Featured Post

Hacking Health in Hamilton Ontario - Let's hear that pitch!

What compelled me to register for a weekend Health Hackathon? Anyway, I could soon be up to my ears in it. A pubmed search on Health Hack...

Showing posts with label app. Show all posts
Showing posts with label app. Show all posts

Friday, February 3, 2023

The Healthy Minds Meditation App - Designed by Neuroscience and Tibetan Buddhism

I have tried several meditation apps and online meditation programs. I started out reluctantly because I didn't think the electronic format would be that appropriate, as I was used to practicing meditation by way of instructions from traditional meditation teachers. The apps that I have tried - I have stayed away from many so can't provide a wide ranging assessment - have been excellent additional supports to my main practice. I refer mostly  to the Healthy Minds program app, developed by a group of scientists and Tibetan meditation experts inspired by the neuroscience meets meditation research of Dr. Richard Davidson. Dr. Davidson, or "Richie" as he is known, is famous for conducting fMRI research on Tibetan Buddhist monk, Matthieu Ricard, dubbed the "happiest man in the world" by science,.  Richie is one of the leading research scientists in the Mind and Life Institute, a group of scientists who have been meeting annually with His Holiness the Dalai Lama to discuss science and contemplative practices, "in order to bring about positive change in the world". 

This "happiest man in the world" thing has to do with EEG brain recordings of areas of the brain when an advanced meditation practitioner is contemplating compassion. Happiness is not pleasure seeking. It is giving to others. It is wishing or acting for the benefit of others. ;

I wrote an article before about how I found the MUSE head band meditation technology that tracks EEG readings in the brain, and I have also discussed the Mindfulness Based Stress Reduction 9 week online course designed at Palouse Mindfulness, modeled after the work of Jon Kabat-Zinn.  One more app that I have not discussed, but which I heartily recommend, is the Imagine Clarity app, hosted by said Tibetan monk Matthieu Ricard and his organization based in France and Nepal. It too is inspired and based on Tibetan Buddhist meditation practices. 

Meditation apps to me are just vitamins in the diet, and not the main course. I suppose then you'd call them supplements. But I am speaking as a person who was initiated into meditation practices by bona fide spiritual masters or teachers, many decades ago. I don't know how anyone with no teachers or guides would get by just using the app itself. I suspect however, that the Healthy Minds app would be a great support for those new to the practices. I will go out on a limb here and also say I suspect it might be excellent for those dealing with mental health issues who need more mental fortification. The Healthy Minds app is free (or by donation), as is the Palouse mindfulness mediation course. Imagine Clarity has free lessons, but to go deeper, for example to get the brilliant sessions with Tibetan Buddhist meditation master and scholar Allan B. Wallace, you have to pay for the premium version. I paid several years for the premium version and felt better for the altruism behind the Karuna Shechen program that Matthieu Ricard oversees and supports with those donations.

In a way all three of these programs just washed over me, bathing me with their enlightened words, logic, spaces, and images. I mostly put to the side my own meditation practice, which is based on Tibetan Buddhist practices, in order to concentrate just on the app offerings. I am still doing the Healthy Minds app every morning and it has been almost 5 months of daily practices since I started! There is a lot of programming that goes into it. Initially I was doing a half hour every day per lesson. Each session gives you a choice of not only how much time  you want spend on the meditation, varying from 5 to 10, to 20 to 30 minutes, but for many of the sessions, you also get to choose which instructor voice you want to listen to - there are five - which also gives you more of a sense of choice for inclusion or identification with different genders or ethnicity. At least, you don't have to listen to Cortland Dahl all the time, the chief "contemplative instructor", though he is the main instructor and the default voice on my many modules, when only one voice is needed.  Lately I am only doing the shorter versions of the meditations as I have reverted back to my main practice. But when I say these programs just wash over me, looking back, not just to yesterday, but to the nine years ago when I did the Palouse course - what did I really remember or integrate into daily use? Though, I do remember I took the nine week course during the time when my father had passed away and it helped me a lot with the way I was daily grieving that loss.

I wonder why the Healthy Minds app is so loaded with meditation sessions? It could be that to complete it is to really do a house cleaning on your mind, emotions, and over all state of well being. All these lessons and meditations are based on research on the psychology of the mind. I would like to stress this - every session almost has a reference to a research study about the mind, from the research of Richie, or from a host of other scientific studies, references to which are often given in text at the end of the session. In that regard, this is kind of the university level meditation app, non-secular and based on real evidence of how our minds actually work. Since the foundation of all these is thousands of years of meditation practice, it looks like science is finally catching up to Buddhism. Many Tibetan Buddhist practices are meant to be purification practices, and it takes a long time to purify our karma before we become enlightened. I remember I was on an 11 day Vipassana meditation retreat, 12 hours a day sitting, vow of silence, and S. N. Goenka, the videotape recorded meditation instructor said something like "now we are going to preform a surgical operation on your mind", in other words, the methodology of the Vipassana meditation was a proven scientific method of gaining insight into the mind. 

I won't go into specific lessons in the Healthy Minds app but will say it is divided into five main sections:

  1. Foundations: Learn the foundational skills of training your mind - 10 Lessons / 14 Meditations
  2. Awareness: Learn to be more present in your daily life - 22 Lessons / 27 Meditations
  3. Connection: Practice the skills of appreciation 18 Lesson  / 27 Meditations
  4. Insight: Examine how your thoughts, emotions, and beliefs shape the way you see the world 18  Lessons  / 27 Meditations
  5. Purpose: Connect with your deeper motivations and core values 18 Lessons / and 27 Meditations

The app tracks your progress, or you path through the course. There are also areas to "Explore" off the path including a recently added Dalai Lama's Guide to Happiness, which looks like it is chock full of happiness meditation vitamins, or,  as advertised "Join His Holiness the Dalai Lama, Dr. Richie Davidson, Dan Harris, and Roshi Joan Halifax to unlock a happier life".  You only learn by doing and not all the life lessons you will learn in this program will be relevant, but you will learn to relax your mind, become self-aware, learn to breath, and when it all comes down to it - just to let yourself be. But they call these "practices" for a reason. It is mind training, and that takes practice. There is a neuroplastic science of entraining brain cells in order to change behaviour. It can happen.

Meditation apps that are any good (and there are probably so many apps now  (not all good probably) that it would be difficult to track them all, if not impossible, or maybe only if doing a deep research project on the phenomenon ) are also the ones that bring a sense of community. In these Covid times where people are living more in isolation, the sense of community is vital. It is the Buddhist idea of "sangha" or community of practitioners (sometimes organized as monasteries). Of course, the online community should not be a replacement for the actual physical community, but I don't think that matters in some cases. A feeling of belonging is the same. It is in that spirit that I say I am very grateful to the Healthy Minds program and wish it will continue to inspire and serve all those who are searching inner well being. And trust the science - it works! 




Thursday, February 16, 2017

mbant2 clinical trial - a super duper fitbit?

I noticed on the Journal of Medical Internet Research that the mbant2 clinical trial is starting.
 http://www.researchprotocols.org/2016/3/e174/

This is an ehealth cornerstone - evaluating the effectiveness of ehealth applications. mbant2 is a University of Toronto study, where Frederick Banting appropriately enough was one of the discovers of insulin.  I almost think the fitibt could help self-manage type 2 diabetes if there was also a way to measure glucose A1c levels. Apparently Medtronic is looking into exactly that.
 https://www.medtronicdiabetes.com/blog/partnering-with-fitbit-for-type-2-diabetes/

No google contact lens yet for tears to detect blood sugar insulin. Guess they are still working on it. The email alerts I have been getting about always make it sound it is off in the future somewhere. It would be great to have pin-prickless procedures and devices. The research is very hard to make that work well.




Wednesday, September 14, 2016

Medical smartphone apps need research and evaluation

So I finally did start reading a book by Eric Topol - The Patient Will See You Now: The Future of Medicine is in Your Hands - and this book is an eHealth classic! So much of the focus is on how the smartphone is becoming the major medical instrument of choice, it often makes me think that the smartphone for medical applications is already the TriCorder. Smartphones with visual heart rate monitors are replacing stethoscopes for first year medical students! Seeing the heart is better than hearing the heart?

From a health informatics perspective it really made me think that we need research and evaluation on all the apps that are being used for medical purposes. Just looking around the WWW a little and indeed there are organizations and research about this:

http://www.imedicalapps.com/about/#

https://iprescribeapps.com/

 http://www.jmir.org/2016/8/e222/

Wednesday, July 1, 2015

Fitbit and Personal Health Informatics

A surprise gift for father's day was a Fitbit ChargeHR. The HR stands for Heart Rate, that measures beats per minute (BPM). It doesn't measure blood pressure, and I don't think any device like this on the wrist will be able to do that soon. I have been counting my walking distances, steps up stairs, calories and sleep activity for about a week now. It feels good to have entered the world of the "quantified self "and big data personal health informatics at more than just a theoretical level, as I have been doing on this blog for the past 4 years. I actually have a blog post about Fitbit from 3 years ago <here>!

The data is sent wirelessly to a small "dongle" on my MacBook anytime I am within 20 feet of it. I was surprised to see how this data easily integrated with Telus (Microsoft) Health Space (Healthvault) from the Fitbit.com login settings account. The power of the API is truly awesome.

As I knew before when I was looking at reviews for smart watches, the Fitbit ChargeHR is not a great watch for telling the time. However, one advantage is I find myself saving a lot of time by not looking at my watch to find out what time it is so often. All in all, I find myself wanting to wear it more than the old watch.

Sleeping with the watch is perfectly unobtrusive. There are continual double green sensor lights flashing for the BPM readings but it is hidden under the wrist. At a different viewing angle you can see the green lights. Double tapping at night will illuminate the clock (and day of the month) but during the day it is very difficult to see the digital time in glare of light of day. When you wake in the morning, sleep activity data is automatically transmitted to the MacBook or the Fitbit app on the iPad. via the dongle. The sleep data is a bit hard to interpret. Did I really only get 5 hours sleep? Anyway, I am starting to make some sense of the times I may have been awake or restless.

If you set a goal for 10,000 steps it will buzz on your wrist when you achieve the goal. You are also sent an email congratulating you, which is repeated in the weekly email data digest updates. I tracked food consumption for data on calories, sodium levels, etc. for a few days, and this is very interesting information for me. Since I have not really changed weight since I was a teenager, I don't really have any weight goals, but I know I can align readings from the gym equipment which tracks BPM and calories burned with the Fitbit. When I am not going to the gym, I can utilize those readings. But like I said, watching calories burned is not a science I follow much because of my metabolism.

Even though the data is integrated into the Telus HealthSpace, which is a free personal health record if you have a Microsoft login, I still don't find myself using the personal health record that much (yet). I also have a McMaster PHR (former MyOSCAR) and a Health and Wellness Companion PHR through my employer's health insurance company, in both of which I have just stepped into the shallow end of the pool. I tend to keep a Word document log and paper file of health related events a lot more. If the PHR was integrated with our family health team, I am sure I would use it more.

So, I think we are still a way off from wider adoption of personal health records as integrated tools for the physician's electronic medical record. A lot depends on more research, and of course evolving software breakthroughs like APIs. I am a community volunteer with the McMaster University Family Medicine TAPESTRY program, and I can see first hand the uptake on PHRs and how much education and training is required before they are being used effectively. On our visits to seniors in our communities we also help promote the use of the McMaster PHR. Like any technology, and the toothbrush comes to mind, use comes from developing good habits, as well as promotion from health care professionals.

Because we have entered a digital culture, many people will be entering a personal health record, not through their family medicine clinic, but through some form of personalized health informatics, like Fitbit data, or smart phone apps. There will be a point when physician medical practices will want to buy into accessing or making that data available.


Tuesday, April 1, 2014

Coursera, Health Hacking, Diagnosis Apps, and Interoperability

There has been a lot happening and this is just briefly some of the things I have been tracking. A lot of my time is being spent taking a Coursera online course taught by Dr. Peter Singer (the Australian, not the U. of T. Ethicist) called "Practical Ethics". It is a 12 week course and there are about 25,000 people taking this MOOC. There are writing assignments, peer evaluations of such, video lessons, guest lecturers, discussion forums, essential background readings - I am very impressed and at the same time, very busy just trying to hang on.

COACH recently had a webinar on Health Hacking, facilitated by some of the founders of this fascinating organization. I would strongly recommend that anyone with an interest in healthcare technology and informatics, take a serious look at their website, and / or attend one of their hackathons. It is becoming so popular the next eHealth conference will have a Hackathon. During the webinar they mention how even the Canadian Medical Association thought highly of the concept. I was trying to find the article the CMA wrote about it but could only find this one:

We all know what happened to Google Health, and I am not sure today where Microsoft Healthvault is these days, so I am skeptical about any buzz we might hear about Apple Healthbook.

The Kuzweil Accelerating Intelligence news reported on a new Do It Yourself Medical Diagnosis App.  I have not had time to look into the details of this, but it might be a software candidate for an integrated Tricorder project.

The last item is really a gem, and it is the keynote talk given at HIMISS interoperability showcase, by Malcolm Gladwell. Malcolm uses 3 examples in the evolution of technology to make comparison to how new standards in interoperability can transform healthcare technology: shipping containers, Israeli military technology example called the Bekaa Valley Turkey Shoot, mp3 players.




Friday, March 21, 2014

ImmunizeCA app helps people keep track of vaccinations

Ottawa Hospital researchers have developed a free app to help Canadians store, manage and access immunization information.
Dr. Kumanan Wilson of the Ottawa Hospital Research Institute said the ImmunizeCA app will also alert users if there's an issue in their area, such as the recent measles outbreak in Ottawa.

"So that would be in the outbreak section, they would see how close they are to the where the report is," he said.

"They could see if their family is up to date. They may say, 'Oh, time to get Johnny vaccinated. It's time to get catch up the vaccine.'"

The app is privacy-protected and not accessible to any health agency.
It's meant to empower people to control their own health by helping them keep track of when vaccinations, boosters and flu shots are due, Wilson said.

Wilson said the concept could also be reworked for similar public health applications.
"So another place I think it could be really helpful is in blood donations. And I think the blood donor app would be a really great idea to do booking online for their appointments, track donations, be notified when they can donate again," he said.

The Public Health Agency of Canada funded the app. It's available to residents in every province.

ImmunizeCA can be downloaded from iTunes, GooglePlay or BlackBerry World.