This document provides an agenda and information about an event on e-health for healthy aging. The agenda outlines two parts: contribution mapping and creative and health innovation ways of working. In part one, there will be project pitches, a contribution mapping exercise and interview, and a discussion of key insights. Part two will similarly include project pitches, an exercise and interviews on creative and health ways of working, and a discussion of key insights. The document also includes pitches from several projects exploring e-health solutions for issues related to healthy aging such as social isolation prevention, obesity prevention, and supporting independent living for those with dementia. Interviews are conducted to understand how different actors' contributions can align and what creative

3. E-HEALTH FOR HEALTHY AGEING
GET INSPIRED! - PART 1
Moderators: Daan Andriessen | HU

4. Part 1: Contribution Mapping
• Introduction to the program
• Project pitches
• Contribution mapping: interview and exercise
• Key Insights
Part 2: Creative and Health Innovation Ways of Working
• Introduction
• Project pitches
• Ways of working: Exercise and interviews
• Key insights
AGENDA

5. INTRODUCTION
Simone de Graaf | ZonMw

6. Create Health
Program activities
Simone de Graaf
Program officer ZonMw
24-10-2018

7. Overview Create Health
‒ Cross-over top sectors:
Added value: interaction creative industry and care / welfare!
‒ Goal
Contribute to the societal challenges around healthy and
active aging
‒ 3 themes
1. Independent living with dementia
2. Prevention of overweight
3. Prevention of loneliness in frail elderly

8. Program activities
Network/projectmeetings
Independent living with
dementia
Prevention of overweight
Prevention of loneliness
Overarching research project
Medische inspiratorprijs
knowledge
building
blocks
utilisation
Knowlegde vouchers
Call ehealth/3 themes

9. Call: Knowledge base eHealth on healthy and active ageing
What knowledge is needed for development of meaningful, userfriendly eHealth
applications or assist the use of existing applications?
e.g. knowledge on behaviour, communication, literacy,….
This call is not about the actual development of an eHealth application itself
Consortia
‒ Research organisation (creative and care)
‒ Representation of the target group
‒ Private party

10. What’s in it for you?
Upcoming:
 Yearly network events
 Knowledge vouchers in 2020
 Utilisation of knowledge obtained in 10 projects to other settings
Follow the projects on www.zonmw.nl/createhealth
createhealth@zonmw.nl

11. GAMIFICATION FOR OVERWEIGHT
PREVENTION AND ACTIVE
LIFESTYLE (GOAL)
Pieter van Gorp | Eindhoven University of Technology

12. Important factors for the effectiveness of gamification for healthy lifestyles are the theoretical
underpinning and the personalization (Cugelman et al, 2013; DeSmet et al, 2014).
Pieter Van Gorp, Raoul Nuijten,
Astrid Kemperman, Monique Simons
Gamification of Overweight prevention and Active Lifestyle
www.healthgoal.eu
To date, many (mobile) lifestyle interventions exist, however, to learn from these tools and to identify
their effective elements remains extremely challenging (Michie et al., 2013)

13. GROWING ROOTS: CONNECTING
ELDERLY THROUGH VIRTUAL
NATURE SPACES
Thomas van Rompay | University of Twente

14. Growing Roots:
Connecting Elderly through Virtual
Nature Spaces

15. HOW TO DESIGN PERSUASIVE E-
HEALTH AGENTS FOR COACHING
OLDER ADULTS TOWARDS DIETARY
BEHAVIOR CHANGE (PACO)?
Emely de Vet | Wageningen University

16. Objective: fundamental knowledge on the embedding and design of virtual
agents for eHealth services for older adults
• Applied specifically to the use case of weight management
• Co-design sessions, experimental versions of agent, real-life
evaluation
Partners: WUR, RRD, WAAG society and National Foundation for the Elderly
Persuasive E-health Agents for Coaching Older adults
towards dietary behaviour change (PACO)?
16

17. MIXED METHODS FOR MONITORING
FOOD INTAKE: TOWARDS A NEW
GENERATION OF EHEALTH
PREVENTION APPS
Naltalia Romero Herrera & Sonja van Oers |
Delft University of Technology

18. FOODSampler
Mixed methods for monitoring food intake:
Towards a new generation of e-health prevention apps
HEALTH AND CREATIVE INDUSTRY CORE- PARTNERS END-USER ORGANISATIONS DIETITIANS ORGANISATIONS
• Literature research
• Focus group with 6 dietitians
• Contextual interviews with 8 clients
• Context-mapping & Co-design
session with 8 clients
GOAL PROGRESS
To generate contextual knowledge of food
behavior through the design of engaging
self-reporting strategies

19. FOODSampler
Mixed methods for monitoring food intake:
Towards a new generation of e-health prevention apps
HEALTH AND CREATIVE INDUSTRY CORE- PARTNERS END-USER ORGANISATIONS DIETITIANS ORGANISATIONS
• Literature research
• Focus group with 6 dietitians
• Contextual interviews with 8 clients
• Context-mapping & Co-design
session with 8 clients
GOAL PROGRESS
To generate contextual knowledge of food
behavior through the design of engaging
self-reporting strategies

20. #ScaredToFail
My dietitian works
so hard, I don’t
want to show her
I am failing This is the third
time I’m asking her
to bring it

21. I feel ashamed I ate
one Snickers
I wonder if she has
been totally honest …
#ContinousJudgement

22. I really want help
yet I ate Snickers
Hope I can get
her to talk
#Confronting
#Passive

23. #ScaredToFail
#ContinousJudgement
#Confronting
#Passive

24. FOODSampler
Mixed methods for monitoring food intake:
Towards a new generation of e-health prevention apps
HEALTH AND CREATIVE INDUSTRY CORE- PARTNERS END-USER ORGANISATIONS DIETITIANS ORGANISATIONS
THANK YOU & STAY TUNED
http://studiolab.ide.tudelft.nl/studiolab/foodsampler/

25. HEALTHY STORY TELLING: STORYTELLING
AS A PERSUASIVE EHEALTH ELEMENT TO
MOTIVATE PEOPLE WITH LOW LITERACY
SKILLS FOR OBESITY PREVENTION
Valentijn Visch | Delft University of Technology

26. Goal
Storytelling as a persuasive eHealth element to
motivate people with low literacy skills for
obesity prevention.
Healthy Storytelling for eHealth
Consortium
Theory
A model to understand how storytelling can
change health literacy and motivate for long-
term interaction.
Design
Demo’s to motivate people for interactive health
related storytelling. Proposed element: narrative
freedom.
Method
Principles to integrate interactive storytelling
in eHealth.
Project Phases
1. Let’s Talk...
RtD to facilitate talking about weight including its
stigma’s, taboos and myths.
2. About obesity...
RtD to communicate obesity-related health
knowledge.
3. To eachother…
RtD to involve users (risk groups, patients, health
care professionals) in a storybased health platform.

27. INTRODUCTION OVERARCHING
PROJECT
Daan Andriessen | HU

28. Innovation Approach
Research Methodology
People Involvement
Collaboration
WoW Creative sector
Process-based/Agile
Design/Action Research
Generative/Co-Design
Informal/Horizontal
WoW Health sector
Evidence Based Practice
Controlled Experiments/n=1
Participation/Feedback
Formal/Hierarchy
Boundary Crossing
Creative
ways of
working
What is the added value
of creative ways of
working for innovation
in health?
Added Value
for innovation
Contribution mapping Contribution mapping
Knowledge
developmen
t
Personal
development
Things
development
System
development
Investigators
Linked actors
Unlinked actors

29. How we think innovation through
research in health works
“Research does not function as a cannon that shoots knowledge
into the world of action, where the targeting and force of the
knowledge determines its ‘impact’” (Kok & Schuit, 2012, p.2)
Question Research
Knowledge
Building
Blocks
Utilization Impact

30. How innovation through research actually works
Bron: Kok & Schuit 2012

31. Knowledge development Things development
Systems developmentPersonal development
Innovation
requires four
processes

32. Knowledge development Things development
Systems developmentPersonal development
Different
actors have
different
interests
4. Design
professionals
1. Health
researchers
2. Design
researchers
3. Health
professionals

33. INTERVIEW
Daan Andriessen | HU
with Natalia Romero Herrera | TU Delft

34. Knowledge development Things development
Systems developmentPersonal development
Different
actors have
different
interests
4. Design
professionals
1. Health
researchers
2. Design
researchers
3. Health
professionals

35. Contribution to the
knowledge base
Contribution to the tools,
instruments, methods
etc.
Contribution to the
competencies
Contribution to the
routines, culture,
networks, policies etc.
Knowledge development Things development
Systems developmentPersonal development
Creative
ways of
working can
contribute to
all four

36. How would you like our
evaluation of creative ways of working
to contribute to you?
Contribution to the
knowledge base
Contribution to the tools,
instruments, methods
etc.
Contribution to the
competencies
Contribution to the
routines, culture,
networks, policies etc.
Knowledge development Things development
Systems developmentPersonal development

39. E-HEALTH FOR HEALTHY AGEING
GET INSPIRED! - PART 2
Moderators: Remko van der Lugt | HU

40. Part 1: Contribution Mapping
• Introduction to the program
• Project pitches
• Contribution mapping: interview and exercise
• Key Insights
Part 2: Creative and Health Innovation Ways of Working
• Introduction
• Project pitches
• Ways of working: Exercise and interviews
• Key insights
AGENDA

41. UNOBTRUSIVE SENSING
TECHNOLOGIES TO MONITOR AND
COACH ELDERLY AT RISK FOR
SOCIAL ISOLATION
Annemarie Braakman - Jansen | University of Twente

42. TRACK TRACE TRIGGER!
UNOBTRUSIVE SENSING & MUSIC COACHING-TECHNOLOGY FOR
ELDERLY WITH DEMENTIA
Annemarie Braakman-Jansen, Christian Wrede and Lisette van Gemert-Pijnen (Persuasive Health
Technology Lab, UT); Paul Havinga (Pervasive Systems, UT); Jan-Hendrik Croockewit (Nedap
Healthcare). In cooperation with Zorgcentrum de Posten
Goal:
to explore how unobtrusive sensor technology and
acoustic cues can be used while preventing potential
obtrusion and privacy breaching to optimize staying at
home and to influence health and wellbeing in a positive
way for people with mild dementia.

43. Unobtrusive Sensing:
• WiFi (disturbance) data
• Acoustic data
To track and trace behavior:
1. Individual dynamic behavior
(e.g. walking, sleeping)
2. Social behavior (e.g. greeting)
3. Individual mood
(e.g. being agitated, relaxed)
Deep learning methods:
1. Individual human
postures
2. Vital signals (Breath &
HF)
Unobtrusive music coaching
data driven music cues to trigger:
- Social or physical activation
ePlatform to support Care Logistics:
- To make appointments & share tasks
- To inform formal & informal caregivers

44. We will multidisciplinary explore:
1. To what extent unobtrusive technology can meet clients and caregivers needs.
2. The boundaries for privacy and ethics using observation technology
3. How deep learning can be used to identify individual, dynamic & social behaviors.
And develop a framework for unobtrusive Personalized eHealth at Home, using the CeHReS
Roadmap
SCIENTIFIC GOALS
2018 - 2021
44

45. SUPPORT QUALITY-CARE FOR ELDERLY USING
AMBIENT LIVING ENVIRONMENT DATA (SQUEALED):
AN EHEALTH APPLICATION TO SUPPORT CARE
PROVIDERS OF INDEPENDENT LIVING ELDERLY
PERSONS
Amy van Grieken | Erasmus University

46. SQUEALED: Support QUality-care for Elderly using Ambient
Living Environment Data
To enhance safety and quality of life of older citizens
with (beginning) dementia and their main care
provider. We develop, implement and evaluate a pilot
monitoring application using the data from the smart
energy meter to support care providers and
independent living older citizens.
Contact: Amy van Grieken, Dept. Public Health, Erasmus MC Rotterdam. a.vangrieken@erasmusmc.nl

47. A THEORETICAL FRAMEWORK FOR THE
DESIGN OF PERSUASIVE TECHNOLOGY TO
SUPPORT COMMUNICATION AND NEEDS-
ARTICULATION OF PEOPLE WITH DEMENTIA
Bard Wartena | NHL

48. NATA
LIENEED
ARTICULATI
ON
THROUGH
AUTONOMY
LOSS
IN
ELDERLY

49. DEMENTIA DYNAMICS IN DESIGN
(DDD)
Sebastiaan Peek | Tilburg University

50. Social contacts and
technology use
over time
Personalized and
sustainable
solutions
A dynamical
framework

51. EVERYDAY SOUNDS OF DEMENTIA
Maarten Houben | University of Technology Eindhoven

52. Interactive workshops
Design artifacts
In context evaluation
Maarten Houben, dr. Rens Brankaert, dr. Saskia Bakker,
prof. Inge Bongers, prof. Gail Kenning, prof. Berry Eggen.
Main goals
1 Effects of sound on dementia
2 Opportunities for technology
3 Participatory and co-design

53. EXERCISE AND INTERVIEW:
CREATIVE AND HEALTH WAYS OF
WORKING
Remko van der Lugt | HU
with Job van ‘t Veer | NHL Stenden

54. Ways of working
CREATIVE
professionals
HEALTH professionals

55. CREATIVE professionals HEALTH professionals

57. CREATIVE
professionals
are/do...
HEALTH
professionals
are/do:
1.
2.
3.
4.
5.
6.
7.
8.
1.
2.
3.
4.
5.
6.
7.
8.

58. CREATIVE
professionals
HEALTH professionals

59. HCI Health
Opportunistic State of the Art Systematic
Iterative, fitness for purpose Lifecycles Iterative, focus on impact
Precedes evaluation, system development Implementation Follows evaluation, roll-out
End users as experts, emphasis on
creativity and innovation
Requirements & design
methods
Clinicians and professionals as experts,
emphasis on systematic development based
on theory
Formative, eclectic, focus on process Evaluation methodology Normative, RCT, focus on effect
Individuals’ right to contribute Ethics Highly regulated, prevention from harm
Journals & conferences, case studies,
informal, long
Publications Journals, Variety ( experimental, systematic
review, protocol, etc..)

61. Thank you!
Follow the projects on www.zonmw.nl/createhealth
Remko.vanderlugt@hu.nl Daan.Andriessen@hu.nl