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She has a B.A. from Cornell University.","avatar":"https://secure.gravatar.com/avatar/acf522116cc10f32fb9bc84af7f1ea28?s=600&d=blank&r=g","twitter":null,"facebook":null,"instagram":null,"linkedin":null,"sites":[{"site":"futureofyou","roles":["contributor"]}],"headData":{"title":"Rebecca Grant | KQED","description":null,"ogImgSrc":"https://secure.gravatar.com/avatar/acf522116cc10f32fb9bc84af7f1ea28?s=600&d=blank&r=g","twImgSrc":"https://secure.gravatar.com/avatar/acf522116cc10f32fb9bc84af7f1ea28?s=600&d=blank&r=g"},"isLoading":false,"link":"/author/rgrant"}},"breakingNewsReducer":{},"campaignFinanceReducer":{},"firebase":{"requesting":{},"requested":{},"timestamps":{},"data":{},"ordered":{},"auth":{"isLoaded":false,"isEmpty":true},"authError":null,"profile":{"isLoaded":false,"isEmpty":true},"listeners":{"byId":{},"allIds":[]},"isInitializing":false,"errors":[]},"navBarReducer":{"navBarId":"home","fullView":true,"showPlayer":false},"navMenuReducer":{"menus":[{"key":"menu1","items":[{"name":"News","link":"/","type":"title"},{"name":"Politics","link":"/politics"},{"name":"Science","link":"/science"},{"name":"Education","link":"/educationnews"},{"name":"Housing","link":"/housing"},{"name":"Immigration","link":"/immigration"},{"name":"Criminal Justice","link":"/criminaljustice"},{"name":"Silicon Valley","link":"/siliconvalley"},{"name":"Forum","link":"/forum"},{"name":"The California Report","link":"/californiareport"}]},{"key":"menu2","items":[{"name":"Arts & Culture","link":"/arts","type":"title"},{"name":"Critics’ Picks","link":"/thedolist"},{"name":"Cultural Commentary","link":"/artscommentary"},{"name":"Food & Drink","link":"/food"},{"name":"Bay Area Hip-Hop","link":"/bayareahiphop"},{"name":"Rebel Girls","link":"/rebelgirls"},{"name":"Arts Video","link":"/artsvideos"}]},{"key":"menu3","items":[{"name":"Podcasts","link":"/podcasts","type":"title"},{"name":"Bay Curious","link":"/podcasts/baycurious"},{"name":"Rightnowish","link":"/podcasts/rightnowish"},{"name":"The Bay","link":"/podcasts/thebay"},{"name":"On Our Watch","link":"/podcasts/onourwatch"},{"name":"Mindshift","link":"/podcasts/mindshift"},{"name":"Consider This","link":"/podcasts/considerthis"},{"name":"Political Breakdown","link":"/podcasts/politicalbreakdown"}]},{"key":"menu4","items":[{"name":"Live Radio","link":"/radio","type":"title"},{"name":"TV","link":"/tv","type":"title"},{"name":"Events","link":"/events","type":"title"},{"name":"For Educators","link":"/education","type":"title"},{"name":"Support KQED","link":"/support","type":"title"},{"name":"About","link":"/about","type":"title"},{"name":"Help Center","link":"https://kqed-helpcenter.kqed.org/s","type":"title"}]}]},"pagesReducer":{},"postsReducer":{"stream_live":{"type":"live","id":"stream_live","audioUrl":"https://streams.kqed.org/kqedradio","title":"Live Stream","excerpt":"Live Stream information currently unavailable.","link":"/radio","featImg":"","label":{"name":"KQED Live","link":"/"}},"stream_kqedNewscast":{"type":"posts","id":"stream_kqedNewscast","audioUrl":"https://www.kqed.org/.stream/anon/radio/RDnews/newscast.mp3?_=1","title":"KQED Newscast","featImg":"","label":{"name":"88.5 FM","link":"/"}},"futureofyou_266879":{"type":"posts","id":"futureofyou_266879","meta":{"index":"posts_1591205157","site":"futureofyou","id":"266879","score":null,"sort":[1477076591000]},"guestAuthors":[],"slug":"cardiac-patient-aided-by-bystanders-alerted-by-app","title":"Cardiac Patient Aided by Bystanders Who Were Alerted by App","publishDate":1477076591,"format":"aside","headTitle":"KQED Future of You | KQED Science","labelTerm":{},"content":"\u003cp>If your heart is going to stop, right outside a hospital is not a bad place for it.\u003c/p>\n\u003cp>And if 41 people within a 330-yard radius have a \u003ca href=\"http://www.pulsepoint.org/\" target=\"_blank\">cellphone app\u003c/a> alerting them to your distress, so much the better.\u003c/p>\n\u003cp>That's what happened in Seattle last week when Stephen DeMont collapsed at a bus stop in front of University of Washington Medical Center.\u003c/p>\n\u003cp>While a medical student rushed over and began chest compressions, a cardiac nurse just getting off her shift was alerted by her phone, sprinted outside and assisted until paramedics arrived.\u003c/p>\n\u003cp>Five days later, DeMont, 60, is walking, smiling and talking about how the PulsePoint app helped save his life.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Seattle officials say the rescue shows the potential a free download has for connecting CPR-trained citizens with patients who urgently need their help. It's being used in 2,000 U.S. cities in 28 states.\u003c/p>\n\u003cp>\"I put it on my phone yesterday,\" said DeMont's wife, Debi Quirk, a former registered nurse. \"He would not be here as we see him today.\"\u003c/p>\n\u003cp>Seattle officials hope DeMont's story will help persuade thousands more people to sign up for notifications; so far, about 4,000 people in Seattle have downloaded PulsePoint since the city adopted it earlier this year with financial support from an employee charitable fund at Boeing. The goal is to have 15,000 using it.\u003c/p>\n\u003cp>The app, which works through a city's 911 system, was developed by Richard Price, the former chief of the San Ramon Valley Fire Protection District in Northern California. When a call comes in, operators alert people within a certain radius that CPR assistance is needed, along with the location of the nearest portable defibrillator.\u003c/p>\n\u003cp>About 900,000 people around the country have downloaded and carry the app, and 34,000 people have been activated to respond, Price said, adding that alerts have been issued in 13,000 cardiac events.\u003c/p>\n\u003cp>He came up with the idea in 2009. Price told KQED in a 2011 \u003ca href=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2011/01/cardiaciphoneapp.mp3\" target=\"_blank\">interview\u003c/a> that he'd been eating lunch in a deli with three colleagues, when \"we heard a siren, and we were wondering where the guys were going. They parked right in front of the deli we were eating at.\"\u003c/p>\n\u003cp>As it turned out, an unconscious patient close by was in need of help.\u003c/p>\n\u003cp>\"Here's the fire chief in uniform, a defibrillator in my car. One of my [lunch companions] is a paramedic, and right next door to us, someone was in great need and we were completely unaware of it.\u003c/p>\n\u003cp>\"We sat the the rest of the afternoon and diagrammed on deli napkins how we could make sure that never happened again.\"\u003c/p>\n\u003cp>In that 2011 interview, Price said survival rates for those in cardiac arrest are very high when CPR is used within the first 2-3 minutes after cardiac arrest.\u003c/p>\n\u003cp>It's not clear how many lives have been saved thanks to the app. Patient confidentiality laws often prevent hospitals from disclosing a patient's outcome.\u003c/p>\n\u003cp>Madeline Dahl, a 23-year-old cardiac nurse at the University of Washington Medical Center, said she downloaded the app about a month ago after reading a news story that mentioned it. Last Friday morning was the first time she'd ever received an alert. She bolted down a couple flights of stairs and ran outside into the rain, where she found 27-year-old medical student Zach Forcade performing chest compressions.\u003c/p>\n\u003cp>Forcade had been on his way into the hospital for a lecture when he saw DeMont, who was just getting off his bicycle, slump over.\u003c/p>\n\u003cp>\"I hadn't responded to a cardiac arrest before,\" Forcade said. \"I thought, 'Did he just fall?' ... Even being in the medical field, I thought, 'Oh, man, who's going to step up?'\"\u003c/p>\n\u003cp>He told another passerby to call 911, which triggered an alert sent out to 41 responders nearby. It was reassuring when Dahl arrived to provide any needed backup, help check for a pulse and otherwise make sure Forcade was responding correctly, he said.\u003c/p>\n\u003cp>For DeMont, it was about more than just being lucky. A contract technical writer at Expedia, he said he has a love-hate relationship with technology — \"You see all these things about people falling off cliffs texting, people are so disconnected\" — but the response from Forcade, Dahl and the use of PulsePoint reaffirmed his belief in its power to make a positive difference.\u003c/p>\n\u003cp>\"There's hope,\" DeMont said.\u003c/p>\n\u003cp>He's due to have a defibrillator implanted on Thursday. Now he just has to figure out how to pay the $100,000 tab without insurance.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>For that, his family has turned to a program with a different app: GoFundMe.\u003c/p>\n\n","blocks":[],"excerpt":"A 60-year-old man in Seattle is aided by bystanders alerted to his need for medical attention by an app.","status":"publish","parent":0,"modified":1477077687,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":26,"wordCount":797},"headData":{"title":"Cardiac Patient Aided by Bystanders Who Were Alerted by App | KQED","description":"A 60-year-old man in Seattle is aided by bystanders alerted to his need for medical attention by an app.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Cardiac Patient Aided by Bystanders Who Were Alerted by App","datePublished":"2016-10-21T19:03:11.000Z","dateModified":"2016-10-21T19:21:27.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"266879 http://ww2.kqed.org/futureofyou/?p=266879","disqusUrl":"https://ww2.kqed.org/futureofyou/2016/10/21/cardiac-patient-aided-by-bystanders-alerted-by-app/","disqusTitle":"Cardiac Patient Aided by Bystanders Who Were Alerted by App","source":"Future of You","nprByline":"Associated Press and KQED","path":"/futureofyou/266879/cardiac-patient-aided-by-bystanders-alerted-by-app","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>If your heart is going to stop, right outside a hospital is not a bad place for it.\u003c/p>\n\u003cp>And if 41 people within a 330-yard radius have a \u003ca href=\"http://www.pulsepoint.org/\" target=\"_blank\">cellphone app\u003c/a> alerting them to your distress, so much the better.\u003c/p>\n\u003cp>That's what happened in Seattle last week when Stephen DeMont collapsed at a bus stop in front of University of Washington Medical Center.\u003c/p>\n\u003cp>While a medical student rushed over and began chest compressions, a cardiac nurse just getting off her shift was alerted by her phone, sprinted outside and assisted until paramedics arrived.\u003c/p>\n\u003cp>Five days later, DeMont, 60, is walking, smiling and talking about how the PulsePoint app helped save his life.\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>Seattle officials say the rescue shows the potential a free download has for connecting CPR-trained citizens with patients who urgently need their help. It's being used in 2,000 U.S. cities in 28 states.\u003c/p>\n\u003cp>\"I put it on my phone yesterday,\" said DeMont's wife, Debi Quirk, a former registered nurse. \"He would not be here as we see him today.\"\u003c/p>\n\u003cp>Seattle officials hope DeMont's story will help persuade thousands more people to sign up for notifications; so far, about 4,000 people in Seattle have downloaded PulsePoint since the city adopted it earlier this year with financial support from an employee charitable fund at Boeing. The goal is to have 15,000 using it.\u003c/p>\n\u003cp>The app, which works through a city's 911 system, was developed by Richard Price, the former chief of the San Ramon Valley Fire Protection District in Northern California. When a call comes in, operators alert people within a certain radius that CPR assistance is needed, along with the location of the nearest portable defibrillator.\u003c/p>\n\u003cp>About 900,000 people around the country have downloaded and carry the app, and 34,000 people have been activated to respond, Price said, adding that alerts have been issued in 13,000 cardiac events.\u003c/p>\n\u003cp>He came up with the idea in 2009. Price told KQED in a 2011 \u003ca href=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2011/01/cardiaciphoneapp.mp3\" target=\"_blank\">interview\u003c/a> that he'd been eating lunch in a deli with three colleagues, when \"we heard a siren, and we were wondering where the guys were going. They parked right in front of the deli we were eating at.\"\u003c/p>\n\u003cp>As it turned out, an unconscious patient close by was in need of help.\u003c/p>\n\u003cp>\"Here's the fire chief in uniform, a defibrillator in my car. One of my [lunch companions] is a paramedic, and right next door to us, someone was in great need and we were completely unaware of it.\u003c/p>\n\u003cp>\"We sat the the rest of the afternoon and diagrammed on deli napkins how we could make sure that never happened again.\"\u003c/p>\n\u003cp>In that 2011 interview, Price said survival rates for those in cardiac arrest are very high when CPR is used within the first 2-3 minutes after cardiac arrest.\u003c/p>\n\u003cp>It's not clear how many lives have been saved thanks to the app. Patient confidentiality laws often prevent hospitals from disclosing a patient's outcome.\u003c/p>\n\u003cp>Madeline Dahl, a 23-year-old cardiac nurse at the University of Washington Medical Center, said she downloaded the app about a month ago after reading a news story that mentioned it. Last Friday morning was the first time she'd ever received an alert. She bolted down a couple flights of stairs and ran outside into the rain, where she found 27-year-old medical student Zach Forcade performing chest compressions.\u003c/p>\n\u003cp>Forcade had been on his way into the hospital for a lecture when he saw DeMont, who was just getting off his bicycle, slump over.\u003c/p>\n\u003cp>\"I hadn't responded to a cardiac arrest before,\" Forcade said. \"I thought, 'Did he just fall?' ... Even being in the medical field, I thought, 'Oh, man, who's going to step up?'\"\u003c/p>\n\u003cp>He told another passerby to call 911, which triggered an alert sent out to 41 responders nearby. It was reassuring when Dahl arrived to provide any needed backup, help check for a pulse and otherwise make sure Forcade was responding correctly, he said.\u003c/p>\n\u003cp>For DeMont, it was about more than just being lucky. A contract technical writer at Expedia, he said he has a love-hate relationship with technology — \"You see all these things about people falling off cliffs texting, people are so disconnected\" — but the response from Forcade, Dahl and the use of PulsePoint reaffirmed his belief in its power to make a positive difference.\u003c/p>\n\u003cp>\"There's hope,\" DeMont said.\u003c/p>\n\u003cp>He's due to have a defibrillator implanted on Thursday. Now he just has to figure out how to pay the $100,000 tab without insurance.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>For that, his family has turned to a program with a different app: GoFundMe.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/266879/cardiac-patient-aided-by-bystanders-alerted-by-app","authors":["byline_futureofyou_266879"],"categories":["futureofyou_1060","futureofyou_452","futureofyou_1062","futureofyou_73"],"tags":["futureofyou_285","futureofyou_1111"],"featImg":"futureofyou_267616","label":"source_futureofyou_266879"},"futureofyou_215970":{"type":"posts","id":"futureofyou_215970","meta":{"index":"posts_1591205157","site":"futureofyou","id":"215970","score":null,"sort":[1470241835000]},"guestAuthors":[],"slug":"privacy-regulations-dont-cover-most-health-apps","title":"Privacy Regulations Don't Cover Most Health Apps","publishDate":1470241835,"format":"standard","headTitle":"KQED Future of You | KQED Science","labelTerm":{"site":"futureofyou"},"content":"\u003cp>There are apps that can help people with diabetes keep track of their blood sugar and apps that can attach to a blood pressure cuff and store blood pressure information. I use an app called ZocDoc to schedule and manage doctor's appointments. Every time I see a therapist or a primary care doctor or dentist, the data get stored in my personal account.\u003c/p>\n\u003cp>But we leave behind other trails of health data, too, from apps and activities that are sometimes only tangentially health related. When I walk down the street, an app on my phone logs steps as it bounces against my thigh. When I swipe a loyalty card at the pharmacy, the over-the-counter medications that I buy become bits of data attached to my name. Medical information can be gleaned from all this and more, says \u003ca href=\"http://www.law.smu.edu/professor-profiles/cortez\">Nathan Cortez\u003c/a>, a professor of law at the Southern Methodist University Dedman School of Law.\u003c/p>\n\u003cp>Those data aren't always protected. A recent \u003ca href=\"https://www.healthit.gov/sites/default/files/non-covered_entities_report_june_17_2016.pdf\">report\u003c/a> from the Department of Health and Human Services showed that the vast majority of mobile health apps on the marketplace aren't covered by the Health Information Portability and Accountability Act. \"HIPAA is pretty narrow as far as these things go. It applies only to traditional entities [like hospitals, doctors and health insurance providers], and it's not surprising. HIPAA was written by Congress in 1996 before we had health apps,\" Cortez says.\u003c/p>\n\u003cp>Apps or devices used in conjunction with a doctor's office or a hospital can't share or sell your information. But there's no definitive federal law governing what happens to the data that an app developer, tech company or private individual collects. Cortez and I spoke about what that means and what people can do with individuals' data. This interview has been shortened for length and clarity.\u003c/p>\n\u003cp>\u003cstrong>So if you share your data with a physician or a hospital, then it's covered under HIPAA. If you share it with someone like Apple, then it's not?\u003c/strong>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Yeah, that's right. If your physician tells you to use an app and tells you to share that data with her, then for most purposes that data-sharing would be covered by HIPAA. And physicians have professional obligations to maintain confidentiality. So if you're sitting and show them data on your app but don't send it to their computer, they would have professional obligations under state law to keep that information confidential.\u003c/p>\n\u003cp>Now let's say there's an app made by a third-party developer. It's not covered under HIPAA. Then you take that data and send it to your physician, who puts it into your medical record. The data in your medical record would be covered by HIPAA. The data that the third-party app developer has would not.\u003c/p>\n\u003cp>\u003cstrong>It's literally that identical bits of data in different computers have different protections. The data the app developer has are not protected, while the very same bits of information in the doctor's computer are?\u003c/strong>\u003c/p>\n\u003cp>Yup. But the Federal Trade Commission has taken a few enforcement actions where mobile app developers made privacy promises but haven't kept those promises. If you're an app company you might not be governed by HIPAA, but you have to be careful to do what you're saying you're doing with that information. If you're engaging in any unfair or deceptive practices with regards to user data, the FTC could swoop in and take action.\u003c/p>\n\u003cp>\u003cstrong>What are the kinds of data that mobile app developers and tech companies have that people might be concerned about?\u003c/strong>\u003c/p>\n\u003cp>There's quite a few thoughtful researchers in this space who basically say that any data can be health data. Your online search terms, location, all of these are combined into a kind of profile of each of us. There's the famous case of \u003ca href=\"http://www.nytimes.com/2012/02/19/magazine/shopping-habits.html?pagewanted=1&_r=2&hp\">Target\u003c/a> sending mailers to a house because they accurately predicted the high-school-age daughter was pregnant. That was all predictive analytics based on shopping patterns and the like.\u003c/p>\n\u003cp>If you start shopping for certain goods and analytics online, it's not that hard for companies to figure out what medical conditions you might be dealing with.\u003c/p>\n\u003cp>\u003cstrong>Amazon has these shopping lists or wish lists that are public. I realized that somebody with my email address could probably learn a lot about me just based on what I have on that shopping list.\u003c/strong> \u003cstrong>Or if you're sending more texts than usual that could that mean you aren't feeling so great that day — that kind of thing?\u003c/strong>\u003c/p>\n\u003cp>Yeah, or what words are you using? Do you check into certain restaurants? Your gym patterns? Your travel patterns? There's a huge industry that's emerging around this data-gathering where you can predict a lot and ascertain a lot about people from data where on its face doesn't seem like health data. You can learn a lot about someone's health, even really intensely personal information, by analyzing this information.\u003c/p>\n\u003cp>\u003cstrong>Do you think an employer purchasing those data could use the information to figure out whether you have a certain medical condition that might give the company second thoughts about hiring you?\u003c/strong>\u003c/p>\n\u003cp>The discrimination question is really interesting and really scary, potentially. We have laws that inhibit medical insurance companies from discriminating based on your past medical history. But you can take a lot of data points and make inferences that get you to the same spot.\u003c/p>\n\u003cp>Legal scholars are wondering — is this a backdoor way to discriminate against insured populations based on their medical history? There's a company called Oscar based out of New York that has [become] really popular. They market themselves as a next-generation health insurance company where we're smart and we're data driven, we use modern technologies, we're not an old stodgy health insurance company. They give you an \u003ca href=\"http://blog.hioscar.com/post/119375641948/building-better-rewards-step-by-step\">incentive\u003c/a> to use [wearables] and use apps [to track exercise and give an opportunity to earn rewards].\u003c/p>\n\u003cp>But if you're using a Fitbit and you have a desk job and you sit around, will you be charged premiums for that or denied coverage in the future? Can we measure people's health risks in advance based on data points that individually seem innocuous but put together paint pretty detailed pictures?\u003c/p>\n\u003cp>\u003cstrong>Of course, some people would be happy to share those data, right? We do it all the time to get better traffic information. We could potentially be getting much better health care and health apps by freely sharing our information.\u003c/strong>\u003c/p>\n\u003cp>Of course! Not all consumers want their data to be locked up and in silos and kept confidential. I went to a conference at Stanford last month, and a bunch of patients there wanted their data to be open and free. One good thing about health going online is you have patient communities with chronic or difficult diseases where patients can find and help each other.\u003c/p>\n\u003cp>But there are certain egregious practices [from data brokers] that are predatory and abusive. It's very tricky to come up with a legal system that will work for everybody.\u003c/p>\n\u003cp>\u003cstrong>So, say I'm a consumer who wants to use these apps. How do I check and make sure that my data are protected to my satisfaction? \u003c/strong>\u003c/p>\n\u003cp>It depends on your level of concern. If it's very sensitive and you're very concerned, I wouldn't use an app unless it's from a traditional provider. If you're going to a hospital and they have an app that allows you to access records, which should be protected by definition.\u003c/p>\n\u003cp>If you're downloading ... fitness tracking, health, lifestyle apps or even apps for chronic disease that aren't being offered by traditional providers, there's a good chance it's not covered by HIPAA. If you are concerned, read the privacy policy. Unfortunately, they're written by lawyers and aren't always clear. That's a lot of work for a consumer. It's a very buyer-beware market.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>This story is part of the bonus material for NPR's podcast and show \u003c/em>\u003ca href=\"http://www.npr.org/podcasts/510307/invisibilia\">Invisibilia\u003c/a>,\u003cem> which this week tells the tale of a woman who used a blood-glucose monitoring app to track the health of her twin sister from afar.\u003c/em>\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2016 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=How+Your+Health+Data+Lead+A+Not-So-Secret+Life+Online&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n","blocks":[],"excerpt":"Apps can make managing health care a lot easier, but most don't have the privacy protections required of doctors and hospitals. ","status":"publish","parent":0,"modified":1470446837,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":27,"wordCount":1405},"headData":{"title":"Privacy Regulations Don't Cover Most Health Apps | KQED","description":"Apps can make managing health care a lot easier, but most don't have the privacy protections required of doctors and hospitals. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Privacy Regulations Don't Cover Most Health Apps","datePublished":"2016-08-03T16:30:35.000Z","dateModified":"2016-08-06T01:27:17.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"215970 http://ww2.kqed.org/futureofyou/?p=215970","disqusUrl":"https://ww2.kqed.org/futureofyou/2016/08/03/privacy-regulations-dont-cover-most-health-apps/","disqusTitle":"Privacy Regulations Don't Cover Most Health Apps","nprByline":"Angus Chen\u003cbr />NPR Shots","nprImageAgency":"Katherine Streeter for NPR","nprStoryId":"487778779","nprApiLink":"http://api.npr.org/query?id=487778779&apiKey=MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004","nprHtmlLink":"http://www.npr.org/sections/health-shots/2016/07/30/487778779/how-your-health-data-lead-a-not-so-secret-life-online?ft=nprml&f=487778779","nprRetrievedStory":"1","nprPubDate":"Tue, 02 Aug 2016 10:19:00 -0400","nprStoryDate":"Sat, 30 Jul 2016 05:00:00 -0400","nprLastModifiedDate":"Tue, 02 Aug 2016 10:19:43 -0400","path":"/futureofyou/215970/privacy-regulations-dont-cover-most-health-apps","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>There are apps that can help people with diabetes keep track of their blood sugar and apps that can attach to a blood pressure cuff and store blood pressure information. I use an app called ZocDoc to schedule and manage doctor's appointments. Every time I see a therapist or a primary care doctor or dentist, the data get stored in my personal account.\u003c/p>\n\u003cp>But we leave behind other trails of health data, too, from apps and activities that are sometimes only tangentially health related. When I walk down the street, an app on my phone logs steps as it bounces against my thigh. When I swipe a loyalty card at the pharmacy, the over-the-counter medications that I buy become bits of data attached to my name. Medical information can be gleaned from all this and more, says \u003ca href=\"http://www.law.smu.edu/professor-profiles/cortez\">Nathan Cortez\u003c/a>, a professor of law at the Southern Methodist University Dedman School of Law.\u003c/p>\n\u003cp>Those data aren't always protected. A recent \u003ca href=\"https://www.healthit.gov/sites/default/files/non-covered_entities_report_june_17_2016.pdf\">report\u003c/a> from the Department of Health and Human Services showed that the vast majority of mobile health apps on the marketplace aren't covered by the Health Information Portability and Accountability Act. \"HIPAA is pretty narrow as far as these things go. It applies only to traditional entities [like hospitals, doctors and health insurance providers], and it's not surprising. HIPAA was written by Congress in 1996 before we had health apps,\" Cortez says.\u003c/p>\n\u003cp>Apps or devices used in conjunction with a doctor's office or a hospital can't share or sell your information. But there's no definitive federal law governing what happens to the data that an app developer, tech company or private individual collects. Cortez and I spoke about what that means and what people can do with individuals' data. This interview has been shortened for length and clarity.\u003c/p>\n\u003cp>\u003cstrong>So if you share your data with a physician or a hospital, then it's covered under HIPAA. If you share it with someone like Apple, then it's not?\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>Yeah, that's right. If your physician tells you to use an app and tells you to share that data with her, then for most purposes that data-sharing would be covered by HIPAA. And physicians have professional obligations to maintain confidentiality. So if you're sitting and show them data on your app but don't send it to their computer, they would have professional obligations under state law to keep that information confidential.\u003c/p>\n\u003cp>Now let's say there's an app made by a third-party developer. It's not covered under HIPAA. Then you take that data and send it to your physician, who puts it into your medical record. The data in your medical record would be covered by HIPAA. The data that the third-party app developer has would not.\u003c/p>\n\u003cp>\u003cstrong>It's literally that identical bits of data in different computers have different protections. The data the app developer has are not protected, while the very same bits of information in the doctor's computer are?\u003c/strong>\u003c/p>\n\u003cp>Yup. But the Federal Trade Commission has taken a few enforcement actions where mobile app developers made privacy promises but haven't kept those promises. If you're an app company you might not be governed by HIPAA, but you have to be careful to do what you're saying you're doing with that information. If you're engaging in any unfair or deceptive practices with regards to user data, the FTC could swoop in and take action.\u003c/p>\n\u003cp>\u003cstrong>What are the kinds of data that mobile app developers and tech companies have that people might be concerned about?\u003c/strong>\u003c/p>\n\u003cp>There's quite a few thoughtful researchers in this space who basically say that any data can be health data. Your online search terms, location, all of these are combined into a kind of profile of each of us. There's the famous case of \u003ca href=\"http://www.nytimes.com/2012/02/19/magazine/shopping-habits.html?pagewanted=1&_r=2&hp\">Target\u003c/a> sending mailers to a house because they accurately predicted the high-school-age daughter was pregnant. That was all predictive analytics based on shopping patterns and the like.\u003c/p>\n\u003cp>If you start shopping for certain goods and analytics online, it's not that hard for companies to figure out what medical conditions you might be dealing with.\u003c/p>\n\u003cp>\u003cstrong>Amazon has these shopping lists or wish lists that are public. I realized that somebody with my email address could probably learn a lot about me just based on what I have on that shopping list.\u003c/strong> \u003cstrong>Or if you're sending more texts than usual that could that mean you aren't feeling so great that day — that kind of thing?\u003c/strong>\u003c/p>\n\u003cp>Yeah, or what words are you using? Do you check into certain restaurants? Your gym patterns? Your travel patterns? There's a huge industry that's emerging around this data-gathering where you can predict a lot and ascertain a lot about people from data where on its face doesn't seem like health data. You can learn a lot about someone's health, even really intensely personal information, by analyzing this information.\u003c/p>\n\u003cp>\u003cstrong>Do you think an employer purchasing those data could use the information to figure out whether you have a certain medical condition that might give the company second thoughts about hiring you?\u003c/strong>\u003c/p>\n\u003cp>The discrimination question is really interesting and really scary, potentially. We have laws that inhibit medical insurance companies from discriminating based on your past medical history. But you can take a lot of data points and make inferences that get you to the same spot.\u003c/p>\n\u003cp>Legal scholars are wondering — is this a backdoor way to discriminate against insured populations based on their medical history? There's a company called Oscar based out of New York that has [become] really popular. They market themselves as a next-generation health insurance company where we're smart and we're data driven, we use modern technologies, we're not an old stodgy health insurance company. They give you an \u003ca href=\"http://blog.hioscar.com/post/119375641948/building-better-rewards-step-by-step\">incentive\u003c/a> to use [wearables] and use apps [to track exercise and give an opportunity to earn rewards].\u003c/p>\n\u003cp>But if you're using a Fitbit and you have a desk job and you sit around, will you be charged premiums for that or denied coverage in the future? Can we measure people's health risks in advance based on data points that individually seem innocuous but put together paint pretty detailed pictures?\u003c/p>\n\u003cp>\u003cstrong>Of course, some people would be happy to share those data, right? We do it all the time to get better traffic information. We could potentially be getting much better health care and health apps by freely sharing our information.\u003c/strong>\u003c/p>\n\u003cp>Of course! Not all consumers want their data to be locked up and in silos and kept confidential. I went to a conference at Stanford last month, and a bunch of patients there wanted their data to be open and free. One good thing about health going online is you have patient communities with chronic or difficult diseases where patients can find and help each other.\u003c/p>\n\u003cp>But there are certain egregious practices [from data brokers] that are predatory and abusive. It's very tricky to come up with a legal system that will work for everybody.\u003c/p>\n\u003cp>\u003cstrong>So, say I'm a consumer who wants to use these apps. How do I check and make sure that my data are protected to my satisfaction? \u003c/strong>\u003c/p>\n\u003cp>It depends on your level of concern. If it's very sensitive and you're very concerned, I wouldn't use an app unless it's from a traditional provider. If you're going to a hospital and they have an app that allows you to access records, which should be protected by definition.\u003c/p>\n\u003cp>If you're downloading ... fitness tracking, health, lifestyle apps or even apps for chronic disease that aren't being offered by traditional providers, there's a good chance it's not covered by HIPAA. If you are concerned, read the privacy policy. Unfortunately, they're written by lawyers and aren't always clear. That's a lot of work for a consumer. It's a very buyer-beware market.\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 story is part of the bonus material for NPR's podcast and show \u003c/em>\u003ca href=\"http://www.npr.org/podcasts/510307/invisibilia\">Invisibilia\u003c/a>,\u003cem> which this week tells the tale of a woman who used a blood-glucose monitoring app to track the health of her twin sister from afar.\u003c/em>\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2016 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=How+Your+Health+Data+Lead+A+Not-So-Secret+Life+Online&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/215970/privacy-regulations-dont-cover-most-health-apps","authors":["byline_futureofyou_215970"],"categories":["futureofyou_452","futureofyou_1"],"tags":["futureofyou_285","futureofyou_424"],"featImg":"futureofyou_215971","label":"futureofyou"},"futureofyou_125023":{"type":"posts","id":"futureofyou_125023","meta":{"index":"posts_1591205157","site":"futureofyou","id":"125023","score":null,"sort":[1457550007000]},"guestAuthors":[],"slug":"your-health-app-could-be-selling-your-personal-health-data","title":"Your Health App Could Be Selling Your Personal Health Data","publishDate":1457550007,"format":"standard","headTitle":"KQED Future of You | KQED Science","labelTerm":{"site":"futureofyou"},"content":"\u003cp>Truth: Who actually reads the permissions for every app before agreeing to them?\u003c/p>\n\u003cp>Turns out that, unlike every other entity that collects your health information and makes you read privacy policies \u003cem>ad nauseum\u003c/em>, apps do not generally have to abide by federal health privacy laws. And many health apps are taking advantage of that to share sensitive health information with advertisers and other third parties, according to a \u003ca href=\"http://jama.jamanetwork.com/article.aspx?articleid=2499265\" target=\"_blank\">new study\u003c/a> in \u003ca href=\"http://jama.jamanetwork.com/journal.aspx\" target=\"_blank\">The Journal of the American Medical Association\u003c/a>.\u003c/p>\n\u003caside class=\"pullquote alignright\">'Once your health information gets leaked, anyone can access it and you no longer have control.'\u003ccite>Sarah Blenner,\u003cbr>\nUCLA Fielding School of Public Health\u003c/cite>\u003c/aside>\n\u003cp>The study found it was rare that people who downloaded any of the diabetes apps studied could exert control over how it used their private health information. Only four of 211 apps said they would ask users for permission to share data. And 81 percent of the apps had no privacy policy at all.\u003c/p>\n\u003cp>\"It's very troubling.\" says lead author and lawyer Sarah Blenner, a project manager at the UCLA Fielding School of Public Health.\u003c/p>\n\u003cp>Blenner led the project when she was at the Illinois Institute of Technology's Chicago-Kent College of Law, and focused on diabetes apps because diabetes and consumer privacy were the two major areas of concern for her team.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The researchers found even the apps that had privacy policies didn't do much to safeguard privacy. Eighty percent of the privacy policies authorized the app to collect sensitive health information, and nearly half the policies authorized the app to share personal health data with third parties.\u003c/p>\n\u003cp>To find out whether the apps actually shared all this information, Blenner and her colleagues conducted a sort of covert op.\u003c/p>\n\u003cp>After they examined permissions and privacy policies for all 211 diabetes apps available on Android over a period of six months, researchers chose a random subset of 65 apps they monitored surreptitiously to find how they used people's personal health information.\u003c/p>\n\u003cp>More than 75 percent of the apps in the subset -- both those with privacy policies and those without -- routinely collected and shared the sensitive health data, such as blood glucose and insulin levels. Once the app shared the information, Blenner and her colleagues couldn't follow where it went next, but she says at that point, it could continue to be shared and sold multiple times.\u003c/p>\n\u003cp>Further, the apps could have been sweeping up wide swaths of personal information, depending on what the user was tracking: food and exercise, perhaps, or useful websites and doctors.\u003c/p>\n\u003cp>\"All of that can be shared or leaked with third parties,\" Blenner says. \"Once your health information gets leaked, anyone can access it and you no longer have control.\"\u003c/p>\n\u003cp>Equally startling was the range of activities the apps were authorized to conduct inside the user's phone. These activities were embedded in the permissions users have to agree to in order to download the app. Of the 211 apps, 64 precent were authorized to modify or delete any of the content stored on your phone.\u003c/p>\n\u003cp>And a creepy fraction of the apps -- 11 percent or less -- were authorized to turn on your phone's camera and take pictures and videos, call and modify your contacts, read or write your call log, and record your phone calls. One of the apps using these creepy permissions sounds otherwise bland; Blenner says it offered recipes as its only content.\u003c/p>\n\u003cp>While the study looked at a limited subset of health apps, it points to glaring deficiencies in privacy law and troubling practices that any health app can legally participate in.\u003c/p>\n\u003cp>As the study summed it up, health professionals should consider privacy implications before they recommend a health app, and patients cannot generally assume their health information is private once they enter it into an app.\u003c/p>\n\u003cp>If you do want to find a health app's privacy policy, fair warning that it's apparently not always easy. Blenner says some privacy policies were included in the description of the app, others made you click on a link to read the policy, and still others the researchers found only by figuring out who developed the app and going to the developer's website.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>In other words, while your doctors and other health professionals are generating reams of paperwork to protect your sensitive health information, that same information on your phone could be streaming off to who knows where.\u003c/p>\n\n","blocks":[],"excerpt":"Only four of 211 diabetes apps said they would ask users for permission to share data. ","status":"publish","parent":0,"modified":1476934928,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":19,"wordCount":737},"headData":{"title":"Your Health App Could Be Selling Your Personal Health Data | KQED","description":"Only four of 211 diabetes apps said they would ask users for permission to share data. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Your Health App Could Be Selling Your Personal Health Data","datePublished":"2016-03-09T19:00:07.000Z","dateModified":"2016-10-20T03:42:08.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"125023 http://ww2.kqed.org/futureofyou/?p=125023","disqusUrl":"https://ww2.kqed.org/futureofyou/2016/03/09/your-health-app-could-be-selling-your-personal-health-data/","disqusTitle":"Your Health App Could Be Selling Your Personal Health Data","path":"/futureofyou/125023/your-health-app-could-be-selling-your-personal-health-data","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Truth: Who actually reads the permissions for every app before agreeing to them?\u003c/p>\n\u003cp>Turns out that, unlike every other entity that collects your health information and makes you read privacy policies \u003cem>ad nauseum\u003c/em>, apps do not generally have to abide by federal health privacy laws. And many health apps are taking advantage of that to share sensitive health information with advertisers and other third parties, according to a \u003ca href=\"http://jama.jamanetwork.com/article.aspx?articleid=2499265\" target=\"_blank\">new study\u003c/a> in \u003ca href=\"http://jama.jamanetwork.com/journal.aspx\" target=\"_blank\">The Journal of the American Medical Association\u003c/a>.\u003c/p>\n\u003caside class=\"pullquote alignright\">'Once your health information gets leaked, anyone can access it and you no longer have control.'\u003ccite>Sarah Blenner,\u003cbr>\nUCLA Fielding School of Public Health\u003c/cite>\u003c/aside>\n\u003cp>The study found it was rare that people who downloaded any of the diabetes apps studied could exert control over how it used their private health information. Only four of 211 apps said they would ask users for permission to share data. And 81 percent of the apps had no privacy policy at all.\u003c/p>\n\u003cp>\"It's very troubling.\" says lead author and lawyer Sarah Blenner, a project manager at the UCLA Fielding School of Public Health.\u003c/p>\n\u003cp>Blenner led the project when she was at the Illinois Institute of Technology's Chicago-Kent College of Law, and focused on diabetes apps because diabetes and consumer privacy were the two major areas of concern for her team.\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 even the apps that had privacy policies didn't do much to safeguard privacy. Eighty percent of the privacy policies authorized the app to collect sensitive health information, and nearly half the policies authorized the app to share personal health data with third parties.\u003c/p>\n\u003cp>To find out whether the apps actually shared all this information, Blenner and her colleagues conducted a sort of covert op.\u003c/p>\n\u003cp>After they examined permissions and privacy policies for all 211 diabetes apps available on Android over a period of six months, researchers chose a random subset of 65 apps they monitored surreptitiously to find how they used people's personal health information.\u003c/p>\n\u003cp>More than 75 percent of the apps in the subset -- both those with privacy policies and those without -- routinely collected and shared the sensitive health data, such as blood glucose and insulin levels. Once the app shared the information, Blenner and her colleagues couldn't follow where it went next, but she says at that point, it could continue to be shared and sold multiple times.\u003c/p>\n\u003cp>Further, the apps could have been sweeping up wide swaths of personal information, depending on what the user was tracking: food and exercise, perhaps, or useful websites and doctors.\u003c/p>\n\u003cp>\"All of that can be shared or leaked with third parties,\" Blenner says. \"Once your health information gets leaked, anyone can access it and you no longer have control.\"\u003c/p>\n\u003cp>Equally startling was the range of activities the apps were authorized to conduct inside the user's phone. These activities were embedded in the permissions users have to agree to in order to download the app. Of the 211 apps, 64 precent were authorized to modify or delete any of the content stored on your phone.\u003c/p>\n\u003cp>And a creepy fraction of the apps -- 11 percent or less -- were authorized to turn on your phone's camera and take pictures and videos, call and modify your contacts, read or write your call log, and record your phone calls. One of the apps using these creepy permissions sounds otherwise bland; Blenner says it offered recipes as its only content.\u003c/p>\n\u003cp>While the study looked at a limited subset of health apps, it points to glaring deficiencies in privacy law and troubling practices that any health app can legally participate in.\u003c/p>\n\u003cp>As the study summed it up, health professionals should consider privacy implications before they recommend a health app, and patients cannot generally assume their health information is private once they enter it into an app.\u003c/p>\n\u003cp>If you do want to find a health app's privacy policy, fair warning that it's apparently not always easy. Blenner says some privacy policies were included in the description of the app, others made you click on a link to read the policy, and still others the researchers found only by figuring out who developed the app and going to the developer's website.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>In other words, while your doctors and other health professionals are generating reams of paperwork to protect your sensitive health information, that same information on your phone could be streaming off to who knows where.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/125023/your-health-app-could-be-selling-your-personal-health-data","authors":["235"],"categories":["futureofyou_1060"],"tags":["futureofyou_80","futureofyou_285"],"featImg":"futureofyou_125024","label":"futureofyou"},"futureofyou_99934":{"type":"posts","id":"futureofyou_99934","meta":{"index":"posts_1591205157","site":"futureofyou","id":"99934","score":null,"sort":[1453226947000]},"guestAuthors":[],"slug":"review-under-armours-fitness-gadgets-need-to-shape-up","title":"Review: Under Armour's Fitness Gadgets Need to Shape Up","publishDate":1453226947,"format":"standard","headTitle":"Review | Future of You | KQED Future of You | KQED Science","labelTerm":{"term":54,"site":"futureofyou"},"content":"\u003cp>You may know Under Armour mostly for its heavily marketed line of athletic sportswear. But the company has bigger ambitions: It's jumping into the crowded market for wearable gadgets that aim to help both athletes and couch potatoes track their fitness.\u003c/p>\n\u003cp>Its $400 package, called the UA HealthBox, comes out this Friday. Made in partnership with gadget maker HTC, the HealthBox has a wrist tracker, a heart-rate chest strap and a wireless bathroom scale. Other components — including shoes embedded with tracking sensors — are on the way.\u003c/p>\n\u003cp>That's a lot of goodies, even for an avid runner like me, who's accustomed to wearing multiple watches to track workouts. But does it make sense to get all these gadgets from one company? Under Armour isn't first with any of these, and rival products do many things as well or better.\u003c/p>\n\u003cp>To find out, I tested Under Armour's products and apps over more than 300 miles of running, including seven races over the past two weeks at Florida's Disney World and California's Disneyland.\u003c/p>\n\u003cp>___\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>FOR EXERCISE\u003c/p>\n\u003cp>On its face, the UA Band is just another wristworn fitness tracker for measuring steps, sleep and heart rate. And there's an asterisk, too: The device disables heart-rate tracking during runs and spin class. Under Armour wants you to use its UA Heart Rate chest strap instead, as wrist sensors aren't as reliable.\u003c/p>\n\u003cp>Although the chest strap is a pain to wear, there's an advantage to having those devices working together. A small light on the Band changes color as your pulse increases with workout intensity.\u003c/p>\n\u003cp>I aimed for the highest intensity — red — during shorter races, but for full and half marathons, red meant I wasn't conserving enough energy for the final miles. The colored lights help make up for the fact that the Band's display is hard to read during runs.\u003c/p>\n\u003cp>Although the Band doesn't have GPS, it does an adequate job at measuring distance during workouts. It does borrow your phone's GPS to track route information.\u003c/p>\n\u003cp>___\u003c/p>\n\u003cp>FOR SLEEP\u003c/p>\n\u003cp>The Band's battery lasts a few days under normal use, which is comparable to Fitbits, but longer than smartwatches and Microsoft's Band 2 fitness tracker. You can recharge halfway in just 15 minutes, which is important if you're wearing the gadget all night.\u003c/p>\n\u003cp>As is typical with fitness trackers, the Band automatically detects how long and how well you sleep. It goes further in singling out your last pulse reading before you wake up. That's your resting heart rate; a high rate could suggest overtraining — or simply that you're out of shape.\u003c/p>\n\u003cp>___\u003c/p>\n\u003cp>FOR WEIGHT CONTROL\u003c/p>\n\u003cp>The UA Scale syncs weight and body-fat percentage with the company's UA Record app, so you can track your weight. Because it's a pain to log every single meal, Record lets you simply rate the day's meals as light, medium or heavy — though it doesn't distinguish between calories from vegetables or junk food.\u003c/p>\n\u003cp>Though charts help you monitor trends, there's none that clearly connects calorie intake and exercise to weight. Under Armour says it's working on that, but there's no firm date.\u003c/p>\n\u003cp>___\u003c/p>\n\u003cp>THE ADD-ONS\u003c/p>\n\u003cp>The three HealthBox devices are sold separately, but because they are designed to work together, Under Armour is pushing the $400 package.\u003c/p>\n\u003cp>The company has also partnered with audio maker Harman to make $250 wireless earphones with heart-rate tracking through the ear. It's not coming until this spring, and Under Armour is still testing whether measurements are good enough to offer similar color tracking on the Band. I would prefer that over a chest strap. (For now, Under Armour has earphones without the heart rate for $70 less.)\u003c/p>\n\u003cp>Also coming down the pike are shoes with built-in sensors for tracking runs. Ideally, these might let you ditch your phone and other GPS devices — at least so long as you hit a pace of 10 minutes per mile or faster. That's a high threshold for many recreational runners.\u003c/p>\n\u003cp>As a slowpoke, I got credit for only 14.3 of the 26.2 miles in a marathon. And it broke the marathon into two, possibly because I stopped midway to ride a roller coaster. That's one flaw with automated tracking. Normally, you can just hit pause and resume.\u003c/p>\n\u003cp>If you have the phone with you, the shoes work with the company's MapMyRun app to give steadier pace readings, as those based on GPS can be erratic. Under Armour is still working to get that data displayed on the Band. Again, this feels like a beginning.\u003c/p>\n\u003cp>___\u003c/p>\n\u003cp>THE APPS\u003c/p>\n\u003cp>The dashboard of the UA Record app is divided into four quadrants for sleep, calories, workouts and daily steps. A circle in the middle is for your weight — normally hidden so you can take screenshots to boast to your friends. While other fitness apps tend to make you fish around for information, the Record's quadrant design gives you a nice summary, and you can tap on any to dig deeper.\u003c/p>\n\u003cp>Even if you don't own any Under Armour gadgets, the free app will pull in data from Fitbit, Garmin, Jawbone and other accounts. You still need your device's app to sync data, though. And this could lead to double and triple counting your exercise totals.\u003c/p>\n\u003cp>The app is also supposed to tap IBM's Watson artificial-intelligence system to analyze your wellness patterns and make recommendations. Here, the \"insights\" I've gotten so far seem more like broad observations applicable to men in my age group than anything personalized. The company says personalization will come later.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>For Under Armour to compete with more established gadget companies, including Fitbit, Garmin and Apple, its devices and apps need to do much more together than products that work individually. In my weeks of testing, I see the beginnings of how all this syncing can help. But it's just that for now — a beginning.\u003c/p>\n\n","blocks":[],"excerpt":"AP's technology writer says the athletic sportswear company's new package of wearable devices needs more work.","status":"publish","parent":0,"modified":1477272154,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":33,"wordCount":1022},"headData":{"title":"Review: Under Armour's Fitness Gadgets Need to Shape Up | KQED","description":"AP's technology writer says the athletic sportswear company's new package of wearable devices needs more work.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Review: Under Armour's Fitness Gadgets Need to Shape Up","datePublished":"2016-01-19T18:09:07.000Z","dateModified":"2016-10-24T01:22:34.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"99934 http://ww2.kqed.org/futureofyou/?p=99934","disqusUrl":"https://ww2.kqed.org/futureofyou/2016/01/19/review-under-armours-fitness-gadgets-need-to-shape-up/","disqusTitle":"Review: Under Armour's Fitness Gadgets Need to Shape Up","nprByline":"Anick Jesdanun\u003cbr />Associated Press ","path":"/futureofyou/99934/review-under-armours-fitness-gadgets-need-to-shape-up","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>You may know Under Armour mostly for its heavily marketed line of athletic sportswear. But the company has bigger ambitions: It's jumping into the crowded market for wearable gadgets that aim to help both athletes and couch potatoes track their fitness.\u003c/p>\n\u003cp>Its $400 package, called the UA HealthBox, comes out this Friday. Made in partnership with gadget maker HTC, the HealthBox has a wrist tracker, a heart-rate chest strap and a wireless bathroom scale. Other components — including shoes embedded with tracking sensors — are on the way.\u003c/p>\n\u003cp>That's a lot of goodies, even for an avid runner like me, who's accustomed to wearing multiple watches to track workouts. But does it make sense to get all these gadgets from one company? Under Armour isn't first with any of these, and rival products do many things as well or better.\u003c/p>\n\u003cp>To find out, I tested Under Armour's products and apps over more than 300 miles of running, including seven races over the past two weeks at Florida's Disney World and California's Disneyland.\u003c/p>\n\u003cp>___\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>FOR EXERCISE\u003c/p>\n\u003cp>On its face, the UA Band is just another wristworn fitness tracker for measuring steps, sleep and heart rate. And there's an asterisk, too: The device disables heart-rate tracking during runs and spin class. Under Armour wants you to use its UA Heart Rate chest strap instead, as wrist sensors aren't as reliable.\u003c/p>\n\u003cp>Although the chest strap is a pain to wear, there's an advantage to having those devices working together. A small light on the Band changes color as your pulse increases with workout intensity.\u003c/p>\n\u003cp>I aimed for the highest intensity — red — during shorter races, but for full and half marathons, red meant I wasn't conserving enough energy for the final miles. The colored lights help make up for the fact that the Band's display is hard to read during runs.\u003c/p>\n\u003cp>Although the Band doesn't have GPS, it does an adequate job at measuring distance during workouts. It does borrow your phone's GPS to track route information.\u003c/p>\n\u003cp>___\u003c/p>\n\u003cp>FOR SLEEP\u003c/p>\n\u003cp>The Band's battery lasts a few days under normal use, which is comparable to Fitbits, but longer than smartwatches and Microsoft's Band 2 fitness tracker. You can recharge halfway in just 15 minutes, which is important if you're wearing the gadget all night.\u003c/p>\n\u003cp>As is typical with fitness trackers, the Band automatically detects how long and how well you sleep. It goes further in singling out your last pulse reading before you wake up. That's your resting heart rate; a high rate could suggest overtraining — or simply that you're out of shape.\u003c/p>\n\u003cp>___\u003c/p>\n\u003cp>FOR WEIGHT CONTROL\u003c/p>\n\u003cp>The UA Scale syncs weight and body-fat percentage with the company's UA Record app, so you can track your weight. Because it's a pain to log every single meal, Record lets you simply rate the day's meals as light, medium or heavy — though it doesn't distinguish between calories from vegetables or junk food.\u003c/p>\n\u003cp>Though charts help you monitor trends, there's none that clearly connects calorie intake and exercise to weight. Under Armour says it's working on that, but there's no firm date.\u003c/p>\n\u003cp>___\u003c/p>\n\u003cp>THE ADD-ONS\u003c/p>\n\u003cp>The three HealthBox devices are sold separately, but because they are designed to work together, Under Armour is pushing the $400 package.\u003c/p>\n\u003cp>The company has also partnered with audio maker Harman to make $250 wireless earphones with heart-rate tracking through the ear. It's not coming until this spring, and Under Armour is still testing whether measurements are good enough to offer similar color tracking on the Band. I would prefer that over a chest strap. (For now, Under Armour has earphones without the heart rate for $70 less.)\u003c/p>\n\u003cp>Also coming down the pike are shoes with built-in sensors for tracking runs. Ideally, these might let you ditch your phone and other GPS devices — at least so long as you hit a pace of 10 minutes per mile or faster. That's a high threshold for many recreational runners.\u003c/p>\n\u003cp>As a slowpoke, I got credit for only 14.3 of the 26.2 miles in a marathon. And it broke the marathon into two, possibly because I stopped midway to ride a roller coaster. That's one flaw with automated tracking. Normally, you can just hit pause and resume.\u003c/p>\n\u003cp>If you have the phone with you, the shoes work with the company's MapMyRun app to give steadier pace readings, as those based on GPS can be erratic. Under Armour is still working to get that data displayed on the Band. Again, this feels like a beginning.\u003c/p>\n\u003cp>___\u003c/p>\n\u003cp>THE APPS\u003c/p>\n\u003cp>The dashboard of the UA Record app is divided into four quadrants for sleep, calories, workouts and daily steps. A circle in the middle is for your weight — normally hidden so you can take screenshots to boast to your friends. While other fitness apps tend to make you fish around for information, the Record's quadrant design gives you a nice summary, and you can tap on any to dig deeper.\u003c/p>\n\u003cp>Even if you don't own any Under Armour gadgets, the free app will pull in data from Fitbit, Garmin, Jawbone and other accounts. You still need your device's app to sync data, though. And this could lead to double and triple counting your exercise totals.\u003c/p>\n\u003cp>The app is also supposed to tap IBM's Watson artificial-intelligence system to analyze your wellness patterns and make recommendations. Here, the \"insights\" I've gotten so far seem more like broad observations applicable to men in my age group than anything personalized. The company says personalization will come later.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>For Under Armour to compete with more established gadget companies, including Fitbit, Garmin and Apple, its devices and apps need to do much more together than products that work individually. In my weeks of testing, I see the beginnings of how all this syncing can help. But it's just that for now — a beginning.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/99934/review-under-armours-fitness-gadgets-need-to-shape-up","authors":["byline_futureofyou_99934"],"programs":["futureofyou_54"],"series":["futureofyou_252"],"categories":["futureofyou_1060"],"tags":["futureofyou_711","futureofyou_285","futureofyou_710"],"featImg":"futureofyou_99936","label":"futureofyou_54"},"futureofyou_2712":{"type":"posts","id":"futureofyou_2712","meta":{"index":"posts_1591205157","site":"futureofyou","id":"2712","score":null,"sort":[1431019389000]},"guestAuthors":[],"slug":"how-these-mobile-apps-are-helping-couples-conceive","title":"How These Mobile Apps are Helping Couples Conceive","publishDate":1431019389,"format":"image","headTitle":"Women’s Health | KQED Future of You | KQED Science","labelTerm":{"term":219,"site":"futureofyou"},"content":"\u003cp>Mobile devices are teaching modern women something their ancient counterparts knew thousands of years ago: How to track fertility.\u003c/p>\n\u003cp>This may seem like a niche opportunity, but a sizable chunk of the U.S. population suffers from fertility issues. According to the \u003ca href=\"http://www.cdc.gov/nchs/fastats/infertility.htm\">Centers for Disease Control and Prevention, \u003c/a>6.7 million women in the U.S. struggle with infertility, representing 10.9 percent of women aged 15 to 44.\u003c/p>\n\u003cp>About one-third of these cases is \u003ca href=\"https://www.centerforhumanreprod.com/infertilityedu/causes/unexplained/\">diagnosed as “unexplained infertility,”\u003c/a> meaning that doctors can find no underlying cause from diagnostic testing.\u003c/p>\n\u003cp>Over the past fifty years, the medical community has developed an arsenal of methods to overcome reproductive hurdles. Women can choose to freeze their eggs, take fertility drugs, get artificially inseminated, use a surrogate, or undergo in vitro fertilization (IVF) -- all options that cost tens, or even hundreds of thousands, of dollars.\u003c/p>\n\u003cp>However, when a woman struggles to conceive, a gap exists between the “keep trying” strategy and the decision to shell out a year’s salary or more for fertility treatments.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>A new crop of fertility startups are working to bridge the gap.\u003c/p>\n\u003cfigure id=\"attachment_2787\" class=\"wp-caption alignleft\" style=\"max-width: 353px\">\u003cimg class=\" wp-image-2787\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/05/Unknown-1-450x600.jpeg\" alt=\"Kindara user Abby WInship\" width=\"353\" height=\"471\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/05/Unknown-1-450x600.jpeg 450w, https://ww2.kqed.org/app/uploads/sites/13/2015/05/Unknown-1-400x533.jpeg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/05/Unknown-1-885x1180.jpeg 885w, https://ww2.kqed.org/app/uploads/sites/13/2015/05/Unknown-1-1180x1573.jpeg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/05/Unknown-1-960x1280.jpeg 960w\" sizes=\"(max-width: 353px) 100vw, 353px\">\u003cfigcaption class=\"wp-caption-text\">Kindara user Abby WInship \u003ccite>(Kindara)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“There is not much in the middle between doing nothing and undergoing assistive reproductive treatments, which can be quite invasive and stressful,\" said Will Sacks, cofounder and chief executive of a mobile app called \u003ca href=\"https://www.kindara.com/\">Kindara Health.\u003c/a>\u003c/p>\n\u003cp>Kindara, along with fellow fertility startups, are leveraging mobile devices, connected hardware and reproductive science to help women take their fertility into their own hands.\u003c/p>\n\u003cp>Kindara’s mobile product is based on \"\u003ca href=\"http://www.plannedparenthood.org/learn/birth-control/fertility-awareness\">Fertility Awareness Methods\u003c/a>\" where women chart their primary fertility signs to gauge what time of the month they are most fertile. Based on that data, Kindara provides charts that show women where they are in their cycle and their corresponding fertility levels.\u003c/p>\n\u003cp>In addition to the app, Kindara recently released a \u003ca href=\"https://kindara.com/wink\">connected fertility thermometer\u003c/a> called Wink that reads basal body temperature and automatically syncs that data to the app.\u003c/p>\n\u003cp>Sacks said Kindara’s overarching goal is to help women better understand their reproductive health, whether or not they are trying to get pregnant.\u003c/p>\n\u003cp>“The cultural messaging to women is that your body is owned partially by the state, partially by God, and it is a scary black box that it is best to ignore or stay away from,” Sacks said. “As a result, so many women never really have a relationship with their cycle or understand it.”\u003c/p>\n\u003cp>\u003cstrong>Can These Apps Help Women Get Pregnant? \u003c/strong>\u003c/p>\n\u003cp>Sacks founded Kindara with his girlfriend Kati Bicknell after the couple began practicing fertility awareness as an alternative to conventional birth control methods.\u003c/p>\n\u003cp>They realized there was a serious lack of available information about fertility awareness and wanted to build a company that made it easier to learn about and adhere to. While their initial interest was in tracking physiological signs as a form of birth control, 60 percent of women using Kindara are trying to get pregnant. According to Sacks, the app has helped over 60,000 women get pregnant since its launch two years ago.\u003c/p>\n\u003cfigure id=\"attachment_2788\" class=\"wp-caption alignright\" style=\"max-width: 436px\">\u003cimg class=\" wp-image-2788\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/05/Unknown-2.jpeg\" alt=\"Kirsten Karchmer, CEO of the Conceivable app\" width=\"436\" height=\"301\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/05/Unknown-2.jpeg 745w, https://ww2.kqed.org/app/uploads/sites/13/2015/05/Unknown-2-400x276.jpeg 400w\" sizes=\"(max-width: 436px) 100vw, 436px\">\u003cfigcaption class=\"wp-caption-text\">Kirsten Karchmer, CEO of the Conceivable app \u003ccite>(Conceivable)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Unlike Sacks, who admittedly knew nothing about fertility until somewhat recently, Kirsten Hurder-Karchmer had 15 years of experience running one of the largest fertility wellness clinics in North America before founding her fertility startup, \u003ca href=\"https://www.conceivable.com/\">Conceivable\u003c/a>. Austin, Texas-based Hurder-Karchmer is a reproductive acupuncturist who specializes in integrating Eastern and Western medicine to improve reproductive health.\u003c/p>\n\u003cp>Conceivable offers a version of her fertility program that is delivered via a mobile app. It addresses three key areas: Menstrual cycle, lifestyle, and mindfulness -- all \u003ca href=\"https://conceivable-static.s3.amazonaws.com/media/The_Science_Behind_Conceivable.pdf\">based on the findings of dozens of studies from peer-reviewed journals.\u003c/a>\u003c/p>\n\u003cp>“Lifestyle matters more than people think when it comes to getting pregnant,” Hurder-Karchmer said. “Diet, water consumption, weight, how active you are, your alcohol and tobacco use -- all these factors affect your fertility.\"\u003c/p>\n\u003cp>A\u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/18226626\"> team of Harvard researchers\u003c/a> found that replacing animal sources of protein with vegetable sources of protein can reduce the risk of ovulatory infertility. \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/9797089\">A study from Hopkins\u003c/a> found that women who are attempting to conceive should abstain from consuming alcohol. And \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/?term=Stress+reduces+conception+probabilities+across+the+fertile+window\">NIH researchers \u003c/a>discovered that stress significantly reduces the probability of conception.\u003c/p>\n\u003cp>The Conceivable app uses these findings and many others to help women adopt a lifestyle that optimizes their fertility. The app provides veggie-centric meal plans and recipes; helps regulate daily consumption of water, soda, and alcoholic drinks; tracks sleeping patterns and exercise; and promotes therapeutic practices to help reduce stress and anxiety.\u003c/p>\n\u003cp>Participants in the program also receive three distinct herbal remedies a month. The herbal approach has drawn plenty of skepticism from devotees of Western medicine, but \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/22036524\">there are some recent studies\u003c/a> that suggest it can help.\u003c/p>\n\u003cp>Loriana Aldama, who recently tried out Conceivable, said she got pregnant in seven months, after trying IVF twice. Her fertility doctor had told her that her chances were \"slim to nothing.\"\u003c/p>\n\u003cp>\u003cstrong>Fertility Tracking Apps are a Big Trend\u003c/strong>\u003c/p>\n\u003cp>There has been a veritable flowering of fertility tracking apps over the past couple years.\u003c/p>\n\u003cp>Other well-known apps in the space include \u003ca href=\"http://www.helloclue.com/\">Clue\u003c/a>, \u003ca href=\"http://www.ovuline.com/\">Ovia Fertility\u003c/a>, \u003ca href=\"https://www.fertilityfriend.com/iphone/\">Fertility Friend,\u003c/a> \u003ca href=\"https://itunes.apple.com/us/app/lily-your-personal-private/id400529549?mt=8\">Lily\u003c/a>, and \u003ca href=\"https://glowing.com/\">Glow\u003c/a>, to name a few. Glow rocketed this sector into the spotlight after its founder -- well-known entrepreneur and PayPal cofounder Max Levchin -- \u003ca href=\"http://allthingsd.com/20130529/max-levchins-glow-fertility-app-the-full-session-video/\">unveiled Glow at the AllThingsD (now Recode) conference\u003c/a>, where he created a stir by discussing “cervical mucus” on stage.\u003c/p>\n\u003cp>But Clue founder Ida Tin said that while interest in this space is exciting, there is still a long way to go.\u003c/p>\n\u003cp>“I think we have a menstruation revolution going on and it is all coming from startups,” Tin said.\u003c/p>\n\u003cp>“No big players in the field have taken this completely foundational part of human life and turned it into a really serious grown up digital product. Female health has been so under-served, even though it is one of the biggest areas for spending in the health industry.”\u003c/p>\n\u003cp>Rather than tracking basal body temperature and cervical mucus -- like Kindara, Ovia, and Glow -- Clue uses the calendar method, which forecasts fertility based on your last period’s start and end dates, as well as additional information like mood or cramps.\u003c/p>\n\u003cp>Each of these apps functions by collecting intimate, highly personal data, which raises questions about privacy.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"I think we have a menstruation revolution going on and it is all coming from startups.\"\u003cbr>\n\u003ccite>Ida Tin, founder of the Clue app\u003c/cite>\u003c/aside>\n\u003cp>Advertisers are already targeting consumers with offers based on their purchasing behavior. Back in 2012, \u003ca href=\"http://www.forbes.com/sites/kashmirhill/2012/02/16/how-target-figured-out-a-teen-girl-was-pregnant-before-her-father-did/\">Target set off a firestorm\u003c/a> when it figured out that a teen girl was pregnant based on her purchases -- before her father knew -- and sent her pregnancy and baby-related coupons in the mail. Data from these fertility apps would take those capabilities to a whole new level. Or what if an employer was able to access that data to discover if an employee was pregnant or trying to be? That information could affect hiring, promotion, or salary decisions.\u003c/p>\n\u003cp>However, Kindara user Abby Winship Hoyes said that the benefits of using the app outweighs her privacy concerns.\u003c/p>\n\u003cp>“I am aware of the potential privacy concerns, but frankly, they never bothered me,” she said.\u003c/p>\n\u003cp>“As far as I'm concerned, if someone wants to troll through my often inconsistent and sometimes inaccurate data, more power to them. I should hope that I wouldn't suffer any discrimination based on what this data says about me.”\u003c/p>\n\u003cp>\u003cstrong>Ancient Wisdom in a Mobile App?\u003c/strong>\u003c/p>\n\u003cp>Each of these startups is essentially channeling ancient wisdom about fertility into the form of a mobile app. The apps are using new technology to resurrect decidedly low-tech fertility practices that existed thousands of years before IVF, smartphones, or gynecologists.\u003c/p>\n\u003cp>While these mobile apps are certainly helping to provide women with more options, Dr. Richard Paulson said it is important to remember there is only so much they can do. Dr. Paulson is the President Elect of the \u003ca href=\"https://www.asrm.org/\">American Society for Reproductive Medicine\u003c/a> and a professor of reproductive medicine at the University of Southern California.\u003c/p>\n\u003cp>“In my mind, mobile apps fit in right at the beginning by helping people making sure the woman has regular ovulation and that they are having sex at the correct time,\" he said.\u003c/p>\n\u003cp>If there is some impediment preventing someone from getting pregnant, the apps won’t help, said Paulson. And more specialized treatments like IVF may become simpler, cheaper and less expensive.\u003c/p>\n\u003cp>Fertility is a spectrum. Most women are not exclusively fertile or infertile -- their fertility fluctuates depending on a complicated interplay of factors.\u003c/p>\n\u003cp>These mobile apps take varied, but similar approaches to helping women understand these fluctuations and empowering them to take their fertility into their own hands. However, if there are physiological impediments to getting pregnant -- such as endometriosis or blocked fallopian tubes -- a mobile app can only play a limited role in overcoming them.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>What they can help women overcome are social stigmas that keep them removed from their own reproductive health. We still live in a society where a \u003ca href=\"http://www.businessinsider.com/instagram-censored-a-photo-of-woman-on-her-period-2015-3\">modest image of period blood is considered obscene.\u003c/a> For the millions of women with“unexplained infertility,” those social impediments can be the tallest.\u003c/p>\n\n","blocks":[],"excerpt":"These mobile apps are leveraging mobile devices, connected hardware and reproductive science to help women take their fertility into their own hands.","status":"publish","parent":0,"modified":1477282647,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":44,"wordCount":1559},"headData":{"title":"How These Mobile Apps are Helping Couples Conceive | KQED","description":"These mobile apps are leveraging mobile devices, connected hardware and reproductive science to help women take their fertility into their own hands.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"How These Mobile Apps are Helping Couples Conceive","datePublished":"2015-05-07T17:23:09.000Z","dateModified":"2016-10-24T04:17:27.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"2712 http://ww2.kqed.org/futureofyou/?p=2712","disqusUrl":"https://ww2.kqed.org/futureofyou/2015/05/07/how-these-mobile-apps-are-helping-couples-conceive/","disqusTitle":"How These Mobile Apps are Helping Couples Conceive","path":"/futureofyou/2712/how-these-mobile-apps-are-helping-couples-conceive","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Mobile devices are teaching modern women something their ancient counterparts knew thousands of years ago: How to track fertility.\u003c/p>\n\u003cp>This may seem like a niche opportunity, but a sizable chunk of the U.S. population suffers from fertility issues. According to the \u003ca href=\"http://www.cdc.gov/nchs/fastats/infertility.htm\">Centers for Disease Control and Prevention, \u003c/a>6.7 million women in the U.S. struggle with infertility, representing 10.9 percent of women aged 15 to 44.\u003c/p>\n\u003cp>About one-third of these cases is \u003ca href=\"https://www.centerforhumanreprod.com/infertilityedu/causes/unexplained/\">diagnosed as “unexplained infertility,”\u003c/a> meaning that doctors can find no underlying cause from diagnostic testing.\u003c/p>\n\u003cp>Over the past fifty years, the medical community has developed an arsenal of methods to overcome reproductive hurdles. Women can choose to freeze their eggs, take fertility drugs, get artificially inseminated, use a surrogate, or undergo in vitro fertilization (IVF) -- all options that cost tens, or even hundreds of thousands, of dollars.\u003c/p>\n\u003cp>However, when a woman struggles to conceive, a gap exists between the “keep trying” strategy and the decision to shell out a year’s salary or more for fertility treatments.\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>A new crop of fertility startups are working to bridge the gap.\u003c/p>\n\u003cfigure id=\"attachment_2787\" class=\"wp-caption alignleft\" style=\"max-width: 353px\">\u003cimg class=\" wp-image-2787\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/05/Unknown-1-450x600.jpeg\" alt=\"Kindara user Abby WInship\" width=\"353\" height=\"471\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/05/Unknown-1-450x600.jpeg 450w, https://ww2.kqed.org/app/uploads/sites/13/2015/05/Unknown-1-400x533.jpeg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/05/Unknown-1-885x1180.jpeg 885w, https://ww2.kqed.org/app/uploads/sites/13/2015/05/Unknown-1-1180x1573.jpeg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/05/Unknown-1-960x1280.jpeg 960w\" sizes=\"(max-width: 353px) 100vw, 353px\">\u003cfigcaption class=\"wp-caption-text\">Kindara user Abby WInship \u003ccite>(Kindara)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“There is not much in the middle between doing nothing and undergoing assistive reproductive treatments, which can be quite invasive and stressful,\" said Will Sacks, cofounder and chief executive of a mobile app called \u003ca href=\"https://www.kindara.com/\">Kindara Health.\u003c/a>\u003c/p>\n\u003cp>Kindara, along with fellow fertility startups, are leveraging mobile devices, connected hardware and reproductive science to help women take their fertility into their own hands.\u003c/p>\n\u003cp>Kindara’s mobile product is based on \"\u003ca href=\"http://www.plannedparenthood.org/learn/birth-control/fertility-awareness\">Fertility Awareness Methods\u003c/a>\" where women chart their primary fertility signs to gauge what time of the month they are most fertile. Based on that data, Kindara provides charts that show women where they are in their cycle and their corresponding fertility levels.\u003c/p>\n\u003cp>In addition to the app, Kindara recently released a \u003ca href=\"https://kindara.com/wink\">connected fertility thermometer\u003c/a> called Wink that reads basal body temperature and automatically syncs that data to the app.\u003c/p>\n\u003cp>Sacks said Kindara’s overarching goal is to help women better understand their reproductive health, whether or not they are trying to get pregnant.\u003c/p>\n\u003cp>“The cultural messaging to women is that your body is owned partially by the state, partially by God, and it is a scary black box that it is best to ignore or stay away from,” Sacks said. “As a result, so many women never really have a relationship with their cycle or understand it.”\u003c/p>\n\u003cp>\u003cstrong>Can These Apps Help Women Get Pregnant? \u003c/strong>\u003c/p>\n\u003cp>Sacks founded Kindara with his girlfriend Kati Bicknell after the couple began practicing fertility awareness as an alternative to conventional birth control methods.\u003c/p>\n\u003cp>They realized there was a serious lack of available information about fertility awareness and wanted to build a company that made it easier to learn about and adhere to. While their initial interest was in tracking physiological signs as a form of birth control, 60 percent of women using Kindara are trying to get pregnant. According to Sacks, the app has helped over 60,000 women get pregnant since its launch two years ago.\u003c/p>\n\u003cfigure id=\"attachment_2788\" class=\"wp-caption alignright\" style=\"max-width: 436px\">\u003cimg class=\" wp-image-2788\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/05/Unknown-2.jpeg\" alt=\"Kirsten Karchmer, CEO of the Conceivable app\" width=\"436\" height=\"301\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/05/Unknown-2.jpeg 745w, https://ww2.kqed.org/app/uploads/sites/13/2015/05/Unknown-2-400x276.jpeg 400w\" sizes=\"(max-width: 436px) 100vw, 436px\">\u003cfigcaption class=\"wp-caption-text\">Kirsten Karchmer, CEO of the Conceivable app \u003ccite>(Conceivable)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Unlike Sacks, who admittedly knew nothing about fertility until somewhat recently, Kirsten Hurder-Karchmer had 15 years of experience running one of the largest fertility wellness clinics in North America before founding her fertility startup, \u003ca href=\"https://www.conceivable.com/\">Conceivable\u003c/a>. Austin, Texas-based Hurder-Karchmer is a reproductive acupuncturist who specializes in integrating Eastern and Western medicine to improve reproductive health.\u003c/p>\n\u003cp>Conceivable offers a version of her fertility program that is delivered via a mobile app. It addresses three key areas: Menstrual cycle, lifestyle, and mindfulness -- all \u003ca href=\"https://conceivable-static.s3.amazonaws.com/media/The_Science_Behind_Conceivable.pdf\">based on the findings of dozens of studies from peer-reviewed journals.\u003c/a>\u003c/p>\n\u003cp>“Lifestyle matters more than people think when it comes to getting pregnant,” Hurder-Karchmer said. “Diet, water consumption, weight, how active you are, your alcohol and tobacco use -- all these factors affect your fertility.\"\u003c/p>\n\u003cp>A\u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/18226626\"> team of Harvard researchers\u003c/a> found that replacing animal sources of protein with vegetable sources of protein can reduce the risk of ovulatory infertility. \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/9797089\">A study from Hopkins\u003c/a> found that women who are attempting to conceive should abstain from consuming alcohol. And \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/?term=Stress+reduces+conception+probabilities+across+the+fertile+window\">NIH researchers \u003c/a>discovered that stress significantly reduces the probability of conception.\u003c/p>\n\u003cp>The Conceivable app uses these findings and many others to help women adopt a lifestyle that optimizes their fertility. The app provides veggie-centric meal plans and recipes; helps regulate daily consumption of water, soda, and alcoholic drinks; tracks sleeping patterns and exercise; and promotes therapeutic practices to help reduce stress and anxiety.\u003c/p>\n\u003cp>Participants in the program also receive three distinct herbal remedies a month. The herbal approach has drawn plenty of skepticism from devotees of Western medicine, but \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/22036524\">there are some recent studies\u003c/a> that suggest it can help.\u003c/p>\n\u003cp>Loriana Aldama, who recently tried out Conceivable, said she got pregnant in seven months, after trying IVF twice. Her fertility doctor had told her that her chances were \"slim to nothing.\"\u003c/p>\n\u003cp>\u003cstrong>Fertility Tracking Apps are a Big Trend\u003c/strong>\u003c/p>\n\u003cp>There has been a veritable flowering of fertility tracking apps over the past couple years.\u003c/p>\n\u003cp>Other well-known apps in the space include \u003ca href=\"http://www.helloclue.com/\">Clue\u003c/a>, \u003ca href=\"http://www.ovuline.com/\">Ovia Fertility\u003c/a>, \u003ca href=\"https://www.fertilityfriend.com/iphone/\">Fertility Friend,\u003c/a> \u003ca href=\"https://itunes.apple.com/us/app/lily-your-personal-private/id400529549?mt=8\">Lily\u003c/a>, and \u003ca href=\"https://glowing.com/\">Glow\u003c/a>, to name a few. Glow rocketed this sector into the spotlight after its founder -- well-known entrepreneur and PayPal cofounder Max Levchin -- \u003ca href=\"http://allthingsd.com/20130529/max-levchins-glow-fertility-app-the-full-session-video/\">unveiled Glow at the AllThingsD (now Recode) conference\u003c/a>, where he created a stir by discussing “cervical mucus” on stage.\u003c/p>\n\u003cp>But Clue founder Ida Tin said that while interest in this space is exciting, there is still a long way to go.\u003c/p>\n\u003cp>“I think we have a menstruation revolution going on and it is all coming from startups,” Tin said.\u003c/p>\n\u003cp>“No big players in the field have taken this completely foundational part of human life and turned it into a really serious grown up digital product. Female health has been so under-served, even though it is one of the biggest areas for spending in the health industry.”\u003c/p>\n\u003cp>Rather than tracking basal body temperature and cervical mucus -- like Kindara, Ovia, and Glow -- Clue uses the calendar method, which forecasts fertility based on your last period’s start and end dates, as well as additional information like mood or cramps.\u003c/p>\n\u003cp>Each of these apps functions by collecting intimate, highly personal data, which raises questions about privacy.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"I think we have a menstruation revolution going on and it is all coming from startups.\"\u003cbr>\n\u003ccite>Ida Tin, founder of the Clue app\u003c/cite>\u003c/aside>\n\u003cp>Advertisers are already targeting consumers with offers based on their purchasing behavior. Back in 2012, \u003ca href=\"http://www.forbes.com/sites/kashmirhill/2012/02/16/how-target-figured-out-a-teen-girl-was-pregnant-before-her-father-did/\">Target set off a firestorm\u003c/a> when it figured out that a teen girl was pregnant based on her purchases -- before her father knew -- and sent her pregnancy and baby-related coupons in the mail. Data from these fertility apps would take those capabilities to a whole new level. Or what if an employer was able to access that data to discover if an employee was pregnant or trying to be? That information could affect hiring, promotion, or salary decisions.\u003c/p>\n\u003cp>However, Kindara user Abby Winship Hoyes said that the benefits of using the app outweighs her privacy concerns.\u003c/p>\n\u003cp>“I am aware of the potential privacy concerns, but frankly, they never bothered me,” she said.\u003c/p>\n\u003cp>“As far as I'm concerned, if someone wants to troll through my often inconsistent and sometimes inaccurate data, more power to them. I should hope that I wouldn't suffer any discrimination based on what this data says about me.”\u003c/p>\n\u003cp>\u003cstrong>Ancient Wisdom in a Mobile App?\u003c/strong>\u003c/p>\n\u003cp>Each of these startups is essentially channeling ancient wisdom about fertility into the form of a mobile app. The apps are using new technology to resurrect decidedly low-tech fertility practices that existed thousands of years before IVF, smartphones, or gynecologists.\u003c/p>\n\u003cp>While these mobile apps are certainly helping to provide women with more options, Dr. Richard Paulson said it is important to remember there is only so much they can do. Dr. Paulson is the President Elect of the \u003ca href=\"https://www.asrm.org/\">American Society for Reproductive Medicine\u003c/a> and a professor of reproductive medicine at the University of Southern California.\u003c/p>\n\u003cp>“In my mind, mobile apps fit in right at the beginning by helping people making sure the woman has regular ovulation and that they are having sex at the correct time,\" he said.\u003c/p>\n\u003cp>If there is some impediment preventing someone from getting pregnant, the apps won’t help, said Paulson. And more specialized treatments like IVF may become simpler, cheaper and less expensive.\u003c/p>\n\u003cp>Fertility is a spectrum. Most women are not exclusively fertile or infertile -- their fertility fluctuates depending on a complicated interplay of factors.\u003c/p>\n\u003cp>These mobile apps take varied, but similar approaches to helping women understand these fluctuations and empowering them to take their fertility into their own hands. However, if there are physiological impediments to getting pregnant -- such as endometriosis or blocked fallopian tubes -- a mobile app can only play a limited role in overcoming them.\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>What they can help women overcome are social stigmas that keep them removed from their own reproductive health. We still live in a society where a \u003ca href=\"http://www.businessinsider.com/instagram-censored-a-photo-of-woman-on-her-period-2015-3\">modest image of period blood is considered obscene.\u003c/a> For the millions of women with“unexplained infertility,” those social impediments can be the tallest.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/2712/how-these-mobile-apps-are-helping-couples-conceive","authors":["6620"],"series":["futureofyou_172","futureofyou_219"],"categories":["futureofyou_1060"],"tags":["futureofyou_288","futureofyou_290","futureofyou_286","futureofyou_283","futureofyou_138","futureofyou_287","futureofyou_289","futureofyou_80","futureofyou_285","futureofyou_284","futureofyou_275"],"featImg":"futureofyou_2786","label":"futureofyou_219"}},"programsReducer":{"possible":{"id":"possible","title":"Possible","info":"Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. 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