november 2018 insight technology enabled care · in december 2016, young scot’s healthier...

November 2018

InsightTechnology Enabled Care

Young Scot Observatory - Technology Enabled Care

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Contents

Introduction 4

Background 5

Co-DesignProcess 6

ASummaryofKeyConceptsfor 7TechnologyEnabledCare

Health&WellbeingPrioritiesforYoungPeople 8

YoungPeople’sUseofDigitalTechnology 9

BuildingontheHealthierScotlandKeyThemes 16

KeyConceptsforTechnologyEnabledCare 20

NextSteps 22

Appendix1 22


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TheTechnologyEnabledCareProgrammecommissionedYoungScottobringyoungpeoplefromacrossScotlandtogethertolookathowdigitaltechnologycouldimproveyoungpeople’shealthandwellbeing.

Introduction

Asagenerationwhohavegrownupwithdigitaltechnology,youngpeoplearewellplacedtobringtheirknowledgeandexperiencestotheco-designprocess,andeagertoadoptandintegratedigitaltechnologyintothewaystheyaccesshealthcareandhealthinformation.Thisreportprovidesaseriesofinsightsintohowandwhyyoungpeopleusedigitaltechnology,alongsidetheirideasandsuggestionsforhowtechnologycouldbeused

tosupportyoungpeopleinthefuture.TheseinsightsandideaswillhopefullygoontoinspiretheTechnologyEnabledCareProgrammetodevelopnewsolutionswhichwillimprovethehealthandwellbeingofyoungpeopleinScotlandandlookintohowexistingYoungScotservicescansupportthis.

Background

InDecember2016,YoungScot’sHealthierScotlandYouthInvestigationTeamdeliveredtheirreporton“CreatingaHealthierScotland”totheCabinetSecretaryforHealthandSport.

Thisprojectgaveyoungpeopletheopportunitytoexplorewhatreallymatterstothemabouthealthandsocialcare,andtomakeapositivecontributiontotheshapingofpolicyandservicedelivery.TheYouthInvestigationTeamconsideredtheScottishhealthsystemasawholeandidentifiedfourkeythemestobetackled:

TheYouthInvestigationTeamcreated34keyactionsfortheCabinetSecretaryandtheScottishGovernmenttoconsider,howevertheydidn’tspecificallyaddresstheroledigitaltechnologycouldplayinsupportingandenablingthesekeythemes.Thisprovidedanopportunityforyoungpeople,YoungScotandtheTechnologyEnabledCareProgrammetocollaboratetoexplorehowdigitaltechnologycanbeusedtosupportthesethemes.

Educationchangethedelivery,structureand

contentofpersonal,socialandhealtheducation,andphysicaleducationinschoolstoensureallyoungpeople

areequippedwiththeknowledgeandtoolstolivehealthylives.

Stigmaintroduceazerotolerancesystem

whereyoungpeopleareequippedwiththeknowledgetheyneedtounderstand

mentalhealth,wellbeingandthenegativeeffectsthatstigma

canhave.

Eating and fitness effectivelycommunicatingtoyoung

peoplehowhealthyeatingandfitnessaffectstheirbodyandaimto

encouragehealthylifestylesandbehavioursearly.

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Relationships with professionals

healthandsocialcareprofessionalsinScotlandshouldimprovetheirrelationshipswithyoung

peoplethroughmoreaccessibleservicesandeffectivecommunication.toolstolivehealthylives.

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YoungScot’sco-designprocesstakesyoungpeoplethroughfourstagesofideadevelopment,explore,create,reflect,andrecommend(Appendix1).Toobtainarangeofviewstoinformthefinalrecommendations,YoungScotdeliveredaseriesofengagementworkshopsinEdinburgh,Inveraray,WishawandtheninEdinburghagain,involving36youngpeoplefromarangeofbackgrounds,agedbetween11and23,andwithavarietyofhealthexperiences.

Co-design Process

Duringtheseengagementworkshops,YoungScotguidedtheparticipantsthroughtheexploreandcreatestagesoftheco-designprocess.Theyoungpeopleworkedonaseriesofactivitiestodefinethemostrelevanthealthandwellbeingissuesforyoungpeople,consideringhowdifferentlifeexperiencescanimpacthealthandwellbeing.Theyexploredthetechnologytheyuse,whytheylikeanddislikecertaintechnologies,andwhatthefutureoftechnologycouldmeanforyoungpeople’shealthandwellbeing.Theseexplorationsledintothecreatephaseoftheproject,withparticipantsacrossthesessionscontributingalmost100ideasforusingdigitaltechnologytosupportyoungpeople’shealthandwellbeing.

Followingtheengagementworkshops,YoungScotbroughttogetherapanelofyoungpeoplefromdifferentworkshopsatanIdeasDevelopmentSession.TheIdeasDevelopmentSessionwasachancefortheyoungpeopletoreflectontheissuesandideasgeneratedattheengagementsessions,andtoevaluateandcombineideastocomeupwithanumberofkeyconceptsandrecommendationstopassontotheTechnologyEnabledCareprogrammeforfurtherconsiderationanddevelopment.

Kick-off Event Explore

Panel Presentation

Ideas Gathering2018

Reflect & Recommend

Create

A Summary of Key Concepts for Technology Enabled Care

ThekeyconceptscreatedattheIdeasDevelopmentSessionareexploredinmoredetaillaterinthereport,butthisisabriefsummaryoftheideas.

Augmented Reality AppKey issues this is addressing: Lack of exercise, poor mental health, social isolation

Thisisanappwhichallowsuserstodownloadandapplydifferentaugmentedrealitymapsoverthestreetmapontheirmobilephonetoencourageuserstoincreasetheirlevelofphysicalactivityandexploretheircommunitytoincreasefitnessandimprovementalhealth,withlinkstoYoungScotRewardsand‘ConnectYourTech’capability.

Digital Doctors SurgeryKey issues this is addressing: Worry about visiting the doctors, barriers to healthcare

Thisisawebsitewhichprovidesmultiplefunctionstoenableeasieraccesstofrontlinehealthcare,includingcomprehensiveinformationoneveryGPsurgery,onlineappointmentbooking,andremotevideoappointments.

Mental Health Chat ServiceKey issues this is addressing: Access to mental health support, reducing stigma around mental health

Thismulti-platformservicewouldprovideadigitallivechatservicetoyoungpeoplewheretheycouldconnectwithamentalhealthprofessionaltotalkabouttheirmentalhealthandreceiveguidanceandsupport,potentiallybuildingonYoungScot’sInfolineserviceandwithinputfromtheYoungScotYouthCommissiononMentalHealth.

Health & Wellbeing Online Resources Key issues this is addressing: Access to mental health support, reducing stigma around mental health, healthy eating, poor mental health, lack of exercise, worry about visiting the doctors, study pressure

AdevelopmentoftheYoungScothealthandwellbeinginformationplatform,thewebsiteyoung.scot,whichistailoredspecificallyforyoungpeopleandco-designedwiththemtoprovideeasytounderstandinformationandguidanceonawidevarietyofmentalandphysicalhealthtopics,actingasaone-stop-shopforyoungpeople.


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Thisisespeciallynoteworthyasthoseyoungpeoplewhodonothaveaccesstotechnologymayalsobethemostvulnerable,experiencinghomelessnessorpoverty,andthuspotentiallyinneedofgreatermentalandphysicalhealthsupportthatyoungpeopleinmoresecurecircumstances.

Inthissectionwewillexplorewhattechnologyyoungpeopleareusingandforwhichpurposes,whattheylikeanddislikeabouttech,andhowtheyfindoutaboutnewtech.

What tech do young people use? Whendiscussingdigitaltechnologywithyoung

people,thevastmajorityoftechnologiesusedaremobilephoneapplications(apps).However,inadditiontomobilephonesandtheirapps,whichwillbediscussedbelow,youngpeopleusethefollowing:

Computers

Tablet devices and associated tech (e.g. Apple pencil)

Computer games consoles (PlayStation, Xbox)

Wearable tech (Apple watches, Fitbits, sphygmomanometers)

Video conferencing tech (webcams, speakers, Skype, Facetime)

Virtual assistants (Siri, Alexa)

Smart televisions

Virtual reality devices

Cameras (non-mobile)

Drones

E-books / E-readers Computersandtabledevices,alongwithmobile

phones,werethemostfrequentlycitedtechnologyusedbyyoungpeople,whichisunsurprisinggiventheirfundamentalnecessityformanyoftheactivitiesyoungpeopleareinvolvedin(school,college,university,work,volunteering).

Mobile phone technology Mobilephoneshavebecomeanessentialpartof

alotofyoungpeople’sdailylife.Inthissectionwewillsummarisethewaysinwhichtheyoungpeopleusedtheirphonesandtheappsonthem.

Health & Wellbeing Priorities for Young People

Duringtheengagementworkshops,participantswereaskedtoidentifythekeyissuesaffectingtheir,andotheryoungpeople’s,healthandwellbeing.Awiderangeoftopicswerecoveredthroughthisprocess,butthemostfrequenttopicsraisedbytheyoungpeoplearesummarisedbelow.

Acrossalltheworkshops,youngpeopleidentifiedagreaternumberofbarrierstoachievinggoodmentalhealth,andno-onementionedbarrierstophysicalfitnessspecifically(suchaslackofaccesstosportsequipment),whichsuggeststhattheunderlyingreasonsbehindyoungpeoplenotexercisingaremorecomplex.

Mental Health Therewereanumberofkeyissuesraisedbyalmost

alloftheyoungpeople,withafocusbymanyonpeerrelationships(orlackof)andthepressurestheyareunderfromvariousplacestolook,actorbehaveinacertainway.Thekeyissuesaroundmentalhealthraisedwere:

Peer pressure

Bullying

Loneliness or social isolation

Unsupportive or negative friendships

Anxiety or social anxiety/shyness

Pressure from social media

Exam stress and pressure to do well at school

Poor school environment

Lack of support or encouragement

Poor family or home relationships

Discrimination

Additionalissuesthatyoungpeoplecitedincludedconcernsaboutbodyimage,lowself-esteem,lackofconfidence,andfeelinglikepeoplearejudgingyou.

Physical Health

Barrierstogoodphysicalhealthwerementionedfewertimesintotal,butmostyoungpeopledidmentiononeortwoissues,including:

Not eating healthy food / unhealthy snacking habits

Lack of time to eat better

Fast food

Eating disorders

Alcohol use / abuse

Addiction

Smoking

Lack of/disrupted sleep

Stress and anxiety

Abuse (physical or sexual) Inadditiontotheabovefactors,yourpeoplealso

identifiedsomeofthelargerissueswhichmaycontributetopoorphysicalhealth,suchaspoverty,homelessness,livinginadeprivedarea,andfundingcutstosocialservices.

Other Factors Theyoungpeoplealsoidentifiedbarrierswhichcouldaffectbothphysicalandmentalhealth:

Not knowing where or how to get help

Difficulty getting appointments

Misconceptions about what being healthy is or how to be healthy

Information about and quality of services

Lack of training for health professionals on some topics

Thesefactorscanbeseenasprimarilyabout

accesstoservicesandinformation.

Young People’s Use of Digital Technology

Youngpeopleuseawidevarietyofdigitaltechnologyintheirdailylivesforawiderangeofpurposes.Itisimportanttobearinmindthroughoutthisreporthowever,thatasignificantminorityofyoungpeoplestruggletoaccessdigitaltechnology,andmanywhodohaveaccessmaystrugglewithdigitalliteracy.


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Connecting with other peopleThesocialconnectionsthatdigitaltechnologycanfacilitateisoneofthemostimportantelementsforyoungpeople.Connectionscanbebetweenexistingfriendsandfamilymembers,betweenmembersofadigitalcommunity,or

betweenyoungpeopleandpeopleinthepubliceye.Someplatformsmayalsofacilitatecommunicationbetweenlearnersandteachers,colleagues,oryoungpeopleandservicestheyengagewith.

InformationWhenyoungpeopleusetheirmobilephonestoaccessinformation,itislargelyafunctionofnecessity.Theymightcheckthebustimesorweatherbeforeleavingthehouse,downloadaboardingpasstoanairline’sapp,checktheirbankbalanceonthego,orfindagooddealattheirfavouriteonlinestores.Foryoungpeopleineducation,therearemorereasonstoseekinformationontheirphone–revisionnotes,classtimetables,learningaidsandsoon.

Thereisanotherwaythatyoungpeopleuseinformationontheirphone,mostobviouslywithhealthrelatedapps,whichistostoreandaccessinformationaboutthemselves.Thiscouldbetrackingnutrition,recordingrunningroutes,workingthroughasteppedexerciseprogramme,orlearninghowtocopewithanxiety.

EntertainmentMobilephonescanprovideawealthofentertainmentforyoungpeople.Someentertainmentisconsumptionbased,suchaswatchingTVprogrammesorlisteningtomusic,butmanyothersareusedbyyoungpeopletoactivelycreateimages,videos,fiction,reviews,andothercontentfortheir

peersortheinternetatlargetoengagewith.Alongsidemobilegaming,theseformsofentertainmentarenotstaticresources,butplatformstofacilitatecreativity,connection,andskillsdevelopment.

Function Examples of apps used by participants

Privatemessaging,videocalls Skype,iMessage,Facetime,textmessaging,Yammer,WhatsApp,Kik,ASKIP,Facebookmessenger,Discord,Houseparty,Mydol,Tinder,Hangouts

Socialmedia Snapchat,Twitter,Facebook,Instagram,Pinterest,Letterboxd,Sarahah,tumblr,Whisper,Amino

Messageboards 4chan,Reddit,YahooAnswers

Communication Gmail,phone,MSN


Internetbrowser,searchengine,informationpoint,news

Google,Wikipedia,Bing,Safari,InternetExplorer,BBC,DailyMail,weather

Travel,events Bustimetables,GoogleMaps,Stagecoach,RyanAir,Ticketweb,Ticketmaster

Banking RoyalBankofScotland,TSB,Applewallet

Education,work,volunteering Glow,MySQA,Googleclassroom,LinkedIn,NoFearShakespeare,BBCBitesize,DukeofEdinburgh’sAward,Egenda,Mathletics,Duolingo,Children’sUniversitye-Passport,Linguascope,Firefly,Showbie,SpeakOut


Film,television,videos YouTube,Viki,Netflix,AmazonPrime,SkyGo,ITVHub,LUSHxpressions,NowTV,YouNow

Photography,imagemanipulation,videomaking,drawing

Instasize,VideoStar,iMovie,TikTok,YouTube,camera,ArtGrid,YouNow

Reading,writing Wattpad,ArchiveofOurOwn,Quotev,notes,GoogleDocs,Word

Shopping PrettyLittleThing,Missguided,eBay,JustEat,Amazon,Boohoo,Adidas,Joom,Lush,Superdrug,Wish


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What tech do young people currently use to support their health and wellbeing?

What do young people like and dislike about the technology they use?

Inadditiontothemobilephoneappsrelatedtohealthandwellbeingthatyoungpeopleused,andthefitnessrelatedwearabletechsuchasFitbits,youngpeoplefrequentlymentionedthattheyuseothertechtosupporttheirhealthandwellbeing.Thiskindofsupportcanbeinstructional,social,oraboutself-management.

InstructionalexerciseorworkoutvideosonYouTubewereoneofthemostpopularsuggestionshere,withsomeotherspointingtoInstagramasagoodsourceofinformation,inspirationandsuggestionforexerciseandhealthyeating.Otherssoughtoutinstructionalvideosontopicssuchasmake-upapplicationorhairstyling.Especiallyforyoungwomen,learningandpracticingthesekindsofskillsallowsthemtobemoresuccessfulintheirsocialcircles,increasingpopularityandbolsteringsocialstandingandfriendships.Thiskindofskillacquisitionthereforeplaysanimportantroleinsupportingmentalhealthandpreventingsocialisolation.

Forsome,thesocialnetworksthattechcansupportweremoreimportant,withmanyyoungpeoplementioningthewaythatmessagingtechnologyandappslikeSnapchatallowyoutokeepincontactwithsupportnetworksandaskforhelpwhenneeded.Forothers,accesstoonlinecommunitiesbasedaroundsharedinterestswasawayofnotfeelingsoaloneandofconnectingwithpeoplearoundtheworld.

Manyyoungpeoplethough,useavarietyoftechnologyforself-management.Thisincludesawiderangeofbehaviours,suchaslisteningtomusictorelievestressorimprovemoodwhenfeelingdown,consumingmediaandplayinggamestokeepthemindoccupiedordistractoneselffromfeelingsofanxiety,orwritingthoughtsandideasdownasamethodforself-reflectionandexpression.Oneyoungpersonmentionedthattheylistentoautonomoussensorymeridianresponse(ASMR)videostohelpthemsleep,andanothermentionedreadingontheirKindleasawaytomaintainhappiness.Finally,someyoungpeopletalkedaboutusingtechnologythatsupportstimemanagementandorganisation,suchascalendars,email,andbankingapps.Keepingontopofresponsibilitiesmadethemfeellessstressedandmoreableofmanagingtheirschedules.

Youngpeopleattheengagementworkshopswereaskedtorankthetechnologytheyusedfromtheirmosttoleastfavourite,andthentotelluswhytheylikedordislikedcertainpiecesoftech.Asisreflectiveofthepredominanceofmobilephoneappsinthelistoftechnologyyoungpeopleuse,manyoftheissuesraisedrelatetomobileapps.

Thefavouredpiecesoftechvariedfromindividualtoindividual,butthreekeyareasemergedfromthisactivity.

UsabilityUsabilitywasbyfarthebiggestdecidingfactorinwhetheryoungpeoplelikedthetechnologytheyused.Themanyissuesraisedunderusabilityindicatethatappdesignneedstobewellthoughtoutandtestedbyayoungaudiencetoworkthroughbugsbeforelaunch.Afterlaunchanappneedsadedicatedteamofstaffworkingbehindthescenestocreateseamlessupdateswithoutchangingfundamentalaspectsoftheappdesignandkeepontopoffeedbackfromusersaboutdifficulties,likesanddislikes,andcrashreports.

Instructional exercise or workout videos on YouTube were one of the most popular suggestions here, with some others pointing to Instagram as a good source of information, inspiration and suggestion for exercise and healthy eating.

Factor Positives Negative

Usability Fast,attractivedesign,efficient,reliable,easytoworkouthowtouse,keptuptodate,convenientforyouwhenyouneedit,versatile,free,accessibility.

Google,Wikipedia,Bing,Safari,InternetExplorer,BBC,DailyMail,weather


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UsefulnessThenextfactorwhichgotalotoffeedbackwasusefulness.Theusefulnessofanappreflectswhetheritservesavaluablefunctiontousersthatisgenuinelymoreconvenientthatotherwaysofdoingthesamething.Youngpeoplewerekeenthattechnologyhelpstheminsomeway,whilealsobeingwaryofappsthatcanbeturnedtonegativeusesinawaythatisdetrimentaltoindividuals.Thisindicatesthatthoughtwillneedtogointofunctionsprovidedbynewtechtodeterminewhatisgenuinelyusefulforyoungpeople,andwhatcouldmaketheirliveseasier.Attentionshouldalsobepaidtodatacollection,withyoungpeopleincreasinglywaryofsharingpersonaldatawithoutgoodreasonortrustedsecuritymeasuresinplace.

EnjoyabilityThefinalfactorthatwasraisedbyyoungpeoplewasenjoyability.Thiscanlinkinwithgooddesignbutisalsoaboutanappbeingentertainingorallowingyoungpeopletodosomethingnovelandfun.Informationneedstobepresentedinanengagingway,withintuitivedesignallowinguserstonavigateinawaythatdoesn’tfrustrateorborethem.Thisindicatesthatthecontentandfunctionsofanappcouldbeco-designedbyyoungpeoplesothatthelanguage,style,anddesignandyouthfriendly,engagingandeasytounderstandanduse.


Usefulness Relievesstress,hasafunctionalpurpose,learnsomethingwithit,keepintouchwithpeople,connectwithpeopleallovertheworld,saveandsharememories,accesstoknowledge,helpyoutorelaxandcopewithpoormentalhealth,canexpressyourfeelings,helpyoutounderstandclasswork,recordwhatyou’vebeenupto.

Canbeusednegatively(e.g.YikYak),stealsyourinformation,doesn’treallyhaveapoint,socialmediacanpushnegativityandmakeyouunhappy,toomuchhasslewhenthere’sanotherwayofdoingthings,hasincorrectinformation.


Enjoyability Funny,entertaining,goodvariety,youcanmakecoolmovies/videos

Boring,annoying,rageinducing

How do young people find out about new technology?

Therewereavarietyofwaysinwhichyoungpeoplesaidtheyfoundoutaboutnewtechnologies,butthemostfrequentlymentionedavenuesforhearingofnewtechwasthroughrecommendationsfromfriendsorpeers.Thiswasfollowedbysocialmediaandinternetbasedadvertising(e.g.YouTubeadverts)orawarenessraising(e.g.throughreviewsonotherwebsites).

Friend recommendations / word-of-mouth

Social media (e.g. Facebook, Instagram)

Internet adverts

Websites

Adverts before videos on YouTube

TV adverts

Adverts before movies

Self-initiated search

Through the news

Reviews

Billboards or posters

Press conferences

Through using other technologies

Class

Scottish Government

Colleagues

Thelistofavenuesthroughwhichyoungpeoplehadfoundoutabouttechsuggestthattheyabsorbinformationfromawide-varietyofsources,andthereforeanyadvertisingcampaigntopromoteanewpieceoftechnologyshouldaimtocoverdifferentmediaandinformationoutlets.


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Building on the Healthier Scotland Key Themes

In2016,YoungScotworkedwithagroupofyoungpeopletolookatthefutureofhealthandwellbeinginScotland.Theyoungpeopleinvolvedinthatprojectco-designedaseriesofrecommendationsshowcasedinthe“CreatingaHealthierScotland”reportpublishedbyYoungScotin2016.

TheyoungpeopletakingpartintheTechnologyEnabledCareprojectbuiltonthisworkbylookingathowtheycouldtakethefourthemesidentifiedinthereportinanewdigitaldirection.Withineachtheme,youngpeopleidentifiedanumberoftopicsthattechnologycouldhelpaddress:

Education – healthyeating,gamesforlearning,studysupport,physicaleducation,mentalhealth

Stigma – reducingthegendergap,awarenessraisingandeducation,greateravailabilityofsupport,publicawareness

Relationships with professionals – demystifyingappointments,accessingservices

Eating and fitness - personaltrackingandsupport,gamification,accessandinspiration,information

Thesetopicsareexploredinmoredepthbelow.

EducationManyoftheideasthatcameoutoftheeducationthemerevolvedaroundusingdigitaltechnologyasteachingaids,especiallyinawaythatencouragedyoungpeopletousethetechathomeaswellasatschool.

Healthy EatingYoungpeoplesuggestedsomesimpleidealikeemailinghealthyfoodrecipestostudentsandparents,orworkingthroughvideotutorialsinfoodtechnologyclassesandsharingtheseforuseathome.Othersuggestionsincludedtechtoassistyoungpeopletoplanhealthymealsonabudget,adiarylikefeatureforrecordingmeals,andgamestomatchfoodsupwithfoodgroupsorlearnaboutlabelling.

Games for LearningInfact,usinggameswasabigthemeacrosstheboard,withyoungpeoplesuggestingusinggamesorquizzes(suchasKahoot!)tofindoutinformationinafunway,tochecklearning,andprovidetangiblebenefitsfromin-gamerewardsbeingexchangedforrealliferewards.Gameplayingcouldreplacetraditionalhomeworkactivities,oractasa‘braingym’stylewarm-upatthestartoflessons.Youngpeoplecouldbedirectlyinvolvedincreatingsuchtechnology,linkingupwithothersubjectareasatthesametime.

Study SupportDigitaltechnologycouldsupportindependentstudywithappsformind-mappingorrevisionsupport,andteacherscouldusedigitalplatformssuchaschatroomstoprovidesupportandanswerquestions,allowingpeopletostudyfromhome.Artificialintelligencescouldevenactasteachingsupports,abletoofferhelpwithhomeworkandrevision,orevenusedinclass.VirtualRealitydeviceswereanotherformoftechthatcouldbeusedasalearningaidtounderstandtheeffectsofdrugsandalcoholonthebody,ortoseephysicalexercisesdemonstratedbyavirtualinstructor.

Moregenerally,tabletdevicescouldbeusedduringclasstoprovideaccesstousefultools,andyoungpeopleshouldbeallowedtotypeinsteadofwritingbyhand,especiallyduringexams.Thiswasoneaspectofadesireforeducationalexperiencesthatutilisedinteractivetechnologymore,suchasusingdigitalvotingorsurveystohearfromyoungpeopleanonymouslyabouttopicslikementalhealthorhealthybehaviours.Theresultsofsuchasurveycouldsparkinterestingdiscussionsandalloweducatorstotargetgapsinpeople’sknowledge.

Physical EducationDigitaltechnologycouldsupportfitnessbyenablingyoungpeopletousethingslearntinlessonsafterschool.SuggestionsincludetheabilitytoaddexercisesthathavebeenlearntinPEforuseathome,loggingyourphysicalactivityandrecordingpersonalbests,orastructurepersonalfitnessprogrammewhichencouragesplanningfuturelearning.FitnessappscouldalsobeincorporatedintoPElessons,withteacherssupportingpeopletonavigateanewappandlearnhowtomakethemostofit.SchooltechnologysuchasTVscreensandemailbulletinsshouldalsobeusedtoraiseawarenessoflocalsportsclubsandclasses.

Mental HealthDigitaltechtosupportlearningaboutmentalhealthcouldbedeployedinasimilarwaytothosementionedabove,actingasasourceofinformation,providinggamesandknowledgechecks,andguidingyoungpeoplethroughaprogrammeoflearning.Techcouldalsobeusedinschooltoprovidedirectsupporttostudentswithadigitalchatservicethatstudentscouldaccessprivatelyduringmomentsofneed,orperhapsusinglikereadaloudtechnologytoallowananxiousstudenttocommunicatewithateacherwithouthavingtospeak.

StigmaForthereducingstigmatheme,thereweretwomainareasthatyoungpeoplemadesuggestionsabout,onewaswideningaccesstoservicesandtheotherwaspromotionofmentalhealth.YoungScotandtheScottishAssociationforMentalHealth(SAMH)arecurrentlysupportingaYouthCommissiononMentalHealthwhosefindings,whenpublished,willfurtherilluminatethistopicandprovideawealthofideasforconsideration.

Reducing the Gender GapMultiplepeoplesuggestedthatdigitalservicesshouldmakemoreofanefforttopromoteortailorthemselvestoboysandyoungmen.Therewaswideacknowledgementthatboysandyoungmenhavegreaterdifficultyexpressingtheiremotionsandseekinghelp,andthatthistranslatesintoahighersuiciderate.Appsandservicesthataretargetedatboysandyoungmen,andco-designedwiththem,couldbeonewaytotacklethisissue.

Awareness Raising and EducationDigitaltechcouldbeapowerfultoolinraisingawarenessofmentalhealthdisordersandcommonsymptoms,oraguidetowhatlanguagetousetotalkaboutmentalhealth.Techcouldprovidebasic,clear,easy-to-accessinformationaboutmentalhealth,couldteachpeoplehowtodetectsignsofpoormentalhealthinothersandsuggesttipsandadviceonhowtosupportthem.Suchtechshouldbeavailabletokeyfiguresliketeacherstoprovidethemwithguidelinesonhowtopromotementalhealthinclassortacklementalhealthrelatedbullyingormisinformation.

Greater Availability of SupportManyideasfortacklingstigmawereaboutaccessingsup-portservicesandsupportingself-management,suggestingthatreducingstigmamightmeannormalisingtheuseofmentalhealthservicesandgrowingtheseservicesexten-sively.Specificideasincludeonlinegroupschatstogainsupportfrompeoplewithsimilarexperiences,videocallswithcounsellorsortherapists,andtheabilitytoaccesssupportanonymously-whetherone-to-oneorinagroupformat.Forself-management,youngpeopleemphasisedappsthatcanteachdistractiontechniquesorcopingmechanisms,ortechthatfacilitatesself-explorationtoallowyoungpeopletogaininsightintotheirthoughtsandemotions.

Public AwarenessItnotedbyafewyoungpeoplethatthegeneralpublicalsoneedtobetargetedwhentakingmeasurestoreducestigma.Anyofthetechthatservestoeducateandraiseawarenessneedstoberolledouttoadultsacrosssociety,andthatpartnershipswiththemediacanbeforgedtoraiseawarenesstoo.Theremaybedifferentchallengesinchangingtheperceptionsofthegeneralpublic,soworkshouldbedonewithdifferentpopulationstolookatthemessagesandinformationthatwouldappealtothem.


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Relationships with professionals Whenitcametorelationshipswithprofessionals,themainconcernwasmakingiteasiertoaccessservicesandgettingprofessionalstoembracethechannelsofcommunicationthatyoungpeopleuse.

Accessing ServicesFormanyyoungpeople,beingabletochattoprofessionalsviainstantmessagingorvideoconferencingsoftwarewouldbeincrediblyuseful,andtherewassomecallforbeingabletoaccessdigitalsupportserviceslikegroupchatsandone-to-one’sanonymously.OnlinechatserviceswereapopularideaforaccessingmentalhealthsupportworkersaswellasGPs.Youngpeoplewantedsomedigitalsupportservicestobeavailableondemand,especiallyforcrisishelp,butalsoforlessurgentthingslikebookinganappointment.Ingeneral,youngpeoplewantedhealthprofessionalstocommunicatewiththemonplatformsyoungpeoplealreadyuse,andfortheseplatformstobeaccessible,forexampleusingTalkingMatsoftwaretoenablepeopletocommunicateusingpicturesinsteadofwords.

Demystifying AppointmentsForsome,attendinganappointmentwithahealthprofessionalcanbeacauseofanxietyofuncertainty,sosuggestionsweremadetousedigitaltechtoraiseawarenessofwhathappenswhensomeoneseekshelpandsupport.Thiscouldincludedescriptionsofdifferenthealthservices,howreferralswork,whatanappointmentwillbelike,whatyouwillbeaskedabout,whatconfidentialitypolicieshealthprofessionalsabideby,andsoon.

Therewasadesirebyyoungpeopletoknowthehealthprofessionaltheywouldbeseeingaheadofameeting,sotheyfeelpreparedandcomfortable.Digitaltechcouldfacilitateanintroductorymeetingorconversation,orprovideinformationaboutstaffatahealthcentre,sothatthepersontheywillseeisnotastranger.Thiscouldevenbeagroupchatonlineaheadofaone-to-oneappointment.Anotherbenefitofthiskindofinterventionistoreassureyoungpeoplethathealthprofessionalswillbefamiliarwiththeissuesyoungpeoplefaceandthattheywillreceiveappropriatecarefromasupportiveandunderstandingsource.

Eating and fitnessEncouraginghealthyeatingandfitnessisacomplextask,butyoungpeoplehaveidentifiedanumberofwaysthattechnologycouldhelpmotivatepeopletoworkbetteratit.

Personal Tracking and SupportForbothfitnessandhealthyeating,youngpeopleemphasisedtheabilityofdigitaltechnologytobetailoredtotheindividual.Afitnessappcouldbuildupfitnessatyourpace,keeptrackofyouractivity,andhelpsetachievablegoalsforthefuture.Similarly,forhealtheatingadiary-liketrackercouldletyoungpeoplerecordwhatthey’reeating,makesuggestionsforwaystoimprovediet,andsuggesthealthyrecipesorwaystoplanabalancedmeal.

GamificationYoungpeoplewantedtomakefitnessmorefunbyincorporatinggamesandrewardsintoactivities.Peoplecouldreceivevirtualorreal-liferewardsforachievinggoals,theycouldbepresentedwithnewandfunfitnesschallengestoworkonbythemselvesorwithfriendsandfamily,potentiallytappingintotrendssuchasthe‘BringSallyUp’workoutchallengepopularonYouTube.

Fitnesschallengescouldtakepeopleoutofthehouse,withyoungpeopledrawinginspirationfromtheaugmentedrealitygame‘PokémonGo’tosuggestagamewherepeoplemovearoundtheiroutdoorenvironmenttofindrewards.Gameslikethiscouldtakeonasocialdimensionwithcompetitionsorevencollaborationstounlockcertaingoals.Fitbitsorsmartwatchescouldbelinkeduptothisgametoenablepeopletotracktheirmovementsandactivity.

Access and InspirationDigitaltechnologycouldenablethosewhowanttoexercisetofindsportsclubsorfitnessclassesusinganinteractivemaporbymakingrecommendationsbasedonpersonalinterest.Foracheaperoption,digitaltechcouldsupportamultimediahomeworkoutprogramme,providingfreevideos,podcasts,tutorials,andvoiceguidancefordifferentexercises.Havingfamoussportsorfitnesspeoplepromotingexercisesoractivitiescanactasinspirationforpeopletogetactive,anddigitaltechcouldofferaplatformforcollaborationwithindividualslikethis.

InformationHealthyeatingcanbeaconfusingtopicanddigitaltechcouldtellyouwhatfoodormealsarehealthyandallowyoutoscanbarcodestofindoutthenutritionalvalueoffoodyouarebuying.Misleadingorconflictinginformationaboutthingslikesugarorpopulardietscanbetackledviatechtoenableyoungpeopletomakebetterdecisionsabouttheirfood.Anumberofyoungpeoplebroughtupsocalled‘pro-ana’(pro-anorexia)websitesthatpromoteeatingdisordersandwantedreliableinformationtoraiseawarenessofthedangersofdisorderedeating.

Techcouldalsoprovideinformationaboutcheapfood,wheretobuycheapingredients,andrecipesformakinghealthymealsonalowbudget.Whateverthetopic,youngpeopleemphasisedthatthewayinformationispresentedneedstobeengagingandinteractivetoayoungeraudience.


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Key Concepts for Technology Enabled Care

Followingtheengagementworkshopsandarmedwiththeinformationintheprevioussection,afinal‘IdeasDevelopmentSession’wasrunwithyoungpeople.Duringthissessiontheyoungpeopleexaminedtheissuesthathadbeenraised,evaluatedalltheideasfromtheengagementsessions,anddecidedonafinalsetofkeyconceptstopresentinthisreport.

Augmented Reality AppKey issues this is addressing: Lack of exercise, poor mental health, social isolation

Thisisanappwhichallowsuserstodownloadandapplydifferentaugmentedrealitymapsoverthestreetmapontheirmobilephonetoencourageuserstoincreasetheirlevelofphysicalactivity.Theappcouldalsosupportmentalwellbeing,notonlythroughgettingpeopleoutofthehousebutalsobyprovidingadistractionforpeoplewhoareexperiencingaparticularlow.Theappcouldincorporatemusicrelatedtoyourcurrentmood,incorporategamificationaspects(e.g.‘Zombies,Run!’app)toincreaseuse,andaimplementrewardssystemforachievinggoalspotentiallylinkedtotheYoungScotcard.YoungScotuserscancurrentlytakepartinaprogrammecalled‘ConnectYourTech’whichallowsthemtosynctheirwearablefitnessdevicesormobilephoneappstotheYoungScotRewardsprogramme.YoungScotDiscountscouldalsoplayapartinsuchaservice,makingyoungpeopleawareofdiscountsongoodsorservicesnearthemwhichcouldsupporttheirhealthandwellbeing.

Differentaugmentedrealitymapscouldbecoordinatedbetweendifferentservicesandorganisations,forexampleSeeMe,VisitScotland,GoogleMaps,LocalAuthorities,andsportsandfitnessproviders.Userscouldfollowarttrailsaroundtheirlocalarea,discoverplaylistsorreadinglistsrelatedtoplacestheyarevisiting,findoutaboutlocalhistory,discovernaturewalksoroutdoorgymequipment,andmuchmore.Asocialaspectcouldbeintroducedtoencouragepeopletoworktogetherorsharetheirachievements.

Digital Doctors SurgeryKey issues this is addressing: Worry about visiting the doctors, barriers to healthcare

Thisisawebsitewhichprovidesmultiplefunctionstoenableeasieraccesstofrontlinehealthcare.ThewebsitewouldprovidecomprehensiveinformationoneveryGPsurgeryincludingdetailsaboutthedoctorsprofessionalexperience,anyspecialitiestheyhaveandperhapsablurbaboutthem.Thiswillenableyoungpeopletofindoutmoreaboutwhotheywillbeseeingaheadoftime,allowthemtopickadoctorbestsuitedtotheirneeds,andreduceanxietyaboutwalkingintoaGPappointmentwithoutknowingwhotheywillbeseeing.Otherhealthprofessionalsoperatingoutofthesurgerywouldalsobeincludedinthispackageofinformation.

Inaddition,therewouldbetwokeyfunctionalelementstothiswebservice;bookingonlineappointments,andremotevideoappointments.Theonlinebookingservicewouldallowpeopletoseetheavailabilityofappointmentsandself-selectatimethatisconvenientforthem.Aswellasincreasingefficiency,theonlinebookingsystemwillalsobeeasierforyoungpeopletonavigateasmanydislikespeakingonthephoneanddon’thavetheflexibilityortimetomakeanappointmentinperson.

Remotevideoappointmentswouldbeconductedbyadoctorand/ornursespecificallyscheduledtobedealingwithonlineappointmentsinaconsultingroomatthesurgery.Theywouldworkregularpracticehours,potentiallywithanafterhoursoncallservice,oraregularafterhoursservice.Videoappointmentswouldenablepeopletoaccesshealthcarewithouttravellingtotheirsurgeryinperson,whichcanbedifficultifyoudonothaveaccesstoconvenientpersonalorpublictransport,wouldfindithardtogettothesurgerywithinopeninghours,orwouldhavetomisslargechunksofschoolorworkinordertoattend.Thedigitalservicewouldbeframedasan‘initialconsultation’oronlyforspecifichealthproblems,astheimportanceofaphysicalexaminationisobviouslyfundamentalforsomeailments.

Mental Health Chat ServiceKey issues this is addressing: Access to mental health support, reducing stigma around mental health

Thismulti-platformservicewouldprovideadigitallivechatservicetoyoungpeoplewheretheycouldconnectwithamentalhealthprofessionaltotalkabouttheirmentalhealthandreceiveguidanceandsupport.Thisservicewouldrunfrom9am-9pmtobeaccessiblewhenyoungpeopleneedit.Byprovidingpreventativesupportandalisteningear,thisservicecouldreducethewaitinglistforChildandAdolescentMentalHealthServicesandhelpmanyyoungpeopletoavoidreachingacrisispoint.Thisservicewouldbepromotedtoallyoungpeopleviaschoolandotheravenues,andYoungScot’sInfolineadviceservicecouldbedevelopedinalignmentwithNHSservicestodeliversuchaplatform.

Inadditiontothe‘serviceondemand’natureofthisplatform,thedigitalformatwouldallowyoungpeopletospeaktosomeonewithouthavingtotalkonthephone,andtodosoinprivatefromanylocation.Nothavingtophysicallyattendanappointmentorcallonthephonecanreduceanxietyandtoaddresstheirmentalhealthinaphysicallocationthattheyarecomfortablein.Tobeusefultothoseyoungpeoplewithoutwi-fiordataontheirphone,anofflineserviceprovidedbyapre-programmedAIcouldoffertips,adviceandsignposting.

YoungScotandSAMH’sYouthCommissiononMentalHealtharecurrentlyexploringmentalhealthserviceprovisionindepthandtheirrecommendationsandproposedactionswillprovideakeysourceofinformationfordevelopingdigitalmentalhealthservices.TheYouthCommission’sreportshouldbeavailableinearly2019foranalysisandfurtheraction.

Thisservicecouldworktoaddressavarietyofspecificissuesinadditiontoitsbasicfunctionality,includingtailoredsupportforyoungmen,rehabilitationsupportforpeoplerecoveringfromaddiction,andafocusonaccessibility(e.g.usingemojisorpicturestostartaconversationaboutmoodorfeelings).

Health & Wellbeing Online ResourcesKey issues this is addressing: Access to mental health support, reducing stigma around mental health, healthy eating, poor mental health, lack of exercise, worry about visiting the doctors, study pressure

YoungScot’swebsite,http://young.scot,isScotland’sonlineyouthinformationplatformandistailoredforyoungpeopleandtoprovideeasytounderstandinformationandguidanceonawidevarietyoftopics,includingmentalandphysicalhealth.TheYoungScotwebsiteistheperfectplatformforsuchanonlineresourcetobedevelopedandco-designedwithyoungpeople,andcontentcanbeco-createdwithdifferentorganisationstodevelopaknowledgebaseandkeysignpostinginformation.UsingtheexistingresourceTheLowdown,availableathttps://young.scot/get-the-lowdown/,andtheexpertiseoftheYoungScotteam,healthandwellbeingcontentcanbeprovidedinarangeofformatsandtargetedtodifferentkeygroupsofyoungpeople.TheYoungScotappinparticular,currentlyindevelopment,willfurtherenhancethereachandusabilityoftheYoungScotinformationplatform.

TheYoungScotwebsitewouldactasaone-stop-shopforyoungpeople,signpostingthemtousefulapps,NHSservices,thirdsectororganisations,LocalAuthorityservices,orevenopportunityproviders.Theplatformwoulddemystifyservices,explaininghowtoaccessthem,howlongyoumighthavetowait,whatyourrightsarearoundconfidentialityandservicestandards,andwhattoexpectwhenyougetthere.

Inadditiontobasicinformationexplainingdifferenthealthconditionsandoptionsforsupport,theplatformwouldalsoprovideinformationonhealthylifestylesasapreventativemeasure.Thiscouldincorporateeasy-tounderstandinformationabouthealthyeatingandfitness,in-builtgames(e.g.tolearnaboutfoodgroups,foodlabelling,quickexercises),trackingordiaryfunctions(tokeeptrackofthingslikewhatyoueat,fitnessormood),andtailoredrecommendationsforhealthyrecipes,localsportsfacilities,orevenmealbudgeting.

Thisplatformwouldbeinteractiveandreactive,respondingtocurrentissuessuchasexamstress,eatingdisorders,self-harm,ordietfads.Asatrustedsourceofadviceandinformation,youngpeoplewouldbeinformedandgiventhetoolstomanageanarrayofhealthandwellbeingneeds.

22

Next Steps

Followingonfromthepotentialsolutionstosupportingyoungpeople’shealthandwellbeinginScotlandoutlinedabovebytheTechnologyEnabledCareprojectparticipants,itwouldbevaluablefortheTechnologyEnabledCareProgrammetoconsidertakingaselectionoftheseideasforwardtoadevelopmentalstage.

YoungScothasextensiveexperienceinengagingwithScotland’syoungpeopletoseektheirviewsandinputinthedevelopmentoftheservicestheyuse.Youngpeoplehaveasignificantroletoplayinencouragingorganisationsandcommunitiestoadoptamorecollaborativeculture,focusingresourcestoeffectivelymeettheneedsofindividualsandcommunities.

InlinewiththeTechnologyEnableCareProgramme’sbeliefthattechnologybecomeintegratedintohealthandcareservices,theideasoutlinedaboveprovideajumpingoffpointforfuturecollaborationsbetweenyoungpeople,industryexperts,designers,andhealthcareproviders.WherethereareideastobuilduponYoungScot’sexistingservices,YoungScotwouldbewillingtodiscusstheseandexplorefutureopportunities.

Appendix 1

ExploreDefinebyuncoveringtheissuesthrough

gatheringinsightsandgenuineexperiencesfrom/byyoungpeople

CreateGenerateideasandco-producesolutions

with/byyoungpeople

RecommendProduceinfluentialideas/solutions

withyoungpeople

ReflectConsiderthefutureimpactandsustainability

oftheideasproduced

ImplementImplementationofideas/solutions

withyoungpeople

Ourco-designserviceinvolvesyoungpeoplesystematicallycreating,designinganddeliveringsolutionsincollaborationwithorganisations.Youngpeopleareinvolvedmuchearlierindecisionmakingprocessthroughahighlyparticipativeapproachdevelopinginformedinsights,ideas,recommendationsandsolutionsforpolicyandpractice.

Supportingpeopletoco-designideashasbeenshowntohavearadicalimpactonserviceinnovation.Weknowusingaco-designapproachenablesamoredistributed,decentralisedapproachtoinnovationthatsupportsScotland’sambitionstocedepowerandresponsibilitydirectlytoyoungpeople.Thisapproachtiesintokeypolicyareasincluding:

UnitedNationsConventionsontheRightsoftheChild

PublicServiceReform/ChristieCommission

CommunityEmpowermentAct

GettingItRightforEveryChild

Visitusonthewebatyoungscot.net

Calluson0131 313 2488

Emailusat [email protected]

Tweetus@youngscot

Likeusatfacebook.com/YoungScot

FollowusonSnapchatat youngscotsnaps

FollowusonInstagramatyoungscot

getintouch

Watchyoung.scot/YouTube

YoungScotEnterpriseisaScottishregisteredcharity(SC029757)andisacompanylimitedbyguarantee(202687)withitsregisteredofficeat:

RoseberyHouse,9HaymarketTerrace,Edinburgh,EH125EZ

november 2018 insight technology enabled care · in december 2016, young scot’s healthier...

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