Post on 22-Dec-2015
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/
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
Adaptive Health Behaviors
Health-related lifestyles are the outcome of each individual’s efforts to adapt to each health-related experience.
Adaptive Health Behaviors
We adapt to health situations consistent with goals, attitudes, habits, beliefs
Response
Neuroscience, neuropsychology, cognitive psychology
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
Adaptive Health Behaviors
Hidden patterns in interactions
Attractors
Adaptive Health Behaviors
Individual behavior gravitates to one of nine patterns
Adaptive Health Behaviors
The Patterns of Adapting to Health (PATH)
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)
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
Adaptive Health Behaviors
PATH among U.S. adults
Adaptive Health Behaviors
Applications:
• Population Health & Patient Experience−Disease Risk−Medical Expenditures−Patient Experience
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
Adaptive Health Behaviors
The PATH drive medical cost independent of age
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
Adaptive Health Behaviors
Applications:
• Population Assessment−Disease risk−Medical Expenditures−Patient Experience
• PATH Talk
• PATH Screening and Coaching
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.
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
Adaptive Health Behaviors
PATH Screening and Coaching
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
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/