Medical Media and Design Laboratory Division of Surgery
New Media and Healthcare: Avatars, Virtual Worlds and Apps
Dave Taylor MSc MBCS Medical Media and Design Lab
Imperial College London
Email: [email protected]
Web: http://tinyurl.com/medmedia
Blog: http://www.nanodave.com
Dept of Primary Care and Public
Health
Oct 19th 2011
Medical Media and Design Laboratory Division of Surgery
Virtual Worlds – Immersive, 3D experiences
Users interact with each other via personalised avatars
Easily accessible technology, fully recordable and
reproducible scenarios
Real time, multiple person interaction in bespoke
settings
Merging with web and other social media
Medical Media and Design Laboratory Division of Surgery
Preview of what is to come ….
Introduction to virtual worlds
Relevance to healthcare
Some applications ….
Michael Taylor: Group and Individual Psychology/Obesity
Wellnote iPhone App
Medical Media and Design Laboratory Division of Surgery
Collaboration and innovation between institutions across discipline and geographic boundaries
Medical Media and Design Laboratory Division of Surgery
One of our neighbours….
Medical Media and Design Laboratory Division of Surgery
Healthcare – Patients are there
Alcoholics
Accessibility
ADD/ADHD
Agoraphobia
Cancer
Aids/HIV
Alzheimers
Sign Language Users
Social Anxiety
Autistic Spectrum Disorders/Aspergers
Blind/Visually impaired
Bipolar
Borderline Personality Disorder
Babies
Breast Cancer
Patient groups in Second Life: Mental Health Cluster Headache Counseling Chrohns and Colitis Deaf community Dementia Depression Diabetes Disability Red Cross Endometriosis Fibromyalgia Dissociative Identity
Disorder Horses for healing Hospices
Irritable Bowel Symptom Aging Leukemia and Lymphoma Facial Differences Loss, death and bereavement Manic depression Muscular Dystrophy Mobility Impaired Mental Health Multiple Sclerosis Multiple Personality Disorder Smoking
Neurological Disorders Nutrition Obsessive Ambulatory
Disorder Organ donors Polycystic Ovary
Syndrome Chronic Pain Psychosis Prostate Cancer Self Harm Sexual Health Epilepsy Social Anxiety Spina Bifida Traumatic Brain Injury Sensory and Motor
Disability Substance Misuse
Patient group meeting: May 2006
Sources: slhealthy.wetpaint.com and HealthInfo Island
Medical Media and Design Laboratory Division of Surgery
International Virtual Association of Surgeons, Apr 2008
Medical Media and Design Laboratory Division of Surgery
Medical Media and Design Laboratory Division of Surgery
How we got started …. Second Health – Visualising the future of healthcare in London
Medical Media and Design Laboratory Division of Surgery
Second Health – Visualising the future of healthcare in London
www.youtube.com/secondhealth
Medical Media and Design Laboratory Division of Surgery
Medical Device Training &
Patient Safety
Virtual Patients for training &
assessment
Team Skills Training
Behaviour Change
Trialling Clinical Environments
Towards gaining valid consent from patients with
learning disability
Other Virtual World Projects
Medical Media and Design Laboratory Division of Surgery
Memorial Sloan-Kettering Brooklyn Infusion Clinic
Real World
Virtual World
Medical Media and Design Laboratory Division of Surgery
Virtual Surgical Innovation Centre
Medical Media and Design Laboratory Division of Surgery
Adults with Learning Disability
People with learning disabilities
have poorest access to health care
and receive least comprehensive
service
People with learning disability learn
best from multimodal experiences
Immersive VR has been shown to
support learning
Use a virtual hospital experience to
discover if we can enhance recall
and understanding
Medical Media and Design Laboratory Division of Surgery
Virtual patients – Vish Patel
Medical Media and Design Laboratory Division of Surgery
Anatomy
Medical Media and Design Laboratory Division of Surgery
Functional Anatomy
Medical Media and Design Laboratory Division of Surgery
Anatomy
Medical Media and Design Laboratory Division of Surgery
Major Incident Training
A Tabletop exercise: The Emergo Train System (ETS)
MISSIVE Major Incident Scenario Simulation In Virtual Environments
Dirty bomb at a sports stadium
Ambulance
HART:
Triage and
Treatment
Multi-person
Trauma team
Clinical Major
Incident
Co-ordinator
MISSIVE Major Incident Scenario Simulation In Virtual Environments Ambulance
HART:
Triage and
Treatment
Multi-person
Trauma team
Clinical Major
Incident
Co-ordinator
MISSIVE Major Incident Scenario Simulation In Virtual Environments Ambulance
HART:
Triage and
Treatment
Multi-person
Trauma team
Clinical Major
Incident
Co-ordinator
Medical Media and Design Laboratory Division of Surgery
Major Incident Training - Video
View movie/demonstration of Missive:
http://rockhopper.tv/programmes/619/
And, for viewers outside of UK: http://www.bbc.co.uk/news/world-radio-and-tv-15017142
Meetings in virtual worlds
Michael Taylor MSc
Research Assistant
Imperial College London
Medical Media and Design Laboratory Division of Surgery
Team meetings in a healthcare context
Meetings in virtual worlds
CLAHRC in Second Life
Research on teamwork in virtual worlds
Virtual Worlds and Obesity
Conclusion and Summary
Presentation contents
Medical Media and Design Laboratory Division of Surgery
CLAHRC for NW London supports health research teams
These teams are dispersed across different locations and often have to
travel to meet with one another
Medical Media and Design Laboratory Division of Surgery
The Healthlands is a Second Life
‘Island’ owned by CLAHRC
The Healthlands
Medical Media and Design Laboratory Division of Surgery
Medical Media and Design Laboratory Division of Surgery
What do we mean by teamwork?
Collaboration
Negotiation
Shared decision making
How can we measure this using objective quantitative
measures?
Teamwork in Virtual Worlds
Medical Media and Design Laboratory Division of Surgery
Negotiation scenarios
Medical Media and Design Laboratory Division of Surgery
Effect on perception of hierarchy
Medical Media and Design Laboratory Division of Surgery
Are there other ways that behaviour is affected by using virtual worlds?
The Proteus Effect: Appearance and actions of your avatar affects your behaviour
Having a tall or more attractive avatar
boosts confidence– effect persists in
physical world Yee and Bailenson 2007)
• Exposure to own avatar running on a treadmill
leads to higher physical activity 24 hours later
than if avatar was inactive (Fox & Bailenson
2009)
Medical Media and Design Laboratory Division of Surgery
Virtual World (VW) and face to face (F2F) programs ran for 12 weeks
Participants met 4 times per week
Meetings centred on Nutrition Physical activity Habit change Social support
Both groups lost weight (VW: 3.98kn, F2F: 2.74kg).
- VW group conducted more
exercise
- They also improved on confidence
in their ability to exercise and
lose weight
-F2F group had no significant
different in these measures
Virtual worlds obesity study
Medical Media and Design Laboratory Division of Surgery
Virtual worlds are useful for remote meetings between individuals
Communication is less affected by social power in a virtual worlds
context
We have available a controlled, manipulatable environment, which
may facilitate communication for individuals who perceive
themselves to have low social power comapred to those they tend to
interact with face-to-face
Conclusions
Medical Media and Design Laboratory Division of Surgery
Obesity interventions using virtual worlds
Medical Media and Design Laboratory Division of Surgery
Patient focus groups in virtual worlds
Medical Media and Design Laboratory Division of Surgery
There is huge potential for using virtual worlds for
meetings
Interaction between individuals is affected by the
virtual world context
Remote communicating results in mediated social power
The ‘proteus effect’ results in behaviour being influenced
by the appearance and behaviours of their avatars
Summary
Wellnote by Dr Darzi
Medical Media and Design Laboratory Division of Surgery
Overview
The WellNote iPhone App groups together a range of
useful and important tools in one handy place, including:
Find services: e.g. hospital, GP, Pharmacy, etc
My medications
My medical history
Health news
Wellnote by Dr Darzi
Medical Media and Design Laboratory Division of Surgery
Find Services
Wellnote uses location to find the nearest:
GP
Hospital
Dentist
Pharmacy
Walk in centre
Minor injuries unit
Sexual health centre
Medical Media and Design Laboratory Division of Surgery
Service ratings
We provide user with the
national rating of the hospital
or service they have
searched for, so they can
make an informed choice
about where to go for the
best care.
Users can also rate the care
that they received so that
others can benefit from their
experiences
Medical Media and Design Laboratory Division of Surgery
Medical history
The app also lets users store their (family members)
medical history and medications in an easy to use and
easy to access format.
They can enter your personal details, operations,
medical conditions and results of any tests and
investigations
Can be accessed by medical team in the event that
user become unwell
User can also email their medical history to a doctor or
themselves
Medical Media and Design Laboratory Division of Surgery
My Medications
Wellnote lets users keep a list of their medications
(or those of a friend or family member) in a simple to
use and easy to see format.
Medical Media and Design Laboratory Division of Surgery
Health news
Wellnote also keeps users
updated on important
health stories from NHS
Choices
Daily articles are selected
form the NHS choices
news feed
Wellnote by Dr Darzi
Medical Media and Design Laboratory Division of Surgery
Information & data
All location services data is
provided through NHS
choices, guaranteeing up to
date information
Hospital ratings data is
taken directly from the
Commission for Care Quality
All user ratings are
anonymous and stored in a
secure and encrypted
dataset
Medical Media and Design Laboratory Division of Surgery
Acknowledgements
Virtual World Team:
Daniel Cohen
Vishal Patel
Robin Winter
Michael Taylor
Nick Sevdalis
Nicola Batrick
Karen Kerr
James Kinross
Raj Aggarwal
Ivaylo Vlaev
Henry Lee
Dave Taylor
Prof Ara Darzi