adaptive health behaviors patterns of adapting to health(path) frederick h. navarro, phd a force...

21
Adaptive Health Behaviors Patterns of Adapting to Health(PATH) Frederick H. Navarro, PhD www.adaptivehealthbehavior s.com A Force Driving Health, Fitness, Disease, and Demand for Healthcare http:// body.io/

Upload: kevin-baker

Post on 22-Dec-2015

214 views

Category:

Documents


1 download

TRANSCRIPT

Page 1: Adaptive Health Behaviors Patterns of Adapting to Health(PATH) Frederick H. Navarro, PhD  A Force Driving Health, Fitness,

Adaptive Health Behaviors

Patterns of Adapting to Health(PATH)

Frederick H. Navarro, PhD

www.adaptivehealthbehaviors.comA Force Driving Health, Fitness, Disease, and Demand for Healthcare

http://body.io/

Page 2: Adaptive Health Behaviors Patterns of Adapting to Health(PATH) Frederick H. Navarro, PhD  A Force Driving Health, Fitness,

Adaptive Health Behaviors

Patterns of Adapting To Health (PATH)

• Health-related lifestyles • Hidden patterns• Details of the PATH• Applications

−Population Health & Patient Experience−PATH Talk−PATH Screening and Coaching

Page 3: Adaptive Health Behaviors Patterns of Adapting to Health(PATH) Frederick H. Navarro, PhD  A Force Driving Health, Fitness,

Adaptive Health Behaviors

Health-related lifestyles are the outcome of each individual’s efforts to adapt to each health-related experience.

Page 4: Adaptive Health Behaviors Patterns of Adapting to Health(PATH) Frederick H. Navarro, PhD  A Force Driving Health, Fitness,

Adaptive Health Behaviors

We adapt to health situations consistent with goals, attitudes, habits, beliefs

Response

Neuroscience, neuropsychology, cognitive psychology

Page 5: Adaptive Health Behaviors Patterns of Adapting to Health(PATH) Frederick H. Navarro, PhD  A Force Driving Health, Fitness,

Adaptive Health Behaviors

We all live in sensory bubble

Our sensory bubbles overlap

In urban and suburban areas sensory bubbles bump against many others directly and indirectly

Complex System

Page 6: Adaptive Health Behaviors Patterns of Adapting to Health(PATH) Frederick H. Navarro, PhD  A Force Driving Health, Fitness,

Adaptive Health Behaviors

Hidden patterns in interactions

Attractors

Page 7: Adaptive Health Behaviors Patterns of Adapting to Health(PATH) Frederick H. Navarro, PhD  A Force Driving Health, Fitness,

Adaptive Health Behaviors

Individual behavior gravitates to one of nine patterns

Page 8: Adaptive Health Behaviors Patterns of Adapting to Health(PATH) Frederick H. Navarro, PhD  A Force Driving Health, Fitness,

Adaptive Health Behaviors

The Patterns of Adapting to Health (PATH)

Page 9: Adaptive Health Behaviors Patterns of Adapting to Health(PATH) Frederick H. Navarro, PhD  A Force Driving Health, Fitness,

Adaptive Health Behaviors

PATH 3:

• save health care dollars by shopping

• experiment with alternative health care affordable health care in a “plain white box”

• active information seekers

• open to health care advertising

• avoid health care because of the expense

• adherence adversely affected by cost

• high disenrollment rates and tend to switch health plans

• low medical claims

PATH 1:

• generally distrustful of the medical professionals

• medical professionals not competent

• suspicious of health care ads and their promises

• uninvolved in wellness

• reactive to health problems

• poor adherence to treatments

• Some family health involvement

PATH 2:

• refrains from using health care services.

• high health apathy • disinterest in

healthcare matters • medical claims rates

low• high prevalence of

health risks• little participation in

active exercise• poor attention to

nutrition • minimal family health

involvement• not seeking healthcare

information• some receptivity to

healthcare advertising

PATH 4:

• pay more for quality health care

• preconceived ideas about providers

• brand driven • use the same

providers• don't "shop around" • easiest to satisfy • high rates of chronic

disease and co-morbidities

• under-utilize prescription medications

• low receptivity to health advertising

• little health care information seeking

Patterns of Adapting to Health (PATH)

Page 10: Adaptive Health Behaviors Patterns of Adapting to Health(PATH) Frederick H. Navarro, PhD  A Force Driving Health, Fitness,

Adaptive Health Behaviors

PATH Relationship to Health Involvement

High health involvement

PATH 7 PATH 8 PATH 9

Transitional health involvement

PATH 5 PATH 6

Low health involvement

PATH 1 PATH 2 PATH 3 PATH 4

Page 11: Adaptive Health Behaviors Patterns of Adapting to Health(PATH) Frederick H. Navarro, PhD  A Force Driving Health, Fitness,

Adaptive Health Behaviors

PATH among U.S. adults

Page 12: Adaptive Health Behaviors Patterns of Adapting to Health(PATH) Frederick H. Navarro, PhD  A Force Driving Health, Fitness,

Adaptive Health Behaviors

Applications:

• Population Health & Patient Experience−Disease Risk−Medical Expenditures−Patient Experience

Page 13: Adaptive Health Behaviors Patterns of Adapting to Health(PATH) Frederick H. Navarro, PhD  A Force Driving Health, Fitness,

Adaptive Health Behaviors

1.09

1.65

0.89

1.29

1.85

2.15

Depression

Sciatica/back

Weight problem

Diabetes

Heart disease

Skin cancer

Health Care Driven and Illness Odds(N = 51,522)

1.48

1.19

0.88

0.41

0.89

0.91

Depression

Sciatica/back

Weight problem

Diabetes

Heart disease

Skin cancer

Critically Discerning and Disease Odds (Nationwide Study, N = 51,522)

Disease risk vary for each PATH

PATH 1 PATH 7

The PATH predict disease and risk

Page 14: Adaptive Health Behaviors Patterns of Adapting to Health(PATH) Frederick H. Navarro, PhD  A Force Driving Health, Fitness,

Adaptive Health Behaviors

The PATH drive medical cost independent of age

Page 15: Adaptive Health Behaviors Patterns of Adapting to Health(PATH) Frederick H. Navarro, PhD  A Force Driving Health, Fitness,

Adaptive Health Behaviors

62% 63%59%

75%

65%69%

71%

64%

60%57%

Health Plan "Very-High" Satisfaction by PATH Type Patterns

The PATH predict patient experience

PATH 1 PATH 2 PATH 3 PATH 4 PATH 5 PATH 6 PATH 7 PATH 8 PATH 9 PATH 0

% of “very satisfied” patients

Page 16: Adaptive Health Behaviors Patterns of Adapting to Health(PATH) Frederick H. Navarro, PhD  A Force Driving Health, Fitness,

Adaptive Health Behaviors

Applications:

• Population Assessment−Disease risk−Medical Expenditures−Patient Experience

• PATH Talk

• PATH Screening and Coaching

Page 17: Adaptive Health Behaviors Patterns of Adapting to Health(PATH) Frederick H. Navarro, PhD  A Force Driving Health, Fitness,

Adaptive Health Behaviors

PATH and Health Capacity

PATH 1 Levels Dispositions

Learning Fair

Patient engages in some health care information seeking and learning about treatment options and gives some attention to learning about nutrition

Health-related Communication

Poor

Patient possesses lack of confidence and trust in medical professionals to do the right thing or to prescribe the correct treatment. Patient avoids going to the doctor or other care professionals

Prevention Poor

Patient does not plan ahead. Patient deals with health problems as they require attention. Reacts to problems with little advance planning

Health behaviors

FairPatient expresses some propensity to exercise and give some attention to nutrition and healthy dieting.

Page 18: Adaptive Health Behaviors Patterns of Adapting to Health(PATH) Frederick H. Navarro, PhD  A Force Driving Health, Fitness,

Adaptive Health Behaviors

PATH 1:

• generally distrustful of the medical professionals

• medical professionals not competent

• suspicious of health care ads and their promises

• uninvolved in wellness

• reactive to health problems

• poor adherence to treatments

• Some family health involvement

Effect:• Up to 18% improved engagement• Up to 11% improvement in behavior

change• Cost reduction of $300 pmpy

PATH Talk

Page 19: Adaptive Health Behaviors Patterns of Adapting to Health(PATH) Frederick H. Navarro, PhD  A Force Driving Health, Fitness,

Adaptive Health Behaviors

PATH Screening and Coaching

Page 20: Adaptive Health Behaviors Patterns of Adapting to Health(PATH) Frederick H. Navarro, PhD  A Force Driving Health, Fitness,

Adaptive Health Behaviors

PATH Benefits

• Health and Fitness• Demand of Healthcare• Validated Predictor of Medical Expenditures

• Patient Experience/Engagement• Doctor-Patient Communication• New approach to coaching

Page 21: Adaptive Health Behaviors Patterns of Adapting to Health(PATH) Frederick H. Navarro, PhD  A Force Driving Health, Fitness,

Adaptive Health Behaviors

http://patternofhealth.com

Pattern of Health is a groundbreaking look at the Patterns of Adapting to Health (PATH) and reveals how health related behaviors are linked. Pattern of Health demonstrates that when it comes to exercise, diet, medical care, and overall health outcomes, we may not be as uniquely individual as we thought all along.Frederick H. Navarro, PhDwww.adaptivehealthbehaviors.comhttp://body.io/