cfigcaption class=\"wp-caption-text\">Elisabeth Handler sports her Fitbit Flex at this year's Pinot Noir harvest in the Santa Cruz mountains. \u003ccite>(Elisabeth Handler)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\"We were surprised, but pleased, that age wasn't a significant factor in determining adoption, because it implies that digital health technologies are reaching the senior population,” said Rock Health's Teresa Wang, one of the researchers behind the survey.\u003c/p>\n\u003cp>\u003cstrong>How Can Seniors Benefit From Wearable Tech? \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>I spoke with several retired people over the age of 65, who said they had more time to tackle the health challenges they have been putting off for a lifetime. And wearable health trackers provided the data they needed to meet their goals.\u003c/p>\n\u003cp>“When I was working, I always said I wanted to exercise,” said Janice Chow, a 66-year-old resident of Castro Valley who uses a Jawbone Up24 tracker. “Now that I’m retired, I have time to exercise twice a day.”\u003c/p>\n\u003cp>Chow resumed regular exercise with activities she loved: Walking and hiking. She describes herself as \"technologically challenged,\" but when she received a wearable fitness tracker as a gift, she found it integrated easily into her workouts. It could tell her how many steps she had taken and how far she had hiked.\u003c/p>\n\u003cp>Her Jawbone device (and the several Fitbits she had previously lost) began inspiring her to do more. At its suggestion, she has integrated more dynamic activity into her workout regime.\u003c/p>\n\u003cp>“I take aerobics because the Jawbone would tell me, ‘Try to get your heart rate up,’” Chow said. “I’m trying to tone my muscles and be healthier. It motivates me to do more.”\u003c/p>\n\u003cp>\u003cb>'Awareness Around My Physical Life'\u003c/b>\u003c/p>\n\u003cp>Handler has been relying on technology to manage her health for years now. When she needed a new hip 11 years ago, she turned to the Internet to find a surgeon. Today, she uses an online portal to access her health records, make appointments and email doctors.\u003c/p>\n\u003cp>But her most enthusiastically-adopted piece of technology will always be her health tracker.\u003c/p>\n\u003cp>Handler said her health habits began to evolve when she retired from a traditional career in favor of working from home as a consultant. She signed up for a 30-week health program through Kaiser in 2013, during which she abided by a rigorous supervised diet and bought a treadmill desk. She quickly became frustrated with tracking her workouts on paper.\u003c/p>\n\u003cp>She had used pedometers in the past, but never felt like they were accurate enough. This time, she bought a Fitbit Flex, a thin wristband that can track factors like steps, calories burned and sleep patterns. She monitors the data it collects in an app called MyFitnessPal, which can also log her food consumption.\u003c/p>\n\u003caside class=\"pullquote alignright\">“It [my activity tracker] gave me a really tangible, un-fudgeable, un-manipulatable way of being honest about what I’m doing.\"\u003cbr>\n\u003ccite>Elisabeth Handler\u003c/cite>\u003c/aside>\n\u003cp>Handler eventually lost 50 pounds. She’s found it isn’t hard to keep active during the day if she keeps her exercise simple. During our interview, Handler admitted she was currently walking at a very slow speed on the treadmill.\u003c/p>\n\u003cp>“For me, the tracker was a very easy entry-point into kind of a whole ecosystem of awareness around my physical life,” Handler said. “It gave me a really tangible, un-fudgeable, un-manipulatable way of being honest about what I’m doing.\"\u003c/p>\n\u003cp>\u003cb>Tracking Sleep\u003c/b>\u003c/p>\n\u003cp>Both Handler and Chow said their wearables helped them improve their sleep. In Chow’s case, the reports she received on her sleeping patterns helped her improve her quality of sleep. When Handler paired her step counts with overnight reports, she realized more activity led to better sleep.\u003c/p>\n\u003cp>“If I have a high number of steps on Tuesday, Tuesday night I sleep better,” Handler said. “It’s a clear correlation. That to me was an enormous ‘aha.’”\u003c/p>\n\u003cp>The next step is, of course, to track more. Handler is eyeing an upgrade that would allow her to monitor her heart rate. Chow would like to start logging her water consumption--something the Jawbone app keeps bugging her to do. But she’s not quite sure how to do it.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">“My daughter says she’ll help me figure that out,”she said. \u003c/span>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/61717/how-seniors-are-taking-advantage-of-wearable-tech","authors":["byline_futureofyou_61717"],"categories":["futureofyou_1060"],"tags":["futureofyou_469","futureofyou_80","futureofyou_643","futureofyou_25"],"featImg":"futureofyou_62570","label":"futureofyou"},"futureofyou_51030":{"type":"posts","id":"futureofyou_51030","meta":{"index":"posts_1591205157","site":"futureofyou","id":"51030","score":null,"sort":[1444847405000]},"guestAuthors":[],"slug":"which-activity-trackers-are-the-most-reliable","title":"Which Activity Trackers are the Most Reliable?","publishDate":1444847405,"format":"standard","headTitle":"KQED Future of You | KQED Science","labelTerm":{"site":"futureofyou"},"content":"\u003cp>These days, anyone can buy a basic fitness tracker for less than $100. But can you trust the device to provide accurate data about your steps?\u003c/p>\n\u003cp>According to new research published this week from a\u003ca href=\"http://bmcsportsscimedrehabil.biomedcentral.com/articles/10.1186/s13102-015-0018-5\"> group of researchers\u003c/a> at the \u003ca href=\"https://www.hanze.nl/eng\">Hanze University of Applied Sciences\u003c/a> in the Netherlands, most of the popular activity trackers will do.\u003c/p>\n\u003cfigure id=\"attachment_51084\" class=\"wp-caption alignright\" style=\"max-width: 287px\">\u003cimg class=\" wp-image-51084\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/10/misfit-800x600.jpg\" alt=\"Wearable maker Misfit is known for its small, jewel-like trackers.\" width=\"287\" height=\"215\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/10/misfit-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/misfit-400x300.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/misfit-1180x885.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/misfit-1920x1440.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/misfit-960x720.jpg 960w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/misfit.jpg 2048w\" sizes=\"(max-width: 287px) 100vw, 287px\">\u003cfigcaption class=\"wp-caption-text\">Wearable maker Misfit is known for its small, jewel-like trackers. \u003ccite>(Yosomono/Flickr)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The researchers found that seven of the top ten consumer devices and smartphone apps were reliable at tracking steps, and five showed high accuracy when tested in laboratory conditions.\u003c/p>\n\u003cp>I was somewhat surprised to learn that the less expensive trackers, like the $69.99 Misfit Shine or $59.95 Fitbit Zip, weren't any less reliable than their more pricey counterparts.\u003c/p>\n\u003cp>\"The activity trackers performed better than we expected in general,\" said Martijn de Groot, \u003ca href=\"http://ww2.kqed.org/futureofyou/2015/06/19/training-the-next-generation-of-quantified-nurses/\">one of the authors of the paper.\u003c/a> De Groot is also a research director at the \u003ca href=\"http://www.qsinstitute.org/\">Quantified Institute\u003c/a>, which specializes in wearable technology. \"Only the Nike Fuelband was disappointing,\" he told me.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The wearables market has exploded in the past few years. \u003ca href=\"https://www.idc.com/getdoc.jsp?containerId=255356\">The research firm IDC\u003c/a> predicts that the number of trackers shipped will jump from around 20 million in 2014 to over 120 million in 2019. Some devices emphasize style and affordability; others offer far more sophisticated data than just step counts, like sleep quality and heart rate.\u003c/p>\n\u003cp>[Editors' Note: I first met de Groot at the 'Quantified Self' conference in San Francisco, where he presented on a new program to teach nurses and other health professionals about statistics..\u003ca href=\"http://ww2.kqed.org/futureofyou/2015/06/19/training-the-next-generation-of-quantified-nurses/\"> More on that here.\u003c/a>]\u003c/p>\n\u003cp>\u003cstrong>The Results?\u003c/strong>\u003c/p>\n\u003cp>The Moves app for the iPhone and Nike Fuelband were the least accurate and reliable, according to the researchers, while the Jawbone UP, Misfit Shine, Withings Pulse, Fitbit Zip and Lumoback scored high on both counts. \u003ca href=\"http://www.ijbnpa.org/content/pdf/s12966-015-0201-9.pdf\">These results echo previous studies\u003c/a>, which found that the Fitbit and Withings devices were strong performers.\u003c/p>\n\u003cp>The researchers kicked off the experiment a year ago and recruited more than 50 healthy adult volunteers. What stood out to me about the study is that it's among the first to test the fitness trackers both in the lab and in \"free living conditions,\" meaning in the participants' daily lives. A device might perform well in lab conditions for the purposes of academic studies, but not in the real world.\u003c/p>\n\u003caside class=\"pullquote alignright\">“The activity trackers performed better than we expected in general.\"\u003cbr>\n\u003ccite>Martijn de Groot, a principal investor at the \u003ca href=\"https://www.hanze.nl/eng\">Hanze University of Applied Sciences\u003c/a>\u003c/cite>\u003c/aside>\n\u003cp>For the lab portion of the research, the participants were asked to walk twice on a treadmill for 30 minutes while wearing all ten trackers and an \u003ca href=\"http://www.paltech.plus.com/products.htm\">ActivPAL\u003c/a>, an accelerometer-based monitor worn on the thigh that is commonly used by researchers as the \"gold standard.\"\u003c/p>\n\u003cp>The participants were subsequently asked to sport all of the devices during a regular workday, but to abstain from cycling, driving or any other activity that might skew the results by damaging the tracker or shifting the wearing position.\u003c/p>\n\u003cfigure id=\"attachment_51082\" class=\"wp-caption alignleft\" style=\"max-width: 290px\">\u003cimg class=\" wp-image-51082\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/10/Fitibit_Flex-800x573.jpg\" alt=\"Fitbit devices were among the most accurate, according to the study.\" width=\"290\" height=\"208\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/10/Fitibit_Flex-800x573.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/Fitibit_Flex-400x286.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/Fitibit_Flex-1180x845.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/Fitibit_Flex-1920x1374.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/Fitibit_Flex-960x687.jpg 960w\" sizes=\"(max-width: 290px) 100vw, 290px\">\u003cfigcaption class=\"wp-caption-text\">Fitbit devices were among the most accurate, according to the study. \u003ccite>(Wikimedia Commons)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>By performing statistical analysis to compare the results from the trackers and the gold standard, the researchers were able to assess the validity and reliability of the devices. According to de Groot, the latter is more important for most people. If the feedback is off, but off by about the same amount every day, then it's still useful for workout purposes.\u003c/p>\n\u003cp>For patients with serious medical conditions, De Groot said he would suggest a device that is worn on the pelvis or chest, rather than on the wrist.\u003c/p>\n\u003cp>Wrist-worn activity trackers are more prone to errors when we vigorously move our arms during the day, he said. But it also depends on what you're trying to measure: To track lower-limb activity like cycling, for instance, he would suggest a device worn on the ankle.\u003c/p>\n\u003cp>In an interview, De Groot shared some of the limitations to the study. The researchers did not test for long-distance tracking or other measurements, including sleep. Moreover, they carried out the experiments one year ago. The Moves app, which is the only one that relies on the iPhone's in-built accelerometer, likely improved in the more recently-released iPhone 6 and 6 Plus.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Which wearable tracker do you use? Do you use it regularly, and have you experienced any issues? Share your story with me at cfarr@kqed.org\u003c/em>\u003c/p>\n\n","blocks":[],"excerpt":"These days, anyone can buy a basic fitness tracker for less than $100. But can you trust the device to provide accurate data about your steps?","status":"publish","parent":0,"modified":1477273708,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":19,"wordCount":800},"headData":{"title":"Which Activity Trackers are the Most Reliable? | KQED","description":"These days, anyone can buy a basic fitness tracker for less than $100. But can you trust the device to provide accurate data about your steps?","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Which Activity Trackers are the Most Reliable?","datePublished":"2015-10-14T18:30:05.000Z","dateModified":"2016-10-24T01:48:28.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"51030 http://ww2.kqed.org/futureofyou/?p=51030","disqusUrl":"https://ww2.kqed.org/futureofyou/2015/10/14/which-activity-trackers-are-the-most-reliable/","disqusTitle":"Which Activity Trackers are the Most Reliable?","path":"/futureofyou/51030/which-activity-trackers-are-the-most-reliable","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>These days, anyone can buy a basic fitness tracker for less than $100. But can you trust the device to provide accurate data about your steps?\u003c/p>\n\u003cp>According to new research published this week from a\u003ca href=\"http://bmcsportsscimedrehabil.biomedcentral.com/articles/10.1186/s13102-015-0018-5\"> group of researchers\u003c/a> at the \u003ca href=\"https://www.hanze.nl/eng\">Hanze University of Applied Sciences\u003c/a> in the Netherlands, most of the popular activity trackers will do.\u003c/p>\n\u003cfigure id=\"attachment_51084\" class=\"wp-caption alignright\" style=\"max-width: 287px\">\u003cimg class=\" wp-image-51084\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/10/misfit-800x600.jpg\" alt=\"Wearable maker Misfit is known for its small, jewel-like trackers.\" width=\"287\" height=\"215\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/10/misfit-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/misfit-400x300.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/misfit-1180x885.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/misfit-1920x1440.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/misfit-960x720.jpg 960w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/misfit.jpg 2048w\" sizes=\"(max-width: 287px) 100vw, 287px\">\u003cfigcaption class=\"wp-caption-text\">Wearable maker Misfit is known for its small, jewel-like trackers. \u003ccite>(Yosomono/Flickr)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The researchers found that seven of the top ten consumer devices and smartphone apps were reliable at tracking steps, and five showed high accuracy when tested in laboratory conditions.\u003c/p>\n\u003cp>I was somewhat surprised to learn that the less expensive trackers, like the $69.99 Misfit Shine or $59.95 Fitbit Zip, weren't any less reliable than their more pricey counterparts.\u003c/p>\n\u003cp>\"The activity trackers performed better than we expected in general,\" said Martijn de Groot, \u003ca href=\"http://ww2.kqed.org/futureofyou/2015/06/19/training-the-next-generation-of-quantified-nurses/\">one of the authors of the paper.\u003c/a> De Groot is also a research director at the \u003ca href=\"http://www.qsinstitute.org/\">Quantified Institute\u003c/a>, which specializes in wearable technology. \"Only the Nike Fuelband was disappointing,\" he told me.\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>The wearables market has exploded in the past few years. \u003ca href=\"https://www.idc.com/getdoc.jsp?containerId=255356\">The research firm IDC\u003c/a> predicts that the number of trackers shipped will jump from around 20 million in 2014 to over 120 million in 2019. Some devices emphasize style and affordability; others offer far more sophisticated data than just step counts, like sleep quality and heart rate.\u003c/p>\n\u003cp>[Editors' Note: I first met de Groot at the 'Quantified Self' conference in San Francisco, where he presented on a new program to teach nurses and other health professionals about statistics..\u003ca href=\"http://ww2.kqed.org/futureofyou/2015/06/19/training-the-next-generation-of-quantified-nurses/\"> More on that here.\u003c/a>]\u003c/p>\n\u003cp>\u003cstrong>The Results?\u003c/strong>\u003c/p>\n\u003cp>The Moves app for the iPhone and Nike Fuelband were the least accurate and reliable, according to the researchers, while the Jawbone UP, Misfit Shine, Withings Pulse, Fitbit Zip and Lumoback scored high on both counts. \u003ca href=\"http://www.ijbnpa.org/content/pdf/s12966-015-0201-9.pdf\">These results echo previous studies\u003c/a>, which found that the Fitbit and Withings devices were strong performers.\u003c/p>\n\u003cp>The researchers kicked off the experiment a year ago and recruited more than 50 healthy adult volunteers. What stood out to me about the study is that it's among the first to test the fitness trackers both in the lab and in \"free living conditions,\" meaning in the participants' daily lives. A device might perform well in lab conditions for the purposes of academic studies, but not in the real world.\u003c/p>\n\u003caside class=\"pullquote alignright\">“The activity trackers performed better than we expected in general.\"\u003cbr>\n\u003ccite>Martijn de Groot, a principal investor at the \u003ca href=\"https://www.hanze.nl/eng\">Hanze University of Applied Sciences\u003c/a>\u003c/cite>\u003c/aside>\n\u003cp>For the lab portion of the research, the participants were asked to walk twice on a treadmill for 30 minutes while wearing all ten trackers and an \u003ca href=\"http://www.paltech.plus.com/products.htm\">ActivPAL\u003c/a>, an accelerometer-based monitor worn on the thigh that is commonly used by researchers as the \"gold standard.\"\u003c/p>\n\u003cp>The participants were subsequently asked to sport all of the devices during a regular workday, but to abstain from cycling, driving or any other activity that might skew the results by damaging the tracker or shifting the wearing position.\u003c/p>\n\u003cfigure id=\"attachment_51082\" class=\"wp-caption alignleft\" style=\"max-width: 290px\">\u003cimg class=\" wp-image-51082\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/10/Fitibit_Flex-800x573.jpg\" alt=\"Fitbit devices were among the most accurate, according to the study.\" width=\"290\" height=\"208\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/10/Fitibit_Flex-800x573.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/Fitibit_Flex-400x286.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/Fitibit_Flex-1180x845.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/Fitibit_Flex-1920x1374.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/13/2015/10/Fitibit_Flex-960x687.jpg 960w\" sizes=\"(max-width: 290px) 100vw, 290px\">\u003cfigcaption class=\"wp-caption-text\">Fitbit devices were among the most accurate, according to the study. \u003ccite>(Wikimedia Commons)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>By performing statistical analysis to compare the results from the trackers and the gold standard, the researchers were able to assess the validity and reliability of the devices. According to de Groot, the latter is more important for most people. If the feedback is off, but off by about the same amount every day, then it's still useful for workout purposes.\u003c/p>\n\u003cp>For patients with serious medical conditions, De Groot said he would suggest a device that is worn on the pelvis or chest, rather than on the wrist.\u003c/p>\n\u003cp>Wrist-worn activity trackers are more prone to errors when we vigorously move our arms during the day, he said. But it also depends on what you're trying to measure: To track lower-limb activity like cycling, for instance, he would suggest a device worn on the ankle.\u003c/p>\n\u003cp>In an interview, De Groot shared some of the limitations to the study. The researchers did not test for long-distance tracking or other measurements, including sleep. Moreover, they carried out the experiments one year ago. The Moves app, which is the only one that relies on the iPhone's in-built accelerometer, likely improved in the more recently-released iPhone 6 and 6 Plus.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Which wearable tracker do you use? Do you use it regularly, and have you experienced any issues? Share your story with me at cfarr@kqed.org\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/51030/which-activity-trackers-are-the-most-reliable","authors":["3252"],"categories":["futureofyou_1060"],"tags":["futureofyou_614","futureofyou_138","futureofyou_469","futureofyou_80","futureofyou_25"],"featImg":"futureofyou_51080","label":"futureofyou"},"futureofyou_42356":{"type":"posts","id":"futureofyou_42356","meta":{"index":"posts_1591205157","site":"futureofyou","id":"42356","score":null,"sort":[1443040271000]},"guestAuthors":[],"slug":"uc-riverside-professor-slams-feds-stands-by-his-health-app","title":"UC Riverside Professor Slams Feds, Stands By His Health App","publishDate":1443040271,"format":"standard","headTitle":"Future of You | KQED Future of You | KQED Science","labelTerm":{"term":54,"site":"futureofyou"},"content":"\u003cp>UC Riverside professor of psychology Aaron Seitz had an idea for a mobile health app based on his area of research. In 2014, he launched.\u003c/p>\n\u003cp>In 2015, he was hit with a substantial fine and a firestorm of \u003ca href=\"https://www.washingtonpost.com/news/the-switch/wp/2015/09/17/apps-are-making-health-claims-but-they-may-not-have-the-science-to-back-them-up/\" target=\"_blank\">bad press\u003c/a>.\u003c/p>\n\u003cp>Seitz is the academic behind \u003ca href=\"https://ultimeyesvision.com/\" target=\"_blank\">UltimEyes\u003c/a>, the vision improvement app that \u003ca href=\"https://www.ftc.gov/news-events/press-releases/2015/09/ftc-charges-marketers-vision-improvement-app-deceptive-claims\">got dinged by the Federal Trade Commission (FTC)\u003c/a> for $150,000 last week for making deceptive claims about the app's efficacy. Seitz and his business partner, Adam Goldberg, are the co-owners and only employees of Carrot Neurotechnology, Inc., the company that sells UltimEyes. Seitz told KQED in an interview Tuesday he and Goldberg had to pony up $75,000 each.\u003c/p>\n\u003caside class=\"pullquote alignright\">“If you look at the mobile apps being promoted, it’s still the wild west out there.\"\u003ccite>Attorney Bradley Merrill Thompson\u003c/cite>\u003c/aside>\n\u003cp>As for the legal fees, he said, \"Don't ask me about that. It's crazy.\"\u003c/p>\n\u003cp>Aside from the money owed, Seitz and Goldberg \u003ca href=\"https://www.ftc.gov/system/files/documents/cases/150917carrotneuroorder.pdf\" target=\"_blank\">agreed\u003c/a> to stop making claims about the mobile app's ability to improve vision. Prior to the FTC's involvement, \u003ca href=\"https://www.ftc.gov/system/files/documents/cases/150917carrotneuroexhibits.pdf\" target=\"_blank\">promotional material and language\u003c/a> on the UltimEyes website (still available on the Apple and Google Play app stores, for $5.99) said the app was “scientifically shown\" to do just that.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The \u003ca href=\"https://www.ftc.gov/system/files/documents/cases/150917carrotneurocmpt.pdf\" target=\"_blank\">FTC complaint\u003c/a> against Carrot Neurotechnology lists an array of related assertions on that theme, including one that the app improved vision an average of 31 percent and two lines on the standard \u003ca href=\"http://www.nytimes.com/2013/05/26/magazine/who-made-that-eye-chart.html?_r=0\" target=\"_blank\">Stellen eye chart\u003c/a>, and another that it helps mitigate \u003ca href=\"http://www.mayoclinic.org/diseases-conditions/presbyopia/basics/definition/con-2003226\" target=\"_blank\">presbyopia\u003c/a>, the gradual loss of the ability to focus on nearby objects.\u003c/p>\n\u003cp>The FTC also reprimanded Carrot for not disclosing Seitz’s connection to the company when it cited his own research. Seitz says as soon as the FTC brought that to the company's attention, it disclosed the potential conflict of interest on its site.\u003c/p>\n\u003cp>\u003cstrong>Standing by Claims\u003c/strong>\u003c/p>\n\u003cp>Despite the agreement with the FTC, Seitz stands by the original UltimEyes claims. He called the FTC action “dangerous.”\u003c/p>\n\u003cp>“Is it a good thing that you have the FTC not just going after companies, but going after individuals when they’re trying to take the university mission of taking research and translating it to the public good?\" he said. \"Scientists should be incentivized to translate the research in the way I’m doing.”\u003c/p>\n\u003cp>Seitz has laid out his concerns in an \u003ca href=\"http://www.faculty.ucr.edu/~aseitz/OpenLetter.html\" target=\"_blank\">open letter \u003c/a>on his UC Riverside faculty page, asking friends and colleagues to post supportive \u003ca href=\"https://www.ftc.gov/policy/public-comments/initiative-625\" target=\"_blank\">comments \u003c/a>with the FTC during the public comment period. Seitz said “numerous scientists” have come to the defense of the company.\u003c/p>\n\u003cp>“The government really needs to be listening to scientists here,\" he said. \"They ignored experts we brought to testify and the scientific literature. They're using us as a way to establish some precedent so they can go after some larger companies in the industry.\"\u003c/p>\n\u003cp>The FTC said UltimEyes racked up more than $350,000 in U.S. sales from January 2012 to June 2015. Seitz acknowledges that if the app had hit it big, he would have gained financially. But, he said, “my main aim was to let the public get a hold of my research.” He said neither he nor his partner made any money from the app.\u003c/p>\n\u003cp>In its complaint, the FTC also cited \u003ca href=\"http://tune.pk/video/2448640/Brain-Training-Makes-Better-Batters\">a video that was posted on the UltimEyes site\u003c/a> featuring Seitz and others discussing a study involving the 2013 UC Riverside baseball team, which ostensibly improved its performance after going through the app's exercises. In the video, a researcher says players reported they could “see things in dimmer light conditions, being able to see the ball better, being able to hit the ball better.”\u003c/p>\n\u003cp>\u003cstrong>The Research\u003c/strong>\u003c/p>\n\u003cp>Seitz says UltimEyes is based on \u003ca href=\"https://www.google.com/search?q=perceptual+learning\" target=\"_blank\">perceptual learning\u003c/a>, which he describes as \"an improvement in a perceptual task induced by practice or experience. \" The National Institutes of Health gave him a \u003ca href=\"http://ucrtoday.ucr.edu/18771\" target=\"_blank\">$1.7 million grant\u003c/a> in 2013 to study the field.\u003c/p>\n\u003cp>Last year, \u003ca href=\"http://mashable.com/2014/05/01/ultimeyes-test-video/#nng4T.bGuqkP\">Mashable\u003c/a> tested the app out on an iPad and called it “half-game, half-eye exam.”\u003c/p>\n\u003cp>[Scroll to the bottom of this post for a video of the app in action.]\u003c/p>\n\u003cp>The UC Riverside baseball experiment was also the subject of a \u003ca href=\"http://www.cell.com/current-biology/abstract/S0960-9822(14)00005-0\">paper published in Current Biology\u003c/a>, co-authored by Seitz. (Not to mention the subject of a \u003ca href=\"http://www.scpr.org/news/2014/03/28/43098/how-neuroscience-is-helping-uc-riverside-baseball/\" target=\"_blank\">Southern California Public Radio story\u003c/a> in 2014).\u003c/p>\n\u003cp>That was one of three peer-reviewed studies, Seitz says, that prove UltimEyes does what it said. He said the FTC went after the app because the agency wants to see randomized, double blind studies to substantiate such claims. Seitz does not agree with that standard.\u003c/p>\n\u003cp>“They’re saying that if research is not done with a double blind placebo study, it doesn’t provide evidence of anything. ... But if you talk with most scientists, they say that there are tons of studies that use that methodology that are junk, and tons of studies that don’t use it that are informative.\u003c/p>\n\u003cp>“It’s a useful study design that provides information and context. It has great purpose, but there are many circumstances -- and this research is actually one of them -- where it doesn’t apply.”\u003c/p>\n\u003cp>The FTC declined to comment.\u003c/p>\n\u003cp>\u003cstrong>Federal Agencies \"Doing a Reasonable Job\" of Policing Apps\u003c/strong>\u003c/p>\n\u003cp>Dr. John Halamka, co-chair of the federal Health Information Technology Standards Committee, which advises the U.S. Department of Health and Human Services on technology and health care, does not agree with Seitz that the FTC overreached in taking action against his app. He says requiring a stringent level of proof is appropriate here.\u003c/p>\n\u003cp>\"This is not one that is just face valid, or peer review could say, ‘okay sounds reasonable.’ It needs to be proven,\" he said, adding that peer review doesn't prove \"rigorous scientific evaluation of a phenomena.\"\u003c/p>\n\u003cp>Halamka said using UltimEyes presents a certain level of risk to the public because it involves diagnosis or therapy.\u003c/p>\n\u003cp>\"In the case of apps that are making claims that may or may not be true, if this is a therapy claiming a result, I think all of our federal agencies are doing a reasonable job to ask for rigor.\"\u003c/p>\n\u003cp>\u003cstrong>More to Come?\u003c/strong>\u003c/p>\n\u003cp>Enforcement actions like the one against UltimEyes are probably going to happen more frequently, says Bradley Merrill Thompson, a lawyer at Epstein, Becker & Green who works on regulatory issues with medical device and drug companies.\u003c/p>\n\u003cp>“The agreement is the next step in a whole series of cases the FTC has brought with respect to mobile applications,\" he said. Last month, the FTC \u003ca href=\"https://www.ftc.gov/news-events/press-releases/2015/08/melanoma-detection-app-sellers-barred-making-deceptive-health\" target=\"_blank\">barred a company\u003c/a> from making claims that the“Mole Detective” line of apps could detect melanoma.\u003c/p>\n\u003cp>\"I fear that there will be a lot more cases, ” Merrill Thompson said. \"If you look at the mobile apps being promoted, it’s still the wild west out there. There’s still a lot of very small organizations operating out of their garage, making boastful claims about their technology.\"\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/futureofyou/\">KQED Future of You\u003c/a> editor Christina Farr wrote about the \u003ca href=\"http://www.reuters.com/article/2014/06/10/us-mobilephone-healthcare-idUSKBN0EL23M20140610\" target=\"_blank\">proliferation of unproven claims\u003c/a> by health-related apps for Reuters in 2014. She reported that a recent study from the New England Center for Investigative Research revealed that of the 1,500 health apps it evaluated, 20 percent claimed to treat or cure medical problems, but only a small percentage of them had been clinically validated.\u003c/p>\n\u003cp>Farr wrote that the FDA lacks the resources to monitor all the health-related apps on the market.\u003c/p>\n\u003cp>Bradley Merrill Thompson says the FDA has been “suspiciously quiet” on the topic.\u003c/p>\n\u003cp>“One would have to be suspicious that the FDA and FTC are collaborating behind the scenes, and the FTC has agreed to be the bad cop,” said Merrill Thompson. “The FDA has been embattled over the past few years as being too heavy-handed and too burdensome in regard to mobile apps.”\u003c/p>\n\u003cp>He explained that in a case like the one against UltimEyes, the FTC is viewing the app as a medical device, which comes under the purview of both agencies.\u003c/p>\n\u003cp>“Clearly there’s overlap,” he said, and either agency could have brought an action.\u003c/p>\n\u003cp>[vimeo 90324562 w=500 h=313]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>This post has been updated to reflect the FTC's declining to comment.\u003c/em>\u003c/p>\n\n","blocks":[],"excerpt":"A UC Riverside psychology professor calls the FTC action against him and his business partner 'dangerous.'","status":"publish","parent":0,"modified":1443116985,"stats":{"hasAudio":false,"hasVideo":true,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":42,"wordCount":1478},"headData":{"title":"UC Riverside Professor Slams Feds, Stands By His Health App | KQED","description":"A UC Riverside psychology professor calls the FTC action against him and his business partner 'dangerous.'","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"UC Riverside Professor Slams Feds, Stands By His Health App","datePublished":"2015-09-23T20:31:11.000Z","dateModified":"2015-09-24T17:49:45.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"42356 http://ww2.kqed.org/futureofyou/?p=42356","disqusUrl":"https://ww2.kqed.org/futureofyou/2015/09/23/uc-riverside-professor-slams-feds-stands-by-his-health-app/","disqusTitle":"UC Riverside Professor Slams Feds, Stands By His Health App","path":"/futureofyou/42356/uc-riverside-professor-slams-feds-stands-by-his-health-app","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>UC Riverside professor of psychology Aaron Seitz had an idea for a mobile health app based on his area of research. In 2014, he launched.\u003c/p>\n\u003cp>In 2015, he was hit with a substantial fine and a firestorm of \u003ca href=\"https://www.washingtonpost.com/news/the-switch/wp/2015/09/17/apps-are-making-health-claims-but-they-may-not-have-the-science-to-back-them-up/\" target=\"_blank\">bad press\u003c/a>.\u003c/p>\n\u003cp>Seitz is the academic behind \u003ca href=\"https://ultimeyesvision.com/\" target=\"_blank\">UltimEyes\u003c/a>, the vision improvement app that \u003ca href=\"https://www.ftc.gov/news-events/press-releases/2015/09/ftc-charges-marketers-vision-improvement-app-deceptive-claims\">got dinged by the Federal Trade Commission (FTC)\u003c/a> for $150,000 last week for making deceptive claims about the app's efficacy. Seitz and his business partner, Adam Goldberg, are the co-owners and only employees of Carrot Neurotechnology, Inc., the company that sells UltimEyes. Seitz told KQED in an interview Tuesday he and Goldberg had to pony up $75,000 each.\u003c/p>\n\u003caside class=\"pullquote alignright\">“If you look at the mobile apps being promoted, it’s still the wild west out there.\"\u003ccite>Attorney Bradley Merrill Thompson\u003c/cite>\u003c/aside>\n\u003cp>As for the legal fees, he said, \"Don't ask me about that. It's crazy.\"\u003c/p>\n\u003cp>Aside from the money owed, Seitz and Goldberg \u003ca href=\"https://www.ftc.gov/system/files/documents/cases/150917carrotneuroorder.pdf\" target=\"_blank\">agreed\u003c/a> to stop making claims about the mobile app's ability to improve vision. Prior to the FTC's involvement, \u003ca href=\"https://www.ftc.gov/system/files/documents/cases/150917carrotneuroexhibits.pdf\" target=\"_blank\">promotional material and language\u003c/a> on the UltimEyes website (still available on the Apple and Google Play app stores, for $5.99) said the app was “scientifically shown\" to do just that.\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>The \u003ca href=\"https://www.ftc.gov/system/files/documents/cases/150917carrotneurocmpt.pdf\" target=\"_blank\">FTC complaint\u003c/a> against Carrot Neurotechnology lists an array of related assertions on that theme, including one that the app improved vision an average of 31 percent and two lines on the standard \u003ca href=\"http://www.nytimes.com/2013/05/26/magazine/who-made-that-eye-chart.html?_r=0\" target=\"_blank\">Stellen eye chart\u003c/a>, and another that it helps mitigate \u003ca href=\"http://www.mayoclinic.org/diseases-conditions/presbyopia/basics/definition/con-2003226\" target=\"_blank\">presbyopia\u003c/a>, the gradual loss of the ability to focus on nearby objects.\u003c/p>\n\u003cp>The FTC also reprimanded Carrot for not disclosing Seitz’s connection to the company when it cited his own research. Seitz says as soon as the FTC brought that to the company's attention, it disclosed the potential conflict of interest on its site.\u003c/p>\n\u003cp>\u003cstrong>Standing by Claims\u003c/strong>\u003c/p>\n\u003cp>Despite the agreement with the FTC, Seitz stands by the original UltimEyes claims. He called the FTC action “dangerous.”\u003c/p>\n\u003cp>“Is it a good thing that you have the FTC not just going after companies, but going after individuals when they’re trying to take the university mission of taking research and translating it to the public good?\" he said. \"Scientists should be incentivized to translate the research in the way I’m doing.”\u003c/p>\n\u003cp>Seitz has laid out his concerns in an \u003ca href=\"http://www.faculty.ucr.edu/~aseitz/OpenLetter.html\" target=\"_blank\">open letter \u003c/a>on his UC Riverside faculty page, asking friends and colleagues to post supportive \u003ca href=\"https://www.ftc.gov/policy/public-comments/initiative-625\" target=\"_blank\">comments \u003c/a>with the FTC during the public comment period. Seitz said “numerous scientists” have come to the defense of the company.\u003c/p>\n\u003cp>“The government really needs to be listening to scientists here,\" he said. \"They ignored experts we brought to testify and the scientific literature. They're using us as a way to establish some precedent so they can go after some larger companies in the industry.\"\u003c/p>\n\u003cp>The FTC said UltimEyes racked up more than $350,000 in U.S. sales from January 2012 to June 2015. Seitz acknowledges that if the app had hit it big, he would have gained financially. But, he said, “my main aim was to let the public get a hold of my research.” He said neither he nor his partner made any money from the app.\u003c/p>\n\u003cp>In its complaint, the FTC also cited \u003ca href=\"http://tune.pk/video/2448640/Brain-Training-Makes-Better-Batters\">a video that was posted on the UltimEyes site\u003c/a> featuring Seitz and others discussing a study involving the 2013 UC Riverside baseball team, which ostensibly improved its performance after going through the app's exercises. In the video, a researcher says players reported they could “see things in dimmer light conditions, being able to see the ball better, being able to hit the ball better.”\u003c/p>\n\u003cp>\u003cstrong>The Research\u003c/strong>\u003c/p>\n\u003cp>Seitz says UltimEyes is based on \u003ca href=\"https://www.google.com/search?q=perceptual+learning\" target=\"_blank\">perceptual learning\u003c/a>, which he describes as \"an improvement in a perceptual task induced by practice or experience. \" The National Institutes of Health gave him a \u003ca href=\"http://ucrtoday.ucr.edu/18771\" target=\"_blank\">$1.7 million grant\u003c/a> in 2013 to study the field.\u003c/p>\n\u003cp>Last year, \u003ca href=\"http://mashable.com/2014/05/01/ultimeyes-test-video/#nng4T.bGuqkP\">Mashable\u003c/a> tested the app out on an iPad and called it “half-game, half-eye exam.”\u003c/p>\n\u003cp>[Scroll to the bottom of this post for a video of the app in action.]\u003c/p>\n\u003cp>The UC Riverside baseball experiment was also the subject of a \u003ca href=\"http://www.cell.com/current-biology/abstract/S0960-9822(14)00005-0\">paper published in Current Biology\u003c/a>, co-authored by Seitz. (Not to mention the subject of a \u003ca href=\"http://www.scpr.org/news/2014/03/28/43098/how-neuroscience-is-helping-uc-riverside-baseball/\" target=\"_blank\">Southern California Public Radio story\u003c/a> in 2014).\u003c/p>\n\u003cp>That was one of three peer-reviewed studies, Seitz says, that prove UltimEyes does what it said. He said the FTC went after the app because the agency wants to see randomized, double blind studies to substantiate such claims. Seitz does not agree with that standard.\u003c/p>\n\u003cp>“They’re saying that if research is not done with a double blind placebo study, it doesn’t provide evidence of anything. ... But if you talk with most scientists, they say that there are tons of studies that use that methodology that are junk, and tons of studies that don’t use it that are informative.\u003c/p>\n\u003cp>“It’s a useful study design that provides information and context. It has great purpose, but there are many circumstances -- and this research is actually one of them -- where it doesn’t apply.”\u003c/p>\n\u003cp>The FTC declined to comment.\u003c/p>\n\u003cp>\u003cstrong>Federal Agencies \"Doing a Reasonable Job\" of Policing Apps\u003c/strong>\u003c/p>\n\u003cp>Dr. John Halamka, co-chair of the federal Health Information Technology Standards Committee, which advises the U.S. Department of Health and Human Services on technology and health care, does not agree with Seitz that the FTC overreached in taking action against his app. He says requiring a stringent level of proof is appropriate here.\u003c/p>\n\u003cp>\"This is not one that is just face valid, or peer review could say, ‘okay sounds reasonable.’ It needs to be proven,\" he said, adding that peer review doesn't prove \"rigorous scientific evaluation of a phenomena.\"\u003c/p>\n\u003cp>Halamka said using UltimEyes presents a certain level of risk to the public because it involves diagnosis or therapy.\u003c/p>\n\u003cp>\"In the case of apps that are making claims that may or may not be true, if this is a therapy claiming a result, I think all of our federal agencies are doing a reasonable job to ask for rigor.\"\u003c/p>\n\u003cp>\u003cstrong>More to Come?\u003c/strong>\u003c/p>\n\u003cp>Enforcement actions like the one against UltimEyes are probably going to happen more frequently, says Bradley Merrill Thompson, a lawyer at Epstein, Becker & Green who works on regulatory issues with medical device and drug companies.\u003c/p>\n\u003cp>“The agreement is the next step in a whole series of cases the FTC has brought with respect to mobile applications,\" he said. Last month, the FTC \u003ca href=\"https://www.ftc.gov/news-events/press-releases/2015/08/melanoma-detection-app-sellers-barred-making-deceptive-health\" target=\"_blank\">barred a company\u003c/a> from making claims that the“Mole Detective” line of apps could detect melanoma.\u003c/p>\n\u003cp>\"I fear that there will be a lot more cases, ” Merrill Thompson said. \"If you look at the mobile apps being promoted, it’s still the wild west out there. There’s still a lot of very small organizations operating out of their garage, making boastful claims about their technology.\"\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/futureofyou/\">KQED Future of You\u003c/a> editor Christina Farr wrote about the \u003ca href=\"http://www.reuters.com/article/2014/06/10/us-mobilephone-healthcare-idUSKBN0EL23M20140610\" target=\"_blank\">proliferation of unproven claims\u003c/a> by health-related apps for Reuters in 2014. She reported that a recent study from the New England Center for Investigative Research revealed that of the 1,500 health apps it evaluated, 20 percent claimed to treat or cure medical problems, but only a small percentage of them had been clinically validated.\u003c/p>\n\u003cp>Farr wrote that the FDA lacks the resources to monitor all the health-related apps on the market.\u003c/p>\n\u003cp>Bradley Merrill Thompson says the FDA has been “suspiciously quiet” on the topic.\u003c/p>\n\u003cp>“One would have to be suspicious that the FDA and FTC are collaborating behind the scenes, and the FTC has agreed to be the bad cop,” said Merrill Thompson. “The FDA has been embattled over the past few years as being too heavy-handed and too burdensome in regard to mobile apps.”\u003c/p>\n\u003cp>He explained that in a case like the one against UltimEyes, the FTC is viewing the app as a medical device, which comes under the purview of both agencies.\u003c/p>\n\u003cp>“Clearly there’s overlap,” he said, and either agency could have brought an action.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"vimeo","attributes":{"named":{"w":"500","h":"313","label":"90324562"},"numeric":["90324562"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\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>\u003cem>This post has been updated to reflect the FTC's declining to comment.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/42356/uc-riverside-professor-slams-feds-stands-by-his-health-app","authors":["80"],"programs":["futureofyou_54"],"categories":["futureofyou_452","futureofyou_73"],"tags":["futureofyou_596","futureofyou_469","futureofyou_453","futureofyou_270","futureofyou_80","futureofyou_547"],"featImg":"futureofyou_43259","label":"futureofyou_54"},"futureofyou_33331":{"type":"posts","id":"futureofyou_33331","meta":{"index":"posts_1591205157","site":"futureofyou","id":"33331","score":null,"sort":[1441213701000]},"guestAuthors":[],"slug":"how-tiny-sensors-are-driving-innovation-in-medicine","title":"How Tiny Sensors Are Driving Innovation in Medicine","publishDate":1441213701,"format":"standard","headTitle":"KQED Future of You | KQED Science","labelTerm":{"site":"futureofyou"},"content":"\u003cp>Dr. David Sretavan sees many patients who have difficulty seeing him.\u003c/p>\n\u003cp>A professor of ophthalmology at the University of California San Francisco, Sretavan treats nerve damage related to glaucoma, a disease that’s the leading cause of irreversible blindness. It affects approximately 70 million people worldwide.\u003c/p>\n\u003cp>Glaucoma is a complex eye disease without a direct cause. Physicians measure pressure inside the eye to assess glaucoma risk. But that pressure normally fluctuates over time and there’s no easy way to measure pressure regularly, especially for elderly patients who often have a hard time making it to his office.\u003c/p>\n\u003cp>Pressure monitors are “fairly crude,” Sretavan says, and require a skilled operator, so it’s not something patients can do at home. Yet without regular measurements, he says, “we’re operating in the dark ages, in terms of information we can use clinically.”\u003c/p>\n\u003cfigure id=\"attachment_33697\" class=\"wp-caption alignright\" style=\"max-width: 487px\">\u003cimg class=\"size-full wp-image-33697\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/09/Sretavanresearch1.jpg\" alt=\"A prototype micro-workstation for nerve fiber surgery.\" width=\"487\" height=\"336\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/09/Sretavanresearch1.jpg 487w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/Sretavanresearch1-400x276.jpg 400w\" sizes=\"(max-width: 487px) 100vw, 487px\">\u003cfigcaption class=\"wp-caption-text\">A prototype micro-workstation for nerve fiber surgery. \u003ccite>(Dr. David Sretavan )\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>To make measuring pressure easier, Sretavan and teams of researchers at UCSF are trying to make their tools smaller. The team is designing a tiny sensor that reflects light and could possibly be anchored into the tissue of the iris. The result would be ocular pressure measurements that wouldn’t require a trip to the doctor’s office.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Sretavan’s ocular sensor is one example of an industry trend that’s driving the convergence of biomedicine and nanotechnology. Tiny, highly sensitive chips could replace otherwise invasive procedures and clunky machinery, while driving down the cost of testing and bringing health care closer to home.\u003c/p>\n\u003cp>“I firmly believe that the next 50 years are going to be the stunning revolution of health,” says Hanmin Lee, professor of surgery and director of the Fetal Treatment Center at UCSF.\u003c/p>\n\u003cp>Many new sensor technologies are being used to monitor medical issues that were otherwise time-consuming for hospital staff. For example, a team of researchers and bioengineers at UCSF has developed a Band-Aid-like pressure sensor to monitor which patients might be at risk for bed sores. Nurses are able to check patients on a digital health platform that monitors patient vital signs.\u003c/p>\n\u003cp>“Nobody thinks of pressure as a vital sign,\" Lee says, \"but if you have pressure on a body part that leads to huge complication, or in some instances death, why wouldn’t you monitor for it.\"\u003c/p>\n\u003caside class=\"pullquote alignright\">“I firmly believe that the next 50 years are going to be the stunning revolution of health.\"\u003cbr>\n\u003ccite>Hanmin Lee, professor of surgery and director of the Fetal Treatment Center at UCSF.\u003c/cite>\u003c/aside>\n\u003cp>Other applications for pressure sensors include monitoring the strain put on orthopedic devices, or monitoring the force a child puts on their teeth when wearing a retainer. Plus, Lee adds, a sensor that’s small and robust enough can help a patient avoid the risks associated with surgery.\u003c/p>\n\u003cp>“Pressure’s being monitored invasively in medicine,” he says, “sometimes underneath the skin or body cavity or brain, which is inaccessible and requires invasive surgical measures.”\u003c/p>\n\u003cp>While UCSF professors envision a future for dedicated sensors, a UC San Diego graduate researcher takes a systemic view to the future of biotechnology.\u003c/p>\n\u003cp>“Right now we have all these physical sensors that can monitor heart rate or temperature, but there’s not one single wearable sensor that can monitor several parameters,\" says Amay Bandodkar. “When you want to analyze the entire human body you have to monitor several parameters simultaneously.”\u003c/p>\n\u003cp>Bandodkar also points to several sensor projects for monitoring a specific disease. UCSD researchers have developed \u003ca href=\"http://ww2.kqed.org/futureofyou/2015/06/30/this-smart-pen-could-revolutionize-diabetes-treatment/\">conductive inks\u003c/a> that respond to glucose proteins in the skin, allowing people to monitor glucose non-invasively, for diabetes treatment. Others from Columbia University created a \u003ca href=\"http://www.wired.com/2015/02/hiv-diagnostic-tool/\">smartphone accessory to detect HIV\u003c/a>, using a specialized sensor with biomarkers for the disease.\u003c/p>\n\u003cp>Portable sensors that can be integrated directly onto a mobile devices to track specific illnesses will have a high impact on developing nations, Bandodkar says, where medical professionals and resources are scarce.\u003c/p>\n\u003cp>Specialized \u003ca href=\"http://ne.ucsd.edu/faculty/l7zhang/research.php\">drug delivery systems\u003c/a>—for example, microscopic motors that could travel through the bloodstream—will also play a big role in the future of medicine, Bandodkar says. These systems could travel to a particular location in the body to deliver medicine, for example, to clear plaque deposits in arteries, or control infections by screening proteins in the blood.\u003c/p>\n\u003cp>Although advances in manufacturing and cloud computing have made medical sensors a reality, there are roadblocks to mass adoption.\u003c/p>\n\u003cp>One complication is the collaboration that must happen between industries, says Venkat Rajan, global director of visionary healthcare for analyst firm Frost & Sullivan.\u003c/p>\n\u003cp>“If you’re connecting something through a mobile device,” he says, “you’re having to interact with a telecom company or smartphone manufacture. It’s not necessarily something a lot of healthcare companies have done before.”\u003c/p>\n\u003cp>Also, currently the FDA allows many wearable medical devices to be tested and used in trials, without the official federal seal of approval. A change in that policy could impede progress in the engineering field, says Shuvo Roy, who directs UCSF's Biodesign Laboratory.\u003c/p>\n\u003cp>Nonetheless, Roy and Lee are hopeful about the potential for sensor technologies in medicine.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“We’re excited about being able to combine two very disparate fields,” Lee says. “I think there’s a lot of other things we’re going to monitor that people haven’t monitored before.”\u003c/p>\n\n","blocks":[],"excerpt":"Tiny, highly sensitive chips could replace otherwise invasive procedures and clunky machinery, while driving down the cost of testing and bringing health care closer to home.","status":"publish","parent":0,"modified":1477274422,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":24,"wordCount":927},"headData":{"title":"How Tiny Sensors Are Driving Innovation in Medicine | KQED","description":"Tiny, highly sensitive chips could replace otherwise invasive procedures and clunky machinery, while driving down the cost of testing and bringing health care closer to home.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"How Tiny Sensors Are Driving Innovation in Medicine","datePublished":"2015-09-02T17:08:21.000Z","dateModified":"2016-10-24T02:00:22.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"33331 http://ww2.kqed.org/futureofyou/?p=33331","disqusUrl":"https://ww2.kqed.org/futureofyou/2015/09/02/how-tiny-sensors-are-driving-innovation-in-medicine/","disqusTitle":"How Tiny Sensors Are Driving Innovation in Medicine","nprByline":"Jessica Lipsky ","path":"/futureofyou/33331/how-tiny-sensors-are-driving-innovation-in-medicine","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Dr. David Sretavan sees many patients who have difficulty seeing him.\u003c/p>\n\u003cp>A professor of ophthalmology at the University of California San Francisco, Sretavan treats nerve damage related to glaucoma, a disease that’s the leading cause of irreversible blindness. It affects approximately 70 million people worldwide.\u003c/p>\n\u003cp>Glaucoma is a complex eye disease without a direct cause. Physicians measure pressure inside the eye to assess glaucoma risk. But that pressure normally fluctuates over time and there’s no easy way to measure pressure regularly, especially for elderly patients who often have a hard time making it to his office.\u003c/p>\n\u003cp>Pressure monitors are “fairly crude,” Sretavan says, and require a skilled operator, so it’s not something patients can do at home. Yet without regular measurements, he says, “we’re operating in the dark ages, in terms of information we can use clinically.”\u003c/p>\n\u003cfigure id=\"attachment_33697\" class=\"wp-caption alignright\" style=\"max-width: 487px\">\u003cimg class=\"size-full wp-image-33697\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/09/Sretavanresearch1.jpg\" alt=\"A prototype micro-workstation for nerve fiber surgery.\" width=\"487\" height=\"336\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/09/Sretavanresearch1.jpg 487w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/Sretavanresearch1-400x276.jpg 400w\" sizes=\"(max-width: 487px) 100vw, 487px\">\u003cfigcaption class=\"wp-caption-text\">A prototype micro-workstation for nerve fiber surgery. \u003ccite>(Dr. David Sretavan )\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>To make measuring pressure easier, Sretavan and teams of researchers at UCSF are trying to make their tools smaller. The team is designing a tiny sensor that reflects light and could possibly be anchored into the tissue of the iris. The result would be ocular pressure measurements that wouldn’t require a trip to the doctor’s office.\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>Sretavan’s ocular sensor is one example of an industry trend that’s driving the convergence of biomedicine and nanotechnology. Tiny, highly sensitive chips could replace otherwise invasive procedures and clunky machinery, while driving down the cost of testing and bringing health care closer to home.\u003c/p>\n\u003cp>“I firmly believe that the next 50 years are going to be the stunning revolution of health,” says Hanmin Lee, professor of surgery and director of the Fetal Treatment Center at UCSF.\u003c/p>\n\u003cp>Many new sensor technologies are being used to monitor medical issues that were otherwise time-consuming for hospital staff. For example, a team of researchers and bioengineers at UCSF has developed a Band-Aid-like pressure sensor to monitor which patients might be at risk for bed sores. Nurses are able to check patients on a digital health platform that monitors patient vital signs.\u003c/p>\n\u003cp>“Nobody thinks of pressure as a vital sign,\" Lee says, \"but if you have pressure on a body part that leads to huge complication, or in some instances death, why wouldn’t you monitor for it.\"\u003c/p>\n\u003caside class=\"pullquote alignright\">“I firmly believe that the next 50 years are going to be the stunning revolution of health.\"\u003cbr>\n\u003ccite>Hanmin Lee, professor of surgery and director of the Fetal Treatment Center at UCSF.\u003c/cite>\u003c/aside>\n\u003cp>Other applications for pressure sensors include monitoring the strain put on orthopedic devices, or monitoring the force a child puts on their teeth when wearing a retainer. Plus, Lee adds, a sensor that’s small and robust enough can help a patient avoid the risks associated with surgery.\u003c/p>\n\u003cp>“Pressure’s being monitored invasively in medicine,” he says, “sometimes underneath the skin or body cavity or brain, which is inaccessible and requires invasive surgical measures.”\u003c/p>\n\u003cp>While UCSF professors envision a future for dedicated sensors, a UC San Diego graduate researcher takes a systemic view to the future of biotechnology.\u003c/p>\n\u003cp>“Right now we have all these physical sensors that can monitor heart rate or temperature, but there’s not one single wearable sensor that can monitor several parameters,\" says Amay Bandodkar. “When you want to analyze the entire human body you have to monitor several parameters simultaneously.”\u003c/p>\n\u003cp>Bandodkar also points to several sensor projects for monitoring a specific disease. UCSD researchers have developed \u003ca href=\"http://ww2.kqed.org/futureofyou/2015/06/30/this-smart-pen-could-revolutionize-diabetes-treatment/\">conductive inks\u003c/a> that respond to glucose proteins in the skin, allowing people to monitor glucose non-invasively, for diabetes treatment. Others from Columbia University created a \u003ca href=\"http://www.wired.com/2015/02/hiv-diagnostic-tool/\">smartphone accessory to detect HIV\u003c/a>, using a specialized sensor with biomarkers for the disease.\u003c/p>\n\u003cp>Portable sensors that can be integrated directly onto a mobile devices to track specific illnesses will have a high impact on developing nations, Bandodkar says, where medical professionals and resources are scarce.\u003c/p>\n\u003cp>Specialized \u003ca href=\"http://ne.ucsd.edu/faculty/l7zhang/research.php\">drug delivery systems\u003c/a>—for example, microscopic motors that could travel through the bloodstream—will also play a big role in the future of medicine, Bandodkar says. These systems could travel to a particular location in the body to deliver medicine, for example, to clear plaque deposits in arteries, or control infections by screening proteins in the blood.\u003c/p>\n\u003cp>Although advances in manufacturing and cloud computing have made medical sensors a reality, there are roadblocks to mass adoption.\u003c/p>\n\u003cp>One complication is the collaboration that must happen between industries, says Venkat Rajan, global director of visionary healthcare for analyst firm Frost & Sullivan.\u003c/p>\n\u003cp>“If you’re connecting something through a mobile device,” he says, “you’re having to interact with a telecom company or smartphone manufacture. It’s not necessarily something a lot of healthcare companies have done before.”\u003c/p>\n\u003cp>Also, currently the FDA allows many wearable medical devices to be tested and used in trials, without the official federal seal of approval. A change in that policy could impede progress in the engineering field, says Shuvo Roy, who directs UCSF's Biodesign Laboratory.\u003c/p>\n\u003cp>Nonetheless, Roy and Lee are hopeful about the potential for sensor technologies in medicine.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“We’re excited about being able to combine two very disparate fields,” Lee says. “I think there’s a lot of other things we’re going to monitor that people haven’t monitored before.”\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/33331/how-tiny-sensors-are-driving-innovation-in-medicine","authors":["byline_futureofyou_33331"],"categories":["futureofyou_1062"],"tags":["futureofyou_469","futureofyou_80","futureofyou_145"],"featImg":"futureofyou_33699","label":"futureofyou"},"futureofyou_28802":{"type":"posts","id":"futureofyou_28802","meta":{"index":"posts_1591205157","site":"futureofyou","id":"28802","score":null,"sort":[1440522002000]},"guestAuthors":[],"slug":"how-one-doctor-used-mobile-tech-to-aid-diabetes-patients","title":"How One Doctor Used Mobile Tech to Aid Diabetes Patients","publishDate":1440522002,"format":"standard","headTitle":"Diabetes Management | KQED Future of You | KQED Science","labelTerm":{"term":308,"site":"futureofyou"},"content":"\u003cp>People whose diabetes requires insulin injections usually have to make a series of visits to the doctor’s office, to fine tune their daily dosage. But many low-income patients can’t afford to take those few hours off to see the doctor. As a result, they often live with chronically elevated blood sugars for weeks or months until they can find time to get to the clinic.\u003c/p>\n\u003cp>Now a new study from New York’s \u003ca href=\"http://www.nyc.gov/html/hhc/bellevue/html/home/home.shtml\">Bellevue Hospital\u003c/a> finds mobile technology can help low-income patients with the process of titrating their dosage, without them having to see a doctor.\u003c/p>\n\u003cp>For people with chronic conditions, \u003ca href=\"http://ww2.kqed.org/futureofyou/2015/07/27/5-digital-health-trends-todays-tech-savvy-doctors-are-adopting/\">mobile technology\u003c/a> can provide crucial support and lower costs. Doctors have used mobile messaging to prompt hypertensive patients to measure their blood pressure, and to remind HIV-positive people to return for regular lab testing. For people tracking their overall health, Apple’s new HealthKit makes it easier for different health and fitness apps to exchange data.\u003c/p>\n\u003cp>So \u003ca href=\"http://www.med.nyu.edu/biosketch/levyn02\">Natalie Levy\u003c/a>, an assistant professor at the New York University School of Medicine and head of Bellevue Hospital’s Diabetes Program, decided to try mobile technology to help her low-income diabetes patients titrate their insulin remotely.\u003c/p>\n\u003cfigure id=\"attachment_30132\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003ca href=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/08/finger-prick.jpg\">\u003cimg class=\"size-medium wp-image-30132\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/08/finger-prick-800x600.jpg\" alt=\"When diabetics initially start taking insulin shots, they need to check their blood sugar at least once a day to make sure their medication dose is correct.\" width=\"800\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/08/finger-prick-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/08/finger-prick-400x300.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/08/finger-prick-960x720.jpg 960w, https://ww2.kqed.org/app/uploads/sites/13/2015/08/finger-prick.jpg 1024w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">When diabetics initially start taking insulin shots, they need to check their blood sugar at least once a day to make sure their dosage is correct. \u003ccite>(frankieleon/Flickr)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Bellevue, which has traditionally served New York’s poor, currently has about 5,000 diabetes patients a year. In a survey Levy conducted, one patient reported that it often took three to four months to return for each follow-up visit during the titration phase.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“Many [diabetic patients] have jobs that don’t provide sick leave or they have young children or grandchildren in their care,” she says.\u003c/p>\n\u003cp>Wearables like FitBit or Jawbone cost far too much for most of Levy’s patients, and less than half of this population owns a smartphone. Nearly all of Bellevue’s diabetics, though, have mobile phones with a text messaging feature.\u003c/p>\n\u003cp>Levy’s team designed a pilot study—called the Mobile Insulin Titration Intervention, or MITI (pronounced “mighty”) Study—where a small subset of Bellevue’s insulin-dependent diabetics, 33 patients, got a daily reminder to take a morning blood sugar reading and text that value back. Nurses reviewed the information daily on the web, to check for values that were too high or too low, indicating the insulin dose needed to be adjusted.\u003c/p>\n\u003cp>Once a week, the patients spoke by phone to the diabetes nurse to adjust dosage as needed. This routine lasted 12 weeks. A control group of 27 patients got the usual kind of care and titrated their insulin with in-person office visits.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"It got my head in the game.\"\u003ccite>Diabetes Patient,\u003cbr>\nBellevue Study Participant\u003c/cite>\u003c/aside>\n\u003cp>The results of the study were \u003ca href=\"http://www.jmir.org/2015/7/e180/\">published\u003c/a> in the \u003ca href=\"http://jmirpublications.com/\">Journal of Medical Internet Research\u003c/a> in July and the differences between the two groups were stark. Of the group that got daily text messages and weekly phone calls, 88 percent were able to get their blood sugars within an acceptable range. Only 37 percent of the comparison group managed to control their blood sugars.\u003c/p>\n\u003cp>Levy and her team also estimated that the remote titration group saved about two hours of time, plus the $15 co-pays that many other participants paid for office visits. The intervention appears feasible, too, since patients sent blood glucose values back more than 80 percent of the time, indicating that the daily task wasn’t too arduous.\u003c/p>\n\u003cp>Moreover, Levy says the mobile titration patients reported feeling more in control of their illness and more accountable for complying with medical advice.\u003c/p>\n\u003cp>“I was actually checking my finger sticks every day,” one participant noted in a post-study survey. Said another, “It got my head in the game.”\u003c/p>\n\u003cfigure id=\"attachment_30154\" class=\"wp-caption alignright\" style=\"max-width: 399px\">\u003ca href=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/08/Bellevue_Hospital_entrance_arch.jpg\">\u003cimg class=\" wp-image-30154\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/08/Bellevue_Hospital_entrance_arch-494x600.jpg\" alt=\"Bellevue is the oldest public hospital in the United States. The majority of its patients come from underserved communities in New York.\" width=\"399\" height=\"485\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/08/Bellevue_Hospital_entrance_arch-494x600.jpg 494w, https://ww2.kqed.org/app/uploads/sites/13/2015/08/Bellevue_Hospital_entrance_arch-400x486.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/08/Bellevue_Hospital_entrance_arch.jpg 512w\" sizes=\"(max-width: 399px) 100vw, 399px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Bellevue is the oldest public hospital in the United States. The majority of its patients come from underserved communities in New York. \u003ccite>(Beyond My Ken/Wikimedia Commons)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Levy says mobile tech offers a new avenue for helping patients manage their chronic diseases.\u003c/p>\n\u003cp>“It’s so important for diabetic patients to see the things that they eat,” she says, “their level of activity, their med compliance—all those variables—and their fasting blood sugars the next day.”\u003c/p>\n\u003cp>Dominick Frosch, a patient-care researcher at the \u003ca href=\"https://www.moore.org/\">Gordon and Betty Moore Foundation\u003c/a> in Palo Alto, echoes Levy’s sentiments. He advocates for making patients with chronic diseases the primary managers of their illness. The clinician, he says, is a “consultant” for developing a day-to-day management plan.\u003c/p>\n\u003cp>If doctors don’t take stock of what patients are realistically capable of, Frosch says, “they end up prescribing treatments patients can’t fit into their lives.”\u003c/p>\n\u003cp>Often, minor modifications can make a huge impact. And the more flexible doctors can be at using various media, Frosch says, like phone, email and patient portals, the better they can be at getting patients to manage their own illnesses.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>MITI may soon become a hospital-wide program at Bellevue. The Health and Hospitals Corporation that runs Bellevue and other public hospitals in New York City is now looking into improving the security for sending and receive secure private health information over text messages. Levy is looking forward to when that hurdle is crossed and the MITI protocol can be provided on an ongoing basis to a much larger pool of diabetic patients.\u003c/p>\n\n","blocks":[],"excerpt":"Many low-income patients can't see a doctor regularly when they start insulin shots, but one study found mobile tech can keep them on track.","status":"publish","parent":0,"modified":1477279537,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":21,"wordCount":937},"headData":{"title":"How One Doctor Used Mobile Tech to Aid Diabetes Patients | KQED","description":"Many low-income patients can't see a doctor regularly when they start insulin shots, but one study found mobile tech can keep them on track.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"How One Doctor Used Mobile Tech to Aid Diabetes Patients","datePublished":"2015-08-25T17:00:02.000Z","dateModified":"2016-10-24T03:25:37.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"28802 http://ww2.kqed.org/futureofyou/?p=28802","disqusUrl":"https://ww2.kqed.org/futureofyou/2015/08/25/how-one-doctor-used-mobile-tech-to-aid-diabetes-patients/","disqusTitle":"How One Doctor Used Mobile Tech to Aid Diabetes Patients","nprByline":"Rina Shaikh-Lesko","path":"/futureofyou/28802/how-one-doctor-used-mobile-tech-to-aid-diabetes-patients","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>People whose diabetes requires insulin injections usually have to make a series of visits to the doctor’s office, to fine tune their daily dosage. But many low-income patients can’t afford to take those few hours off to see the doctor. As a result, they often live with chronically elevated blood sugars for weeks or months until they can find time to get to the clinic.\u003c/p>\n\u003cp>Now a new study from New York’s \u003ca href=\"http://www.nyc.gov/html/hhc/bellevue/html/home/home.shtml\">Bellevue Hospital\u003c/a> finds mobile technology can help low-income patients with the process of titrating their dosage, without them having to see a doctor.\u003c/p>\n\u003cp>For people with chronic conditions, \u003ca href=\"http://ww2.kqed.org/futureofyou/2015/07/27/5-digital-health-trends-todays-tech-savvy-doctors-are-adopting/\">mobile technology\u003c/a> can provide crucial support and lower costs. Doctors have used mobile messaging to prompt hypertensive patients to measure their blood pressure, and to remind HIV-positive people to return for regular lab testing. For people tracking their overall health, Apple’s new HealthKit makes it easier for different health and fitness apps to exchange data.\u003c/p>\n\u003cp>So \u003ca href=\"http://www.med.nyu.edu/biosketch/levyn02\">Natalie Levy\u003c/a>, an assistant professor at the New York University School of Medicine and head of Bellevue Hospital’s Diabetes Program, decided to try mobile technology to help her low-income diabetes patients titrate their insulin remotely.\u003c/p>\n\u003cfigure id=\"attachment_30132\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003ca href=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/08/finger-prick.jpg\">\u003cimg class=\"size-medium wp-image-30132\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/08/finger-prick-800x600.jpg\" alt=\"When diabetics initially start taking insulin shots, they need to check their blood sugar at least once a day to make sure their medication dose is correct.\" width=\"800\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/08/finger-prick-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/08/finger-prick-400x300.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/08/finger-prick-960x720.jpg 960w, https://ww2.kqed.org/app/uploads/sites/13/2015/08/finger-prick.jpg 1024w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">When diabetics initially start taking insulin shots, they need to check their blood sugar at least once a day to make sure their dosage is correct. \u003ccite>(frankieleon/Flickr)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Bellevue, which has traditionally served New York’s poor, currently has about 5,000 diabetes patients a year. In a survey Levy conducted, one patient reported that it often took three to four months to return for each follow-up visit during the titration phase.\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>“Many [diabetic patients] have jobs that don’t provide sick leave or they have young children or grandchildren in their care,” she says.\u003c/p>\n\u003cp>Wearables like FitBit or Jawbone cost far too much for most of Levy’s patients, and less than half of this population owns a smartphone. Nearly all of Bellevue’s diabetics, though, have mobile phones with a text messaging feature.\u003c/p>\n\u003cp>Levy’s team designed a pilot study—called the Mobile Insulin Titration Intervention, or MITI (pronounced “mighty”) Study—where a small subset of Bellevue’s insulin-dependent diabetics, 33 patients, got a daily reminder to take a morning blood sugar reading and text that value back. Nurses reviewed the information daily on the web, to check for values that were too high or too low, indicating the insulin dose needed to be adjusted.\u003c/p>\n\u003cp>Once a week, the patients spoke by phone to the diabetes nurse to adjust dosage as needed. This routine lasted 12 weeks. A control group of 27 patients got the usual kind of care and titrated their insulin with in-person office visits.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"It got my head in the game.\"\u003ccite>Diabetes Patient,\u003cbr>\nBellevue Study Participant\u003c/cite>\u003c/aside>\n\u003cp>The results of the study were \u003ca href=\"http://www.jmir.org/2015/7/e180/\">published\u003c/a> in the \u003ca href=\"http://jmirpublications.com/\">Journal of Medical Internet Research\u003c/a> in July and the differences between the two groups were stark. Of the group that got daily text messages and weekly phone calls, 88 percent were able to get their blood sugars within an acceptable range. Only 37 percent of the comparison group managed to control their blood sugars.\u003c/p>\n\u003cp>Levy and her team also estimated that the remote titration group saved about two hours of time, plus the $15 co-pays that many other participants paid for office visits. The intervention appears feasible, too, since patients sent blood glucose values back more than 80 percent of the time, indicating that the daily task wasn’t too arduous.\u003c/p>\n\u003cp>Moreover, Levy says the mobile titration patients reported feeling more in control of their illness and more accountable for complying with medical advice.\u003c/p>\n\u003cp>“I was actually checking my finger sticks every day,” one participant noted in a post-study survey. Said another, “It got my head in the game.”\u003c/p>\n\u003cfigure id=\"attachment_30154\" class=\"wp-caption alignright\" style=\"max-width: 399px\">\u003ca href=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/08/Bellevue_Hospital_entrance_arch.jpg\">\u003cimg class=\" wp-image-30154\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/08/Bellevue_Hospital_entrance_arch-494x600.jpg\" alt=\"Bellevue is the oldest public hospital in the United States. The majority of its patients come from underserved communities in New York.\" width=\"399\" height=\"485\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/08/Bellevue_Hospital_entrance_arch-494x600.jpg 494w, https://ww2.kqed.org/app/uploads/sites/13/2015/08/Bellevue_Hospital_entrance_arch-400x486.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/08/Bellevue_Hospital_entrance_arch.jpg 512w\" sizes=\"(max-width: 399px) 100vw, 399px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Bellevue is the oldest public hospital in the United States. The majority of its patients come from underserved communities in New York. \u003ccite>(Beyond My Ken/Wikimedia Commons)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Levy says mobile tech offers a new avenue for helping patients manage their chronic diseases.\u003c/p>\n\u003cp>“It’s so important for diabetic patients to see the things that they eat,” she says, “their level of activity, their med compliance—all those variables—and their fasting blood sugars the next day.”\u003c/p>\n\u003cp>Dominick Frosch, a patient-care researcher at the \u003ca href=\"https://www.moore.org/\">Gordon and Betty Moore Foundation\u003c/a> in Palo Alto, echoes Levy’s sentiments. He advocates for making patients with chronic diseases the primary managers of their illness. The clinician, he says, is a “consultant” for developing a day-to-day management plan.\u003c/p>\n\u003cp>If doctors don’t take stock of what patients are realistically capable of, Frosch says, “they end up prescribing treatments patients can’t fit into their lives.”\u003c/p>\n\u003cp>Often, minor modifications can make a huge impact. And the more flexible doctors can be at using various media, Frosch says, like phone, email and patient portals, the better they can be at getting patients to manage their own illnesses.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>MITI may soon become a hospital-wide program at Bellevue. The Health and Hospitals Corporation that runs Bellevue and other public hospitals in New York City is now looking into improving the security for sending and receive secure private health information over text messages. Levy is looking forward to when that hurdle is crossed and the MITI protocol can be provided on an ongoing basis to a much larger pool of diabetic patients.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/28802/how-one-doctor-used-mobile-tech-to-aid-diabetes-patients","authors":["byline_futureofyou_28802"],"series":["futureofyou_308"],"categories":["futureofyou_1060"],"tags":["futureofyou_571","futureofyou_309","futureofyou_469","futureofyou_572","futureofyou_80","futureofyou_547"],"featImg":"futureofyou_30504","label":"futureofyou_308"},"futureofyou_24644":{"type":"posts","id":"futureofyou_24644","meta":{"index":"posts_1591205157","site":"futureofyou","id":"24644","score":null,"sort":[1439312278000]},"guestAuthors":[],"slug":"telephone-therapy-is-helping-older-people-in-underserved-rural-areas","title":"Telephone Therapy is Helping Older People In Underserved Rural Areas","publishDate":1439312278,"format":"standard","headTitle":"KQED Future of You | KQED Science","labelTerm":{"site":"futureofyou"},"content":"\u003cp>Therapy provided over the phone lowered symptoms of anxiety and depression among older adults in rural areas with a lack of mental health services, a new study shows.\u003c/p>\n\u003cp>The option is important, one expert said, because seniors often have increased need for treatment as they cope with the effects of disease and the emotional tolls of aging and loss.\u003c/p>\n\u003cp>“Almost all older adults have one chronic medical condition, and most of these have been found to be significantly associated with anxiety disorder,” Eric Lenze, a psychiatrist and professor at the Washington University School of Medicine in St. Louis, said in an interview.\u003c/p>\n\u003cp>\u003ca href=\"http://archpsyc.jamanetwork.com/article.aspx?articleid=2423199\">The study\u003c/a>, by researchers at Wake Forest University and published this month in JAMA Psychiatry, examined 141 people over the age of 60 living in rural counties in North Carolina who were experiencing excessive and uncontrollable worry that is brought on by a condition called generalized anxiety disorder.\u003c/p>\n\u003cp>The participants had up to 11 phone sessions between January 2011 and October, 2013. Half of them received cognitive behavioral therapy, which focused on the recognition of anxiety symptoms, relaxation techniques, problem solving and other coping techniques. The other study participants got a less intensive phone therapy in which mental health professionals provided support for participants to discuss their feelings but offered no suggestions for coping.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The researchers found that severity of the patients’ worries declined in both groups, but the patients getting cognitive therapy had a significantly higher reduction of symptoms from generalized anxiety disorder and depressive symptoms.\u003c/p>\n\u003cp>Yet many seniors could face barriers getting that therapy because Medicare has stringent requirements for eligibility for these kinds of phone therapies, according to Lenze, who wrote \u003ca href=\"http://archpsyc.jamanetwork.com/article.aspx?articleid=2423198\">an editorial accompanying the study\u003c/a>. Lenze argued that phone therapy is a good alternative to drugs that are often prescribed for anxiety and depression but can make seniors sleepy and disoriented and lead to injuries.\u003c/p>\n\u003cp>“This demonstrates that [therapy] is just as effective as in-person psychotherapy and reimbursing for it would be a way to increase the reach of mental health care that in a concrete way would allow someone to get treatment for actual problems, not just medicating and ending up in the emergency room with a hip fracture,” Lenze said.\u003c/p>\n\u003cp>He said he treats some geriatric patients who drive from 100 miles away and doesn’t offer phone sessions because of the payment issue.\u003c/p>\n\u003cp>Medicare only pays for telehealth services done in rural areas with provider shortages; patients cannot do a phone call in their home, but must drive to a physician’s office or hospital to connect with the mental health professional at another site, he said.\u003c/p>\n\u003cp>“The reason it isn’t evolving is because it’s trapped in the law that isn’t evolving with modern medicine,” said Joel White, executive director of the Health IT Now Coalition, which is \u003ca href=\"http://khn.org/news/medicare-slow-to-adopt-telemedicine-due-to-cost-concerns/\">urging Medicare to loosen its strict limits on telemedicine\u003c/a>.\u003c/p>\n\u003cp>Many states have also implemented some roadblocks for telephone therapy with laws requiring that anyone giving medical care must be licensed in the state where the patient resides. Reps. Frank Pallone, D-N.J., and Devin Nunes, R-Calif., offered a bill in July that would allow providers licensed in one state to provide care in another state electronically.\u003c/p>\n\u003cp>The Association of State and Provincial Psychology Boards is working on model legislation to recommend to states next year that would allow psychologists to practice by phone across state lines without having to pay a hefty licensing fee.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>This story originally ran on\u003ca href=\"http://www.kaiserhealthnews.org/\"> Kaiser Health News\u003c/a> (KHN), a nonprofit national health policy news service. \u003c/em>\u003c/p>\n\n","blocks":[],"excerpt":"A new study, by researchers at Wake Forest University and published in JAMA Psychiatry, found lower rates of anxiety and depression among older people in rural areas who talk to their therapist via phone. ","status":"publish","parent":0,"modified":1477280058,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":16,"wordCount":611},"headData":{"title":"Telephone Therapy is Helping Older People In Underserved Rural Areas | KQED","description":"A new study, by researchers at Wake Forest University and published in JAMA Psychiatry, found lower rates of anxiety and depression among older people in rural areas who talk to their therapist via phone. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Telephone Therapy is Helping Older People In Underserved Rural Areas","datePublished":"2015-08-11T16:57:58.000Z","dateModified":"2016-10-24T03:34:18.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"24644 http://ww2.kqed.org/futureofyou/?p=24644","disqusUrl":"https://ww2.kqed.org/futureofyou/2015/08/11/telephone-therapy-is-helping-older-people-in-underserved-rural-areas/","disqusTitle":"Telephone Therapy is Helping Older People In Underserved Rural Areas","nprByline":"Lisa Gillespie, Kaiser Health News ","path":"/futureofyou/24644/telephone-therapy-is-helping-older-people-in-underserved-rural-areas","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Therapy provided over the phone lowered symptoms of anxiety and depression among older adults in rural areas with a lack of mental health services, a new study shows.\u003c/p>\n\u003cp>The option is important, one expert said, because seniors often have increased need for treatment as they cope with the effects of disease and the emotional tolls of aging and loss.\u003c/p>\n\u003cp>“Almost all older adults have one chronic medical condition, and most of these have been found to be significantly associated with anxiety disorder,” Eric Lenze, a psychiatrist and professor at the Washington University School of Medicine in St. Louis, said in an interview.\u003c/p>\n\u003cp>\u003ca href=\"http://archpsyc.jamanetwork.com/article.aspx?articleid=2423199\">The study\u003c/a>, by researchers at Wake Forest University and published this month in JAMA Psychiatry, examined 141 people over the age of 60 living in rural counties in North Carolina who were experiencing excessive and uncontrollable worry that is brought on by a condition called generalized anxiety disorder.\u003c/p>\n\u003cp>The participants had up to 11 phone sessions between January 2011 and October, 2013. Half of them received cognitive behavioral therapy, which focused on the recognition of anxiety symptoms, relaxation techniques, problem solving and other coping techniques. The other study participants got a less intensive phone therapy in which mental health professionals provided support for participants to discuss their feelings but offered no suggestions for coping.\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>The researchers found that severity of the patients’ worries declined in both groups, but the patients getting cognitive therapy had a significantly higher reduction of symptoms from generalized anxiety disorder and depressive symptoms.\u003c/p>\n\u003cp>Yet many seniors could face barriers getting that therapy because Medicare has stringent requirements for eligibility for these kinds of phone therapies, according to Lenze, who wrote \u003ca href=\"http://archpsyc.jamanetwork.com/article.aspx?articleid=2423198\">an editorial accompanying the study\u003c/a>. Lenze argued that phone therapy is a good alternative to drugs that are often prescribed for anxiety and depression but can make seniors sleepy and disoriented and lead to injuries.\u003c/p>\n\u003cp>“This demonstrates that [therapy] is just as effective as in-person psychotherapy and reimbursing for it would be a way to increase the reach of mental health care that in a concrete way would allow someone to get treatment for actual problems, not just medicating and ending up in the emergency room with a hip fracture,” Lenze said.\u003c/p>\n\u003cp>He said he treats some geriatric patients who drive from 100 miles away and doesn’t offer phone sessions because of the payment issue.\u003c/p>\n\u003cp>Medicare only pays for telehealth services done in rural areas with provider shortages; patients cannot do a phone call in their home, but must drive to a physician’s office or hospital to connect with the mental health professional at another site, he said.\u003c/p>\n\u003cp>“The reason it isn’t evolving is because it’s trapped in the law that isn’t evolving with modern medicine,” said Joel White, executive director of the Health IT Now Coalition, which is \u003ca href=\"http://khn.org/news/medicare-slow-to-adopt-telemedicine-due-to-cost-concerns/\">urging Medicare to loosen its strict limits on telemedicine\u003c/a>.\u003c/p>\n\u003cp>Many states have also implemented some roadblocks for telephone therapy with laws requiring that anyone giving medical care must be licensed in the state where the patient resides. Reps. Frank Pallone, D-N.J., and Devin Nunes, R-Calif., offered a bill in July that would allow providers licensed in one state to provide care in another state electronically.\u003c/p>\n\u003cp>The Association of State and Provincial Psychology Boards is working on model legislation to recommend to states next year that would allow psychologists to practice by phone across state lines without having to pay a hefty licensing fee.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>This story originally ran on\u003ca href=\"http://www.kaiserhealthnews.org/\"> Kaiser Health News\u003c/a> (KHN), a nonprofit national health policy news service. \u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/24644/telephone-therapy-is-helping-older-people-in-underserved-rural-areas","authors":["byline_futureofyou_24644"],"categories":["futureofyou_1062"],"tags":["futureofyou_469","futureofyou_230","futureofyou_80","futureofyou_547"],"featImg":"futureofyou_24645","label":"futureofyou"},"futureofyou_11960":{"type":"posts","id":"futureofyou_11960","meta":{"index":"posts_1591205157","site":"futureofyou","id":"11960","score":null,"sort":[1437152075000]},"guestAuthors":[],"slug":"increasingly-young-bay-area-doctors-leave-medicine-for-digital-health","title":"Bay Area Doctors Quit Medicine to Work for Digital Health Startups","publishDate":1437152075,"format":"image","headTitle":"KQED Future of You | KQED Science","labelTerm":{"site":"futureofyou"},"content":"\u003cp>Even as a young child, Amanda Angelotti dreamed about becoming a doctor. Five years after graduating from college, she enrolled in the University of California, San Francisco medical school.\u003c/p>\n\u003cp>But by her third year, Angelotti couldn't shake the feeling that something was missing. During a routine shift at the hospital, making rounds with her fellow students, Angelotti said her thoughts kept drifting.\u003c/p>\n\u003cp>\"I was supposed to be focused on the patient's vital signs and presenting a summary, but I was consumed with thoughts about how to improve the process of rounds,\" she said. Most striking was the patient's absence from the discussion. \"I kept asking myself, 'how could we change things to involve the patient more?'\"\u003c/p>\n\u003cp>Just a stone's throw from UCSF Medical Center, a small group of entrepreneurs at \u003ca href=\"http://rockhealth.com\">Rock Health, \u003c/a>a new accelerator program (and now a venture firm), were thinking about how to shake up the health care process with technology. These startups were developing new wearable devices and mobile apps to help patients take more control of their own health.\u003c/p>\n\u003cfigure id=\"attachment_12284\" class=\"wp-caption alignright\" style=\"max-width: 407px\">\u003cimg class=\" wp-image-12284\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/07/JV0A7413-800x533.jpg\" alt=\"Amanda Angelotti and Connie Chen developed a passion for digital health while at medical school \" width=\"407\" height=\"272\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/07/JV0A7413-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/07/JV0A7413-400x267.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/07/JV0A7413-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/07/JV0A7413-960x640.jpg 960w\" sizes=\"(max-width: 407px) 100vw, 407px\">\u003cfigcaption class=\"wp-caption-text\">Amanda Angelotti and Connie Chen developed a passion for digital health during medical school \u003ccite>(Josh Cassidy, KQED )\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The timing was right to bring new ideas to the sector. By 2012, hospitals around the country were rapidly moving away from paper-based medical records to electronic systems, a first step to moving health care into the digital age.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Angelotti graduated the following year, but she did not apply for any residency programs at U.S. hospitals. Instead, she applied to work at Rock Health as a researcher and writer before joining the new medical review site \u003ca href=\"http://www.iodine.com/\">Iodine\u003c/a>, one of an exploding number of digital health startups in San Francisco.\u003c/p>\n\u003cp>By the end of that year, Rock Health projected that digital health funding had exceeded $1.9 billion, a 39 percent jump from the prior year.\u003c/p>\n\u003cp>\u003cstrong>The Rising Tide of Doctors Turning to Entrepreneurship\u003c/strong>\u003c/p>\n\u003cp>Angelotti is far from alone in making the leap from medical school to digital health.\u003c/p>\n\u003cp>Students from around the Bay Area and the country are increasingly dropping out of residency programs and instead going into careers in high-tech start-ups.\u003c/p>\n\u003cp>“We’ve seen that many of these Bay Area-based medical students are drawn to startup opportunities — it used to be biotech, and now it’s more often digital health,” said Jeff Tangney, CEO of Doximity, a physician-network that generates data for the \u003ca href=\"http://health.usnews.com/health-news/blogs/second-opinion/2014/01/10/doximity-begins-surveying-physicians-for-us-news-best-hospitals\">U.S. News Best Hospitals rankings\u003c/a>.\u003c/p>\n\u003cp>Tangney said many of the top digital health companies are more than willing to hire new grads straight out of medical school, who lack years of clinical experience.\u003c/p>\n\u003cp>Dropout doctors are well-positioned, he added, for a career in digital health as they have an insider’s view of the industry — and ideas about how to fix it.\u003c/p>\n\u003cp> \u003c/p>\n\u003cfigure id=\"attachment_13015\" class=\"wp-caption alignright\" style=\"max-width: 437px\">\u003cimg class=\" wp-image-13015\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/07/sean-duffy-800x533.jpg\" alt=\"Harvard Medical School dropout Sean Duffy addressing a group from Kaiser Permanente\" width=\"437\" height=\"291\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/07/sean-duffy-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/07/sean-duffy-400x267.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/07/sean-duffy-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/07/sean-duffy-960x640.jpg 960w\" sizes=\"(max-width: 437px) 100vw, 437px\">\u003cfigcaption class=\"wp-caption-text\">Harvard Medical School dropout Sean Duffy addressing a group from Kaiser Permanente \u003ccite>(Omada Health )\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>As Sean Duffy, the CEO of Omada Health and a Harvard medical school dropout put it: \"I wanted to understand what's in the trenches, so I could redefine the trenches.\" Omada Health offers an online program to help people change their behavior and avoid the onset of diabetes.\u003c/p>\n\u003cp>Duffy is part of a private Facebook group called \"dropout doctors,\" which includes some of the biggest names in digital health. It functions as a support group, of sorts, and meets every few months for dinner or drinks. Some members, like Angelotti, said they find solace in the group as it can be difficult and lonely to opt out of clinical medicine and follow a different path.\u003c/p>\n\u003cp>The membership includes Angelotti, who now works at primary care chain One Medical; Duffy, CEO of Omada Health\u003ca href=\"https://omadahealth.com/\">;\u003c/a> Connie Chen, the cofounder of Vida Health; Shaundra Eichstadt, medical director at \u003ca href=\"https://www.grandrounds.com/\">Grand Rounds\u003c/a>; Abhas Gupta, a health-focused venture capitalist with the firm \u003ca href=\"http://www.mdv.com/\">Mohr Davidow\u003c/a>; Molly Maloof, a medical advisor to \u003ca href=\"https://doctorbase.com/\">DoctorBase;\u003c/a> and Rebecca Coelius, the director of health at \u003ca href=\"https://www.codeforamerica.org/\">Code for America\u003c/a>.\u003c/p>\n\u003cp>\u003cb>'I Never Thought I Would Leave Medicine' \u003c/b>\u003c/p>\n\u003cp>Experts say it's both 'push and pull' effect that is motivating young doctors to seek out opportunities with the growing intersection of technology and health care, rather than pursue brick and mortar medicine.\u003c/p>\n\u003cp>Many of the students at the top Bay Area medical schools, Stanford and UCSF, are exposed to entrepreneurial thinking during the course of their education, which can be a major draw.\u003c/p>\n\u003cp>\"I never thought I would leave medicine,\" said Eichstadt, who now works at Grand Rounds Health, a San Francisco-based startup that helps patients access second opinions from top medical experts online. \"But there's such a rich opportunity at companies here.\"\u003c/p>\n\u003cfigure id=\"attachment_13016\" class=\"wp-caption alignright\" style=\"max-width: 410px\">\u003cimg class=\" wp-image-13016\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/07/SE-photo-800x565.jpg\" alt=\"Dr. Shaundra Eichstadt made the transition from medicine to digital health. \" width=\"410\" height=\"289\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/07/SE-photo-800x565.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/07/SE-photo-400x282.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/07/SE-photo-1180x833.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/07/SE-photo-960x678.jpg 960w, https://ww2.kqed.org/app/uploads/sites/13/2015/07/SE-photo.jpg 2048w\" sizes=\"(max-width: 410px) 100vw, 410px\">\u003cfigcaption class=\"wp-caption-text\">Dr. Shaundra Eichstadt made the transition from medicine to digital health. \u003ccite>(Shaundra Eichstadt )\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Eichstadt graduated from Stanford and pursued several years of residency, specializing in plastic and reconstructive surgery.\u003c/p>\n\u003cp>\"I realized that the system isn't designed for doctors to make the real change you would like to for the patient,\" she said. Eichstadt said she believed that she could make a bigger impact elsewhere.\u003c/p>\n\u003cp>Many of the dropout docs expressed a desire to improve the doctor-patient experience. In interviews with \u003cem>KQED,\u003c/em> several said they spent very little time administering care during medical school, and they felt that patients were too often kept out of the loop.\u003c/p>\n\u003cp>A recent study found that doctors-in-training spend\u003ca href=\"http://well.blogs.nytimes.com/2013/05/30/for-new-doctors-8-minutes-per-patient/\"> an average of just eight minutes\u003c/a> with each patient. This is a drastic decrease from previous generations and is linked to more record-keeping requirements and restricted on-duty hours.\u003c/p>\n\u003cp>Connie Chen still practices medicine a half-day each week. But shortly after medical school, Chen co-founded an app called \u003ca href=\"https://www.vida.com\">Vida\u003c/a>, which connects people with chronic diseases to virtual health coaches, like nutritionists and nurses.\u003c/p>\n\u003cp>Chen said she learned very little about nutrition at medical school. But digital health opened up opportunities for Chen to educate herself about wellness, so she can help patients stay healthy.\u003c/p>\n\u003caside class=\"pullquote alignright\">“Tech culture is very appealing when juxtaposed against the hierarchy and myriad hoops to be jumped through in clinical medicine.\"\u003ccite>Rebecca Coelius, Director of Health at Code for America\u003c/cite>\u003c/aside>\n\u003cp>\"Traditional health care is really oriented to make the life of the provider easier,\" she said. \"Your patients cycle in and out of the hospital, and very often, no one makes enough of an effort to communicate with them.\"\u003c/p>\n\u003cp>\u003cstrong>Lack of Opportunities \u003c/strong>\u003c/p>\n\u003cp>Other dropout docs said they felt pushed out of medicine, due to the lack of career opportunities or earning potential. Family practitioners, who serve at the front lines of health care, \u003ca href=\"http://healthland.time.com/2012/04/27/doctors-salaries-who-earns-the-most-and-the-least/\">are paid the least\u003c/a>.\u003c/p>\n\u003cp>Recent studies have also shown rising levels of \u003ca href=\"http://khn.org/news/doctor-burnout/\">discontent among primary care doctors\u003c/a>. Nearly half of 7,200 doctors who responded to a Mayo Clinic survey in 2012 said they felt a lack of enthusiasm about medicine or cynicism about it. A decade ago, one quarter of doctors reported feeling burnt out.\u003c/p>\n\u003cp>\"I loved working with patients but I looked around me and realized that I didn't want the jobs of anybody who had 'succeeded' as a clinician,\" said Rebecca Coelius, who graduated with an MD from UCSF.\u003c/p>\n\u003cp>Coelius now advises a number of health-tech startups, including Doximity and previously worked for \u003ca href=\"http://healthloop.com/\">HealthLoop\u003c/a>, which was founded by another entrepreneurial MD, Dr. Jordan Shlain. She's also worked for the government as a medical innovation officer.\u003c/p>\n\u003cp>\"Tech culture is very appealing when juxtaposed against the hierarchy and myriad hoops to be jumped through in clinical medicine,\" she explained.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>Correction: An earlier version of this article contained data from Doximity on the percentage of Stanford and UCSF medical students applying to residency programs. Doximity says it failed to factor in medical school graduates who pursue further post-graduate studies and that the Stanford information it provided was inaccurate. Stanford officials say Stanford has a 95 percent rate of medical students pursuing residency after graduation.\u003c/em>\u003c/p>\n\n","blocks":[],"excerpt":"KQED reports on the growing trend of Bay Area-based doctors making the leap from traditional medicine to digital health. These \"dropout doctors\" say they can make a bigger impact by transforming health care from the outside in, rather than the inside out. ","status":"publish","parent":0,"modified":1437787112,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":36,"wordCount":1385},"headData":{"title":"Bay Area Doctors Quit Medicine to Work for Digital Health Startups | KQED","description":"KQED reports on the growing trend of Bay Area-based doctors making the leap from traditional medicine to digital health. These "dropout doctors" say they can make a bigger impact by transforming health care from the outside in, rather than the inside out. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Bay Area Doctors Quit Medicine to Work for Digital Health Startups","datePublished":"2015-07-17T16:54:35.000Z","dateModified":"2015-07-25T01:18:32.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"11960 http://ww2.kqed.org/futureofyou/?p=11960","disqusUrl":"https://ww2.kqed.org/futureofyou/2015/07/17/increasingly-young-bay-area-doctors-leave-medicine-for-digital-health/","disqusTitle":"Bay Area Doctors Quit Medicine to Work for Digital Health Startups","path":"/futureofyou/11960/increasingly-young-bay-area-doctors-leave-medicine-for-digital-health","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Even as a young child, Amanda Angelotti dreamed about becoming a doctor. Five years after graduating from college, she enrolled in the University of California, San Francisco medical school.\u003c/p>\n\u003cp>But by her third year, Angelotti couldn't shake the feeling that something was missing. During a routine shift at the hospital, making rounds with her fellow students, Angelotti said her thoughts kept drifting.\u003c/p>\n\u003cp>\"I was supposed to be focused on the patient's vital signs and presenting a summary, but I was consumed with thoughts about how to improve the process of rounds,\" she said. Most striking was the patient's absence from the discussion. \"I kept asking myself, 'how could we change things to involve the patient more?'\"\u003c/p>\n\u003cp>Just a stone's throw from UCSF Medical Center, a small group of entrepreneurs at \u003ca href=\"http://rockhealth.com\">Rock Health, \u003c/a>a new accelerator program (and now a venture firm), were thinking about how to shake up the health care process with technology. These startups were developing new wearable devices and mobile apps to help patients take more control of their own health.\u003c/p>\n\u003cfigure id=\"attachment_12284\" class=\"wp-caption alignright\" style=\"max-width: 407px\">\u003cimg class=\" wp-image-12284\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/07/JV0A7413-800x533.jpg\" alt=\"Amanda Angelotti and Connie Chen developed a passion for digital health while at medical school \" width=\"407\" height=\"272\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/07/JV0A7413-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/07/JV0A7413-400x267.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/07/JV0A7413-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/07/JV0A7413-960x640.jpg 960w\" sizes=\"(max-width: 407px) 100vw, 407px\">\u003cfigcaption class=\"wp-caption-text\">Amanda Angelotti and Connie Chen developed a passion for digital health during medical school \u003ccite>(Josh Cassidy, KQED )\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The timing was right to bring new ideas to the sector. By 2012, hospitals around the country were rapidly moving away from paper-based medical records to electronic systems, a first step to moving health care into the digital age.\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>Angelotti graduated the following year, but she did not apply for any residency programs at U.S. hospitals. Instead, she applied to work at Rock Health as a researcher and writer before joining the new medical review site \u003ca href=\"http://www.iodine.com/\">Iodine\u003c/a>, one of an exploding number of digital health startups in San Francisco.\u003c/p>\n\u003cp>By the end of that year, Rock Health projected that digital health funding had exceeded $1.9 billion, a 39 percent jump from the prior year.\u003c/p>\n\u003cp>\u003cstrong>The Rising Tide of Doctors Turning to Entrepreneurship\u003c/strong>\u003c/p>\n\u003cp>Angelotti is far from alone in making the leap from medical school to digital health.\u003c/p>\n\u003cp>Students from around the Bay Area and the country are increasingly dropping out of residency programs and instead going into careers in high-tech start-ups.\u003c/p>\n\u003cp>“We’ve seen that many of these Bay Area-based medical students are drawn to startup opportunities — it used to be biotech, and now it’s more often digital health,” said Jeff Tangney, CEO of Doximity, a physician-network that generates data for the \u003ca href=\"http://health.usnews.com/health-news/blogs/second-opinion/2014/01/10/doximity-begins-surveying-physicians-for-us-news-best-hospitals\">U.S. News Best Hospitals rankings\u003c/a>.\u003c/p>\n\u003cp>Tangney said many of the top digital health companies are more than willing to hire new grads straight out of medical school, who lack years of clinical experience.\u003c/p>\n\u003cp>Dropout doctors are well-positioned, he added, for a career in digital health as they have an insider’s view of the industry — and ideas about how to fix it.\u003c/p>\n\u003cp> \u003c/p>\n\u003cfigure id=\"attachment_13015\" class=\"wp-caption alignright\" style=\"max-width: 437px\">\u003cimg class=\" wp-image-13015\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/07/sean-duffy-800x533.jpg\" alt=\"Harvard Medical School dropout Sean Duffy addressing a group from Kaiser Permanente\" width=\"437\" height=\"291\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/07/sean-duffy-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/07/sean-duffy-400x267.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/07/sean-duffy-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/07/sean-duffy-960x640.jpg 960w\" sizes=\"(max-width: 437px) 100vw, 437px\">\u003cfigcaption class=\"wp-caption-text\">Harvard Medical School dropout Sean Duffy addressing a group from Kaiser Permanente \u003ccite>(Omada Health )\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>As Sean Duffy, the CEO of Omada Health and a Harvard medical school dropout put it: \"I wanted to understand what's in the trenches, so I could redefine the trenches.\" Omada Health offers an online program to help people change their behavior and avoid the onset of diabetes.\u003c/p>\n\u003cp>Duffy is part of a private Facebook group called \"dropout doctors,\" which includes some of the biggest names in digital health. It functions as a support group, of sorts, and meets every few months for dinner or drinks. Some members, like Angelotti, said they find solace in the group as it can be difficult and lonely to opt out of clinical medicine and follow a different path.\u003c/p>\n\u003cp>The membership includes Angelotti, who now works at primary care chain One Medical; Duffy, CEO of Omada Health\u003ca href=\"https://omadahealth.com/\">;\u003c/a> Connie Chen, the cofounder of Vida Health; Shaundra Eichstadt, medical director at \u003ca href=\"https://www.grandrounds.com/\">Grand Rounds\u003c/a>; Abhas Gupta, a health-focused venture capitalist with the firm \u003ca href=\"http://www.mdv.com/\">Mohr Davidow\u003c/a>; Molly Maloof, a medical advisor to \u003ca href=\"https://doctorbase.com/\">DoctorBase;\u003c/a> and Rebecca Coelius, the director of health at \u003ca href=\"https://www.codeforamerica.org/\">Code for America\u003c/a>.\u003c/p>\n\u003cp>\u003cb>'I Never Thought I Would Leave Medicine' \u003c/b>\u003c/p>\n\u003cp>Experts say it's both 'push and pull' effect that is motivating young doctors to seek out opportunities with the growing intersection of technology and health care, rather than pursue brick and mortar medicine.\u003c/p>\n\u003cp>Many of the students at the top Bay Area medical schools, Stanford and UCSF, are exposed to entrepreneurial thinking during the course of their education, which can be a major draw.\u003c/p>\n\u003cp>\"I never thought I would leave medicine,\" said Eichstadt, who now works at Grand Rounds Health, a San Francisco-based startup that helps patients access second opinions from top medical experts online. \"But there's such a rich opportunity at companies here.\"\u003c/p>\n\u003cfigure id=\"attachment_13016\" class=\"wp-caption alignright\" style=\"max-width: 410px\">\u003cimg class=\" wp-image-13016\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/07/SE-photo-800x565.jpg\" alt=\"Dr. Shaundra Eichstadt made the transition from medicine to digital health. \" width=\"410\" height=\"289\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/07/SE-photo-800x565.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/07/SE-photo-400x282.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/07/SE-photo-1180x833.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/07/SE-photo-960x678.jpg 960w, https://ww2.kqed.org/app/uploads/sites/13/2015/07/SE-photo.jpg 2048w\" sizes=\"(max-width: 410px) 100vw, 410px\">\u003cfigcaption class=\"wp-caption-text\">Dr. Shaundra Eichstadt made the transition from medicine to digital health. \u003ccite>(Shaundra Eichstadt )\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Eichstadt graduated from Stanford and pursued several years of residency, specializing in plastic and reconstructive surgery.\u003c/p>\n\u003cp>\"I realized that the system isn't designed for doctors to make the real change you would like to for the patient,\" she said. Eichstadt said she believed that she could make a bigger impact elsewhere.\u003c/p>\n\u003cp>Many of the dropout docs expressed a desire to improve the doctor-patient experience. In interviews with \u003cem>KQED,\u003c/em> several said they spent very little time administering care during medical school, and they felt that patients were too often kept out of the loop.\u003c/p>\n\u003cp>A recent study found that doctors-in-training spend\u003ca href=\"http://well.blogs.nytimes.com/2013/05/30/for-new-doctors-8-minutes-per-patient/\"> an average of just eight minutes\u003c/a> with each patient. This is a drastic decrease from previous generations and is linked to more record-keeping requirements and restricted on-duty hours.\u003c/p>\n\u003cp>Connie Chen still practices medicine a half-day each week. But shortly after medical school, Chen co-founded an app called \u003ca href=\"https://www.vida.com\">Vida\u003c/a>, which connects people with chronic diseases to virtual health coaches, like nutritionists and nurses.\u003c/p>\n\u003cp>Chen said she learned very little about nutrition at medical school. But digital health opened up opportunities for Chen to educate herself about wellness, so she can help patients stay healthy.\u003c/p>\n\u003caside class=\"pullquote alignright\">“Tech culture is very appealing when juxtaposed against the hierarchy and myriad hoops to be jumped through in clinical medicine.\"\u003ccite>Rebecca Coelius, Director of Health at Code for America\u003c/cite>\u003c/aside>\n\u003cp>\"Traditional health care is really oriented to make the life of the provider easier,\" she said. \"Your patients cycle in and out of the hospital, and very often, no one makes enough of an effort to communicate with them.\"\u003c/p>\n\u003cp>\u003cstrong>Lack of Opportunities \u003c/strong>\u003c/p>\n\u003cp>Other dropout docs said they felt pushed out of medicine, due to the lack of career opportunities or earning potential. Family practitioners, who serve at the front lines of health care, \u003ca href=\"http://healthland.time.com/2012/04/27/doctors-salaries-who-earns-the-most-and-the-least/\">are paid the least\u003c/a>.\u003c/p>\n\u003cp>Recent studies have also shown rising levels of \u003ca href=\"http://khn.org/news/doctor-burnout/\">discontent among primary care doctors\u003c/a>. Nearly half of 7,200 doctors who responded to a Mayo Clinic survey in 2012 said they felt a lack of enthusiasm about medicine or cynicism about it. A decade ago, one quarter of doctors reported feeling burnt out.\u003c/p>\n\u003cp>\"I loved working with patients but I looked around me and realized that I didn't want the jobs of anybody who had 'succeeded' as a clinician,\" said Rebecca Coelius, who graduated with an MD from UCSF.\u003c/p>\n\u003cp>Coelius now advises a number of health-tech startups, including Doximity and previously worked for \u003ca href=\"http://healthloop.com/\">HealthLoop\u003c/a>, which was founded by another entrepreneurial MD, Dr. Jordan Shlain. She's also worked for the government as a medical innovation officer.\u003c/p>\n\u003cp>\"Tech culture is very appealing when juxtaposed against the hierarchy and myriad hoops to be jumped through in clinical medicine,\" she explained.\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>\u003cem>Correction: An earlier version of this article contained data from Doximity on the percentage of Stanford and UCSF medical students applying to residency programs. Doximity says it failed to factor in medical school graduates who pursue further post-graduate studies and that the Stanford information it provided was inaccurate. Stanford officials say Stanford has a 95 percent rate of medical students pursuing residency after graduation.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/11960/increasingly-young-bay-area-doctors-leave-medicine-for-digital-health","authors":["3252"],"categories":["futureofyou_452"],"tags":["futureofyou_190","futureofyou_511","futureofyou_341","futureofyou_469","futureofyou_80","futureofyou_173","futureofyou_513","futureofyou_512","futureofyou_514","futureofyou_336"],"featImg":"futureofyou_12247","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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But is this once sleepy suburb ready for them?","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/American-Suburb-Podcast-Tile-703x703-1.jpg","officialWebsiteLink":"/news/series/american-suburb-podcast","meta":{"site":"news","source":"kqed","order":"13"},"link":"/news/series/american-suburb-podcast/","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?mt=2&id=1287748328","tuneIn":"https://tunein.com/radio/American-Suburb-p1086805/","rss":"https://ww2.kqed.org/news/series/american-suburb-podcast/feed/podcast","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkMzMDExODgxNjA5"}},"baycurious":{"id":"baycurious","title":"Bay Curious","tagline":"Exploring the Bay Area, one question at a time","info":"KQED’s new podcast, Bay Curious, gets to the bottom of the mysteries — both profound and peculiar — that give the Bay Area its unique identity. And we’ll do it with your help! You ask the questions. You decide what Bay Curious investigates. And you join us on the journey to find the answers.","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Bay-Curious-Podcast-Tile-703x703-1.jpg","imageAlt":"\"KQED Bay Curious","officialWebsiteLink":"/news/series/baycurious","meta":{"site":"news","source":"kqed","order":"4"},"link":"/podcasts/baycurious","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/bay-curious/id1172473406","npr":"https://www.npr.org/podcasts/500557090/bay-curious","rss":"https://ww2.kqed.org/news/category/bay-curious-podcast/feed/podcast","google":"https://podcasts.google.com/feed/aHR0cHM6Ly93dzIua3FlZC5vcmcvbmV3cy9jYXRlZ29yeS9iYXktY3VyaW91cy1wb2RjYXN0L2ZlZWQvcG9kY2FzdA","stitcher":"https://www.stitcher.com/podcast/kqed/bay-curious","spotify":"https://open.spotify.com/show/6O76IdmhixfijmhTZLIJ8k"}},"bbc-world-service":{"id":"bbc-world-service","title":"BBC World Service","info":"The day's top stories from BBC News compiled twice daily in the week, once at weekends.","airtime":"MON-FRI 9pm-10pm, TUE-FRI 1am-2am","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/BBC-World-Service-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.bbc.co.uk/sounds/play/live:bbc_world_service","meta":{"site":"news","source":"BBC World Service"},"link":"/radio/program/bbc-world-service","subscribe":{"apple":"https://itunes.apple.com/us/podcast/global-news-podcast/id135067274?mt=2","tuneIn":"https://tunein.com/radio/BBC-World-Service-p455581/","rss":"https://podcasts.files.bbci.co.uk/p02nq0gn.rss"}},"code-switch-life-kit":{"id":"code-switch-life-kit","title":"Code Switch / Life Kit","info":"\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. 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. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. 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