Another spring, another bout of allergies for John de Souza's 8-year-old son. Too little medication, and he couldn't sleep soundly through the night; too much, and his usual chipper personality was lost to sedation that had yet to wear off the next morning.
De Souza, a San Francisco-based CEO of an online health community called MedHelp, turned to cutting-edge technology for help. He found it in the Jawbone UP, a wristband and app that lets users track their sleep cycles, food, mood, exercise and more. In four days, the de Souzas determined the precise dose of medicine needed for their son to get plenty of deep sleep and wake up rested.
Tracking health is nothing new. "That's why there's been a business in bathroom scales for a long time," says John Wilbanks, senior fellow at the Ewing Marion Kauffman Foundation, a Kansas City, Mo-based group focused on education and entrepreneurship.
[See Don't Stress About the Scale.]
New technology, however, has made the means and the data more sophisticated. The rise of apps and sensors that can track anything from pain, to diet, to the progress of personal goals has led to a movement known as Quantified Self. (Harvard Medical School called the concept "connected health" when in 1995 it founded a center to study advanced technology for health care.)
Quantified Self was coined by two journalists at Wired, Kevin Kelly and Gary Wolf, who created a website six years ago to follow the array of emerging tracking systems. "Numbers are making their way into the smallest crevices of our lives," Wolf wrote in a 2009 issue of Wired. "We have pedometers in the soles of our shoes and phones that can post our location as we move around town. We can tweet what we eat into a database and subscribe to web services that track our finances. There are sites and programs for monitoring mood, pain, blood sugar, blood pressure, heart rate, cognitive alacrity, menstruation and prayers. Even sleep – a challenge to self-track, obviously, since you're unconscious – is yielding to the skill of the widget maker."
These gadgets promise not only better health care, but a kind of self-mastery and goal fulfillment. "If you don't measure it, you can't change it," says Tony Stubblebine, CEO of Lift, an app and social media platform that lets users track and share goals and habits.
Much of the activity stems from San Francisco, where experimentation with high-tech health data has been well under way. "People were tracking every little detail of their lives [like] what was their mood after eating a tangerine," Stubblebine says. What starts in Silicon Valley evolves to meet the needs of the rest of the country, he says, suggesting that the value of the movement for mainstream America is the power to measure health across any number of variables. In the case of Lift, he translates that metric in mundane terms: "Are you on the path to a habit or not?"
According to a study released this year by the Pew Research Center's Internet & American Life Project, seven in 10 American adults track some measure of health for themselves or a loved one. Almost half of the so-called "trackers" keep tabs on these matters "in their heads." Another 34 percent do so via pen and paper, and 21 percent use technology. Those who tracked their health more formally – whether on paper, spreadsheet or mobile device – reported greater success managing their care than those who relied on memory, according to Susannah Fox, associate director of digital strategy for the Pew program and co-author of the study. Pew also found that people with chronic conditions are more likely to track their health and cites Mayo Clinic research showing that people better manage high blood pressure and diabetes if they track their health data.