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But are the results translatable to real life?\u003c/aside>\n\u003cp>Now The Lancet Diabetes & Endocrinology has published a \u003ca href=\"http://www.thelancet.com/journals/landia/article/PIIS2213-8587(16)30284-4/fulltext\" target=\"_blank\">study\u003c/a> that found individuals who got cash or charity donation incentives to wear a Fitbit Zip activity tracker showed, after one year, no improvement in weight, blood pressure and other fitness measures\u003ca href=\"https://www.google.com/search?q=maximum+oxygen+consumption\" target=\"_blank\">.\u003c/a>\u003c/p>\n\u003cp>The study recruited 800 employees, aged 21-65, from 13 different companies in Singapore. It was designed to measure the Fitbits' impacts on health outcomes and how financial incentives affected peoples' use of the device.\u003c/p>\n\u003cp>Participants were randomly placed in four different groups, two of which were given the Fitbits plus weekly financial incentives, with a high of $30 awarded for logging 70,000 or more steps. Participants in one of the cash-incentive groups could keep the money; people in the other had to donate it to a charity of their choice. A third group got the Fitbit Zip and access to Fitbit's website but no incentives; and the fourth, a control group, was given no trackers, just some information about exercise.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The people who got to pocket the cash or donate it to charity logged more daily steps each week than the people in the non-incentivized groups. The cash group also saw a significantly smaller attrition rate -- after six months, just 12 percent of that group had stopped wearing the devices.\u003c/p>\n\u003cp>\u003cstrong>No Cash, No Fitbit\u003c/strong>\u003c/p>\n\u003cp>But the incentives stopped at the six-month mark. Over the six months after that, by the end of a full year from the study's start, 90 percent of participants in all groups had stopped wearing the devices.\u003c/p>\n\u003cp>And ... no one had a significant improvement in any health measure.\u003c/p>\n\u003cp>The researchers attributed the lack of improved health to the reality that an increase in steps does not necessarily translate to much of a boost in moderate-intensity and vigorous-intensity physical activity.\u003c/p>\n\u003cp>So what is the conclusion here?\u003c/p>\n\u003cp>\"Although other incentive strategies might generate greater increases in step activity and improvements in health outcomes,\" the researchers wrote, \"incentives would probably need to be in place long term to avoid any potential decrease in physical activity resulting from discontinuation.\"\u003c/p>\n\u003cp>The lack of any observable health benefits from use of the trackers, they wrote, called into question \"the value of these devices for health promotion.\"\u003c/p>\n\u003cp>\u003cstrong>Not So Fast ...\u003c/strong>\u003c/p>\n\u003cp>A different \u003ca href=\"http://preview.thenewsmarket.com/Previews/JOUR/DocumentAssets/448807.pdf\" target=\"_blank\">study\u003c/a> we mentioned earlier, published in \u003cem>JAMA \u003c/em>last month, found that those who were put on a weight-loss plan encompassing diet, exercise and counseling actually \u003cem>lost more weight\u003c/em> than those who were given the same plus a fitness tracker. That didn't look too good for Team Digital Health.\u003c/p>\n\u003cp>But not everyone thought the study was relevant. Aaron Coleman, founder and CEO of Fitabase, a company that makes data tools \"which make Fitbits awesome in research,\" published a \u003ca href=\"https://medium.com/@aaroncoleman/its-not-time-to-throw-away-your-fitbit-but-it-is-time-to-rethink-how-to-do-research-94dc498eb63f#.iy10v11qg\">piece\u003c/a> on Medium criticizing news reports that failed to note that the device the users gave participants is now obsolete.\u003c/p>\n\u003cblockquote>\u003cp>The problem? The device used in the intervention bears no resemblance to a “wearable” as we’d call it today. It was ... a discontinued, very clunky, very clinical looking arm strap and sensor brick called the Bodymedia FIT Core.\u003c/p>\n\u003cp id=\"7802\" class=\"graf graf--p graf-after--figure\">Even the amount of data collected in the study suggests that the term “wearable” may be a bit of a stretch, as on the days that participants wore the device, the median wear time was 4 hours (241.1 min/d to be exact).\u003c/p>\n\u003cp>To equate the user experience of today’s modern wearables, as many have done with this, got me a little sarcastic…\u003c/p>\u003c/blockquote>\n\u003cblockquote class=\"twitter-tweet\">\n\u003cp dir=\"ltr\" lang=\"en\">And in other news, online social networks don't work according to a new study of 300 people given MySpace accounts. \u003ca href=\"https://t.co/1J8GvdIP37\">https://t.co/1J8GvdIP37\u003c/a>\u003c/p>\n\u003cp>— Aaron Coleman (@aaronc) \u003ca href=\"https://twitter.com/aaronc/status/778594171036676096\">September 21, 2016\u003c/a>\u003c/p>\u003c/blockquote>\n\u003cp>But the study in \u003cem>The Lancet Diabetes & Endocrinology\u003c/em> does, indeed, use a newer if not the most advanced tracker, from the \u003ca href=\"http://www.idc.com/getdoc.jsp?containerId=prUS41284516\" target=\"_blank\">leading brand\u003c/a> in mobile health. This would seem to address Coleman's main quarrel with the earlier research. So we gave him a call to ask him what he thought.\u003c/p>\n\u003cp>\"They used an actual Fitbit in the intervention, which is an improvement over the last study in terms of trying to make it applicable to modern wearables,\" he says. But he didn't think the results could be \"generalized into day-to-day Fibit wearing.\"\u003c/p>\n\u003cp>In the case of Fitbits, Coleman contends, \"There's so many other components -- a social network component and having friends involved -- that make the experience.\"\u003c/p>\n\u003cp>He says taking more steps, which is what the study incentivized, is not necessarily the right goal. (He personally uses other measures such as heart rate in his fitness regimen.) And he thought the study's design did not equate to use of the devices in the real-world.\u003c/p>\n\u003cp>\"I don't know if incentivizing and handing them a device generalizes to daily life,\" he says.\u003c/p>\n\u003cp>As for Fitbit itself, the company issued a statement last week in response to the study. \"We are confident in the positive results our millions of users have seen from using Fitbit products,\" it read. The statement went on to say the company was in the process of improving its trackers.\u003c/p>\n\u003cp>The study's lead author, Eric Finkelstein, acknowledged that some of the newer fitness wearables have more advanced features, like exercise prompts and social media functions, but he still thinks it is unlikely people will radically change their exercise regimes without a more comprehensive approach.\u003c/p>\n\u003cp>“These trackers can encourage people to take more steps, but it still seems like these random extra steps aren’t enough to really improve your health,” he says.\u003c/p>\n\u003cp>Emmanuel Stamatakis, a physical activity expert at the University of Sydney, who was not part of the study, agreed. \"We should not be so naive to believe that simply by giving a sleek-looking gadget to someone, they will change deeply rooted lifestyle habits,\" he says.\u003c/p>\n\u003cp>In the meantime, Fitbit last week released a \u003ca href=\"https://www.springbuk.com/wearable-study/#top\" target=\"_blank\">case study \u003c/a>that it says shows employers can save money in health care costs if employees use the company's devices. The Verge critiques that study \u003ca href=\"http://www.theverge.com/2016/10/5/13176236/fitbit-study-corporate-wellness-health-care-savings\" target=\"_blank\">here\u003c/a>.\u003c/p>\n\u003cp>Fitabase also last week made public a \"\u003ca href=\"https://www.fitabase.com/research-library/\" target=\"_blank\">Fitbit Research Library\u003c/a>\" with 167 studies assessing or using the devices.\u003c/p>\n\u003cp>\u003cem>Associated Press contributed to this report.\u003c/em>\u003c/p>\n\u003cp> \u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp> \u003c/p>\n\n","blocks":[],"excerpt":"A study published last week found individuals incentivized to wear a Fitbit Zip tracker showed, after one year, no improvement in weight, blood pressure and cardiorespiratory fitness measures.","status":"publish","parent":0,"modified":1476206615,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":33,"wordCount":1164},"headData":{"title":"Is Fitbit Study Another Black Mark for Wearables? | KQED","description":"A study published last week found individuals incentivized to wear a Fitbit Zip tracker showed, after one year, no improvement in weight, blood pressure and cardiorespiratory fitness measures.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Is Fitbit Study Another Black Mark for Wearables?","datePublished":"2016-10-11T02:30:34.000Z","dateModified":"2016-10-11T17:23:35.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"257324 http://ww2.kqed.org/futureofyou/?p=257324","disqusUrl":"https://ww2.kqed.org/futureofyou/2016/10/10/is-fitbit-study-another-black-mark-for-wearables/","disqusTitle":"Is Fitbit Study Another Black Mark for Wearables?","source":"Hope/Hype","customPermalink":"2016/10/10/fitbit-study/","path":"/futureofyou/257324/is-fitbit-study-another-black-mark-for-wearables","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>A couple of weeks ago, it was a \u003ca href=\"http://jama.jamanetwork.com/article.aspx?articleid=2553448\" target=\"_blank\">study\u003c/a> published in JAMA, the Journal of the American Medical Association, that found an activity tracker \u003ca href=\"https://ww2.kqed.org/futureofyou/2016/09/20/weight-loss-study-finds-fitness-tracker-is-no-help/\" target=\"_blank\">failed to help users lose weight\u003c/a>.\u003c/p>\n\u003cp>Next came headlines like \"\u003ca class=\"_sQb\" href=\"http://www.cosmopolitan.com/health-fitness/a3617025/fitness-trackers-dont-help-you-lose-weight-after-all/\" target=\"_blank\">Fitness Trackers Don't Help You Lose Weight, After All\u003c/a>\" (in Cosmo, no less).\u003c/p>\n\u003caside class=\"pullquote alignright\">Study finds no improvement in health of Fitbit Zip users. But are the results translatable to real life?\u003c/aside>\n\u003cp>Now The Lancet Diabetes & Endocrinology has published a \u003ca href=\"http://www.thelancet.com/journals/landia/article/PIIS2213-8587(16)30284-4/fulltext\" target=\"_blank\">study\u003c/a> that found individuals who got cash or charity donation incentives to wear a Fitbit Zip activity tracker showed, after one year, no improvement in weight, blood pressure and other fitness measures\u003ca href=\"https://www.google.com/search?q=maximum+oxygen+consumption\" target=\"_blank\">.\u003c/a>\u003c/p>\n\u003cp>The study recruited 800 employees, aged 21-65, from 13 different companies in Singapore. It was designed to measure the Fitbits' impacts on health outcomes and how financial incentives affected peoples' use of the device.\u003c/p>\n\u003cp>Participants were randomly placed in four different groups, two of which were given the Fitbits plus weekly financial incentives, with a high of $30 awarded for logging 70,000 or more steps. Participants in one of the cash-incentive groups could keep the money; people in the other had to donate it to a charity of their choice. A third group got the Fitbit Zip and access to Fitbit's website but no incentives; and the fourth, a control group, was given no trackers, just some information about exercise.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The people who got to pocket the cash or donate it to charity logged more daily steps each week than the people in the non-incentivized groups. The cash group also saw a significantly smaller attrition rate -- after six months, just 12 percent of that group had stopped wearing the devices.\u003c/p>\n\u003cp>\u003cstrong>No Cash, No Fitbit\u003c/strong>\u003c/p>\n\u003cp>But the incentives stopped at the six-month mark. Over the six months after that, by the end of a full year from the study's start, 90 percent of participants in all groups had stopped wearing the devices.\u003c/p>\n\u003cp>And ... no one had a significant improvement in any health measure.\u003c/p>\n\u003cp>The researchers attributed the lack of improved health to the reality that an increase in steps does not necessarily translate to much of a boost in moderate-intensity and vigorous-intensity physical activity.\u003c/p>\n\u003cp>So what is the conclusion here?\u003c/p>\n\u003cp>\"Although other incentive strategies might generate greater increases in step activity and improvements in health outcomes,\" the researchers wrote, \"incentives would probably need to be in place long term to avoid any potential decrease in physical activity resulting from discontinuation.\"\u003c/p>\n\u003cp>The lack of any observable health benefits from use of the trackers, they wrote, called into question \"the value of these devices for health promotion.\"\u003c/p>\n\u003cp>\u003cstrong>Not So Fast ...\u003c/strong>\u003c/p>\n\u003cp>A different \u003ca href=\"http://preview.thenewsmarket.com/Previews/JOUR/DocumentAssets/448807.pdf\" target=\"_blank\">study\u003c/a> we mentioned earlier, published in \u003cem>JAMA \u003c/em>last month, found that those who were put on a weight-loss plan encompassing diet, exercise and counseling actually \u003cem>lost more weight\u003c/em> than those who were given the same plus a fitness tracker. That didn't look too good for Team Digital Health.\u003c/p>\n\u003cp>But not everyone thought the study was relevant. Aaron Coleman, founder and CEO of Fitabase, a company that makes data tools \"which make Fitbits awesome in research,\" published a \u003ca href=\"https://medium.com/@aaroncoleman/its-not-time-to-throw-away-your-fitbit-but-it-is-time-to-rethink-how-to-do-research-94dc498eb63f#.iy10v11qg\">piece\u003c/a> on Medium criticizing news reports that failed to note that the device the users gave participants is now obsolete.\u003c/p>\n\u003cblockquote>\u003cp>The problem? The device used in the intervention bears no resemblance to a “wearable” as we’d call it today. It was ... a discontinued, very clunky, very clinical looking arm strap and sensor brick called the Bodymedia FIT Core.\u003c/p>\n\u003cp id=\"7802\" class=\"graf graf--p graf-after--figure\">Even the amount of data collected in the study suggests that the term “wearable” may be a bit of a stretch, as on the days that participants wore the device, the median wear time was 4 hours (241.1 min/d to be exact).\u003c/p>\n\u003cp>To equate the user experience of today’s modern wearables, as many have done with this, got me a little sarcastic…\u003c/p>\u003c/blockquote>\n\u003cblockquote class=\"twitter-tweet\">\n\u003cp dir=\"ltr\" lang=\"en\">And in other news, online social networks don't work according to a new study of 300 people given MySpace accounts. \u003ca href=\"https://t.co/1J8GvdIP37\">https://t.co/1J8GvdIP37\u003c/a>\u003c/p>\n\u003cp>— Aaron Coleman (@aaronc) \u003ca href=\"https://twitter.com/aaronc/status/778594171036676096\">September 21, 2016\u003c/a>\u003c/p>\u003c/blockquote>\n\u003cp>But the study in \u003cem>The Lancet Diabetes & Endocrinology\u003c/em> does, indeed, use a newer if not the most advanced tracker, from the \u003ca href=\"http://www.idc.com/getdoc.jsp?containerId=prUS41284516\" target=\"_blank\">leading brand\u003c/a> in mobile health. This would seem to address Coleman's main quarrel with the earlier research. So we gave him a call to ask him what he thought.\u003c/p>\n\u003cp>\"They used an actual Fitbit in the intervention, which is an improvement over the last study in terms of trying to make it applicable to modern wearables,\" he says. But he didn't think the results could be \"generalized into day-to-day Fibit wearing.\"\u003c/p>\n\u003cp>In the case of Fitbits, Coleman contends, \"There's so many other components -- a social network component and having friends involved -- that make the experience.\"\u003c/p>\n\u003cp>He says taking more steps, which is what the study incentivized, is not necessarily the right goal. (He personally uses other measures such as heart rate in his fitness regimen.) And he thought the study's design did not equate to use of the devices in the real-world.\u003c/p>\n\u003cp>\"I don't know if incentivizing and handing them a device generalizes to daily life,\" he says.\u003c/p>\n\u003cp>As for Fitbit itself, the company issued a statement last week in response to the study. \"We are confident in the positive results our millions of users have seen from using Fitbit products,\" it read. The statement went on to say the company was in the process of improving its trackers.\u003c/p>\n\u003cp>The study's lead author, Eric Finkelstein, acknowledged that some of the newer fitness wearables have more advanced features, like exercise prompts and social media functions, but he still thinks it is unlikely people will radically change their exercise regimes without a more comprehensive approach.\u003c/p>\n\u003cp>“These trackers can encourage people to take more steps, but it still seems like these random extra steps aren’t enough to really improve your health,” he says.\u003c/p>\n\u003cp>Emmanuel Stamatakis, a physical activity expert at the University of Sydney, who was not part of the study, agreed. \"We should not be so naive to believe that simply by giving a sleek-looking gadget to someone, they will change deeply rooted lifestyle habits,\" he says.\u003c/p>\n\u003cp>In the meantime, Fitbit last week released a \u003ca href=\"https://www.springbuk.com/wearable-study/#top\" target=\"_blank\">case study \u003c/a>that it says shows employers can save money in health care costs if employees use the company's devices. The Verge critiques that study \u003ca href=\"http://www.theverge.com/2016/10/5/13176236/fitbit-study-corporate-wellness-health-care-savings\" target=\"_blank\">here\u003c/a>.\u003c/p>\n\u003cp>Fitabase also last week made public a \"\u003ca href=\"https://www.fitabase.com/research-library/\" target=\"_blank\">Fitbit Research Library\u003c/a>\" with 167 studies assessing or using the devices.\u003c/p>\n\u003cp>\u003cem>Associated Press contributed to this report.\u003c/em>\u003c/p>\n\u003cp> \u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp> \u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/257324/is-fitbit-study-another-black-mark-for-wearables","authors":["80"],"categories":["futureofyou_1060","futureofyou_452","futureofyou_1062","futureofyou_73"],"tags":["futureofyou_49","futureofyou_547"],"featImg":"futureofyou_257476","label":"source_futureofyou_257324"},"futureofyou_248745":{"type":"posts","id":"futureofyou_248745","meta":{"index":"posts_1591205157","site":"futureofyou","id":"248745","score":null,"sort":[1474646338000]},"guestAuthors":[],"slug":"weight-loss-study-finds-fitness-tracker-is-no-help","title":"NewsHour Twitter Chat: Study Finds Fitness Trackers Fail to Help Weight Loss","publishDate":1474646338,"format":"standard","headTitle":"KQED Future of You | KQED Science","labelTerm":{"site":"futureofyou"},"content":"\u003cp>The chat starts at 1 p.m. ET:\u003c/p>\n\u003cp>[twitter-timeline id=779348505328357376]\u003c/p>\n\u003cp>\u003cstrong>Study Finds Fitness Trackers Fail to Help Weight Loss\u003cbr>\nby Erin Ross, NPR Shots\u003c/strong>\u003c/p>\n\u003cp>Fitness trackers remain wildly popular, but do they make us fit? Maybe not, according to a study that asked overweight or obese young adults to use the tiny tracking tools to lose weight.\u003c/p>\n\u003cp>The 470 people in the study were put on a low-calorie diet and asked to exercise more. They all started losing weight. Six months in, half the group started self-reporting their diet and exercise. The other half were given fitness trackers to monitor their activity.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>After two years, both groups were equally active. But the people with the fitness trackers lost less weight.\u003c/p>\n\u003cp>Wait. What? We asked John Jakicic, a researcher of health and physical activity at the University of Pittsburgh and the lead author on the study, why this could be.\u003c/p>\n\u003cp>\"These technologies are focused on physical activity, like taking steps and getting your heart rate up,\" says Jakicic. \"People would say, 'Oh, I exercised a lot today, now I can eat more.' And they might eat more than they otherwise would have.\"\u003c/p>\n\u003cp>It's also possible, he says, that meeting daily fitness goals and step counts might motivate one person, but missing those same goals could discourage another.\u003c/p>\n\u003cp>The device in the \u003ca href=\"http://jama.jamanetwork.com/article.aspx?doi=10.1001/jama.2016.12858\">study\u003c/a>, which was published Tuesday in \u003cem>JAMA\u003c/em>, the journal of the American Medical Association, wasn't a wrist-tracker like the Fitbits, Jawbones, Apple watches and Nike bands many use now. This device was worn around the upper arm. Instead of using heart rate to estimate activity like some devices do, it measured the heat generated by exercise.\u003c/p>\n\u003cp>Still, he says, the results from this study are relevant to the devices of today.\u003c/p>\n\u003cp>Overall the participants without fitness trackers lost 13 pounds, while the tech-enhanced group lost 7.7 pounds. They ranged in age from 18 to 35 years, and had BMIs from 25 to 39. The study hopes to see if helping young adults lose weight early on can head off more weight gain in middle age.\u003c/p>\n\u003cp>We reached out to Fitbit to see what they thought of the study.\u003c/p>\n\u003cp>\"We are confident in the positive results users have seen from the Fitbit platform, including our wearable devices,\" the company said in a statement, adding that researchers use Fitbits and similar devices in clinical studies.\u003c/p>\n\u003cp>While those studies use wearable technology to investigate everything from heart disease to \u003ca href=\"http://www.dana-farber.org/Newsroom/News-Releases/dana-farber-cancer-institute-and-fitbit-partner-to-test-if-weight-loss-prevent-breast-cancer-recurrence.aspx\">breast cancer\u003c/a>, very few have looked at how good these trackers actually are at helping people achieve fitness goals.\u003c/p>\n\u003cp>\"There aren't many — if any — long-term studies of wearable tech,\" says Dr. Mitesh Patel, an assistant professor of medicine at the University of Pennsylvania. Patel also studies fitness trackers, but was not involved in this study. This study, Patel says, is the longest yet, \"and that's why this research is important. We need more studies like this to show what wearable tech can and can't do.\"\u003c/p>\n\u003cp>A handful of short-term studies have looked at fitness trackers, with mixed results. \u003ca href=\"http://onlinelibrary.wiley.com/doi/10.1038/oby.2011.13/abstract\">One study\u003c/a>, also conducted by Jakicic, found that fitness trackers could replace counseling in a weight-loss program. But \u003ca href=\"http://endeavourpartners.net/assets/Endeavour-Partners-Wearables-White-Paper-20141.pdf\">another\u003c/a> found that users get bored and abandon their wristbands after just a few months.\u003c/p>\n\u003cp>Ultimately, Patel says, these devices are \u003ca href=\"http://jama.jamanetwork.com/article.aspx?articleid=2089651\">most effective\u003c/a> when the people using them are already dedicated to tracking their fitness. People who are less motivated might not get the same results.\u003c/p>\n\u003cp>\"Overall, it doesn't look like assigning someone wearable technology will make that big of a difference,\" says Jakicic.\u003c/p>\n\u003cp>So should you bin your Fitbit? Not yet. Jakicic thinks that combining this technology with behavioral research can help scientists figure out which groups of people benefit from fitness trackers, and even design interfaces that will be more motivational.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"These devices have some really cool tech, but how do you use them in a way that helps people?\" Says Jakicic, \"That's a science in and of itself.\"\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=Weight+Loss+On+Your+Wrist%3F+Fitness+Trackers+May+Not+Help&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n","blocks":[],"excerpt":"Researchers were surprised that the young adults given fitness trackers lost less weight than their peers who didn't have the gizmos. ","status":"publish","parent":0,"modified":1475110916,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":23,"wordCount":685},"headData":{"title":"NewsHour Twitter Chat: Study Finds Fitness Trackers Fail to Help Weight Loss | KQED","description":"Researchers were surprised that the young adults given fitness trackers lost less weight than their peers who didn't have the gizmos. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"NewsHour Twitter Chat: Study Finds Fitness Trackers Fail to Help Weight Loss","datePublished":"2016-09-23T15:58:58.000Z","dateModified":"2016-09-29T01:01:56.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"248745 http://ww2.kqed.org/futureofyou/?p=248745","disqusUrl":"https://ww2.kqed.org/futureofyou/2016/09/23/weight-loss-study-finds-fitness-tracker-is-no-help/","disqusTitle":"NewsHour Twitter Chat: Study Finds Fitness Trackers Fail to Help Weight Loss","customPermalink":"2016/09/20/weight-loss-study-finds-fitness-tracker-is-no-help/","nprImageCredit":"Paul Marotta","nprImageAgency":"Getty Images for Fitbit","nprStoryId":"494631423","nprApiLink":"http://api.npr.org/query?id=494631423&apiKey=MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004","nprHtmlLink":"http://www.npr.org/sections/health-shots/2016/09/20/494631423/weight-loss-on-your-wrist-fitness-trackers-may-not-help?ft=nprml&f=494631423","nprRetrievedStory":"1","nprPubDate":"Tue, 20 Sep 2016 11:17:00 -0400","nprStoryDate":"Tue, 20 Sep 2016 11:19:00 -0400","nprLastModifiedDate":"Tue, 20 Sep 2016 11:18:19 -0400","path":"/futureofyou/248745/weight-loss-study-finds-fitness-tracker-is-no-help","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>The chat starts at 1 p.m. ET:\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"twitter-timeline","attributes":{"named":{"id":"779348505328357376","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Study Finds Fitness Trackers Fail to Help Weight Loss\u003cbr>\nby Erin Ross, NPR Shots\u003c/strong>\u003c/p>\n\u003cp>Fitness trackers remain wildly popular, but do they make us fit? Maybe not, according to a study that asked overweight or obese young adults to use the tiny tracking tools to lose weight.\u003c/p>\n\u003cp>The 470 people in the study were put on a low-calorie diet and asked to exercise more. They all started losing weight. Six months in, half the group started self-reporting their diet and exercise. The other half were given fitness trackers to monitor their activity.\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>After two years, both groups were equally active. But the people with the fitness trackers lost less weight.\u003c/p>\n\u003cp>Wait. What? We asked John Jakicic, a researcher of health and physical activity at the University of Pittsburgh and the lead author on the study, why this could be.\u003c/p>\n\u003cp>\"These technologies are focused on physical activity, like taking steps and getting your heart rate up,\" says Jakicic. \"People would say, 'Oh, I exercised a lot today, now I can eat more.' And they might eat more than they otherwise would have.\"\u003c/p>\n\u003cp>It's also possible, he says, that meeting daily fitness goals and step counts might motivate one person, but missing those same goals could discourage another.\u003c/p>\n\u003cp>The device in the \u003ca href=\"http://jama.jamanetwork.com/article.aspx?doi=10.1001/jama.2016.12858\">study\u003c/a>, which was published Tuesday in \u003cem>JAMA\u003c/em>, the journal of the American Medical Association, wasn't a wrist-tracker like the Fitbits, Jawbones, Apple watches and Nike bands many use now. This device was worn around the upper arm. Instead of using heart rate to estimate activity like some devices do, it measured the heat generated by exercise.\u003c/p>\n\u003cp>Still, he says, the results from this study are relevant to the devices of today.\u003c/p>\n\u003cp>Overall the participants without fitness trackers lost 13 pounds, while the tech-enhanced group lost 7.7 pounds. They ranged in age from 18 to 35 years, and had BMIs from 25 to 39. The study hopes to see if helping young adults lose weight early on can head off more weight gain in middle age.\u003c/p>\n\u003cp>We reached out to Fitbit to see what they thought of the study.\u003c/p>\n\u003cp>\"We are confident in the positive results users have seen from the Fitbit platform, including our wearable devices,\" the company said in a statement, adding that researchers use Fitbits and similar devices in clinical studies.\u003c/p>\n\u003cp>While those studies use wearable technology to investigate everything from heart disease to \u003ca href=\"http://www.dana-farber.org/Newsroom/News-Releases/dana-farber-cancer-institute-and-fitbit-partner-to-test-if-weight-loss-prevent-breast-cancer-recurrence.aspx\">breast cancer\u003c/a>, very few have looked at how good these trackers actually are at helping people achieve fitness goals.\u003c/p>\n\u003cp>\"There aren't many — if any — long-term studies of wearable tech,\" says Dr. Mitesh Patel, an assistant professor of medicine at the University of Pennsylvania. Patel also studies fitness trackers, but was not involved in this study. This study, Patel says, is the longest yet, \"and that's why this research is important. We need more studies like this to show what wearable tech can and can't do.\"\u003c/p>\n\u003cp>A handful of short-term studies have looked at fitness trackers, with mixed results. \u003ca href=\"http://onlinelibrary.wiley.com/doi/10.1038/oby.2011.13/abstract\">One study\u003c/a>, also conducted by Jakicic, found that fitness trackers could replace counseling in a weight-loss program. But \u003ca href=\"http://endeavourpartners.net/assets/Endeavour-Partners-Wearables-White-Paper-20141.pdf\">another\u003c/a> found that users get bored and abandon their wristbands after just a few months.\u003c/p>\n\u003cp>Ultimately, Patel says, these devices are \u003ca href=\"http://jama.jamanetwork.com/article.aspx?articleid=2089651\">most effective\u003c/a> when the people using them are already dedicated to tracking their fitness. People who are less motivated might not get the same results.\u003c/p>\n\u003cp>\"Overall, it doesn't look like assigning someone wearable technology will make that big of a difference,\" says Jakicic.\u003c/p>\n\u003cp>So should you bin your Fitbit? Not yet. Jakicic thinks that combining this technology with behavioral research can help scientists figure out which groups of people benefit from fitness trackers, and even design interfaces that will be more motivational.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"These devices have some really cool tech, but how do you use them in a way that helps people?\" Says Jakicic, \"That's a science in and of itself.\"\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=Weight+Loss+On+Your+Wrist%3F+Fitness+Trackers+May+Not+Help&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/248745/weight-loss-study-finds-fitness-tracker-is-no-help","authors":["80"],"categories":["futureofyou_1060"],"tags":["futureofyou_49","futureofyou_547"],"featImg":"futureofyou_248746","label":"futureofyou"},"futureofyou_154214":{"type":"posts","id":"futureofyou_154214","meta":{"index":"posts_1591205157","site":"futureofyou","id":"154214","score":null,"sort":[1461877524000]},"guestAuthors":[],"slug":"new-iphone-apps-manage-diabetes-pregnancy-depression","title":"New iPhone Apps Manage Diabetes, Pregnancy, Depression","publishDate":1461877524,"format":"standard","headTitle":"KQED Future of You | KQED Science","labelTerm":{"site":"futureofyou"},"content":"\u003cp>Apple is edging its way a little further into health care with the release of new iPhone apps that patients can use to manage their own medical conditions — from diabetes to pregnancy and even depression.\u003c/p>\n\u003cp>While there are hundreds of health-related apps on the market, Apple wants to put its stamp on a new ecosystem of treatment programs. Rather than build the apps itself, the tech giant developed a set of software tools and templates, called \"CareKit,\" that health-care groups and health-tech startups can use to create their own programs.\u003c/p>\n\u003cp>Apple says it wanted to help developers build easy-to-use apps for patients to record symptoms, get useful information, track their progress and even send reports to a doctor. Experts say the CareKit program could help bring standards to a relatively new and unruly industry, while giving Apple a toehold in the growing health-tech market.\u003c/p>\n\u003cp>CareKit apps hitting the Apple online store this week include One Drop for diabetics; Start for people taking anti-depression drugs; and two apps from health startup Glow, aimed at women who are pregnant or caring for newborns. Apple says larger organizations, including the University of Rochester and hospitals at the Texas Medical Center, are working on CareKit apps for people with Parkinson's disease and patients who've undergone heart or lung operations.\u003c/p>\n\u003cp>\"These mobile tools can help people reach their health goals,\" said Thomas Goetz of Iodine, a startup that used CareKit in the latest version of its Start app. Along with providing information about side-effects to depression medications, the app asks patients to record their symptoms and answer standardized questions to track how they're doing. Start uses a CareKit feature that lets patients send reports to their doctors; eventually, Goetz said, doctors will be able to respond by adjusting their instructions for medication, diet or exercise.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Data stored on iPhones is encrypted, and Iodine's app provides cautions to make sure patients understand they're sending sensitive information to their doctors. Goetz said his company is also developing back-end software for medical offices that will comply with federal confidentiality rules.\u003c/p>\n\u003cp>But Goetz acknowledged that doctors and insurers \"are still trying to make sense of the world of health care apps. They're trying to understand which ones are valid tools and which aren't necessarily useful.\"\u003c/p>\n\u003cp>Apple's software could help validate new apps, he said, by letting developers build on a standardized template from a well-known company whose products are used by large numbers of people.\u003c/p>\n\u003cp>Apple says it isn't making money directly from CareKit, which grew from tools the company previously developed for researchers to create apps that collect iPhone users' data for health studies. But Apple could benefit if the apps gain wide adoption, making the iPhone an even more useful tool for millions of people with medical conditions.\u003c/p>\n\u003cp>\"Even if you can't point to a revenue stream today, being the hub of an ecosystem related to health care could have great value in the future,\" said analyst Jeff Cribbs, who studies health technology for the Gartner research firm.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Apple CEO Tim Cook has signaled he believes the iPhone and Apple smartwatch can play a bigger role in health care. But the industry is heavily regulated and Apple has not ventured into making specialized devices that would be subject to federal oversight. Instead, the company leaves it to the developers who use Apple's software to determine if an individual app meets any health regulations.\u003c/p>\n\n","blocks":[],"excerpt":"New apps are being built with Apple's CareKit, a set of tools and templates the company created for developers.","status":"publish","parent":0,"modified":1476851592,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":13,"wordCount":590},"headData":{"title":"New iPhone Apps Manage Diabetes, Pregnancy, Depression | KQED","description":"New apps are being built with Apple's CareKit, a set of tools and templates the company created for developers.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"New iPhone Apps Manage Diabetes, Pregnancy, Depression","datePublished":"2016-04-28T21:05:24.000Z","dateModified":"2016-10-19T04:33:12.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"154214 http://ww2.kqed.org/futureofyou/?p=154214","disqusUrl":"https://ww2.kqed.org/futureofyou/2016/04/28/new-iphone-apps-manage-diabetes-pregnancy-depression/","disqusTitle":"New iPhone Apps Manage Diabetes, Pregnancy, Depression","nprByline":"Brandon Bailey\u003cbr />Associated Press","path":"/futureofyou/154214/new-iphone-apps-manage-diabetes-pregnancy-depression","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Apple is edging its way a little further into health care with the release of new iPhone apps that patients can use to manage their own medical conditions — from diabetes to pregnancy and even depression.\u003c/p>\n\u003cp>While there are hundreds of health-related apps on the market, Apple wants to put its stamp on a new ecosystem of treatment programs. Rather than build the apps itself, the tech giant developed a set of software tools and templates, called \"CareKit,\" that health-care groups and health-tech startups can use to create their own programs.\u003c/p>\n\u003cp>Apple says it wanted to help developers build easy-to-use apps for patients to record symptoms, get useful information, track their progress and even send reports to a doctor. Experts say the CareKit program could help bring standards to a relatively new and unruly industry, while giving Apple a toehold in the growing health-tech market.\u003c/p>\n\u003cp>CareKit apps hitting the Apple online store this week include One Drop for diabetics; Start for people taking anti-depression drugs; and two apps from health startup Glow, aimed at women who are pregnant or caring for newborns. Apple says larger organizations, including the University of Rochester and hospitals at the Texas Medical Center, are working on CareKit apps for people with Parkinson's disease and patients who've undergone heart or lung operations.\u003c/p>\n\u003cp>\"These mobile tools can help people reach their health goals,\" said Thomas Goetz of Iodine, a startup that used CareKit in the latest version of its Start app. Along with providing information about side-effects to depression medications, the app asks patients to record their symptoms and answer standardized questions to track how they're doing. Start uses a CareKit feature that lets patients send reports to their doctors; eventually, Goetz said, doctors will be able to respond by adjusting their instructions for medication, diet or exercise.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Data stored on iPhones is encrypted, and Iodine's app provides cautions to make sure patients understand they're sending sensitive information to their doctors. Goetz said his company is also developing back-end software for medical offices that will comply with federal confidentiality rules.\u003c/p>\n\u003cp>But Goetz acknowledged that doctors and insurers \"are still trying to make sense of the world of health care apps. They're trying to understand which ones are valid tools and which aren't necessarily useful.\"\u003c/p>\n\u003cp>Apple's software could help validate new apps, he said, by letting developers build on a standardized template from a well-known company whose products are used by large numbers of people.\u003c/p>\n\u003cp>Apple says it isn't making money directly from CareKit, which grew from tools the company previously developed for researchers to create apps that collect iPhone users' data for health studies. But Apple could benefit if the apps gain wide adoption, making the iPhone an even more useful tool for millions of people with medical conditions.\u003c/p>\n\u003cp>\"Even if you can't point to a revenue stream today, being the hub of an ecosystem related to health care could have great value in the future,\" said analyst Jeff Cribbs, who studies health technology for the Gartner research firm.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Apple CEO Tim Cook has signaled he believes the iPhone and Apple smartwatch can play a bigger role in health care. But the industry is heavily regulated and Apple has not ventured into making specialized devices that would be subject to federal oversight. Instead, the company leaves it to the developers who use Apple's software to determine if an individual app meets any health regulations.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/154214/new-iphone-apps-manage-diabetes-pregnancy-depression","authors":["byline_futureofyou_154214"],"categories":["futureofyou_1060"],"tags":["futureofyou_235","futureofyou_895","futureofyou_894","futureofyou_547"],"featImg":"futureofyou_154215","label":"futureofyou"},"futureofyou_42356":{"type":"posts","id":"futureofyou_42356","meta":{"index":"posts_1591205157","site":"futureofyou","id":"42356","score":null,"sort":[1443040271000]},"guestAuthors":[],"slug":"uc-riverside-professor-slams-feds-stands-by-his-health-app","title":"UC Riverside Professor Slams Feds, Stands By His Health App","publishDate":1443040271,"format":"standard","headTitle":"Future of You | KQED Future of You | KQED Science","labelTerm":{"term":54,"site":"futureofyou"},"content":"\u003cp>UC Riverside professor of psychology Aaron Seitz had an idea for a mobile health app based on his area of research. In 2014, he launched.\u003c/p>\n\u003cp>In 2015, he was hit with a substantial fine and a firestorm of \u003ca href=\"https://www.washingtonpost.com/news/the-switch/wp/2015/09/17/apps-are-making-health-claims-but-they-may-not-have-the-science-to-back-them-up/\" target=\"_blank\">bad press\u003c/a>.\u003c/p>\n\u003cp>Seitz is the academic behind \u003ca href=\"https://ultimeyesvision.com/\" target=\"_blank\">UltimEyes\u003c/a>, the vision improvement app that \u003ca href=\"https://www.ftc.gov/news-events/press-releases/2015/09/ftc-charges-marketers-vision-improvement-app-deceptive-claims\">got dinged by the Federal Trade Commission (FTC)\u003c/a> for $150,000 last week for making deceptive claims about the app's efficacy. Seitz and his business partner, Adam Goldberg, are the co-owners and only employees of Carrot Neurotechnology, Inc., the company that sells UltimEyes. Seitz told KQED in an interview Tuesday he and Goldberg had to pony up $75,000 each.\u003c/p>\n\u003caside class=\"pullquote alignright\">“If you look at the mobile apps being promoted, it’s still the wild west out there.\"\u003ccite>Attorney Bradley Merrill Thompson\u003c/cite>\u003c/aside>\n\u003cp>As for the legal fees, he said, \"Don't ask me about that. It's crazy.\"\u003c/p>\n\u003cp>Aside from the money owed, Seitz and Goldberg \u003ca href=\"https://www.ftc.gov/system/files/documents/cases/150917carrotneuroorder.pdf\" target=\"_blank\">agreed\u003c/a> to stop making claims about the mobile app's ability to improve vision. Prior to the FTC's involvement, \u003ca href=\"https://www.ftc.gov/system/files/documents/cases/150917carrotneuroexhibits.pdf\" target=\"_blank\">promotional material and language\u003c/a> on the UltimEyes website (still available on the Apple and Google Play app stores, for $5.99) said the app was “scientifically shown\" to do just that.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The \u003ca href=\"https://www.ftc.gov/system/files/documents/cases/150917carrotneurocmpt.pdf\" target=\"_blank\">FTC complaint\u003c/a> against Carrot Neurotechnology lists an array of related assertions on that theme, including one that the app improved vision an average of 31 percent and two lines on the standard \u003ca href=\"http://www.nytimes.com/2013/05/26/magazine/who-made-that-eye-chart.html?_r=0\" target=\"_blank\">Stellen eye chart\u003c/a>, and another that it helps mitigate \u003ca href=\"http://www.mayoclinic.org/diseases-conditions/presbyopia/basics/definition/con-2003226\" target=\"_blank\">presbyopia\u003c/a>, the gradual loss of the ability to focus on nearby objects.\u003c/p>\n\u003cp>The FTC also reprimanded Carrot for not disclosing Seitz’s connection to the company when it cited his own research. Seitz says as soon as the FTC brought that to the company's attention, it disclosed the potential conflict of interest on its site.\u003c/p>\n\u003cp>\u003cstrong>Standing by Claims\u003c/strong>\u003c/p>\n\u003cp>Despite the agreement with the FTC, Seitz stands by the original UltimEyes claims. He called the FTC action “dangerous.”\u003c/p>\n\u003cp>“Is it a good thing that you have the FTC not just going after companies, but going after individuals when they’re trying to take the university mission of taking research and translating it to the public good?\" he said. \"Scientists should be incentivized to translate the research in the way I’m doing.”\u003c/p>\n\u003cp>Seitz has laid out his concerns in an \u003ca href=\"http://www.faculty.ucr.edu/~aseitz/OpenLetter.html\" target=\"_blank\">open letter \u003c/a>on his UC Riverside faculty page, asking friends and colleagues to post supportive \u003ca href=\"https://www.ftc.gov/policy/public-comments/initiative-625\" target=\"_blank\">comments \u003c/a>with the FTC during the public comment period. Seitz said “numerous scientists” have come to the defense of the company.\u003c/p>\n\u003cp>“The government really needs to be listening to scientists here,\" he said. \"They ignored experts we brought to testify and the scientific literature. They're using us as a way to establish some precedent so they can go after some larger companies in the industry.\"\u003c/p>\n\u003cp>The FTC said UltimEyes racked up more than $350,000 in U.S. sales from January 2012 to June 2015. Seitz acknowledges that if the app had hit it big, he would have gained financially. But, he said, “my main aim was to let the public get a hold of my research.” He said neither he nor his partner made any money from the app.\u003c/p>\n\u003cp>In its complaint, the FTC also cited \u003ca href=\"http://tune.pk/video/2448640/Brain-Training-Makes-Better-Batters\">a video that was posted on the UltimEyes site\u003c/a> featuring Seitz and others discussing a study involving the 2013 UC Riverside baseball team, which ostensibly improved its performance after going through the app's exercises. In the video, a researcher says players reported they could “see things in dimmer light conditions, being able to see the ball better, being able to hit the ball better.”\u003c/p>\n\u003cp>\u003cstrong>The Research\u003c/strong>\u003c/p>\n\u003cp>Seitz says UltimEyes is based on \u003ca href=\"https://www.google.com/search?q=perceptual+learning\" target=\"_blank\">perceptual learning\u003c/a>, which he describes as \"an improvement in a perceptual task induced by practice or experience. \" The National Institutes of Health gave him a \u003ca href=\"http://ucrtoday.ucr.edu/18771\" target=\"_blank\">$1.7 million grant\u003c/a> in 2013 to study the field.\u003c/p>\n\u003cp>Last year, \u003ca href=\"http://mashable.com/2014/05/01/ultimeyes-test-video/#nng4T.bGuqkP\">Mashable\u003c/a> tested the app out on an iPad and called it “half-game, half-eye exam.”\u003c/p>\n\u003cp>[Scroll to the bottom of this post for a video of the app in action.]\u003c/p>\n\u003cp>The UC Riverside baseball experiment was also the subject of a \u003ca href=\"http://www.cell.com/current-biology/abstract/S0960-9822(14)00005-0\">paper published in Current Biology\u003c/a>, co-authored by Seitz. (Not to mention the subject of a \u003ca href=\"http://www.scpr.org/news/2014/03/28/43098/how-neuroscience-is-helping-uc-riverside-baseball/\" target=\"_blank\">Southern California Public Radio story\u003c/a> in 2014).\u003c/p>\n\u003cp>That was one of three peer-reviewed studies, Seitz says, that prove UltimEyes does what it said. He said the FTC went after the app because the agency wants to see randomized, double blind studies to substantiate such claims. Seitz does not agree with that standard.\u003c/p>\n\u003cp>“They’re saying that if research is not done with a double blind placebo study, it doesn’t provide evidence of anything. ... But if you talk with most scientists, they say that there are tons of studies that use that methodology that are junk, and tons of studies that don’t use it that are informative.\u003c/p>\n\u003cp>“It’s a useful study design that provides information and context. It has great purpose, but there are many circumstances -- and this research is actually one of them -- where it doesn’t apply.”\u003c/p>\n\u003cp>The FTC declined to comment.\u003c/p>\n\u003cp>\u003cstrong>Federal Agencies \"Doing a Reasonable Job\" of Policing Apps\u003c/strong>\u003c/p>\n\u003cp>Dr. John Halamka, co-chair of the federal Health Information Technology Standards Committee, which advises the U.S. Department of Health and Human Services on technology and health care, does not agree with Seitz that the FTC overreached in taking action against his app. He says requiring a stringent level of proof is appropriate here.\u003c/p>\n\u003cp>\"This is not one that is just face valid, or peer review could say, ‘okay sounds reasonable.’ It needs to be proven,\" he said, adding that peer review doesn't prove \"rigorous scientific evaluation of a phenomena.\"\u003c/p>\n\u003cp>Halamka said using UltimEyes presents a certain level of risk to the public because it involves diagnosis or therapy.\u003c/p>\n\u003cp>\"In the case of apps that are making claims that may or may not be true, if this is a therapy claiming a result, I think all of our federal agencies are doing a reasonable job to ask for rigor.\"\u003c/p>\n\u003cp>\u003cstrong>More to Come?\u003c/strong>\u003c/p>\n\u003cp>Enforcement actions like the one against UltimEyes are probably going to happen more frequently, says Bradley Merrill Thompson, a lawyer at Epstein, Becker & Green who works on regulatory issues with medical device and drug companies.\u003c/p>\n\u003cp>“The agreement is the next step in a whole series of cases the FTC has brought with respect to mobile applications,\" he said. Last month, the FTC \u003ca href=\"https://www.ftc.gov/news-events/press-releases/2015/08/melanoma-detection-app-sellers-barred-making-deceptive-health\" target=\"_blank\">barred a company\u003c/a> from making claims that the“Mole Detective” line of apps could detect melanoma.\u003c/p>\n\u003cp>\"I fear that there will be a lot more cases, ” Merrill Thompson said. \"If you look at the mobile apps being promoted, it’s still the wild west out there. There’s still a lot of very small organizations operating out of their garage, making boastful claims about their technology.\"\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/futureofyou/\">KQED Future of You\u003c/a> editor Christina Farr wrote about the \u003ca href=\"http://www.reuters.com/article/2014/06/10/us-mobilephone-healthcare-idUSKBN0EL23M20140610\" target=\"_blank\">proliferation of unproven claims\u003c/a> by health-related apps for Reuters in 2014. She reported that a recent study from the New England Center for Investigative Research revealed that of the 1,500 health apps it evaluated, 20 percent claimed to treat or cure medical problems, but only a small percentage of them had been clinically validated.\u003c/p>\n\u003cp>Farr wrote that the FDA lacks the resources to monitor all the health-related apps on the market.\u003c/p>\n\u003cp>Bradley Merrill Thompson says the FDA has been “suspiciously quiet” on the topic.\u003c/p>\n\u003cp>“One would have to be suspicious that the FDA and FTC are collaborating behind the scenes, and the FTC has agreed to be the bad cop,” said Merrill Thompson. “The FDA has been embattled over the past few years as being too heavy-handed and too burdensome in regard to mobile apps.”\u003c/p>\n\u003cp>He explained that in a case like the one against UltimEyes, the FTC is viewing the app as a medical device, which comes under the purview of both agencies.\u003c/p>\n\u003cp>“Clearly there’s overlap,” he said, and either agency could have brought an action.\u003c/p>\n\u003cp>[vimeo 90324562 w=500 h=313]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>This post has been updated to reflect the FTC's declining to comment.\u003c/em>\u003c/p>\n\n","blocks":[],"excerpt":"A UC Riverside psychology professor calls the FTC action against him and his business partner 'dangerous.'","status":"publish","parent":0,"modified":1443116985,"stats":{"hasAudio":false,"hasVideo":true,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":42,"wordCount":1478},"headData":{"title":"UC Riverside Professor Slams Feds, Stands By His Health App | KQED","description":"A UC Riverside psychology professor calls the FTC action against him and his business partner 'dangerous.'","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"UC Riverside Professor Slams Feds, Stands By His Health App","datePublished":"2015-09-23T20:31:11.000Z","dateModified":"2015-09-24T17:49:45.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"42356 http://ww2.kqed.org/futureofyou/?p=42356","disqusUrl":"https://ww2.kqed.org/futureofyou/2015/09/23/uc-riverside-professor-slams-feds-stands-by-his-health-app/","disqusTitle":"UC Riverside Professor Slams Feds, Stands By His Health App","path":"/futureofyou/42356/uc-riverside-professor-slams-feds-stands-by-his-health-app","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>UC Riverside professor of psychology Aaron Seitz had an idea for a mobile health app based on his area of research. In 2014, he launched.\u003c/p>\n\u003cp>In 2015, he was hit with a substantial fine and a firestorm of \u003ca href=\"https://www.washingtonpost.com/news/the-switch/wp/2015/09/17/apps-are-making-health-claims-but-they-may-not-have-the-science-to-back-them-up/\" target=\"_blank\">bad press\u003c/a>.\u003c/p>\n\u003cp>Seitz is the academic behind \u003ca href=\"https://ultimeyesvision.com/\" target=\"_blank\">UltimEyes\u003c/a>, the vision improvement app that \u003ca href=\"https://www.ftc.gov/news-events/press-releases/2015/09/ftc-charges-marketers-vision-improvement-app-deceptive-claims\">got dinged by the Federal Trade Commission (FTC)\u003c/a> for $150,000 last week for making deceptive claims about the app's efficacy. Seitz and his business partner, Adam Goldberg, are the co-owners and only employees of Carrot Neurotechnology, Inc., the company that sells UltimEyes. Seitz told KQED in an interview Tuesday he and Goldberg had to pony up $75,000 each.\u003c/p>\n\u003caside class=\"pullquote alignright\">“If you look at the mobile apps being promoted, it’s still the wild west out there.\"\u003ccite>Attorney Bradley Merrill Thompson\u003c/cite>\u003c/aside>\n\u003cp>As for the legal fees, he said, \"Don't ask me about that. It's crazy.\"\u003c/p>\n\u003cp>Aside from the money owed, Seitz and Goldberg \u003ca href=\"https://www.ftc.gov/system/files/documents/cases/150917carrotneuroorder.pdf\" target=\"_blank\">agreed\u003c/a> to stop making claims about the mobile app's ability to improve vision. Prior to the FTC's involvement, \u003ca href=\"https://www.ftc.gov/system/files/documents/cases/150917carrotneuroexhibits.pdf\" target=\"_blank\">promotional material and language\u003c/a> on the UltimEyes website (still available on the Apple and Google Play app stores, for $5.99) said the app was “scientifically shown\" to do just that.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The \u003ca href=\"https://www.ftc.gov/system/files/documents/cases/150917carrotneurocmpt.pdf\" target=\"_blank\">FTC complaint\u003c/a> against Carrot Neurotechnology lists an array of related assertions on that theme, including one that the app improved vision an average of 31 percent and two lines on the standard \u003ca href=\"http://www.nytimes.com/2013/05/26/magazine/who-made-that-eye-chart.html?_r=0\" target=\"_blank\">Stellen eye chart\u003c/a>, and another that it helps mitigate \u003ca href=\"http://www.mayoclinic.org/diseases-conditions/presbyopia/basics/definition/con-2003226\" target=\"_blank\">presbyopia\u003c/a>, the gradual loss of the ability to focus on nearby objects.\u003c/p>\n\u003cp>The FTC also reprimanded Carrot for not disclosing Seitz’s connection to the company when it cited his own research. Seitz says as soon as the FTC brought that to the company's attention, it disclosed the potential conflict of interest on its site.\u003c/p>\n\u003cp>\u003cstrong>Standing by Claims\u003c/strong>\u003c/p>\n\u003cp>Despite the agreement with the FTC, Seitz stands by the original UltimEyes claims. He called the FTC action “dangerous.”\u003c/p>\n\u003cp>“Is it a good thing that you have the FTC not just going after companies, but going after individuals when they’re trying to take the university mission of taking research and translating it to the public good?\" he said. \"Scientists should be incentivized to translate the research in the way I’m doing.”\u003c/p>\n\u003cp>Seitz has laid out his concerns in an \u003ca href=\"http://www.faculty.ucr.edu/~aseitz/OpenLetter.html\" target=\"_blank\">open letter \u003c/a>on his UC Riverside faculty page, asking friends and colleagues to post supportive \u003ca href=\"https://www.ftc.gov/policy/public-comments/initiative-625\" target=\"_blank\">comments \u003c/a>with the FTC during the public comment period. Seitz said “numerous scientists” have come to the defense of the company.\u003c/p>\n\u003cp>“The government really needs to be listening to scientists here,\" he said. \"They ignored experts we brought to testify and the scientific literature. They're using us as a way to establish some precedent so they can go after some larger companies in the industry.\"\u003c/p>\n\u003cp>The FTC said UltimEyes racked up more than $350,000 in U.S. sales from January 2012 to June 2015. Seitz acknowledges that if the app had hit it big, he would have gained financially. But, he said, “my main aim was to let the public get a hold of my research.” He said neither he nor his partner made any money from the app.\u003c/p>\n\u003cp>In its complaint, the FTC also cited \u003ca href=\"http://tune.pk/video/2448640/Brain-Training-Makes-Better-Batters\">a video that was posted on the UltimEyes site\u003c/a> featuring Seitz and others discussing a study involving the 2013 UC Riverside baseball team, which ostensibly improved its performance after going through the app's exercises. In the video, a researcher says players reported they could “see things in dimmer light conditions, being able to see the ball better, being able to hit the ball better.”\u003c/p>\n\u003cp>\u003cstrong>The Research\u003c/strong>\u003c/p>\n\u003cp>Seitz says UltimEyes is based on \u003ca href=\"https://www.google.com/search?q=perceptual+learning\" target=\"_blank\">perceptual learning\u003c/a>, which he describes as \"an improvement in a perceptual task induced by practice or experience. \" The National Institutes of Health gave him a \u003ca href=\"http://ucrtoday.ucr.edu/18771\" target=\"_blank\">$1.7 million grant\u003c/a> in 2013 to study the field.\u003c/p>\n\u003cp>Last year, \u003ca href=\"http://mashable.com/2014/05/01/ultimeyes-test-video/#nng4T.bGuqkP\">Mashable\u003c/a> tested the app out on an iPad and called it “half-game, half-eye exam.”\u003c/p>\n\u003cp>[Scroll to the bottom of this post for a video of the app in action.]\u003c/p>\n\u003cp>The UC Riverside baseball experiment was also the subject of a \u003ca href=\"http://www.cell.com/current-biology/abstract/S0960-9822(14)00005-0\">paper published in Current Biology\u003c/a>, co-authored by Seitz. (Not to mention the subject of a \u003ca href=\"http://www.scpr.org/news/2014/03/28/43098/how-neuroscience-is-helping-uc-riverside-baseball/\" target=\"_blank\">Southern California Public Radio story\u003c/a> in 2014).\u003c/p>\n\u003cp>That was one of three peer-reviewed studies, Seitz says, that prove UltimEyes does what it said. He said the FTC went after the app because the agency wants to see randomized, double blind studies to substantiate such claims. Seitz does not agree with that standard.\u003c/p>\n\u003cp>“They’re saying that if research is not done with a double blind placebo study, it doesn’t provide evidence of anything. ... But if you talk with most scientists, they say that there are tons of studies that use that methodology that are junk, and tons of studies that don’t use it that are informative.\u003c/p>\n\u003cp>“It’s a useful study design that provides information and context. It has great purpose, but there are many circumstances -- and this research is actually one of them -- where it doesn’t apply.”\u003c/p>\n\u003cp>The FTC declined to comment.\u003c/p>\n\u003cp>\u003cstrong>Federal Agencies \"Doing a Reasonable Job\" of Policing Apps\u003c/strong>\u003c/p>\n\u003cp>Dr. John Halamka, co-chair of the federal Health Information Technology Standards Committee, which advises the U.S. Department of Health and Human Services on technology and health care, does not agree with Seitz that the FTC overreached in taking action against his app. He says requiring a stringent level of proof is appropriate here.\u003c/p>\n\u003cp>\"This is not one that is just face valid, or peer review could say, ‘okay sounds reasonable.’ It needs to be proven,\" he said, adding that peer review doesn't prove \"rigorous scientific evaluation of a phenomena.\"\u003c/p>\n\u003cp>Halamka said using UltimEyes presents a certain level of risk to the public because it involves diagnosis or therapy.\u003c/p>\n\u003cp>\"In the case of apps that are making claims that may or may not be true, if this is a therapy claiming a result, I think all of our federal agencies are doing a reasonable job to ask for rigor.\"\u003c/p>\n\u003cp>\u003cstrong>More to Come?\u003c/strong>\u003c/p>\n\u003cp>Enforcement actions like the one against UltimEyes are probably going to happen more frequently, says Bradley Merrill Thompson, a lawyer at Epstein, Becker & Green who works on regulatory issues with medical device and drug companies.\u003c/p>\n\u003cp>“The agreement is the next step in a whole series of cases the FTC has brought with respect to mobile applications,\" he said. Last month, the FTC \u003ca href=\"https://www.ftc.gov/news-events/press-releases/2015/08/melanoma-detection-app-sellers-barred-making-deceptive-health\" target=\"_blank\">barred a company\u003c/a> from making claims that the“Mole Detective” line of apps could detect melanoma.\u003c/p>\n\u003cp>\"I fear that there will be a lot more cases, ” Merrill Thompson said. \"If you look at the mobile apps being promoted, it’s still the wild west out there. There’s still a lot of very small organizations operating out of their garage, making boastful claims about their technology.\"\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/futureofyou/\">KQED Future of You\u003c/a> editor Christina Farr wrote about the \u003ca href=\"http://www.reuters.com/article/2014/06/10/us-mobilephone-healthcare-idUSKBN0EL23M20140610\" target=\"_blank\">proliferation of unproven claims\u003c/a> by health-related apps for Reuters in 2014. She reported that a recent study from the New England Center for Investigative Research revealed that of the 1,500 health apps it evaluated, 20 percent claimed to treat or cure medical problems, but only a small percentage of them had been clinically validated.\u003c/p>\n\u003cp>Farr wrote that the FDA lacks the resources to monitor all the health-related apps on the market.\u003c/p>\n\u003cp>Bradley Merrill Thompson says the FDA has been “suspiciously quiet” on the topic.\u003c/p>\n\u003cp>“One would have to be suspicious that the FDA and FTC are collaborating behind the scenes, and the FTC has agreed to be the bad cop,” said Merrill Thompson. “The FDA has been embattled over the past few years as being too heavy-handed and too burdensome in regard to mobile apps.”\u003c/p>\n\u003cp>He explained that in a case like the one against UltimEyes, the FTC is viewing the app as a medical device, which comes under the purview of both agencies.\u003c/p>\n\u003cp>“Clearly there’s overlap,” he said, and either agency could have brought an action.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"vimeo","attributes":{"named":{"w":"500","h":"313","label":"90324562"},"numeric":["90324562"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>This post has been updated to reflect the FTC's declining to comment.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/42356/uc-riverside-professor-slams-feds-stands-by-his-health-app","authors":["80"],"programs":["futureofyou_54"],"categories":["futureofyou_452","futureofyou_73"],"tags":["futureofyou_596","futureofyou_469","futureofyou_453","futureofyou_270","futureofyou_80","futureofyou_547"],"featImg":"futureofyou_43259","label":"futureofyou_54"},"futureofyou_34474":{"type":"posts","id":"futureofyou_34474","meta":{"index":"posts_1591205157","site":"futureofyou","id":"34474","score":null,"sort":[1441732225000]},"guestAuthors":[],"slug":"qa-got-sleep-troubles-heres-how-technology-can-help","title":"Q&A: Got Sleep Troubles? Here's How Technology Can Help","publishDate":1441732225,"format":"standard","headTitle":"KQED Future of You | KQED Science","labelTerm":{"site":"futureofyou"},"content":"\u003cp>The alarm starts ringing as you're in the midst of deep sleep. Your limbs feel like lead, eyelids are glued shut, and even basic communication isn't feasible until that first cup of coffee.\u003c/p>\n\u003cp>We've probably all experienced that feeling, of being abruptly woken up when we really want to be asleep. Now, a handful of technology companies are developing sophisticated wearable devices that are capable of detecting when you're in\u003cstrong> \u003c/strong>a lighter stage and waking you then.\u003c/p>\n\u003cp>Sleep-tracking technology has made major strides in the past five years, although it's still in its early days. Some wearable-makers that offer sleep tracking are aiming to target the 70 million Americans with chronic sleep problems, including insomnia and \u003ca href=\"http://ww2.kqed.org/futureofyou/2015/08/13/this-pod-sized-device-helps-stop-childrens-night-terrors/\">night terrors\u003c/a>, while others are focused on helping people optimize their slumber.\u003c/p>\n\u003cfigure id=\"attachment_34530\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003ca href=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/09/diamond.jpg\">\u003cimg class=\"size-medium wp-image-34530\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/09/diamond-800x500.jpg\" alt=\"Matthew Diamond speaking at the Smart Nation conference on the topic of wearable technology.\" width=\"800\" height=\"500\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/09/diamond-800x500.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/diamond-400x250.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/diamond-1180x738.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/diamond-960x600.jpg 960w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/diamond.jpg 1440w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Matthew Diamond, speaking at the Smart Nation conference on the topic of wearable technology. \u003ccite>(Matthew Diamond)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>To find out what will be possible in the near future, KQED sat down with Dr. Matthew Diamond, a San Francisco sports medicine physician, member of the National Sleep Foundation's \u003ca href=\"http://ww.sleeptechnology.org\">Sleep Technology Council \u003c/a>and the medical director at Misfit. This interview with Diamond has been condensed and edited for brevity.\u003c/p>\n\u003cp>\u003cstrong>As a sports medicine doctor, why are you so interested in wearables and sleep tracking?\u003c/strong>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>It's really important to me to understand how people are sleeping, especially if they have neck pain or back pain. During sleep, the body produces a hormone that is essential to the healing of muscles and joints.\u003c/p>\n\u003cp>\u003cstrong>How have doctors like yourself historically measured sleep -- and what's possible now? \u003c/strong>\u003c/p>\n\u003cp>For decades, the sleep study involved going into a sleep lab and hooking a patient up to 50 different wires. It's a very artificial environment, but that's the standard in understanding how we sleep. Now, a device from a consumer technology company like \u003ca href=\"https://jawbone.com/\">Jawbone\u003c/a> or \u003ca href=\"http://misfit.com/?locale=en\">Misfit\u003c/a> can give you pretty reliable information without the hassle. These devices contain sophisticated sensors and can be worn on the body.\u003c/p>\n\u003caside class=\"pullquote alignright\">“Some devices contain sensors that also measure heart rate, which can allow for even more accurate understanding of your sleep.\" \u003ccite>Matthew Diamond, medical director at Misfit. \u003c/cite>\u003c/aside>\n\u003cp>\u003cstrong>How do these consumer devices track sleep? \u003c/strong>\u003c/p>\n\u003cp>The most commonly-used sensor that you'll find in these devices is an accelerometer, which measures movement. This may seem basic but it's valuable as our body transitions through different stages of sleep.\u003c/p>\n\u003cp>A normal night of sleep is actually quite a journey that takes us from light sleep to medium sleep to deep sleep and then back to lighter sleep -- and this happens in cycles that last from 90 minutes to two hours. Each stage is associated with a movement pattern. Everything should slow down in the deeper stage, when blood pressure gets lower and our movement diminishes. The sensors in these devices can pick up on this and help us understand how restless the sleep is overall.\u003c/p>\n\u003cp>\u003cstrong>Aside from movement-tracking, are there other sophisticated methods to track sleep? \u003c/strong>\u003c/p>\n\u003cp>Some devices contain sensors that also measure heart rate, which can allow for even more accurate understanding of your sleep. Another fascinating technology called \"BCG,\" which stands for ballistocardiogram, picks up on vibrations created by the pulsing of the heart. This was a method used by cardiologists before the invention of more sophisticated technologies like the ultrasound. Using similar technology, sensors in the bed can pick up on the force created by the vibration of each heartbeat.\u003c/p>\n\u003cp>\u003cstrong>What are the best available methods to measure your sleep?\u003c/strong>\u003c/p>\n\u003cp>You can wear a tracker on the wrist, but the downside is that these devices are energy hungry. The Apple Watch, for instance, is not ideal for sleep-tracking as most people charge it overnight. There are also the sensors that can be placed in the bed from companies like Withings and Misfit. It is a thin ribbon sensor that you can put on a mattress -- it can detect the movement of the heart and your breathing.\u003c/p>\n\u003cfigure id=\"attachment_34534\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003cimg class=\" wp-image-34534\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/09/jet-shine.jpg\" alt=\"Wearable trackers like the MIsfit Shine can track your sleep. \" width=\"300\" height=\"300\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/09/jet-shine.jpg 700w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/jet-shine-400x400.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/jet-shine-600x600.jpg 600w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/jet-shine-32x32.jpg 32w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/jet-shine-64x64.jpg 64w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/jet-shine-96x96.jpg 96w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/jet-shine-128x128.jpg 128w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/jet-shine-75x75.jpg 75w\" sizes=\"(max-width: 300px) 100vw, 300px\">\u003cfigcaption class=\"wp-caption-text\">Wearables such as the jewel-like Misfit Shine can track your sleep. \u003ccite>(Misfit)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Who should track their sleep: Athletes, people with sleep troubles or just about anyone?\u003c/strong>\u003c/p>\n\u003cp>If you are an active person, it's worth putting on an activity tracker even just for a week. You might notice, for instance, that at the end of the day you are only 20 percent towards your activity goal because you've been holed up in the office. The same is true for sleep tracking. It's easy to fool yourself that you're sleeping fine if you're not paying attention. Sometimes if you're feeling a bit off, it can be tough to attribute that to poor quality sleep without the objective data.\u003c/p>\n\u003cp>\u003cstrong>When will we be able to use these sensors to wake up at the optimal time? \u003c/strong>\u003c/p>\n\u003cp>With the more advanced digital sleep sensors it's possible today to set a smart alarm to wake you in the lighter stages of sleep rather than the deeper stages. This has the benefit of making you feel less groggy in the immediate period after awakening. But I would caution against using a device to wake up too much earlier than you need to.\u003c/p>\n\u003cp>\u003cstrong>What will be possible in the next 3 to 5 years when it comes to sleep tracking? \u003c/strong>\u003c/p>\n\u003cp>We're seeing the sensors and electronics becoming more energy efficient. They won't need to be charged as frequently. We're also seeing more sophisticated ways to analyze heart rate, including heart rate variability. If you see a lack of variability for a patient with heart disease, that might suggest that their nervous system isn't working correctly.\u003c/p>\n\u003cp>Similarly, you can get information from sleep-tracking on whether someone is over-exerting themselves. We'll be able to tell with some confidence whether a person is over-training and exercising too much. If you set unrealistic goals for activity levels, deep sleep will be diminished and interrupted.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Today, we see professional athletes wearing chest straps overnight to get this data, but that's very cumbersome and may interfere with sleep. My hope is that alternative methods will be easier to use and less expensive in the future.\u003c/p>\n\n","blocks":[],"excerpt":"Sleep-tracking has made major strides in the past five years, although it's still in the early days. We sat down with sleep expert Dr. Matthew Diamond to find out what will be possible in the future. ","status":"publish","parent":0,"modified":1477274280,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":25,"wordCount":1079},"headData":{"title":"Q&A: Got Sleep Troubles? Here's How Technology Can Help | KQED","description":"Sleep-tracking has made major strides in the past five years, although it's still in the early days. We sat down with sleep expert Dr. Matthew Diamond to find out what will be possible in the future. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Q&A: Got Sleep Troubles? Here's How Technology Can Help","datePublished":"2015-09-08T17:10:25.000Z","dateModified":"2016-10-24T01:58:00.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"34474 http://ww2.kqed.org/futureofyou/?p=34474","disqusUrl":"https://ww2.kqed.org/futureofyou/2015/09/08/qa-got-sleep-troubles-heres-how-technology-can-help/","disqusTitle":"Q&A: Got Sleep Troubles? Here's How Technology Can Help","path":"/futureofyou/34474/qa-got-sleep-troubles-heres-how-technology-can-help","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>The alarm starts ringing as you're in the midst of deep sleep. Your limbs feel like lead, eyelids are glued shut, and even basic communication isn't feasible until that first cup of coffee.\u003c/p>\n\u003cp>We've probably all experienced that feeling, of being abruptly woken up when we really want to be asleep. Now, a handful of technology companies are developing sophisticated wearable devices that are capable of detecting when you're in\u003cstrong> \u003c/strong>a lighter stage and waking you then.\u003c/p>\n\u003cp>Sleep-tracking technology has made major strides in the past five years, although it's still in its early days. Some wearable-makers that offer sleep tracking are aiming to target the 70 million Americans with chronic sleep problems, including insomnia and \u003ca href=\"http://ww2.kqed.org/futureofyou/2015/08/13/this-pod-sized-device-helps-stop-childrens-night-terrors/\">night terrors\u003c/a>, while others are focused on helping people optimize their slumber.\u003c/p>\n\u003cfigure id=\"attachment_34530\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003ca href=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/09/diamond.jpg\">\u003cimg class=\"size-medium wp-image-34530\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/09/diamond-800x500.jpg\" alt=\"Matthew Diamond speaking at the Smart Nation conference on the topic of wearable technology.\" width=\"800\" height=\"500\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/09/diamond-800x500.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/diamond-400x250.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/diamond-1180x738.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/diamond-960x600.jpg 960w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/diamond.jpg 1440w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Matthew Diamond, speaking at the Smart Nation conference on the topic of wearable technology. \u003ccite>(Matthew Diamond)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>To find out what will be possible in the near future, KQED sat down with Dr. Matthew Diamond, a San Francisco sports medicine physician, member of the National Sleep Foundation's \u003ca href=\"http://ww.sleeptechnology.org\">Sleep Technology Council \u003c/a>and the medical director at Misfit. This interview with Diamond has been condensed and edited for brevity.\u003c/p>\n\u003cp>\u003cstrong>As a sports medicine doctor, why are you so interested in wearables and sleep tracking?\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>It's really important to me to understand how people are sleeping, especially if they have neck pain or back pain. During sleep, the body produces a hormone that is essential to the healing of muscles and joints.\u003c/p>\n\u003cp>\u003cstrong>How have doctors like yourself historically measured sleep -- and what's possible now? \u003c/strong>\u003c/p>\n\u003cp>For decades, the sleep study involved going into a sleep lab and hooking a patient up to 50 different wires. It's a very artificial environment, but that's the standard in understanding how we sleep. Now, a device from a consumer technology company like \u003ca href=\"https://jawbone.com/\">Jawbone\u003c/a> or \u003ca href=\"http://misfit.com/?locale=en\">Misfit\u003c/a> can give you pretty reliable information without the hassle. These devices contain sophisticated sensors and can be worn on the body.\u003c/p>\n\u003caside class=\"pullquote alignright\">“Some devices contain sensors that also measure heart rate, which can allow for even more accurate understanding of your sleep.\" \u003ccite>Matthew Diamond, medical director at Misfit. \u003c/cite>\u003c/aside>\n\u003cp>\u003cstrong>How do these consumer devices track sleep? \u003c/strong>\u003c/p>\n\u003cp>The most commonly-used sensor that you'll find in these devices is an accelerometer, which measures movement. This may seem basic but it's valuable as our body transitions through different stages of sleep.\u003c/p>\n\u003cp>A normal night of sleep is actually quite a journey that takes us from light sleep to medium sleep to deep sleep and then back to lighter sleep -- and this happens in cycles that last from 90 minutes to two hours. Each stage is associated with a movement pattern. Everything should slow down in the deeper stage, when blood pressure gets lower and our movement diminishes. The sensors in these devices can pick up on this and help us understand how restless the sleep is overall.\u003c/p>\n\u003cp>\u003cstrong>Aside from movement-tracking, are there other sophisticated methods to track sleep? \u003c/strong>\u003c/p>\n\u003cp>Some devices contain sensors that also measure heart rate, which can allow for even more accurate understanding of your sleep. Another fascinating technology called \"BCG,\" which stands for ballistocardiogram, picks up on vibrations created by the pulsing of the heart. This was a method used by cardiologists before the invention of more sophisticated technologies like the ultrasound. Using similar technology, sensors in the bed can pick up on the force created by the vibration of each heartbeat.\u003c/p>\n\u003cp>\u003cstrong>What are the best available methods to measure your sleep?\u003c/strong>\u003c/p>\n\u003cp>You can wear a tracker on the wrist, but the downside is that these devices are energy hungry. The Apple Watch, for instance, is not ideal for sleep-tracking as most people charge it overnight. There are also the sensors that can be placed in the bed from companies like Withings and Misfit. It is a thin ribbon sensor that you can put on a mattress -- it can detect the movement of the heart and your breathing.\u003c/p>\n\u003cfigure id=\"attachment_34534\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003cimg class=\" wp-image-34534\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/09/jet-shine.jpg\" alt=\"Wearable trackers like the MIsfit Shine can track your sleep. \" width=\"300\" height=\"300\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/09/jet-shine.jpg 700w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/jet-shine-400x400.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/jet-shine-600x600.jpg 600w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/jet-shine-32x32.jpg 32w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/jet-shine-64x64.jpg 64w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/jet-shine-96x96.jpg 96w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/jet-shine-128x128.jpg 128w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/jet-shine-75x75.jpg 75w\" sizes=\"(max-width: 300px) 100vw, 300px\">\u003cfigcaption class=\"wp-caption-text\">Wearables such as the jewel-like Misfit Shine can track your sleep. \u003ccite>(Misfit)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Who should track their sleep: Athletes, people with sleep troubles or just about anyone?\u003c/strong>\u003c/p>\n\u003cp>If you are an active person, it's worth putting on an activity tracker even just for a week. You might notice, for instance, that at the end of the day you are only 20 percent towards your activity goal because you've been holed up in the office. The same is true for sleep tracking. It's easy to fool yourself that you're sleeping fine if you're not paying attention. Sometimes if you're feeling a bit off, it can be tough to attribute that to poor quality sleep without the objective data.\u003c/p>\n\u003cp>\u003cstrong>When will we be able to use these sensors to wake up at the optimal time? \u003c/strong>\u003c/p>\n\u003cp>With the more advanced digital sleep sensors it's possible today to set a smart alarm to wake you in the lighter stages of sleep rather than the deeper stages. This has the benefit of making you feel less groggy in the immediate period after awakening. But I would caution against using a device to wake up too much earlier than you need to.\u003c/p>\n\u003cp>\u003cstrong>What will be possible in the next 3 to 5 years when it comes to sleep tracking? \u003c/strong>\u003c/p>\n\u003cp>We're seeing the sensors and electronics becoming more energy efficient. They won't need to be charged as frequently. We're also seeing more sophisticated ways to analyze heart rate, including heart rate variability. If you see a lack of variability for a patient with heart disease, that might suggest that their nervous system isn't working correctly.\u003c/p>\n\u003cp>Similarly, you can get information from sleep-tracking on whether someone is over-exerting themselves. We'll be able to tell with some confidence whether a person is over-training and exercising too much. If you set unrealistic goals for activity levels, deep sleep will be diminished and interrupted.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Today, we see professional athletes wearing chest straps overnight to get this data, but that's very cumbersome and may interfere with sleep. My hope is that alternative methods will be easier to use and less expensive in the future.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/34474/qa-got-sleep-troubles-heres-how-technology-can-help","authors":["3252"],"categories":["futureofyou_1060","futureofyou_1061"],"tags":["futureofyou_80","futureofyou_583","futureofyou_547","futureofyou_180"],"featImg":"futureofyou_34475","label":"futureofyou"},"futureofyou_31009":{"type":"posts","id":"futureofyou_31009","meta":{"index":"posts_1591205157","site":"futureofyou","id":"31009","score":null,"sort":[1441040401000]},"guestAuthors":[],"slug":"this-dental-insurer-wants-to-reward-you-for-flossing","title":"This Dental Insurer Wants to Reward You for Flossing","publishDate":1441040401,"format":"standard","headTitle":"KQED Future of You | KQED Science","labelTerm":{"site":"futureofyou"},"content":"\u003cp>Like most dentists, Shaun Rotenberg, who practices in Columbus, Ohio, sees a full spectrum of patients. Some are hyper-vigilant about flossing and brushing their teeth, while others avoid trips to the dentist like the plague.\u003c/p>\n\u003cp>But until recently, there hasn't been a way to reward the patients who take care of their teeth and are less likely to need costly dental work in the long-term. Dental-related emergency room visits \u003ca href=\"http://healthjournalism.org/blog/2014/04/lack-of-access-to-dental-care-leads-to-expensive-emergency-room-care/\">are on the rise\u003c/a> in the United States, which contributes to health care cost increases.\u003c/p>\n\u003cp>This week, a startup insurance company, in Rotenberg's city of Columbus, called \u003ca href=\"http://www.beam.dental\">Beam Dental \u003c/a>introduced a new nationwide program to reward people for good behavior (if avoiding gum disease, chipped teeth and cavities wasn't reward enough).\u003c/p>\n\u003cp>\"I have dentists in my family, and noticed a real lack of innovation in the industry,\" said Alex Frommeyer, Beam Dental's founder and CEO.\u003c/p>\n\u003cp>Those who sign up to the program through their employer collect \"stars,\" which can be traded in for prizes and incentives, such as cash back. According to Frommeyer, the company may soon offer lower insurance premiums to those who take care of their teeth.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>With its insurance product, Beam competes with some of the largest dental plans in the country, including Delta Dental and MetLife. But the team sees plenty of opportunities to reach the \u003ca href=\"http://health.usnews.com/health-news/health-wellness/articles/2015/05/20/no-dental-insurance-dont-wait-for-something-to-go-wrong\">40 percent of Americans\u003c/a> who forgo dental coverage.\u003c/p>\n\u003cp>Frommeyer declined to disclose how much the Beam plan costs, even an average number, as quotes vary from state to state. But he claims it is typically cheaper for employers than other plans due to Beam's lack of bureaucracy, overhead and its focus on software automation.\u003c/p>\n\u003cp>For now, Beam's insurance isn't available for individuals to select through a state or federal exchange.\u003c/p>\n\u003cfigure id=\"attachment_31140\" class=\"wp-caption alignright\" style=\"max-width: 600px\">\u003cimg class=\"size-medium wp-image-31140\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/08/fwEwnny-3tNouEfKwp7u-UEzi_QSmGsh50RKorftpl8-600x600.jpg\" alt=\"Beam Dental's team at their offices in Columbus, Ohio.\" width=\"600\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/08/fwEwnny-3tNouEfKwp7u-UEzi_QSmGsh50RKorftpl8-600x600.jpg 600w, https://ww2.kqed.org/app/uploads/sites/13/2015/08/fwEwnny-3tNouEfKwp7u-UEzi_QSmGsh50RKorftpl8-400x400.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/08/fwEwnny-3tNouEfKwp7u-UEzi_QSmGsh50RKorftpl8-32x32.jpg 32w, https://ww2.kqed.org/app/uploads/sites/13/2015/08/fwEwnny-3tNouEfKwp7u-UEzi_QSmGsh50RKorftpl8-64x64.jpg 64w, https://ww2.kqed.org/app/uploads/sites/13/2015/08/fwEwnny-3tNouEfKwp7u-UEzi_QSmGsh50RKorftpl8-96x96.jpg 96w, https://ww2.kqed.org/app/uploads/sites/13/2015/08/fwEwnny-3tNouEfKwp7u-UEzi_QSmGsh50RKorftpl8-128x128.jpg 128w, https://ww2.kqed.org/app/uploads/sites/13/2015/08/fwEwnny-3tNouEfKwp7u-UEzi_QSmGsh50RKorftpl8-75x75.jpg 75w, https://ww2.kqed.org/app/uploads/sites/13/2015/08/fwEwnny-3tNouEfKwp7u-UEzi_QSmGsh50RKorftpl8.jpg 768w\" sizes=\"(max-width: 600px) 100vw, 600px\">\u003cfigcaption class=\"wp-caption-text\">Beam Dental's team at their offices in Columbus, Ohio. \u003ccite>(Beam Dental)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>But let's be real, most of us have lied to the dentist about how frequently we floss. What's stopping Beam's members from pretending they take care of their teeth in order to access rewards?\u003c/p>\n\u003cp>Well, Beam's first product, its sonic-powered \"smart\" toothbrush and floss, serves as a tracking system of sorts. Its sensors monitor how long you brush your teeth and for how often -- so don't even try to cheat!\u003c/p>\n\u003cp>The brush will then report the data to the Beam iPhone and Android app, which notifies you if you've stopped brushing too early -- dental lore is a full two minutes -- or if you've missed a spot in one of those hard to reach areas.\u003c/p>\n\u003cfigure id=\"attachment_31483\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-31483\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/08/brush_collection_01-800x537.jpg\" alt='The Beam \"smart brush\" collection ' width=\"800\" height=\"537\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/08/brush_collection_01-800x537.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/08/brush_collection_01-400x269.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/08/brush_collection_01-1180x793.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/08/brush_collection_01-1920x1290.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/13/2015/08/brush_collection_01-960x645.jpg 960w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">The Beam \"smart brush\" collection \u003ccite>(Beam )\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>According to Frommeyer, the data is already showing improvements. Two out of three brushing events with the Beam brush are over two minutes, he said, and the average frequency is 1.75 times per day.\u003c/p>\n\u003cp>The smart toothbrush brush costs $5 per person per month, and includes toothpaste, floss and shipments of replacement brush heads. If your employer signs up to Beam, it costs just $3 a month.\u003c/p>\n\u003cp>Shaun Rotenberg, our dentist from Columbus, has recommended the connected-toothbrush to many of his teen and twenty-something patients.\u003c/p>\n\u003cp>\"It's great for my patients who love apps and are glued to a smartphone,\" he said. \"Really I'll try anything that will get my patients to care about their oral hygiene.\"\u003c/p>\n\u003cp>Beam's plan to provide cash back to those who regularly brush their teeth is not unlike new rewards programs from medical insurance companies. \u003ca href=\"https://www.hioscar.com/\">Oscar Health\u003c/a>, a health insurer based in New York, recently partnered with \u003ca href=\"http://misfit.com/?locale=en\">Misfit,\u003c/a> a Bay Area wearables company known for its jewel-like step-tracking devices. Those who stay physically active can get an Amazon $20 gift card.\u003c/p>\n\u003cp>Frommeyer said this kind of approach makes a lot more sense when applied to oral care.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"Data from an activity tracker, like a Fitbit or Misfit has some impact on your overall health,\" he said. \"But if you're caring for your teeth on a day to day basis, the relative impact is much greater.\"\u003c/p>\n\n","blocks":[],"excerpt":"This week, a Columbus, Ohio-based insurer called Beam Dental introduced a new nationwide program to reward people for good behavior.","status":"publish","parent":0,"modified":1441055491,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":20,"wordCount":721},"headData":{"title":"This Dental Insurer Wants to Reward You for Flossing | KQED","description":"This week, a Columbus, Ohio-based insurer called Beam Dental introduced a new nationwide program to reward people for good behavior.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"This Dental Insurer Wants to Reward You for Flossing","datePublished":"2015-08-31T17:00:01.000Z","dateModified":"2015-08-31T21:11:31.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"31009 http://ww2.kqed.org/futureofyou/?p=31009","disqusUrl":"https://ww2.kqed.org/futureofyou/2015/08/31/this-dental-insurer-wants-to-reward-you-for-flossing/","disqusTitle":"This Dental Insurer Wants to Reward You for Flossing","path":"/futureofyou/31009/this-dental-insurer-wants-to-reward-you-for-flossing","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Like most dentists, Shaun Rotenberg, who practices in Columbus, Ohio, sees a full spectrum of patients. Some are hyper-vigilant about flossing and brushing their teeth, while others avoid trips to the dentist like the plague.\u003c/p>\n\u003cp>But until recently, there hasn't been a way to reward the patients who take care of their teeth and are less likely to need costly dental work in the long-term. Dental-related emergency room visits \u003ca href=\"http://healthjournalism.org/blog/2014/04/lack-of-access-to-dental-care-leads-to-expensive-emergency-room-care/\">are on the rise\u003c/a> in the United States, which contributes to health care cost increases.\u003c/p>\n\u003cp>This week, a startup insurance company, in Rotenberg's city of Columbus, called \u003ca href=\"http://www.beam.dental\">Beam Dental \u003c/a>introduced a new nationwide program to reward people for good behavior (if avoiding gum disease, chipped teeth and cavities wasn't reward enough).\u003c/p>\n\u003cp>\"I have dentists in my family, and noticed a real lack of innovation in the industry,\" said Alex Frommeyer, Beam Dental's founder and CEO.\u003c/p>\n\u003cp>Those who sign up to the program through their employer collect \"stars,\" which can be traded in for prizes and incentives, such as cash back. According to Frommeyer, the company may soon offer lower insurance premiums to those who take care of their teeth.\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>With its insurance product, Beam competes with some of the largest dental plans in the country, including Delta Dental and MetLife. But the team sees plenty of opportunities to reach the \u003ca href=\"http://health.usnews.com/health-news/health-wellness/articles/2015/05/20/no-dental-insurance-dont-wait-for-something-to-go-wrong\">40 percent of Americans\u003c/a> who forgo dental coverage.\u003c/p>\n\u003cp>Frommeyer declined to disclose how much the Beam plan costs, even an average number, as quotes vary from state to state. But he claims it is typically cheaper for employers than other plans due to Beam's lack of bureaucracy, overhead and its focus on software automation.\u003c/p>\n\u003cp>For now, Beam's insurance isn't available for individuals to select through a state or federal exchange.\u003c/p>\n\u003cfigure id=\"attachment_31140\" class=\"wp-caption alignright\" style=\"max-width: 600px\">\u003cimg class=\"size-medium wp-image-31140\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/08/fwEwnny-3tNouEfKwp7u-UEzi_QSmGsh50RKorftpl8-600x600.jpg\" alt=\"Beam Dental's team at their offices in Columbus, Ohio.\" width=\"600\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/08/fwEwnny-3tNouEfKwp7u-UEzi_QSmGsh50RKorftpl8-600x600.jpg 600w, https://ww2.kqed.org/app/uploads/sites/13/2015/08/fwEwnny-3tNouEfKwp7u-UEzi_QSmGsh50RKorftpl8-400x400.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/08/fwEwnny-3tNouEfKwp7u-UEzi_QSmGsh50RKorftpl8-32x32.jpg 32w, https://ww2.kqed.org/app/uploads/sites/13/2015/08/fwEwnny-3tNouEfKwp7u-UEzi_QSmGsh50RKorftpl8-64x64.jpg 64w, https://ww2.kqed.org/app/uploads/sites/13/2015/08/fwEwnny-3tNouEfKwp7u-UEzi_QSmGsh50RKorftpl8-96x96.jpg 96w, https://ww2.kqed.org/app/uploads/sites/13/2015/08/fwEwnny-3tNouEfKwp7u-UEzi_QSmGsh50RKorftpl8-128x128.jpg 128w, https://ww2.kqed.org/app/uploads/sites/13/2015/08/fwEwnny-3tNouEfKwp7u-UEzi_QSmGsh50RKorftpl8-75x75.jpg 75w, https://ww2.kqed.org/app/uploads/sites/13/2015/08/fwEwnny-3tNouEfKwp7u-UEzi_QSmGsh50RKorftpl8.jpg 768w\" sizes=\"(max-width: 600px) 100vw, 600px\">\u003cfigcaption class=\"wp-caption-text\">Beam Dental's team at their offices in Columbus, Ohio. \u003ccite>(Beam Dental)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>But let's be real, most of us have lied to the dentist about how frequently we floss. What's stopping Beam's members from pretending they take care of their teeth in order to access rewards?\u003c/p>\n\u003cp>Well, Beam's first product, its sonic-powered \"smart\" toothbrush and floss, serves as a tracking system of sorts. Its sensors monitor how long you brush your teeth and for how often -- so don't even try to cheat!\u003c/p>\n\u003cp>The brush will then report the data to the Beam iPhone and Android app, which notifies you if you've stopped brushing too early -- dental lore is a full two minutes -- or if you've missed a spot in one of those hard to reach areas.\u003c/p>\n\u003cfigure id=\"attachment_31483\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-31483\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/08/brush_collection_01-800x537.jpg\" alt='The Beam \"smart brush\" collection ' width=\"800\" height=\"537\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/08/brush_collection_01-800x537.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/08/brush_collection_01-400x269.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/08/brush_collection_01-1180x793.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/08/brush_collection_01-1920x1290.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/13/2015/08/brush_collection_01-960x645.jpg 960w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">The Beam \"smart brush\" collection \u003ccite>(Beam )\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>According to Frommeyer, the data is already showing improvements. Two out of three brushing events with the Beam brush are over two minutes, he said, and the average frequency is 1.75 times per day.\u003c/p>\n\u003cp>The smart toothbrush brush costs $5 per person per month, and includes toothpaste, floss and shipments of replacement brush heads. If your employer signs up to Beam, it costs just $3 a month.\u003c/p>\n\u003cp>Shaun Rotenberg, our dentist from Columbus, has recommended the connected-toothbrush to many of his teen and twenty-something patients.\u003c/p>\n\u003cp>\"It's great for my patients who love apps and are glued to a smartphone,\" he said. \"Really I'll try anything that will get my patients to care about their oral hygiene.\"\u003c/p>\n\u003cp>Beam's plan to provide cash back to those who regularly brush their teeth is not unlike new rewards programs from medical insurance companies. \u003ca href=\"https://www.hioscar.com/\">Oscar Health\u003c/a>, a health insurer based in New York, recently partnered with \u003ca href=\"http://misfit.com/?locale=en\">Misfit,\u003c/a> a Bay Area wearables company known for its jewel-like step-tracking devices. Those who stay physically active can get an Amazon $20 gift card.\u003c/p>\n\u003cp>Frommeyer said this kind of approach makes a lot more sense when applied to oral care.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"Data from an activity tracker, like a Fitbit or Misfit has some impact on your overall health,\" he said. \"But if you're caring for your teeth on a day to day basis, the relative impact is much greater.\"\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/31009/this-dental-insurer-wants-to-reward-you-for-flossing","authors":["3252"],"categories":["futureofyou_1"],"tags":["futureofyou_577","futureofyou_80","futureofyou_547","futureofyou_145"],"featImg":"futureofyou_33184","label":"futureofyou"},"futureofyou_28802":{"type":"posts","id":"futureofyou_28802","meta":{"index":"posts_1591205157","site":"futureofyou","id":"28802","score":null,"sort":[1440522002000]},"guestAuthors":[],"slug":"how-one-doctor-used-mobile-tech-to-aid-diabetes-patients","title":"How One Doctor Used Mobile Tech to Aid Diabetes Patients","publishDate":1440522002,"format":"standard","headTitle":"Diabetes Management | KQED Future of You | KQED Science","labelTerm":{"term":308,"site":"futureofyou"},"content":"\u003cp>People whose diabetes requires insulin injections usually have to make a series of visits to the doctor’s office, to fine tune their daily dosage. But many low-income patients can’t afford to take those few hours off to see the doctor. As a result, they often live with chronically elevated blood sugars for weeks or months until they can find time to get to the clinic.\u003c/p>\n\u003cp>Now a new study from New York’s \u003ca href=\"http://www.nyc.gov/html/hhc/bellevue/html/home/home.shtml\">Bellevue Hospital\u003c/a> finds mobile technology can help low-income patients with the process of titrating their dosage, without them having to see a doctor.\u003c/p>\n\u003cp>For people with chronic conditions, \u003ca href=\"http://ww2.kqed.org/futureofyou/2015/07/27/5-digital-health-trends-todays-tech-savvy-doctors-are-adopting/\">mobile technology\u003c/a> can provide crucial support and lower costs. Doctors have used mobile messaging to prompt hypertensive patients to measure their blood pressure, and to remind HIV-positive people to return for regular lab testing. For people tracking their overall health, Apple’s new HealthKit makes it easier for different health and fitness apps to exchange data.\u003c/p>\n\u003cp>So \u003ca href=\"http://www.med.nyu.edu/biosketch/levyn02\">Natalie Levy\u003c/a>, an assistant professor at the New York University School of Medicine and head of Bellevue Hospital’s Diabetes Program, decided to try mobile technology to help her low-income diabetes patients titrate their insulin remotely.\u003c/p>\n\u003cfigure id=\"attachment_30132\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003ca href=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/08/finger-prick.jpg\">\u003cimg class=\"size-medium wp-image-30132\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/08/finger-prick-800x600.jpg\" alt=\"When diabetics initially start taking insulin shots, they need to check their blood sugar at least once a day to make sure their medication dose is correct.\" width=\"800\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/08/finger-prick-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/08/finger-prick-400x300.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/08/finger-prick-960x720.jpg 960w, https://ww2.kqed.org/app/uploads/sites/13/2015/08/finger-prick.jpg 1024w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">When diabetics initially start taking insulin shots, they need to check their blood sugar at least once a day to make sure their dosage is correct. \u003ccite>(frankieleon/Flickr)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Bellevue, which has traditionally served New York’s poor, currently has about 5,000 diabetes patients a year. In a survey Levy conducted, one patient reported that it often took three to four months to return for each follow-up visit during the titration phase.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“Many [diabetic patients] have jobs that don’t provide sick leave or they have young children or grandchildren in their care,” she says.\u003c/p>\n\u003cp>Wearables like FitBit or Jawbone cost far too much for most of Levy’s patients, and less than half of this population owns a smartphone. Nearly all of Bellevue’s diabetics, though, have mobile phones with a text messaging feature.\u003c/p>\n\u003cp>Levy’s team designed a pilot study—called the Mobile Insulin Titration Intervention, or MITI (pronounced “mighty”) Study—where a small subset of Bellevue’s insulin-dependent diabetics, 33 patients, got a daily reminder to take a morning blood sugar reading and text that value back. Nurses reviewed the information daily on the web, to check for values that were too high or too low, indicating the insulin dose needed to be adjusted.\u003c/p>\n\u003cp>Once a week, the patients spoke by phone to the diabetes nurse to adjust dosage as needed. This routine lasted 12 weeks. A control group of 27 patients got the usual kind of care and titrated their insulin with in-person office visits.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"It got my head in the game.\"\u003ccite>Diabetes Patient,\u003cbr>\nBellevue Study Participant\u003c/cite>\u003c/aside>\n\u003cp>The results of the study were \u003ca href=\"http://www.jmir.org/2015/7/e180/\">published\u003c/a> in the \u003ca href=\"http://jmirpublications.com/\">Journal of Medical Internet Research\u003c/a> in July and the differences between the two groups were stark. Of the group that got daily text messages and weekly phone calls, 88 percent were able to get their blood sugars within an acceptable range. Only 37 percent of the comparison group managed to control their blood sugars.\u003c/p>\n\u003cp>Levy and her team also estimated that the remote titration group saved about two hours of time, plus the $15 co-pays that many other participants paid for office visits. The intervention appears feasible, too, since patients sent blood glucose values back more than 80 percent of the time, indicating that the daily task wasn’t too arduous.\u003c/p>\n\u003cp>Moreover, Levy says the mobile titration patients reported feeling more in control of their illness and more accountable for complying with medical advice.\u003c/p>\n\u003cp>“I was actually checking my finger sticks every day,” one participant noted in a post-study survey. Said another, “It got my head in the game.”\u003c/p>\n\u003cfigure id=\"attachment_30154\" class=\"wp-caption alignright\" style=\"max-width: 399px\">\u003ca href=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/08/Bellevue_Hospital_entrance_arch.jpg\">\u003cimg class=\" wp-image-30154\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/08/Bellevue_Hospital_entrance_arch-494x600.jpg\" alt=\"Bellevue is the oldest public hospital in the United States. The majority of its patients come from underserved communities in New York.\" width=\"399\" height=\"485\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/08/Bellevue_Hospital_entrance_arch-494x600.jpg 494w, https://ww2.kqed.org/app/uploads/sites/13/2015/08/Bellevue_Hospital_entrance_arch-400x486.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/08/Bellevue_Hospital_entrance_arch.jpg 512w\" sizes=\"(max-width: 399px) 100vw, 399px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Bellevue is the oldest public hospital in the United States. The majority of its patients come from underserved communities in New York. \u003ccite>(Beyond My Ken/Wikimedia Commons)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Levy says mobile tech offers a new avenue for helping patients manage their chronic diseases.\u003c/p>\n\u003cp>“It’s so important for diabetic patients to see the things that they eat,” she says, “their level of activity, their med compliance—all those variables—and their fasting blood sugars the next day.”\u003c/p>\n\u003cp>Dominick Frosch, a patient-care researcher at the \u003ca href=\"https://www.moore.org/\">Gordon and Betty Moore Foundation\u003c/a> in Palo Alto, echoes Levy’s sentiments. He advocates for making patients with chronic diseases the primary managers of their illness. The clinician, he says, is a “consultant” for developing a day-to-day management plan.\u003c/p>\n\u003cp>If doctors don’t take stock of what patients are realistically capable of, Frosch says, “they end up prescribing treatments patients can’t fit into their lives.”\u003c/p>\n\u003cp>Often, minor modifications can make a huge impact. And the more flexible doctors can be at using various media, Frosch says, like phone, email and patient portals, the better they can be at getting patients to manage their own illnesses.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>MITI may soon become a hospital-wide program at Bellevue. The Health and Hospitals Corporation that runs Bellevue and other public hospitals in New York City is now looking into improving the security for sending and receive secure private health information over text messages. Levy is looking forward to when that hurdle is crossed and the MITI protocol can be provided on an ongoing basis to a much larger pool of diabetic patients.\u003c/p>\n\n","blocks":[],"excerpt":"Many low-income patients can't see a doctor regularly when they start insulin shots, but one study found mobile tech can keep them on track.","status":"publish","parent":0,"modified":1477279537,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":21,"wordCount":937},"headData":{"title":"How One Doctor Used Mobile Tech to Aid Diabetes Patients | KQED","description":"Many low-income patients can't see a doctor regularly when they start insulin shots, but one study found mobile tech can keep them on track.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"How One Doctor Used Mobile Tech to Aid Diabetes Patients","datePublished":"2015-08-25T17:00:02.000Z","dateModified":"2016-10-24T03:25:37.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"28802 http://ww2.kqed.org/futureofyou/?p=28802","disqusUrl":"https://ww2.kqed.org/futureofyou/2015/08/25/how-one-doctor-used-mobile-tech-to-aid-diabetes-patients/","disqusTitle":"How One Doctor Used Mobile Tech to Aid Diabetes Patients","nprByline":"Rina Shaikh-Lesko","path":"/futureofyou/28802/how-one-doctor-used-mobile-tech-to-aid-diabetes-patients","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>People whose diabetes requires insulin injections usually have to make a series of visits to the doctor’s office, to fine tune their daily dosage. But many low-income patients can’t afford to take those few hours off to see the doctor. As a result, they often live with chronically elevated blood sugars for weeks or months until they can find time to get to the clinic.\u003c/p>\n\u003cp>Now a new study from New York’s \u003ca href=\"http://www.nyc.gov/html/hhc/bellevue/html/home/home.shtml\">Bellevue Hospital\u003c/a> finds mobile technology can help low-income patients with the process of titrating their dosage, without them having to see a doctor.\u003c/p>\n\u003cp>For people with chronic conditions, \u003ca href=\"http://ww2.kqed.org/futureofyou/2015/07/27/5-digital-health-trends-todays-tech-savvy-doctors-are-adopting/\">mobile technology\u003c/a> can provide crucial support and lower costs. Doctors have used mobile messaging to prompt hypertensive patients to measure their blood pressure, and to remind HIV-positive people to return for regular lab testing. For people tracking their overall health, Apple’s new HealthKit makes it easier for different health and fitness apps to exchange data.\u003c/p>\n\u003cp>So \u003ca href=\"http://www.med.nyu.edu/biosketch/levyn02\">Natalie Levy\u003c/a>, an assistant professor at the New York University School of Medicine and head of Bellevue Hospital’s Diabetes Program, decided to try mobile technology to help her low-income diabetes patients titrate their insulin remotely.\u003c/p>\n\u003cfigure id=\"attachment_30132\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003ca href=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/08/finger-prick.jpg\">\u003cimg class=\"size-medium wp-image-30132\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/08/finger-prick-800x600.jpg\" alt=\"When diabetics initially start taking insulin shots, they need to check their blood sugar at least once a day to make sure their medication dose is correct.\" width=\"800\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/08/finger-prick-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/08/finger-prick-400x300.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/08/finger-prick-960x720.jpg 960w, https://ww2.kqed.org/app/uploads/sites/13/2015/08/finger-prick.jpg 1024w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">When diabetics initially start taking insulin shots, they need to check their blood sugar at least once a day to make sure their dosage is correct. \u003ccite>(frankieleon/Flickr)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Bellevue, which has traditionally served New York’s poor, currently has about 5,000 diabetes patients a year. In a survey Levy conducted, one patient reported that it often took three to four months to return for each follow-up visit during the titration phase.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“Many [diabetic patients] have jobs that don’t provide sick leave or they have young children or grandchildren in their care,” she says.\u003c/p>\n\u003cp>Wearables like FitBit or Jawbone cost far too much for most of Levy’s patients, and less than half of this population owns a smartphone. Nearly all of Bellevue’s diabetics, though, have mobile phones with a text messaging feature.\u003c/p>\n\u003cp>Levy’s team designed a pilot study—called the Mobile Insulin Titration Intervention, or MITI (pronounced “mighty”) Study—where a small subset of Bellevue’s insulin-dependent diabetics, 33 patients, got a daily reminder to take a morning blood sugar reading and text that value back. Nurses reviewed the information daily on the web, to check for values that were too high or too low, indicating the insulin dose needed to be adjusted.\u003c/p>\n\u003cp>Once a week, the patients spoke by phone to the diabetes nurse to adjust dosage as needed. This routine lasted 12 weeks. A control group of 27 patients got the usual kind of care and titrated their insulin with in-person office visits.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"It got my head in the game.\"\u003ccite>Diabetes Patient,\u003cbr>\nBellevue Study Participant\u003c/cite>\u003c/aside>\n\u003cp>The results of the study were \u003ca href=\"http://www.jmir.org/2015/7/e180/\">published\u003c/a> in the \u003ca href=\"http://jmirpublications.com/\">Journal of Medical Internet Research\u003c/a> in July and the differences between the two groups were stark. Of the group that got daily text messages and weekly phone calls, 88 percent were able to get their blood sugars within an acceptable range. Only 37 percent of the comparison group managed to control their blood sugars.\u003c/p>\n\u003cp>Levy and her team also estimated that the remote titration group saved about two hours of time, plus the $15 co-pays that many other participants paid for office visits. The intervention appears feasible, too, since patients sent blood glucose values back more than 80 percent of the time, indicating that the daily task wasn’t too arduous.\u003c/p>\n\u003cp>Moreover, Levy says the mobile titration patients reported feeling more in control of their illness and more accountable for complying with medical advice.\u003c/p>\n\u003cp>“I was actually checking my finger sticks every day,” one participant noted in a post-study survey. Said another, “It got my head in the game.”\u003c/p>\n\u003cfigure id=\"attachment_30154\" class=\"wp-caption alignright\" style=\"max-width: 399px\">\u003ca href=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/08/Bellevue_Hospital_entrance_arch.jpg\">\u003cimg class=\" wp-image-30154\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/08/Bellevue_Hospital_entrance_arch-494x600.jpg\" alt=\"Bellevue is the oldest public hospital in the United States. The majority of its patients come from underserved communities in New York.\" width=\"399\" height=\"485\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/08/Bellevue_Hospital_entrance_arch-494x600.jpg 494w, https://ww2.kqed.org/app/uploads/sites/13/2015/08/Bellevue_Hospital_entrance_arch-400x486.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/08/Bellevue_Hospital_entrance_arch.jpg 512w\" sizes=\"(max-width: 399px) 100vw, 399px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Bellevue is the oldest public hospital in the United States. The majority of its patients come from underserved communities in New York. \u003ccite>(Beyond My Ken/Wikimedia Commons)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Levy says mobile tech offers a new avenue for helping patients manage their chronic diseases.\u003c/p>\n\u003cp>“It’s so important for diabetic patients to see the things that they eat,” she says, “their level of activity, their med compliance—all those variables—and their fasting blood sugars the next day.”\u003c/p>\n\u003cp>Dominick Frosch, a patient-care researcher at the \u003ca href=\"https://www.moore.org/\">Gordon and Betty Moore Foundation\u003c/a> in Palo Alto, echoes Levy’s sentiments. He advocates for making patients with chronic diseases the primary managers of their illness. The clinician, he says, is a “consultant” for developing a day-to-day management plan.\u003c/p>\n\u003cp>If doctors don’t take stock of what patients are realistically capable of, Frosch says, “they end up prescribing treatments patients can’t fit into their lives.”\u003c/p>\n\u003cp>Often, minor modifications can make a huge impact. And the more flexible doctors can be at using various media, Frosch says, like phone, email and patient portals, the better they can be at getting patients to manage their own illnesses.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>MITI may soon become a hospital-wide program at Bellevue. The Health and Hospitals Corporation that runs Bellevue and other public hospitals in New York City is now looking into improving the security for sending and receive secure private health information over text messages. Levy is looking forward to when that hurdle is crossed and the MITI protocol can be provided on an ongoing basis to a much larger pool of diabetic patients.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/28802/how-one-doctor-used-mobile-tech-to-aid-diabetes-patients","authors":["byline_futureofyou_28802"],"series":["futureofyou_308"],"categories":["futureofyou_1060"],"tags":["futureofyou_571","futureofyou_309","futureofyou_469","futureofyou_572","futureofyou_80","futureofyou_547"],"featImg":"futureofyou_30504","label":"futureofyou_308"},"futureofyou_24721":{"type":"posts","id":"futureofyou_24721","meta":{"index":"posts_1591205157","site":"futureofyou","id":"24721","score":null,"sort":[1439491266000]},"guestAuthors":[],"slug":"this-pod-sized-device-helps-stop-childrens-night-terrors","title":"This Pod-Sized Device Helps Stop Children's Night Terrors","publishDate":1439491266,"format":"standard","headTitle":"KQED Future of You | KQED Science","labelTerm":{"site":"futureofyou"},"content":"\u003cp>For two years, Bill and Clare Lloyd heard the sound of their daughter Jenna's crying and screaming night after night. The next morning, Jenna would have no memory of the incident.\u003c/p>\n\u003cp>Jenna started experiencing night terrors, sometimes known as sleep terrors, at the age of seven. Bill Lloyd recalled how Jenna would thrash around and shout, or sit up and semi-lucidly stare through him, rather than at him.\u003c/p>\n\u003cp>Night terrors \u003ca href=\"http://www.mayoclinic.org/diseases-conditions/night-terrors/basics/symptoms/con-20032552\">affect a small percentage of children\u003c/a>, around three to six percent. They are not the same thing as nightmares, which are far more common, as they occur in the first hours of deep sleep and the child won't remember it the next day.\u003c/p>\n\u003cp>\"The night terrors didn't seem to impact her very much, or at all,\" said Bill Lloyd, who lives in San Jose, Calif. and works as a financial advisor at Merrill Lynch. \"But it was very disconcerting for her parents.\"\u003c/p>\n\u003cp>Jenna, who is now 10-years-old, no longer experiences night terrors. It's possible that she grew out of them naturally, as many children do. But her parents chalk it up to a $99 bluetooth-enabled device called \u003ca href=\"http://www.lullysleep.com/\">Lully\u003c/a> that they began using about six months ago.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The Lloyd's were among the first people to try the device, which launched to the public in mid-July of this year.\u003c/p>\n\u003cp>[Watch a video below to see how Lully works.]\u003c/p>\n\u003cp>The pod-shaped Lully is designed to be placed under the child's mattress. It pairs with a mobile app, which parents use to program information about the child's sleep history, including their typical bedtime and the time that they typically experience a night terror. If the child stays up late or goes to bed early, the parent can adjust the mobile app accordingly.\u003c/p>\n\u003cp>The white pod vibrates for about three minutes, and keeps the child from entering the \"troubling deep sleep\" that can result in a night terror.\u003c/p>\n\u003cp>Timing is everything, as \"waking the child up during the night terror can make it worse,\" said Teresa Stewart, a sleep consultant and child development specialist from Boston, Mass., whose own daughter experienced night terrors for years.\u003c/p>\n\u003cp>Lully was invented by Andy Rink, a physician and Varun Boriah, a mechanical engineer, who met during their fellowship year at \u003ca href=\"http://biodesign.stanford.edu/bdn/index.jsp\">Stanford's Biodesign program\u003c/a>.\u003c/p>\n\u003cp>The pair spent months studying \"scheduled awakenings,\" a method for alleviating night terrors that dates back to the 1980s. In order for the approach to work, parents must awaken the child themselves before the night terror.\u003c/p>\n\u003cp>Rink said many parents did not stick it out as it's a rigorous program. But new mobile and sensor-based technology could be used to rouse the child awake so they don't have to.\u003c/p>\n\u003cp>According to Stewart, another benefit to using the technology is that it can be stressful for parents to take on the full responsibility for weeks or months. \"Sometimes children feed off that stress and they begin to experience anxiety about going to bed,\" she said.\u003c/p>\n\u003cp>The device has been tested in a year-long clinical study at Stanford University. Rink claims that Lully was able to reduce night terrors by 90 percent, and the device did not affect the child's quality of sleep or daytime functioning.\u003c/p>\n\u003cp>The Lully team is considering applying the technology to help children with other sleep-related disorders, including bed wetting and sleepwalking. But for now, Rink said they are focused on improving the technology so it can predict when a child is about to experience a sleep terror, rather than relying on a parent's best guess.\u003c/p>\n\u003cp>For the Lloyd family, Lully is still a work in progress (their early version of the product won't let them download the app to multiple iPhones, for instance), but it represents a significant step forward from having to wake their daughter up each night.\u003c/p>\n\u003cp>\"Finally, we can put our daughter to bed and not worry she's going to wake up screaming and crying,\" he said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[youtube https://www.youtube.com/watch?v=oZ7Oc0hjxZ4]\u003c/p>\n\n","blocks":[],"excerpt":"Clare and Bill Lloyd from San Jose, Calif. said the Lully system helped alleviate their daughter's night terrors. ","status":"publish","parent":0,"modified":1477279963,"stats":{"hasAudio":false,"hasVideo":true,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":21,"wordCount":725},"headData":{"title":"This Pod-Sized Device Helps Stop Children's Night Terrors | KQED","description":"Clare and Bill Lloyd from San Jose, Calif. said the Lully system helped alleviate their daughter's night terrors. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"This Pod-Sized Device Helps Stop Children's Night Terrors","datePublished":"2015-08-13T18:41:06.000Z","dateModified":"2016-10-24T03:32:43.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"24721 http://ww2.kqed.org/futureofyou/?p=24721","disqusUrl":"https://ww2.kqed.org/futureofyou/2015/08/13/this-pod-sized-device-helps-stop-childrens-night-terrors/","disqusTitle":"This Pod-Sized Device Helps Stop Children's Night Terrors","path":"/futureofyou/24721/this-pod-sized-device-helps-stop-childrens-night-terrors","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>For two years, Bill and Clare Lloyd heard the sound of their daughter Jenna's crying and screaming night after night. The next morning, Jenna would have no memory of the incident.\u003c/p>\n\u003cp>Jenna started experiencing night terrors, sometimes known as sleep terrors, at the age of seven. Bill Lloyd recalled how Jenna would thrash around and shout, or sit up and semi-lucidly stare through him, rather than at him.\u003c/p>\n\u003cp>Night terrors \u003ca href=\"http://www.mayoclinic.org/diseases-conditions/night-terrors/basics/symptoms/con-20032552\">affect a small percentage of children\u003c/a>, around three to six percent. They are not the same thing as nightmares, which are far more common, as they occur in the first hours of deep sleep and the child won't remember it the next day.\u003c/p>\n\u003cp>\"The night terrors didn't seem to impact her very much, or at all,\" said Bill Lloyd, who lives in San Jose, Calif. and works as a financial advisor at Merrill Lynch. \"But it was very disconcerting for her parents.\"\u003c/p>\n\u003cp>Jenna, who is now 10-years-old, no longer experiences night terrors. It's possible that she grew out of them naturally, as many children do. But her parents chalk it up to a $99 bluetooth-enabled device called \u003ca href=\"http://www.lullysleep.com/\">Lully\u003c/a> that they began using about six months ago.\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 Lloyd's were among the first people to try the device, which launched to the public in mid-July of this year.\u003c/p>\n\u003cp>[Watch a video below to see how Lully works.]\u003c/p>\n\u003cp>The pod-shaped Lully is designed to be placed under the child's mattress. It pairs with a mobile app, which parents use to program information about the child's sleep history, including their typical bedtime and the time that they typically experience a night terror. If the child stays up late or goes to bed early, the parent can adjust the mobile app accordingly.\u003c/p>\n\u003cp>The white pod vibrates for about three minutes, and keeps the child from entering the \"troubling deep sleep\" that can result in a night terror.\u003c/p>\n\u003cp>Timing is everything, as \"waking the child up during the night terror can make it worse,\" said Teresa Stewart, a sleep consultant and child development specialist from Boston, Mass., whose own daughter experienced night terrors for years.\u003c/p>\n\u003cp>Lully was invented by Andy Rink, a physician and Varun Boriah, a mechanical engineer, who met during their fellowship year at \u003ca href=\"http://biodesign.stanford.edu/bdn/index.jsp\">Stanford's Biodesign program\u003c/a>.\u003c/p>\n\u003cp>The pair spent months studying \"scheduled awakenings,\" a method for alleviating night terrors that dates back to the 1980s. In order for the approach to work, parents must awaken the child themselves before the night terror.\u003c/p>\n\u003cp>Rink said many parents did not stick it out as it's a rigorous program. But new mobile and sensor-based technology could be used to rouse the child awake so they don't have to.\u003c/p>\n\u003cp>According to Stewart, another benefit to using the technology is that it can be stressful for parents to take on the full responsibility for weeks or months. \"Sometimes children feed off that stress and they begin to experience anxiety about going to bed,\" she said.\u003c/p>\n\u003cp>The device has been tested in a year-long clinical study at Stanford University. Rink claims that Lully was able to reduce night terrors by 90 percent, and the device did not affect the child's quality of sleep or daytime functioning.\u003c/p>\n\u003cp>The Lully team is considering applying the technology to help children with other sleep-related disorders, including bed wetting and sleepwalking. But for now, Rink said they are focused on improving the technology so it can predict when a child is about to experience a sleep terror, rather than relying on a parent's best guess.\u003c/p>\n\u003cp>For the Lloyd family, Lully is still a work in progress (their early version of the product won't let them download the app to multiple iPhones, for instance), but it represents a significant step forward from having to wake their daughter up each night.\u003c/p>\n\u003cp>\"Finally, we can put our daughter to bed and not worry she's going to wake up screaming and crying,\" he said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutube'>\n \u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutubeInside'>\n \u003ciframe\n loading='lazy'\n class='utils-parseShortcode-shortcodes-__youtubeShortcode__youtubePlayer'\n type='text/html'\n src='//www.youtube.com/embed/oZ7Oc0hjxZ4'\n title='//www.youtube.com/embed/oZ7Oc0hjxZ4'\n allowfullscreen='true'\n style='border:0;'>\u003c/iframe>\n \u003c/span>\n \u003c/span>\u003c/p>\u003cp>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/24721/this-pod-sized-device-helps-stop-childrens-night-terrors","authors":["3252"],"categories":["futureofyou_1060"],"tags":["futureofyou_80","futureofyou_560","futureofyou_547","futureofyou_561"],"featImg":"futureofyou_24739","label":"futureofyou"},"futureofyou_24644":{"type":"posts","id":"futureofyou_24644","meta":{"index":"posts_1591205157","site":"futureofyou","id":"24644","score":null,"sort":[1439312278000]},"guestAuthors":[],"slug":"telephone-therapy-is-helping-older-people-in-underserved-rural-areas","title":"Telephone Therapy is Helping Older People In Underserved Rural Areas","publishDate":1439312278,"format":"standard","headTitle":"KQED Future of You | KQED Science","labelTerm":{"site":"futureofyou"},"content":"\u003cp>Therapy provided over the phone lowered symptoms of anxiety and depression among older adults in rural areas with a lack of mental health services, a new study shows.\u003c/p>\n\u003cp>The option is important, one expert said, because seniors often have increased need for treatment as they cope with the effects of disease and the emotional tolls of aging and loss.\u003c/p>\n\u003cp>“Almost all older adults have one chronic medical condition, and most of these have been found to be significantly associated with anxiety disorder,” Eric Lenze, a psychiatrist and professor at the Washington University School of Medicine in St. Louis, said in an interview.\u003c/p>\n\u003cp>\u003ca href=\"http://archpsyc.jamanetwork.com/article.aspx?articleid=2423199\">The study\u003c/a>, by researchers at Wake Forest University and published this month in JAMA Psychiatry, examined 141 people over the age of 60 living in rural counties in North Carolina who were experiencing excessive and uncontrollable worry that is brought on by a condition called generalized anxiety disorder.\u003c/p>\n\u003cp>The participants had up to 11 phone sessions between January 2011 and October, 2013. Half of them received cognitive behavioral therapy, which focused on the recognition of anxiety symptoms, relaxation techniques, problem solving and other coping techniques. The other study participants got a less intensive phone therapy in which mental health professionals provided support for participants to discuss their feelings but offered no suggestions for coping.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The researchers found that severity of the patients’ worries declined in both groups, but the patients getting cognitive therapy had a significantly higher reduction of symptoms from generalized anxiety disorder and depressive symptoms.\u003c/p>\n\u003cp>Yet many seniors could face barriers getting that therapy because Medicare has stringent requirements for eligibility for these kinds of phone therapies, according to Lenze, who wrote \u003ca href=\"http://archpsyc.jamanetwork.com/article.aspx?articleid=2423198\">an editorial accompanying the study\u003c/a>. Lenze argued that phone therapy is a good alternative to drugs that are often prescribed for anxiety and depression but can make seniors sleepy and disoriented and lead to injuries.\u003c/p>\n\u003cp>“This demonstrates that [therapy] is just as effective as in-person psychotherapy and reimbursing for it would be a way to increase the reach of mental health care that in a concrete way would allow someone to get treatment for actual problems, not just medicating and ending up in the emergency room with a hip fracture,” Lenze said.\u003c/p>\n\u003cp>He said he treats some geriatric patients who drive from 100 miles away and doesn’t offer phone sessions because of the payment issue.\u003c/p>\n\u003cp>Medicare only pays for telehealth services done in rural areas with provider shortages; patients cannot do a phone call in their home, but must drive to a physician’s office or hospital to connect with the mental health professional at another site, he said.\u003c/p>\n\u003cp>“The reason it isn’t evolving is because it’s trapped in the law that isn’t evolving with modern medicine,” said Joel White, executive director of the Health IT Now Coalition, which is \u003ca href=\"http://khn.org/news/medicare-slow-to-adopt-telemedicine-due-to-cost-concerns/\">urging Medicare to loosen its strict limits on telemedicine\u003c/a>.\u003c/p>\n\u003cp>Many states have also implemented some roadblocks for telephone therapy with laws requiring that anyone giving medical care must be licensed in the state where the patient resides. Reps. Frank Pallone, D-N.J., and Devin Nunes, R-Calif., offered a bill in July that would allow providers licensed in one state to provide care in another state electronically.\u003c/p>\n\u003cp>The Association of State and Provincial Psychology Boards is working on model legislation to recommend to states next year that would allow psychologists to practice by phone across state lines without having to pay a hefty licensing fee.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>This story originally ran on\u003ca href=\"http://www.kaiserhealthnews.org/\"> Kaiser Health News\u003c/a> (KHN), a nonprofit national health policy news service. \u003c/em>\u003c/p>\n\n","blocks":[],"excerpt":"A new study, by researchers at Wake Forest University and published in JAMA Psychiatry, found lower rates of anxiety and depression among older people in rural areas who talk to their therapist via phone. ","status":"publish","parent":0,"modified":1477280058,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":16,"wordCount":611},"headData":{"title":"Telephone Therapy is Helping Older People In Underserved Rural Areas | KQED","description":"A new study, by researchers at Wake Forest University and published in JAMA Psychiatry, found lower rates of anxiety and depression among older people in rural areas who talk to their therapist via phone. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Telephone Therapy is Helping Older People In Underserved Rural Areas","datePublished":"2015-08-11T16:57:58.000Z","dateModified":"2016-10-24T03:34:18.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"24644 http://ww2.kqed.org/futureofyou/?p=24644","disqusUrl":"https://ww2.kqed.org/futureofyou/2015/08/11/telephone-therapy-is-helping-older-people-in-underserved-rural-areas/","disqusTitle":"Telephone Therapy is Helping Older People In Underserved Rural Areas","nprByline":"Lisa Gillespie, Kaiser Health News ","path":"/futureofyou/24644/telephone-therapy-is-helping-older-people-in-underserved-rural-areas","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Therapy provided over the phone lowered symptoms of anxiety and depression among older adults in rural areas with a lack of mental health services, a new study shows.\u003c/p>\n\u003cp>The option is important, one expert said, because seniors often have increased need for treatment as they cope with the effects of disease and the emotional tolls of aging and loss.\u003c/p>\n\u003cp>“Almost all older adults have one chronic medical condition, and most of these have been found to be significantly associated with anxiety disorder,” Eric Lenze, a psychiatrist and professor at the Washington University School of Medicine in St. Louis, said in an interview.\u003c/p>\n\u003cp>\u003ca href=\"http://archpsyc.jamanetwork.com/article.aspx?articleid=2423199\">The study\u003c/a>, by researchers at Wake Forest University and published this month in JAMA Psychiatry, examined 141 people over the age of 60 living in rural counties in North Carolina who were experiencing excessive and uncontrollable worry that is brought on by a condition called generalized anxiety disorder.\u003c/p>\n\u003cp>The participants had up to 11 phone sessions between January 2011 and October, 2013. Half of them received cognitive behavioral therapy, which focused on the recognition of anxiety symptoms, relaxation techniques, problem solving and other coping techniques. The other study participants got a less intensive phone therapy in which mental health professionals provided support for participants to discuss their feelings but offered no suggestions for coping.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The researchers found that severity of the patients’ worries declined in both groups, but the patients getting cognitive therapy had a significantly higher reduction of symptoms from generalized anxiety disorder and depressive symptoms.\u003c/p>\n\u003cp>Yet many seniors could face barriers getting that therapy because Medicare has stringent requirements for eligibility for these kinds of phone therapies, according to Lenze, who wrote \u003ca href=\"http://archpsyc.jamanetwork.com/article.aspx?articleid=2423198\">an editorial accompanying the study\u003c/a>. Lenze argued that phone therapy is a good alternative to drugs that are often prescribed for anxiety and depression but can make seniors sleepy and disoriented and lead to injuries.\u003c/p>\n\u003cp>“This demonstrates that [therapy] is just as effective as in-person psychotherapy and reimbursing for it would be a way to increase the reach of mental health care that in a concrete way would allow someone to get treatment for actual problems, not just medicating and ending up in the emergency room with a hip fracture,” Lenze said.\u003c/p>\n\u003cp>He said he treats some geriatric patients who drive from 100 miles away and doesn’t offer phone sessions because of the payment issue.\u003c/p>\n\u003cp>Medicare only pays for telehealth services done in rural areas with provider shortages; patients cannot do a phone call in their home, but must drive to a physician’s office or hospital to connect with the mental health professional at another site, he said.\u003c/p>\n\u003cp>“The reason it isn’t evolving is because it’s trapped in the law that isn’t evolving with modern medicine,” said Joel White, executive director of the Health IT Now Coalition, which is \u003ca href=\"http://khn.org/news/medicare-slow-to-adopt-telemedicine-due-to-cost-concerns/\">urging Medicare to loosen its strict limits on telemedicine\u003c/a>.\u003c/p>\n\u003cp>Many states have also implemented some roadblocks for telephone therapy with laws requiring that anyone giving medical care must be licensed in the state where the patient resides. Reps. Frank Pallone, D-N.J., and Devin Nunes, R-Calif., offered a bill in July that would allow providers licensed in one state to provide care in another state electronically.\u003c/p>\n\u003cp>The Association of State and Provincial Psychology Boards is working on model legislation to recommend to states next year that would allow psychologists to practice by phone across state lines without having to pay a hefty licensing fee.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>This story originally ran on\u003ca href=\"http://www.kaiserhealthnews.org/\"> Kaiser Health News\u003c/a> (KHN), a nonprofit national health policy news service. \u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/24644/telephone-therapy-is-helping-older-people-in-underserved-rural-areas","authors":["byline_futureofyou_24644"],"categories":["futureofyou_1062"],"tags":["futureofyou_469","futureofyou_230","futureofyou_80","futureofyou_547"],"featImg":"futureofyou_24645","label":"futureofyou"}},"programsReducer":{"possible":{"id":"possible","title":"Possible","info":"Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. 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Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.","airtime":"SUN 2pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Possible-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.possible.fm/","meta":{"site":"news","source":"Possible"},"link":"/radio/program/possible","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/possible/id1677184070","spotify":"https://open.spotify.com/show/730YpdUSNlMyPQwNnyjp4k"}},"1a":{"id":"1a","title":"1A","info":"1A is home to the national conversation. 1A brings on great guests and frames the best debate in ways that make you think, share and engage.","airtime":"MON-THU 11pm-12am","imageSrc":"https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/1a.jpg","officialWebsiteLink":"https://the1a.org/","meta":{"site":"news","source":"npr"},"link":"/radio/program/1a","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=1188724250&at=11l79Y&ct=nprdirectory","tuneIn":"https://tunein.com/radio/1A-p947376/","rss":"https://feeds.npr.org/510316/podcast.xml"}},"all-things-considered":{"id":"all-things-considered","title":"All Things Considered","info":"Every weekday, \u003cem>All Things Considered\u003c/em> hosts Robert Siegel, Audie Cornish, Ari Shapiro, and Kelly McEvers present the program's trademark mix of news, interviews, commentaries, reviews, and offbeat features. 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Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />","airtime":"SUN 9pm-10pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Code-Switch-Life-Kit-Podcast-Tile-360x360-1.jpg","meta":{"site":"radio","source":"npr"},"link":"/radio/program/code-switch-life-kit","subscribe":{"apple":"https://podcasts.apple.com/podcast/1112190608?mt=2&at=11l79Y&ct=nprdirectory","google":"https://podcasts.google.com/feed/aHR0cHM6Ly93d3cubnByLm9yZy9yc3MvcG9kY2FzdC5waHA_aWQ9NTEwMzEy","spotify":"https://open.spotify.com/show/3bExJ9JQpkwNhoHvaIIuyV","rss":"https://feeds.npr.org/510312/podcast.xml"}},"commonwealth-club":{"id":"commonwealth-club","title":"Commonwealth Club of California Podcast","info":"The Commonwealth Club of California is the nation's oldest and largest public affairs forum. 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