Shift Health Paradigms Daniel Penn COO/Co-Founder Shift Health Paradigms Sandy Whitehouse, MD Dept....

Shift Health Paradigms

Daniel PennCOO/Co-FounderShift Health Paradigms

Sandy Whitehouse, MDDept. PediatricsUniversity of British Columbia


Disclaimer

Dr. Sandy Whitehouse is a founder and shareholder of Shift Health Paradigms


Introduction

-Psychosocial screening in Adolescent Medicine, why and how

- Considerations in making an effective eHealth tool- co-creative process- addressing stakeholder needs- evaluation in a clinical setting


Asking adolescents about psychosocial risk in practice

Family doctors were trained with psychosocial interviews

Practices

40 902

Patients

80%Presented with physical reasons

90% had 1 or more psychosocial risksLena Sanci, Australian Association of Adolescent Health Meeting


Psychosocial risk in hospital settings

Surgical Wards

only 50% were asked

percentage of patients reporting concerns was

significant

Hayden W. Archives of Disease in Childhood


Challenges with HEADSS Interview

Time Consuming Documentation Challenges Personal and Individualized, but may

be incomplete

Can Be Uncomfortable


Development of a HEADSS Checklist

ASQ- Adolescent Screening QuestionnaireP. Lam, M.Yeo

Self administered

Paper

Challenge to quickly read responses

Secondary manual data entry

Poor Uptake:

25% (10/40) adolescents refusal higher in male patients

Patient experience

make questions more positive

some questions confusing

• Literacy and language• Secondary manual data entry


Is there a better way?


Who are the stakeholders? What are the goals?

Patients

Health Care Providers

Administrators

IT- Security and Regulatory


Communication DesignExperience Continuum in a clinical setting

Physical

Action

Social

Interaction

Emotional

Reaction

Before Arrive On Location Depart After


eHealth platform: TickiT


Co-creative process


Co Creation: User testingInitial extensive field testing

UBC StudyIcons and platform comprehensible across age, gender and ethnicity

Saewyc E, in press


Interactive Survey Templates


Survey Chapters


Doctor’s view


Flagging System

Red flags rapidly identify risks

Green flags help providers engage patients


Branch to the

Relevant Questions


Multiple Language

Support


TickiT Feasibility Study: BC Children’s Hospital and McMaster Hospital

N=80, age 12-18 years Dr Lam et al.

Co-Creation With TickiT: Designing and Evaluati2013;2(2):e42)

Co-Creation With TickiT: Designing and Evaluating a Clinical

eHealth Platform for Youth

(JMIR Res Protoc 2013;2(2):e42) doi:10.2196/resprot.2865


TickiT Feasibility Study: Physician Responses Dr Lam et al


A new era in Psychosocial Screening

Engaging all stakeholders critical Informed through Co-creative design processes

Evaluation using Triple Aim criteriaUnexpected results

Next steps- cost effective analysis

Shift Health Paradigms Daniel Penn COO/Co-Founder Shift Health Paradigms Sandy Whitehouse, MD Dept....

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