During my panel at the World Congress mHealth Summit in July, Bud Flagstad, VP Strategic Initiatives at UnitedHealth Group mentioned their upcoming mobile app which is designed for healthy challenges.

OptumHealth, a business unit of UnitedHealth Group, has just launched the free OptumizeMe app for Windows Phone 7 devices, which will be followed by Android and iPhone platforms in 2011. OptumizeMe is a unique health and fitness app designed to make health both fun and social.

The idea of challenges and trackers was tested with UnitedHealth employees last summer. UnitedHealth found that the challenge participants tended to meet and exceed their fitness goals faster.

With OptumizeMe, you can create challenges and invite others in your social circle to participate. If you are planning a run challenge in Central Park, you can extend your invitation to others in the geography who then opt in to join you. You can use a map to show the location of your event and to check out other events in the area. You can also send motivational messages to your friends and family around the challenge and post your progress to Facebook. Others can respond with a “thumbs up” or a “butt kick” to move you closer to your fitness goal.

Once you complete your first Challenge, you receive your first virtual trophy, a Pioneer badge. Some badges are won based on your efforts and others are a surprise which keeps fitness fun.

In addition to social challenges, you can use OptumizeMe to manage your personal challenges such as training for a marathon or accelerating your physical activity during the holidays. Think about how you would use the OptumizeMe app. What personal challenges and social challenges would you choose to manage?

During my Healthcare Unbound Panel on “New Models in Social Media”, Kendra Markle from the Stanford Persuasive Technology Lab shared interesting examples of students designing their own social media interventions.  

While co-creating with a consumer segment, you can design applications they value which leverage their relationships with their own social network and influence both personal and group behaviors.

Our Interview:

Sherri (Stepping Stone Partners): Tell me about how students define their own interventions. For example with SPF Stalker, what is the goal and how did students participate in this innovation process?

Kendra (Standford Persuasive Technology Lab):This project was created by some ingenious students as part of a class on habit formation taught by BJ Fogg, Director of the Stanford Persuasive Technology Lab. The project goal was to use technology to motivate people to wear sunscreen every day.

Students came up with this great idea to photoshop pictures of SFP chapstick into photos of famous people and photos they took of each other as a humorous way to remind each other about wearing SPF chapstick. By tagging their friends in the photos posted to Facebook, each friend gets an irresistible email from Facebook saying "you've been tagged! Click this link to see the photo".  The response rates for click throughs on Facebook tagging emails is unbelievably high.

Sherri: What are the comments that students have shared about SPF Stalker? Why do they want to use it with their friends?

Kendra: This intervention was designed to be funny, which made the photos memorable enough to share with friends, thereby recruiting even more people into the intervention without them realizing it. We call this a stealth tactic - when people start engaging in healthier behavior without being explicitly told they're participating in a "health" app.

Sherri:  What is the goal for the Healthy Check-ins project that you presented?

Kendra: The healthy check- ins project is also a stealth project, that's just our internal name for it. Our goal for the healthy check ins project is to combine the element of checking in with target health behaviors such as taking the stairs instead of the elevator, eating less meat or biking to work instead of driving. By checking in, many people feel some validation of their behavior, or feel they get credit for doing it by reporting it. We combined this urge with the fun of unrealistically awesome achievements from the game world to produce an experience that rewards you with virtual goods and powers that help you in the game world for indulging in the urge to check in your real behaviors. The motivation you feel to level up in the game layer can be translated into motivation to complete healthy behaviors just so that you can check them in.

Sherri: How do students feel the Healthy Check-ins will help them and their friends become more healthy (e.g. what is the value that students see?)   

Kendra: So far, the students are excited about this project because it's something that they think they would use and could picture themselves getting a little addicted to. Since college aged kids want to do everything with their friends, we're working on making this intervention a social experience, one that requires use of both reciprocity and vengeance to advance. These are two behaviors that are believed to have evolved to encourage us to cooperate with each other. Cooperation is a very strong intrinsic motivator, as is competition, especially when both are used together.

Sherri: Since “location based services” (Foursquare like) are so popular, how have the students envisioned the connection between this capability and healthy locations for check-ins?

Kendra: We've expanded beyond location check ins to behavior check ins. Why is everyone feeling limited to location check ins? GPS technology provide convenient proof of presence at a location that can translate into monetary value but there are many other things that can be easily proved when using a mobile phone. It just takes some creativity. Students have come up with a whole bunch of target behaviors and creative ways to prove they're engaging in them, all while in stealth mode so the user never feels like they're supposed to be "getting healthy" while using the app. 

While taking a walking this beautiful afternoon, I noticed a frail elderly woman inching forward on the sidewalk in front of me as her aide held her arm securely around the senior’s tiny waist.

Although you and I may not need physical support to move ahead, imagine the feeling that you are heading in the right direction, with guidance each step of the way.

During my panel last week on “New Models for Social Media”, I shared an example of an interesting approach which is at the intersection of social media and decision support. With the “iShould” application developed by the Ottawa Hospital Research Institute (OHRI), you can reach out online to your own social network to gather input for your health decision. If for example you are considering corrective eye surgery, you can bring those you trust into your decision process. On this Facebook application, you fill in the decision, list and rate the pros and cons and select friends to comment. This invites support around your decision.

I do believe that this application can be most valuable when you are asking friends who have experience with your health decision so that they can provide insightful comments for your consideration.

“We’re already using Facebook, YouTube and Twitter. Where do we go from here?”

“We have several separate and disconnected social media efforts now but we want to bring them together as part of a social media plan.”

“How can we listen online and engage consumers around wellness?”

“Where do we begin to develop a private online community for ‘Women’s Health’ to use for our product research?”

Businesses are increasing their investments and are ready to move to the next level in their social media efforts. They are forming “Social Media Committees” to begin defining and prioritizing their social media initiatives. Every company can create a unique social media plan drawing upon their set of healthcare relationships, partnerships and resources to deliver value to the consumer. However, how many are actually designing their plan with consumer engagement in mind?

Viewing Your Plan from the Consumers’ Eyes

As you are creating more social media, keep in mind that consumers are already overwhelmed with the current number of online healthcare destinations for them to learn, share and connect with others like them. Before investing any more resources, think about how you can bring consumers relevant and compelling “content” and capabilities that they will value (as opposed to what you have to offer).

Stepping Stones to Follow:

After you’ve defined your goals and assembled your team, these are the steps to move your social media initiatives forward.

1)     Listening to Your Target Consumers (Segments)          

One essential best practice is to gather insight to understand the health and wellness issues and interests of these consumers and to leverage that information into action. Consider all the opportunities that you can uncover by mining “consumer- generated content” both within your own company’s social media and from online conversations outside of your site and your social media boundaries.

What makes this more complex is that your target consumers have varying needs so you will want to listen to the needs of each of your priority consumer “segments”. For example, you may segment your target consumers by condition, gender or life stage. Where will you go to listen to your priority consumer segments?

2)     Engaging Consumers & Acting on their Insight

Through exploratory discussions with your target consumers, you can discover areas of value such as new online decision tools, new ways to “package” content and new channels to deliver this content. Often times, their ideas shed light on new partnerships which yield differentiated products, services and programs for your company. These insightful ideas are often from your key contributors. The ideas make your community dynamic and motivate others to participate. How can you exploit their influence across your social media?

Once new opportunities are surfaced, the key is to define them with your target consumers. By “co-creating” with them, you will ensure that you have conceptualized, developed and validated these new offerings to meet their evolving needs.

Another benefit of engaging consumers is capturing their words which can be injecting into your marketing channels (e.g. website, social media, program brochures, etc).

 3)     Evaluating Your Social Media Engagement Initiatives

You will need both qualitative and quantitative information to evaluate your social media initiatives against your business goals.

The qualitative information that you collect through your social media efforts is very valuable since it gives you and your team insight to guide your product, partnership and marketing strategies. It is essential to track how these insights are being used by your company to measure their real value (e.g. saving money, generating revenue). 

There is a set of quantitative metrics that you will benchmark and monitor to identify your most effective tactics. These metrics are often around participation in your various social media activities.

How About Your Social Media Engagement Path

• What have you learned while listening to consumers online?
• Are you launching new engagement tools to get your target consumers to interact with you?
• How are you mining and leveraging insight from consumer generated content to inform your company’s business strategies?

You have an opportunity to devise a comprehensive plan with best practices and processes for exchanging value with your target consumers through your social media initiatives. Instead of launching tools in isolation, take the lead in bringing your team together to develop a Social Media Engagement Plan designed with your business goals in mind. 

As social media explodes in healthcare, companies are launching new communities and communication tools to connect consumers with each other and with experts. Research has shown that consumers value learning about and from the experiences of others and receiving emotional support.

Healthcare organizations are building online support communities combined with social media tools, enabling consumers to connect with friends and strangers to share a common bond.  Consumers are responding by visiting their channel on YouTube to upload a video about their personal experiences or sharing a comment about a video that moved them. They are on Facebook leaving their “thumbs up” when they like what they see. Consumers are there (virtually) with words of support for those newly diagnosed and those experiencing set- backs.

“I am scared because my child is having problems managing his diabetes at school and I don’t know what to do”.

"My MS is getting worse. I am frightened to speak with others who are further along but would like to reach out to those who are experiencing what I am right now.”

“My family is getting the brunt of my frustrations and I feel terrible.”

“Support Me” Opportunity:  Provide the capability to share encouragement, validation and an emotional connection with other people and experts.

Engagement in Action:
These innovative organizations are offering consumers the capabilities to demonstrate their support online.

• Livestrong Facebook community has over 700,000 fans. Community members are extremely engaged posting pictures and comments about their most personal experiences on this very public site. Unlike many communities which have a more limited response, Livestrong is a vibrant community with hundreds of posts sharing thoughts and endless support. Livestrong also engages their community off line through events, further connecting and building bonds between their members.
• TuDiabetes ran a Making Sense of Diabetes program leading up to World Diabetes Day. Members uploaded videos sharing their experiences living with diabetes on a daily basis. Many of these videos received high ratings from the community and comments were shared showing support.
• AARP has launched LifeTuners, an online community for young adults (20s and 30s) offering “unbiased, balanced resources, information and financial advice”. Within the community, consumers are accessing advice and support from experts and their peers and rating the recommendations they read.  AARP has built this support community to educate young people about the things they can do now that will impact their future. Notice the parallels with wealth and health.
• MDJunction offers an online community with the ability to share different types of visual messages such as “a hug”, “a cheer up”, “a happy for you”, “a prayer” and “a salute”. Community members can also display one or more than a dozen different color ribbons showing their support from gray for Juvenile Diabetes to black for Melanoma Cancer.

Healthcare companies need to move beyond the basics of setting up different social media destinations and envision integrated offerings that enable consumers to care for one another anytime and anywhere, through online and mobile. They also need to determine the role that the “expert” plays to support and strengthen the community.