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CHOOSE – Healthy lifestyle and wellbeing through coaching and continuous blood pressure sensing
Petra Wark on behalf of the CHOOSE team | Eindhoven | November 2015
1 in 3 have high blood pressure (hypertension)
Responsible for 10% of the healthcare costs in Europe (mean €223 annual cost per capita)
Customer’s and society’s pain
50% of blood pressure related diseases occurs in people with “normal range” blood pressure
levels
About 9 of 10 adults living to age 80 will develop hypertension
Leading cause of disability and
death
The Silent Killer – many people unaware that they have hypertension
Many people do not know how to change
their lifestyle to prevent hypertension, or to
manage it
Choose™ is a logo of Imperial College London / LewelGroup
Daily rhythms of shift workers are disturbed, affecting their blood pressure patterns and health
CHOOSE coaches you on physical activity and salt intake, aiming to lower blood pressure and potentially restore the daily rhythm of blood pressure. CHOOSE. Keep your blood pressure controlled day and night.
Our opportunity for substantial impact
• High dietary salt explains why 32% of hypertension patients have hypertension (International Society of Hypertension)
• Lack of physical activity explains another 18%. • These factors also account for other diseases than hypertension,
extending the benefit.
Substantial impact predicted: ”…moderate dietary salt reduction would, after a few weeks, lower systolic blood
pressure by an average of 5 mm Hg, and by 7 mm Hg in those with high blood pressure (170 mm Hg); diastolic blood pressure would be lowered by about half as much. “ “It is estimated that such a reduction in salt intake by a whole Western population would reduce the incidence of stroke by 22% and of ischaemic heart disease by 16%” (Law MR et al, BMJ, 1991)
Start measuring
Keep monitoring
Stay motivated
Our product concept
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TIME OF THE DAY
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Systolic blood pressure (dipper) Diastolic blood pressure (dipper)
Systolic blood pressure (non-dipper) Diastolic blood pressure (non-dipper)
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Measure
Keep monitoring
Motivate (Coaching)
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Our product concept
We measure dipping of blood pressure during the
night: this helps you stay healthy 07
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CHOOSE to keep your blood pressure controlled day and night
Our blood pressure variation tracking: promising results
User wears 2 bracelets Example of pulse delay measured vs 24h ambulatory blood pressure measurement.
- The difference between daytime and nighttime pulse delay is correlated with the same difference for mean arterial blood pressure. - Further data collection end December/early January
Our salt intake questionnaire: promising initial findings
Our app assesses your main contributors of salt intake in <4 minutes per week.
Measure
Monitor
Stay motivated
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• Main contributors to salt intake • Nocturnal dip
x
Our product concept
Our automated, personalised coaching to decrease your salt intake
daily measurement
daily target
6 days
The daily target is calculated as the number of servings one needs to reduce per day within a period of a week. The minimal daily target is ½ serving. Example of automated coaching messages:
Check out these salt alternatives: • Use black pepper as seasoning
instead of salt • Add fresh herbs and spices to
pasta dishes, vegetables • …”
Weekly measurement
Insight in own consumption and top 3 contributors
Education on your selected
source of sodium
Alternatives for source of sodium
Personal goal setting
User select 1 source of sodium to work
on
Awareness on your average daily salt
intake
Education on salt
Start data collection Coaching
Our automated, personalised coaching to increase your physical activity
From the data collected, we learn about daily patterns. We use this to provide personalized and actionable advices to users.
3-4 weeks data collection
“Great weather for a bike ride. Could you cycle to work today? This is not only a great start of your day, but may also make you more alert and productive at work.”
Our system architecture is flexible and adapts to your needs
Secured cloud based
BackEnd
Coaching Engine:
Physical activity and
salt intake
Questionnaires:
Weekly and Daily
Salt intake
Data storage
Front end
UP is a registered trademark of Aliphcom Moves is a registered trademark
What did our end users say?
Survey: 75 out of 83 hospital workers would use the service if offered by their employer
Focus groups on product proposition ongoing
Evaluation studies of developed online coaching modules planned for end of 2015/early 2016
Initial lead discussions
“I was thrilled at the prospect of a pilot within the [NHS] Trust and found the
whole concept fascinating - so I am very much looking forward to working on this
moving forward.”
Mike Diamond Head of Wellbeing
Potential case numbers and opportunity estimation
Shift Workers with Night Patterns
@ Risk or pre-hyper-tension
Diagnosed hypertension
New Diagnosed Case #
Final Addressable Case #
UK 3.5 M 30 M 13 M 400 K / y 1.3 M / y
Germany 3.3 M 25 M 21 M 600 K / y 1.4 M / y
USA 15 M 90 M 48 M 1.5 M / y 4.2 M / y
CHOOSE will extend the target group towards general pre-hypertensive and newly diagnosed patients (for prevention of cardiovascular disease)
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to keep your blood pressure controlled
day and night
For more information, please contact Petra Wark ([email protected])