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Harnessing the Power of Music to Improve Walking and Reduce Falls (5/29/17 - Storyboard, Research, Feedback, Prototype, Questions, LinkedIn)

A personalized, in-home coaching solution to improve walking using real time music-based feedback and proprietary sensor technology.

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Who is your idea designed for and how does it enable older adults to live their best possible life by preventing falls?

Our idea is being designed for people who want to maintain independence, lower their fear of falling, and ensure a peace of mind for their loved ones. It is our goal that the solution is easily integrated into their environments/lives to lower the barriers to adoption (e.g. setup time and syncing problems). We also strive to build our solution to be engaging and motivating to use. (We identify these pains as a result of interviewing multiple potential customers and their loved ones).

We aim to improve their walking and prevent falls as their as their walking naturally declines.  We will do this using an empowering intervention that incorporates music, based on neuroscience research and its profound impact on the human brain.


The MedRhythms Stride


The core of the MedRhythms Stride product is the neuroscience of rhythm and how it engages the brain to help people improve walking (balance, speed, symmetry, etc), which will be described in more detail below. However, to build out the core of our idea, we mapped each of the pains and gains as described above to particular ‘potential solutions’ in the following cluster map:



This cluster map then built the backbone for the three core components of the MedRhythms Stride solution. These concepts are in process of being tested by users and influencers, within the following three components of the full solution: 1) The MedRhythms Gait Sensors, 2) The MedRhythms Stride Mobile App, and 3) The MedRhythms Stride Web Application.


The mobile app is designed to be the command center to launch a walking session and sync with the sensors.  The interface is designed to be easy to use and engaging, and is currently in the process of being tested with users and influences.  A walking session works as follows: sensors collect real time data about the person’s walking, such as speed, step length, and left/right symmetry.  This data is then streamed to the mobile app where it’s analyzed in real time using our proprietary digital signal processing algorithms used to adjust music playback.  Our machine learning analytics then allow us to individualize walking regiments and improve our delivery algorithm over time. 


The Stride has the capability to use and change the parameters of any song that a person likes, from any genre or time period, making it fun and and engaging. The person can log in through an app on a smartphone and with just one click can begin a session of walking with music.  The data is kept and displayed in a progress screen so the user can view their progress at anytime.  


The web application has the majority of the configuration settings, which can be access via any cloud connected device. Caregivers are also provided their own login information to be able to track their loved one's progress and see when they may be at risk for falls.  The Stride can also provide fall detection, sending alerts to caregivers and emergency responders, should a fall occur.  This provides peace of mind and decreased anxiety for loved ones.

P.S. Two clinical things that we wanted to share for those of you curious out there:  1) the neuroscience of how music improves music is strong and can be shared upon request and 2) the gait data collected can actually be used as a strong diagnostic (e.g. for pre-cursor fall detection or cognitive decline).

P.P.S. See the power of music on walking here: 

https://www.youtube.com/watch?v=fbDKHGg9upQ


We look at competition from two separate angles: 1) Traditional therapy and 2) Fall detection and monitoring.  In fall detection/monitoring, there are a number of solutions on the market, however most of them notify the user of an incident. The MedRhythms Stride acts to improve the walking parameters based on neuroscience, lowering the risk of falls, while still knowing about when an adverse event happens.  For the intervention side, we view physical therapy or exercise programs as a potential replacement, however we believe our personalized, low-cost, and portable solution will provide high quality and convenient care to compete. To keep the human factor in the loop, the MedRhythms solution will also include a trained medical professional as a health coach.


Based upon feedback, comments, and questions, we made some changes to our prototype and ran a few research experiments to test suggestions and questions that were asked.  We have attached a PowerPoint presentation with the results of the experiments and feedback from our users.  We are using this to structure the user experience , components of the product, continue to refine the prototype and conduct further experiments/prototyping.

I have added Version 1 and Version 2 of our storyboard, outlining the full experience - from delivery to follow-up of The Stride.  We are currently doing another round of potential customer interviews about the storyboard and what they like and don't like.  We hope to have a final version, with all incorporated feedback very soon!

What early, lightweight experiment might you try out in your own community to find out if the idea will meet your expectations?

Hypothesis 1: People will engage with our product over time: Experiment 1: We will release a “lite” version of our product, in the form of an app that can be downloaded on a smartphone. While this will collect less extensive data, it will still contain the user interface and real time music changing software. We can ask people in our local community to use it 3 times a week and track their usage.

What skills, input, or guidance from the OpenIDEO community would be most helpful in building out or refining your idea?

How do you build engaging rewards into a product like ours? Any ideas? How do you establish accountability through the service? How do you develop a service that is easy to setup (considering in the AARP tracking study 89 percent of activity trackers were difficult to set up)? How do you overcome syncing issues between devices? What is the best way to integrate the product/service we are designing into someone's life? Any tips?

How long has your idea existed?

  • 4 months - 1 year

This idea emerged from

  • A group brainstorm

Tell us about your work experience:

I am trained as a Neurologic Music Therapist with advanced training in the neuroscience of music and how this can be clinically applied. I created and implemented the Neurologic Music Therapy program at Spaulding Rehabilitation Hospital. https://www.linkedin.com/in/brian-harris-a4a31921/

How would you describe this idea while in an elevator with someone?

The MedRhythms Stride uses your preferred music, changes it based on data collected from sensors, and based on rehabilitation from the number 5 rehab in the country. This systems allows you to purposefully exercise, while improving your ability to walk and reducing your risk of falls.

How does your idea demonstrate our Criteria of Affordability?

The MedRhythms Stride is being designed to be affordable driven by the fact that we are trying to move a costly program out of the clinic and into the home to reach more people. It will be initially launched as a low cost subscription service, such that caregivers and care recipients can pay one small fee per month for the months that they use the product.Over time, as we collect more data we will make a case for insurance reimbursement or to be included in a bundled payment for fall reduction.

How does your idea demonstrate or plan to demonstrate scalability?

The Stride is designed to be personalized, self-learning, and easy to setup. It can be scalable to millions to people, as the process and the inputs from the sensors will allow for the majority of the product to be automated. The least scalable part of the solution is the coaching to help motivate and ensure the caregiver and care recipient they are on the right path. We will build tools for these individuals to make it easier and easier for them to serve more people with high quality advice.

How do you plan to measure the impact of your idea?

The sensor data allows us to measure the safety of a person and how likely they are to fall. We can report this data to appropriate parties as insights to ideally reduce the number of falls. We can also suggest interventions as safety decreases to help improve improve walking and thus, safety. We will also get the user to input information about activities of daily living to be able to measure and record the impact the product has on the ability of individuals to thrive in their daily lives

What are your immediate next steps after the challenge?

The immediate next steps after the challenge will be two fold. First, we will release version 1.0 of our product to get 50 people using it, getting feedback about the experience, and analyzing efficacy as well as desirability of design. Second, we will be launching a clinical study on either fall rate or fall risk reduction, which we will be designing with the help of advisers from Boston University and the TREAT center.

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Hi Brian,

It makes sense to use music to move to get data. I wonder if the analysis can be used to create custom orthotics - much like shoe selection software I see in our local shoe store.

- Srijay

my submission - curbd: https://challenges.openideo.com/challenge/fall-prevention/finalfeedback/an-assistive-device-for-curb-elevation-detection

Photo of Brian Harris
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This is very interesting, Srijay. I hadn't thought of this, it will get my wheels turning...

Photo of An Old Friend
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Hi Brian

Great idea, I'm really looking forward to see where this is going in the future! :)

Photo of Brian Harris
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Thank you, Alex!

Photo of Kate Rushton
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Hi @Brian Harris

Thank you for all your hard work in this challenge and dedication.

All of the ideas posts are locked but the comments section is still open, so please feel free to look at other ideas and comment on them, seek feedback on your idea etc.

I know I have asked many ideators this question but I am asking again as some ideas pivoting in the challenge. Would you say your idea is Most Viable or Most Promising? How would the incentives associated with that Award (Most Viable/Most Promising) be helpful for you?

Photo of Brian Harris
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Hi Kate,

Thank you very much. We are very excited about the potential of moving forward.

After looking at the incentives, we believe that our idea would fall into the Most Viable category, as we have been prototyping and now have a product that is ready for a pilot. We are looking to bring this to market within a few months. The hours of mentorship and cash prize would be invaluable in helping us get there. Thank you!

Photo of Rodney Lobo
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Hi Brian Harris  Everyone likes to listen to music, and using that to collect the mobility related data is an excellent idea!

Photo of Brian Harris
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Rodney Lobo , thank you very much!

Photo of Lauren Ito
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Hi Brian Harris 

What an innovative approach! When reading your idea, I had my grandfather in mind who recently experienced a fall. For years, he has walked with a cane, and has a limp that would not exactly align with beat. I know your technology mentioned left/right symmetry in feet. Have you thought about putting an additional sensor on a cane because this, too, is very weight-bearing in the walking process for many seniors? How does MedRhythms currently work for seniors who walk with with a limp?

I am excited to see the continued development of your idea!

Lauren

Photo of Brian Harris
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Thank you, Lauren! This actually CAN be done with a cane quite nicely! We have not incorporated a sensor on the cane yet, but certainly can in the future. Currently, if they have a limp, but are not using a cane, we can add auditory cues on the weaker side to help reinforce moving that side appropriately.

Photo of Lauren Ito
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Thanks for your prompt response. Very neat, and great to hear the technology is so versatile. I think this could also be a great tool for individuals recovering from a fall and in PT as well.

Photo of Brian Harris
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Yes, the research shows that using music for rehab can show drastic improvements in functional outcomes with walking.

Photo of Kate Rushton
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Hi Brian,

We're blown away! Over 80 comments?! Truly impressive. We want to point out that not everyone will have time to read all the comments, so make sure you've included information that has helped shape or pivot your idea in the description of your idea above. Keep up the amazing collaboration!

Photo of Brian Harris
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Hi Kate! Thank you very much! I am actually going at attach a PowerPoint slide tonight with all of the information and research that we have done that has informed our decisions. Is that an OK way to present it?

Photo of Kate Rushton
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Yes, powerpoint would be great, especially if it can be used to explain how you came to your decisions in a concise manner.

Photo of Brian Harris
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Great! It is now uploaded

Photo of An Old Friend
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This is great concept to build confidence amongst the elderly to get moving. I think this could even be a stepping stone to high levels of activity like long walks and some stairs where possible however I believe this is a great first step, as the only step some may need.
i wonder if you could get nursing homes involved or to sponsor the idea and it could become a group social activity also. A lot of the elderly love their music and this is a great way to improve their wellbeing and physical condition. Well done

Photo of Brian Harris
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Thank you for the encouragement and feedback. I think this could be a great stepping stone for higher level activities. And, great idea about the nursing homes and social activities. Music has an incredible power to bring people together and improve the brain!

Photo of Kate Rushton
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Hi Brian,

We are half-way through the refinement phase and I can’t wait to see continued updates on your idea. More information can be found in the refinement toolkit which can be found at the top of the refinement phase page.

An easy first step is to complete the refinement questions which can be found by logging into your OpenIDEO account and selecting the ‘Edit Contribution’ button on the top left hand corner.

If you scroll down to the bottom, you can see the five added questions with a character limit (including spaces) to help you focus your answer. The questions start with "How would you describe this idea while in an elevator with someone? (what's the elevator pitch for this idea?) - 400 character limit"

In addition to answering these questions it would be helpful if you could mention how your solution fits in the market in the ‘full description’ section of your post. Who are your competitors and how is your idea unique?

If you have any questions, please feel free to reach out to me, my email address is krushton@ideo.com

Hope to see you on the refinement call this Friday at 9 am PST.

Photo of Brian Harris
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Thank you, Kate! Will have the answers to these questions posted soon! And I will see you on Friday!

Photo of Kate Rushton
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Hi Brian,

Welcome to the refinement phase!

It is great to see all the comments on your idea post.

I suspect the answer to this question ‘What is the best way to integrate the product/service we are designing into someone's life?’ would come from user interviews. There are lots of comments from people on this post who mentioned that their parents/grandparents might be interested in this product. I wonder if they could provide some feedback from the older adults in their lives.

There are some ideas from past OpenIDEO challenges you may want to check out.

Sidekick (a finalist idea from our higher education challenge) - a pre-existing startup - has a good example of user personas. They also produced a prototype user interface of their app to test the concept without explaining the AI or data behind it, just how the product might look for the users - https://challenges.openideo.com/challenge/future-of-highered/top-ideas/sidekick-learning

My Goals: Financial Goal App (an idea from our financial longevity challenge) which ‘gives meaning to your money by attaching your goals and dreams with monetary savings’ - https://challenges.openideo.com/challenge/financial-longevity/evaluation/financial-goal-app - it might spark a few ideas on rewards/accountability

"Sweat Smart" (a finalist idea from our healthy lives challenge) reveals motivational messages and graphics as you work-out with a QR code media based reward system - https://challenges.openideo.com/challenge/healthy-lives/top-ideas/rekindle-the-sweat-band - it might spark a few ideas on rewards/accountability

If you have any questions, please reach out to me on krushton@ideo.com or tag me here using ‘@‘ and Kate Rushton

Photo of Brian Harris
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Thank you very much, Kate! I will dive into these submissions soon, I really appreciate it. I think you are right about the customer interviews to answer this question. This week, we just started a round of customer interviews to get at this answer - hopefully we will learn more soon! Thanks again, Brian.

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This sounds like a very useful tool and one of the key points is having people integrate it into their daily lives. The use of music is both a key component of Med-Rhythms Stride, but also something that will make it fun to use (who doesn't find music to make any kind of work more enjoyable?). And music of your own choosing is always better, so it is great that the app can configure the parameters of any song to meet the needs of the user.
So with the app, users stream songs from their own library and the app adapts the music to address the user needs based on the data collected?
Do you need to get copyright permissions to use songs or is the music changing technology just an overlay to the users music collection?
Could this app be used in conjunction with a favorite radio station or over the course of an album (thinking of my parents - they still listen to whole albums/CDs sequentially, not on shuffle, so they would appreciate that feature).
Thanks for this cool idea!

Photo of Brian Harris
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Ellen Schatz , thank you for the feedback. Currently, yes, we use songs from the users own library and change it based on the data. We are deep in the music licensing research and conversations now, so I will get back to you on that!
As long as it is digital music, then it should work - I really like the radio and CD idea, that's a really great point.

Photo of Sony
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Hi Brian,

This is such an innovative concept.

Regarding the product, while it will be able to track the walking speed, length, and balance, sometimes elderly people tend to fall even while they are resting. One of my coworker's dad fell while he was trying to use the restroom. How would this kind of body mechanism be tracked an incorporated into the product?

Photo of Brian Harris
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Sony, this is a really great questions.  With the sensors that we use, we can gather walking speed, stride length, and how long someone spends on each foot (balance).  The idea is that these metrics correlate to important functions like ADLs and using the restroom.

Photo of Brian Harris
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Sony, do you think there is other data that we should or could be collecting that might be helpful?

Photo of Sony
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Brian,

One good start would be collecting information from the patients, or people who take care of them. Information about their daily activities, and the occurrence of fall could be helpful.

Photo of Brian Harris
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That's a great idea. It could be great to provide context into the data we are getting and how that is effecting their function day to day.

Photo of eldy wullur
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Hello Brian,

From our experience with the elderly, music plays an important role and that they really love. Especially the old music that was popular when they were kids. It really inspires them to do the recommended activities.

Photo of Brian Harris
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Thank you, eldy wullur  - that's really great to hear.  Music can really be a motivator!  What are some of the favorite songs?

Photo of eldy wullur
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Yes ... there are songs from Skeeter Davis and Jim Reeves,
Soft and full of meaning.

Photo of Brian Harris
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Great songs!  Thank you!

Photo of eldy wullur
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You're welcome

Photo of Avery Soh
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Awesome! I love this idea - it's incredible and so innovative to be using music!
One concern that came to my mind would be that there may be problems for elderly with hearing problems though? Have you considered this issue, and possible ways to make it more audible?

Photo of Brian Harris
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Avery Soh ,  this is a valid point.  Other than improving the auditory delivery via different types of speakers and volume.  Do you have any suggestions around this?

Photo of Avery Soh
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Wow, thanks for your really prompt reply!
It's so awesome how you're so enthusiastic and passionate about this.
Hm, frankly I'm no expert at this, but here are some possible ideas off the top of my head:
- playing the music via earphones/headphones?
- complementing the music with visual guides (eg graphics, videos)?

Photo of Brian Harris
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Great ideas, thank you! - our team is very passionate about finding a way to help people!

I like the idea of visual guides, though, I wonder if this might be unsafe if we are asking people to look at a visual while walking?  What do you think?

Photo of Daniel Oliver
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Really interesting use of music, I wonder if this would work with parkinson's. My grandma had a real hard time continuing to walk as her disease progressed.

Photo of Brian Harris
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@daniel oliver, the neuroscience research in this area is actually very strong in support that this works with Parkinson's as well!

Photo of Brian Harris
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Daniel Oliver , do you think that your grandmother would be open to using this technology, if she felt it could help her improve?

Photo of Sylvia
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This is very impressive technology with huge potential to improve people's lives and increase accessibility to care - especially for those at clinics that may not be fortunate enough to have NMT programs. I also like the idea of releasing a "Lite" version of the product initially. After this phase, do you have an idea of what pricing may look like for a user?

Photo of Brian Harris
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Hi Sylvia, we are in the midst of understanding the answer to this questions. Maybe a subscription? Do you have suggestions of models that could help us determine pricing and/or selling?

Photo of Brian Harris
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Sylvia, I'd also love to know your perspective on if you think selling hardware separate from software is feasible or if a single price for all is preferred? Do you think people would pay for upgrades? Like a coaching feature?

Photo of Kate Rushton
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Hi Brian!

Can you give us a better idea on how the playback changes in response to walking speed or symmetry or step length?

Photo of Brian Harris
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Hi Kate! It is primarily based on the tempo of walking and the music drives them to a desired speed and based upon what their end goal is. We can also add accents in the music for desired outcomes. Since we can track symmetry, stride length, speed and tremor with our sensors - that is how we measure safety - and will not change the music if it is unsafe to do so.

Photo of Kate Rushton
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Thank you, Brian!

Photo of Hollz
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Great question Kate Rushton and Brian Harris  who is setting the goals?

Photo of Brian Harris
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Hollz , great question. At first it might be a trained professional, but ideally our system will have enough data that it will know how far to push someone functionally before becoming unsafe. This will likely also be compared with "average data" from the general healthy population. And, we will likely push people toward these "average metrics", but when the mechanics of walking break down, the system will know either not to continue or to go to a previous level.

Photo of Brian Harris
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You're welcome!

Photo of Matt Ciampa
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Hey guys this is a great concept and I imagine it will have a hugely positive impact on many people's lives.

One thing I know from speaking to my own grandparents is many elderly people tend to avoid stairs by living in single level homes or facilities with elevators. Over time, many people will have a hard time occasionally using stairs as those skills weaken. Do you anticipate the Stride will strengthen or improve these abilities as well?

Photo of Brian Harris
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Hi Matt Ciampa , thank you for the comments. This is a really great point about stair utilization and a real issue that many older adults face. Stairs become an issue as gait mechanics break down and endurance decreases; the research shows that music provided through individualized interventions has the ability to maintain and improve both gait mechanics and endurance, so by using the product, older adults should be more equipped to manage stairs safely.

Photo of Brian Harris
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Matt Ciampa , from your your experience with your grandparents, do you think they would be motivated to use a product like this, if they felt it could help them navigate stairs safely?

Photo of Dustin Jalbert
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The applications for this kind of technology coupled with music seem endless, really gamechanging stuff. Keep up the good the work guys!

Photo of Brian Harris
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Thank you, Dustin Jalbert . I think there is a lot of potential here!

Photo of Brian Harris
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@Dustin Jalbert, in thinking about this question, can you think of other indications where this might be beneficial?

Photo of Justin
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Love the concept, Brian. I believe this could be really powerful.

However, as this solution is catered toward older adults, could its focus on technology actually be a hindrance to adoption? Do you think there could be a variation of this service that is more user-friendly for those who are less technologically savvy?

Photo of Brian Harris
Team

A valid concern, Justin. A majority of people over the age of 50 currently use smartphones, so hopefully a solution that utilizes this level of technology will be viable. We are hoping to build this solution as simple and user friendly as possible.Our early experiments will give us the insight necessary into the design conditions to make a valuable product that has easy and quick set-up and simple but fun engagement.

Photo of Brian Harris
Team

Justin, we've been thinking a lot about this question. Do you have any ideas of how we could make this easier to use or motivating for the folks who are not as tech savvy?

Photo of Jordan
Team

Brian,

I look forward to seeing this product in action, super interesting stuff!

You state that the best music for this application is the music that the patient enjoys in the comments below. Are you finding existing songs, modifying existing songs, or making your own for this application?

What is a reasonable number of songs your library will contain?

Photo of Brian Harris
Team

Jordan, great question. We envision taking music that people like that already exists (their favorite songs) and modifying them appropriately. Though, there is a scenario where we could create our own original music as well.

Interesting thought on the number of songs. If you were going to use this week after week, how many songs would you want to listen to? 10? 50? Infinite?

Photo of Jordan
Team

The ideal answer, perhaps unreasonable, would be as many songs as a patient would have access to using their favorite music streaming service. Are there any secondary developments in an algorithm to transform a song into a MedRhythm Stride usable piece of music?

A practical answer would be low tens of songs depending on how long the an average session would be.

Photo of Brian Harris
Team

Streaming is great idea! It would be great to be able connect to some of these streaming services; that might even be the ideal solution.

We do have the algorithm under development that can take most songs and transform them into a usable piece of music with the Stride.

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Team

Jordan, do you think older adults would prefer having an option of unfamiliar music content provided by us, or only music that they are familiar with?

Photo of Prakash Iyer
Team

Hey Brian, awesome stuff.

One question though - what do the progress reports users receive from the app look like? I'm curious how the average user would receive and interpret what might be complicated gait data and then draw conclusions?

Photo of Brian Harris
Team

Prakash, progress reports may be on the app, or to make things simpler all the data may be displayed in online dashboard, like a webpage. We envision having a system where the data is presented via graphs or infographics, both of individual session data and/or progress over time. I think a good design experiment in this area will be helpful for us to understand what info our users want to see and how they would prefer it to be presented.

Photo of Brian Harris
Team

Prakash, I have been thinking more about this - do you have thoughts on what might be the best data to display/how to display it?

Photo of Rohan Dixit
Team

Hi Brian, this is a fantastic idea! How soon could this feasibly be integrated into mainstream therapy and recovery techniques? I can't wait to see where this idea goes!

Photo of Brian Harris
Team

Thank you, Rohan! We hope very soon! We exist so that everyone across the globe will have access to this maintenance, preventative, and recovery care!

Photo of Gus
Team

This is a very interesting concept and one that I can be implemented broadly.
I was wondering if there is any type of feedback that physicians would get from the app in order to track the progress patients are making or the number of therapy hours they are participating in. This information could be very helpful in order to track progress and effectiveness of treatment.

Photo of Brian Harris
Team

Wonderful thought, Gus. We envision a world where this could be easily integrated into the person's electronic medical record, and physicians could help make care decisions based upon the data collected. Perhaps we have a login for clinicians or for caregivers to have access to this data.

Photo of Kevin Price
Team

Brian, this sounds like a great concept. In the graphic that was included, it appears that headphones will be the music delivery mechanism. Are you planning for any other delivery options for patients who have hearing aids?

Photo of Brian Harris
Team

Kevin, great point. Our thought is that we would have a number of options, perhaps Bluetooth connected, so that they could be wearable speakers, or speakers in a house, or maybe even through someone's TV. Do you have a suggestion about what might be the best fit?

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Team

I think either small portable speakers or wearable speakers would be great options.

Also, are you planning have the mobile app be iOS, Android, or both?

Photo of Brian Harris
Team

Great feedback, thank you. Defintely looking to be for iOS and Android. We want everyone to have access to it.

Photo of Nathan Burns
Team

Hey Brian, this is really neat. I'm curious about the "pre cursor" detection.

I would imagine with the vast amount of information being collected, you will be able to view and analyze data, and as you said, detect if someone may be at risk of falling. Would this ever develop into real time processing, where the app/sensor would be able to warn the user (or a loved one) if they were about to fall? that would be an incredible feature. Life alert is needed for when you fall and can't get up, but this would prevent the fall all together.

Photo of Brian Harris
Team

Hi Nathan Burns , that is a really great point.  It is our hope that with the data that we collect, along with our machine learning engine that we will be able to unlock this preventative capacity in the future!

Photo of Luke Thomas
Team

Awesome concept. What's been the toughest part of this project so far to date?

Photo of Brian Harris
Team

Thank you, Luke Thomas .  That is a really great question.  The toughest part so far is thinking about the design, to make sure that people will WANT to use it.  We know that it works if they do, we just need to make supremely engaging.

Photo of Nicholas LaJoie
Team

Hey Brian Harris ! This is fantastic stuff. Especially love it that it doesn't just provide real time assistance, but also critical info and notifications that caregivers and loved ones can access to ensure all is well.

Great decision to simplify the mobile interface as much as possible and leave the configuration stuff to the web app side. Simplicity in the user experience is key!

Now my only question is: I wonder what the most popular song selection will be..? ;)

Great work guys!

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Team

Thank you for the feedback, Nicholas LaJoie !  The most popular song will definitely be "Aint No Mountain High Enough" by Diana Ross.  ;)

What song do you think it will be?

Photo of Josh
Team

Hi Brian, this is very impressive.

At what stage of rehabilitation would MedRhythms Stride's be intended for? Curious as to whether it can be used as a substitute to initial physical therapy sessions or as a bridge to home use as in George's case?

Also, is the MedRhythms Stride website planned to be compatible with electronic health records solutions or will it be an independent application for caretakers to log into?

Photo of Brian Harris
Team

Thank you, Josh. We appreciate the comment. For now, we envision this more as a bridge to enable continuous, convenient care when someone like George goes home. Though, in the future, there may be some in-clinic indications as well.

We hope that this can integrate with electronic health records so that clinicians can make ongoing care management decisions. Perhaps that is something to be added down the road. Immediately, however, likely an independent application for caretakers. This could change as we build the product.

Also, while people with strokes can benefit from this solution, this solution is built to prevent falls in all of the aging population; those with a number of conditions effecting gait, but also to those experiencing general gait decline.

Photo of Jessica
Team

Can't wait to see where you guys go from here! This is such an inspiring application of technology :)

Photo of Brian Harris
Team

Thank you, Jessica!

Photo of Brian
Team

Brian - What have you done regarding music licensing to make sure you don't infringe on copyrights?

Photo of Brian Harris
Team

Another great question, Brian. This could go a number of different directions in the future through licensing, partnerships, original music, etc. We are deep in the process of answering these questions now for what works best for us.

Photo of Ozm
Team

Brian,

Can you speak to how the music is chosen? How do you think this impact the engagement? Really cool concept,

Photo of Brian Harris
Team

Hi Ozm , That is a really great question. The neuroscience research supports that your brain responds best to music that you like, so we always try to incorporate user-preferred music when we can. However, the music has to have certain musical parameters to make it functional for walking, so we have to screen the preferred music for these parameters.

Photo of Scot Hyatt
Team

This is a very cool concept. Very excited to see this become available.

Photo of Brian Harris
Team

Thank you very much, Scot Hyatt !

Photo of Jessica Pardoe
Team

I love this idea! Thanks for sharing. I look forward to seeing what you do in the future.

Photo of Brian Harris
Team

Jessica Pardoe , thank you!

Photo of Graham
Team

Great idea! I've been following MedRhythms in the news and you have an amazing mission and goal! I look forward to continue to follow your progress.

Photo of Brian Harris
Team

Thank you, Graham, we really appreciate that. We are trying to make a difference!

Photo of James Morin
Team

Inspirational stuff guys. Keep up the great work.

Photo of Brian Harris
Team

Thank you, James Morin !

Photo of Kate Rushton
Team

Hi Brian!

Really interesting idea!

How far along is your product in the development process? Would you say you have a 'most viable' or 'most promising' product - https://challenges.openideo.com/challenge/fall-prevention?

Khuyen Bui Gia - I would be interested in your perspective on this idea.

Photo of Brian Harris
Team

Hi Kate, Thank you! We currently have a working prototype that we are testing with promising results so far.

Photo of Khuyen Bui Gia
Team

@Brian Harris I love this! The result from the Youtube video just seemed too unreal for me - if it were true then there is so much potential.
"How do you build engaging rewards into a product like ours?" - If you can demonstrate just like in the video then I think we will be convinced.
"How do you establish accountability through the service?" Could you elaborate more on what you meant by accountability?
"What is the best way to integrate the product/service we are designing into someone's life? Any tips?" => I've been thinking more about toothbrush and shoes more recently since they are both something the elderly regularly uses and doesn't have as much of a resistance as a new device. Food for thought.

Photo of Brian Harris
Team

Khuyen Bui Gia Thank you very much! It's really amazing, because we see these results regularly, and I still have the same reaction, that I can't believe it! That's why we are so passionate about finding a way to bring it to everyone.

In terms of the accountability questions - we are wondering how we make the users accountable?Meaning, how do we ensure that people will use consistently as they are supposed to?

And, great thoughts on the the toothbrush/shoe idea - I think we can find a way to incorporate this into existing "hardware". A shoe seems great!