Adaptive Health Behaviors Patterns of Adapting to Health(PATH) Frederick H. Navarro, PhD A Force Driving Health, Fitness, Disease, and Demand for Healthcare

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

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 Disease risk vary for each PATH PATH 1PATH 7 The PATH predict disease and risk

Adaptive Health Behaviors The PATH drive medical cost independent of age

Adaptive Health Behaviors 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 1LevelsDispositions LearningFair 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 PreventionPoor Patient does not plan ahead. Patient deals with health problems as they require attention. Reacts to problems with little advance planning Health behaviors Fair Patient 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 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, PhD