Introducing the Motivational Map

A single pixel browser

Pervasive is persuasive

Ambient Orb

3

SCE Implementation:

Off-Peak ------------------------- ----------------- Event Planned / Active

CA ISO Data

Exposing customers to energy prices flattens the demand curve

Customer satisfaction index

V I T A L I T Y

Vitality addresses each of the root causes of non-adherence

This is what non-adherence looks like... Each row is person, each column is a day. Red indicates a missed dose.

Control groups=70%

This is what adherence looks like with GlowCaps

Over 95%

Existing studies have quantified the cost-savings of high medication adherence:

ConditionLow adherence

care costsHigh adherence

care costssavings per

year

Diabetes $8,867 $4,570 $4,297 48%

High Cholesterol

$6,888 $3,924 $2,964 43%

High Blood pressure

$10,916 $6,752 $4,164 38%

Multiple ailments

$16,498 $8,886 $7,612 46%

Medical Care, 2005, vol. 43, no6, pp. 521-530 SOKOL Michael C. ; MCGUIGAN Kimberly A. ; VERBRUGGE Robert R. ; EPSTEIN Robert S.

“The smart pill cap will help you to remember with light, sound, and if you want, a reminder call.”

1) Pharmacist deliver medication in a GlowCap

2) At home, you plug in the reminder light.

3) Every day, the GlowCap and reminder light flash for an hour, then play a ring tone every few minutes until you open the cap.

4) If you forget, Vitality can call to remind you.

5) Weekly emails show which days you did, or didn’t, take a medication.

6) Every month you receive a printed progress report in the mail.

How do we personalize persuasion?

Are we motivated differently?

F1 F2 S1 S2

F3 F4 S3 S4

D1 D2 C1 C2

D3 D4 C3 C4

Financial incentives

F1 F2 S1 S2

F3 F4 S3 S4

D1 D2 C1 C2

D3 D4 C3 C4

Situational

F1 F2 S1 S2

F3 F4 S3 S4

D1 D2 C1 C2

D3 D4 C3 C4

PersonalityStyle

F1 F2 S1 S2

F3 F4 S3 S4

D1 D2 C1 C2

D3 D4 C3 C4

Social dynamics

Corresponding services each come at a cost...

$20

$20

$120 $.01$.01

$250$10$10$.01

$.01

$.01 $30

$5

$24

$2

...the persuasive effect is quantified and an ROI calculated.

Motivational Map Questions

Which of the 16 segments fold together? What’s missing?

How effective is tailoring over a randomized control?

If the survey is spread over time and modalities, is it perceived as less arduous, less intrusive?

How portable is this framework to other behavioral health goals? Let’s find out!

Motivational Map

email me to make your map: [email protected]@media.mit.edu