Why government health departments are spending millions on mobile gaming


James Trew in Engadget : “Today sees the release of The Walk, an iOS and Android game backed by the UK’s Department of Health. It’s the second release in a collection of apps funded as part of the UK’s Small Business Research Initiative (SBRI). The first — StepJockey, an app that lets you map, locate, rate and log the calorific expenditure of staircases around your city — came out on Monday. All five apps in the program encourage you to move more, or change negative habits. Can an app improve your life? At the very least, we’re guessing the Department of Health — having just spent £2 million on this round of investment — thinks so. This is part of a growing trend, that could see government agencies in the UK taking a leaf out of Silicon Valley’s book when it comes to solving (health) problems. Read past the break to find out why it’s putting so much money on third-party digital initiatives.
Your mission is simple, ensure safe transit of a package from Inverness, to Edinburgh — and in the process save the world. Only one problem: a terrorist attack has rendered all motorised transport unusable — you’ll have to go on foot. That’s the premise behind The Walk. The concept isn’t complicated — encourage players to preambulate in the real world as part of an apocalyptic game narrative. Your phone’s accelerometer tracks your movements, unlocking levels and hours of story-telling audio which drive the plot along. Simple, fun, effective. The game’s predecessor (Zombies, Run!) uses similar mechanics, and currently encourages over 750,000 would-be Shauns (or Eds) to escape pursuing Zombies whenever they go for a jog. By lowering the requirement to walking, it’s hoped almost everyone can benefit this time. The focus is on increasing general daily movement, rather than dedicated, prescribed and sometimes prohibitive training routines.
There’s no question the theory is simple: apps that encourage activity, or responsible drinking, could cut down on healthcare requirements through prevention, negating the need for cure. In turn, it could also take a bite out of the estimated £8 billion that obesity and alcohol related diseases cost the UK’s health service each year. More interesting, is that the Department of Health is funding external mobile start-ups and indie developers at all. We asked it why, and were told it’s just as much about nurturing innovative ideas (where they can compete with more conventional fitness apps such as Nike+, MapMyFitness and Adidas miCoach) as it is about encouraging lifestyle change.

The motivation might initially be the potential (and hard to quantify) savings through a healthier public. But using apps to achieve this is an idea the US government is curious about also. ..”

The Age of Democracy


Xavier Marquez at Abandoned Footnotes: “This is the age of democracy, ideologically speaking. As I noted in an earlier post, almost every state in the world mentions the word “democracy” or “democratic” in its constitutional documents today. But the public acknowledgment of the idea of democracy is not something that began just a few years ago; in fact, it goes back much further, all the way back to the nineteenth century in a surprising number of cases.
Here is a figure I’ve been wanting to make for a while that makes this point nicely (based on data graciously made available by the Comparative Constitutions Project). The figure shows all countries that have ever had some kind of identifiable constitutional document (broadly defined) that mentions the word “democracy” or “democratic” (in any context – new constitution, amendment, interim constitution, bill of rights, etc.), arranged from earliest to latest mention. Each symbol represents a “constitutional event” – a new constitution adopted, an amendment passed, a constitution suspended, etc. – and colored symbols indicate that the text associated with the constitutional event in question mentions the word “democracy” or “democratic”…
The earliest mentions of the word “democracy” or “democratic” in a constitutional document occurred in Switzerland and France in 1848, as far as I can tell.[1] Participatory Switzerland and revolutionary France look like obvious candidates for being the first countries to embrace the “democratic” self-description; yet the next set of countries to embrace this self-description (until the outbreak of WWI) might seem more surprising: they are all Latin American or Caribbean (Haiti), followed by countries in Eastern Europe (various bits and pieces of the Austro-Hungarian empire), Southern Europe (Portugal, Spain), Russia, and Cuba. Indeed, most “core” countries in the global system did not mention democracy in their constitutions until much later, if at all, despite many of them having long constitutional histories; even French constitutions after the fall of the Second Republic in 1851 did not mention “democracy” until after WWII. In other words, the idea of democracy as a value to be publicly affirmed seems to have caught on first not in the metropolis but in the periphery. Democracy is the post-imperial and post-revolutionary public value par excellence, asserted after national liberation (as in most of the countries that became independent after WWII) or revolutions against hated monarchs (e.g., Egypt 1956, Iran 1979, both of them the first mentions of democracy in these countries but not their first constitutions).

Today only 16 countries have ever failed to mention their “democratic” character in their constitutional documents (Australia, Brunei, Denmark, Japan, Jordan, Malaysia, Monaco, Nauru, Oman, Samoa, Saudi Arabia, Singapore, Tonga, the United Kingdom, the USA, and Vatican City).[2] And no country that has ever mentioned “democracy” in an earlier constitutional document fails to mention it in its current constitutional documents (though some countries in the 19th and early 20th centuries went back and forth – mentioning democracy in one constitution, not mentioning it in the next). Indeed, after WWII the first mention of democracy in constitutions tended to be contemporaneous with the first post-independence constitution of the country; and with time, even countries with old and settled constitutional traditions seem to be more and more likely to mention “democracy” or “democratic” in some form as amendments or bills of rights accumulate (e.g., Belgium in 2013, New Zealand in 1990, Canada in 1982, Finland in 1995). The probability of a new constitution mentioning “democracy” appears to be asymptotically approaching 1. To use the language of biology, the democratic “meme” has nearly achieved “fixation” in the population, despite short-term fluctuations, and despite the fact that there appears to be no particular correlation between a state calling itself democratic and actually being democratic, either today or in the past.[3]
Though the actual measured level of democracy around the world has trended upwards (with some ups and downs) over the last two centuries, I don’t think this is the reason why the idea of democracy has achieved near-universal recognition in public documents. Countries do not first become democratic and then call themselves democracies; if anything, most mentions of democracy seem to be rather aspirational, if not entirely cynical. (Though many constitutions that mention democracy were also produced by people who seem to have been genuinely committed to some such ideal, even if the regimes that eventually developed under these constitutions were not particularly democratic). What we see, instead, is a broad process in which earlier normative claims about the basis of authority – monarchical, imperial, etc. – get almost completely replaced, regardless of the country’s cultural context, by democratic claims, regardless of the latter’s effectiveness as an actual basis for authority or the existence of working mechanisms for participation or vertical accountability. (These democratic claims to authority also sometimes coexist in uneasy tension with other claims to authority based on divine revelation, ideological knowledge, or tradition, invented or otherwise; consider the Chinese constitution‘s claims about the “people’s democratic dictatorship” led by the CCP).
I thus suspect the conquest of ideological space by “democratic” language did not happen just because democratic claims to authority (especially in the absence of actual democracy) have proved more persuasive than other claims to authority. Rather, I think the same processes that resulted in the emergence of modern national communities – e.g. the rituals associated with nationalism, which tended to “sacralize” a particular kind of imagined community – led to the symbolic production of the nation not only as the proper object of government but also as its proper active agent (the people, actively ruling itself), regardless of whether or not “the people” had any ability to rule or even to exercise minimal control over the rulers.[4] There thus seems to have been a kind of co-evolution of symbols of nationality and symbols of democracy, helped along by the practice/ritual of drafting constitutions and approving them through plebiscites or other forms of mass politics, a ritual that already makes democratic assumptions about “social contracts.” The question is whether the symbolic politics of democracy eventually has any sort of impact on actual institutions. But more on this later….”

Britain’s Ministry of Nudges


in the New York Times: “A 24-year-old psychologist working for the British government, Mr. Gyani was supposed to come up with new ways to help people find work. He was intrigued by an obscure 1994 study that tracked a group of unemployed engineers in Texas. One group of engineers, who wrote about how it felt to lose their jobs, were twice as likely to find work as the ones who didn’t. Mr. Gyani took the study to a job center in Essex, northeast of London, where he was assigned for several months. Sure, it seemed crazy, but would it hurt to give it a shot? Hayley Carney, one of the center’s managers, was willing to try.

Ms. Carney walked up to a man slumped in a plastic chair in the waiting area as Mr. Gyani watched from across the room. The man — 28, recently separated and unemployed for most of his adult life — was “our most difficult case,” Ms. Carney said later.

“How would you like to write about your feelings” about being out of a job? she asked the man. Write for 20 minutes. Once a week. Whatever pops into your head.

An awkward silence followed. Maybe this was a bad idea, Mr. Gyani remembers thinking.

But then the man shrugged. Why not? And so, every week, after seeing a job adviser, he would stay and write. He wrote about applying for dozens of jobs and rarely hearing back, about not having anything to get up for in the morning, about his wife who had left him. He would reread what he had written the week before, and then write again.

Over several weeks, his words became less jumbled. He started to gain confidence, and his job adviser noticed the change. Before the month was out, he got a full-time job in construction — his first.

An Idea Born in America

Did the writing exercise help the man find a job? Even now it’s hard for Mr. Gyani to say for sure. But it was the start of a successful research trial at the Essex job center — one that is part of a much larger social experiment underway in Britain. A small band of psychologists and economists is quietly working to transform the nation’s policy making. Inspired by behavioral science, the group fans out across the country to job centers, schools and local government offices and tweaks bureaucratic processes to better suit human nature. The goal is to see if small interventions that don’t cost much can change behavior in large ways that serve both individuals and society.

It is an American idea, refined in American universities and popularized in 2008 with the best seller “Nudge,” by Richard H. Thaler and Cass R. Sunstein. Professor Thaler, a contributor to the Economic View column in Sunday Business, is an economist at the University of Chicago, and Mr. Sunstein was a senior regulatory official in the Obama administration, where he applied behavioral findings to a range of regulatory policies, but didn’t have the mandate or resources to run experiments.

But it is in Britain that such experiments have taken root.  Prime Minister David Cameron has embraced the idea of testing the power of behavioral change to devise effective policies, seeing it not just as a way to help people make better decisions, but also to help government do more for less.

In 2010, Mr. Cameron set up the Behavioral Insights Team or nudge unit, as it’s often called. Three years later, the team has doubled in size and is about to announce a joint venture with an external partner to expand the program.

The unit has been nudging people to pay taxes on time, insulate their attics, sign up for organ donation, stop smoking during pregnancy and give to charity — and has saved taxpayers tens of millions of pounds in the process, said David Halpern, its director. Every civil servant in Britain is now being trained in behavioral science. The nudge unit has a waiting list of government departments eager to work with it, and other countries, from Denmark to Australia, have expressed interest.

In fact, five years after it arrived in Washington, nudging appears to be entering the next stage, with a new team in the White House planning to run policy trials inspired in part by Britain’s program. “First the idea traveled to Britain and now the lessons are traveling back,” said Professor Thaler, who is an official but unpaid adviser to the nudge unit. “Britain is the first country that has mainstreamed this on a national level.”

See also: A Few Findings of Britain’s Nudge

David Cameron's Transparency Revolution? The Impact of Open Data in the UK


Paper by Ben Worthy: “This article examines the impact of the UK Government’s Transparency agenda, focusing on the publication of spending data at local government level. It measures the democratic impact in terms of creating transparency and accountability, public participation and everyday information. The study uses a survey of local authorities, interviews and FOI requests to build a picture of use and impact.
It argues that the spending has led to some accountability, though from those already monitoring government rather than citizens. It has not led to increased participation, as it lacks the narrative or accountability instruments to fully use it. Nor has it created a new stream of information to underpin citizen choice, though new innovations offer this possibility.
The evidence points to third party innovations as the key. They can contextualise and ‘localise’ information and may also provide the comparison to the first step in more effective accountability.
The superficially simple and neutral reforms conceal complex political dynamics. The very design lends itself to certain framing effects, further compounded by assumptions and blurred concepts and a lack of accountability instruments to enforce problems raised by the data.”

Index: Measuring Impact with Evidence


The Living Library Index – inspired by the Harper’s Index – provides important statistics and highlights global trends in governance innovation. This installment focuses on measuring impact with evidence and was originally published in 2013.

United States

  • Amount per $100 of government spending that is backed by evidence that the money is being spent wisely: less than $1
  • Number of healthcare treatments delivered in the U.S. that lack evidence of effectiveness: more than half
  • How much of total U.S. healthcare expenditure is spent to determine what works: less than 0.1 percent
  • Number of major U.S. federal social programs evaluated since 1990 using randomized experiments and found to have “weak or no positive effects”: 9 out of 10
  • Year the Coalition for Evidence-Based Policy was set up to work with federal policymakers to advance evidence-based reforms in major U.S. social programs: 2001
  • Year the Program Assessment Rating Tool (PART) was introduced by President Bush’s Office of Management and Budget (OMB): 2002
    • Out of about 1,000 programs assessed, number found to be effective in 2008: 19%
    • Percentage of programs that could not be assessed due to insufficient data: 17%
    • Amount spent on the Even Start Family Literacy Program, rated ineffective by PART, over the life of the Bush administration: more than $1 billion
  •  Year Washington State legislature began using Washington State Institute for Public Policy’s estimates on how “a portfolio of evidence-based and economically sound programs . . . could affect the state’s crime rate, the need to build more prisons, and total criminal-justice spending”: 2007
    • Amount invested by legislature in these programs: $48 million
    • Amount saved by the legislature: $250 million
  • Number of U.S. States in a pilot group working to adapt The Pew-MacArthur Results First Initiative, based on the Washington State model, to make performance-based policy decisions: 14
  • Net savings in health care expenditure by using the Transitional Care Model, which meets the Congressionally-based Top Tier Evidence Standard: $4,000 per patient
  • Number of states that conducted “at least some studies that evaluated multiple program or policy options for making smarter investments of public dollars” between 2008-2011: 29
  • Number of states that reported that their cost-benefit analysis influenced policy decisions or debate: 36
  • Date the Office of Management and Budget issued a memorandum proposing new evaluations and advising agencies to include details on determining effectiveness of their programs, link disbursement to evidence, and support evidence-based initiatives: 2007
  • Percentage increase in resources for innovation funds that use a tiered model for evidence, according to the President’s FY14 budget: 44% increase
  • Amount President Obama proposed in his FY 2013 budget to allocate in existing funding to Performance Partnerships “in which states and localities would be given the flexibility to propose better ways to combine federal resources in exchange for greater accountability for results”:  $200 million
  • Amount of U.S. federal program funding that Harvard economist Jeffrey Liebman suggests be directed towards evaluations of outcomes: 1%
  • Amount of funding the City of New York has committed for evidence-based research and development initiatives through its Center for Economic Opportunity: $100 million a year

Internationally

  • How many of the 30 OECD countries in 2005-6 have a formal requirement by law that the benefits of regulation justify the costs: half
    • Number of 30 OECD member countries in 2008 that reported quantifying benefits to regulations: 16
    • Those who reported quantifying costs: 24
  • How many members make up the Alliance for Useful Evidence, a network that “champion[s]  evidence, the opening up of government data for interrogation and use, alongside the sophistication in research methods and their applications”: over 1,000
  • Date the UK government, the ESRC and the Big Lottery Fund announced plans to create a network of ‘What Works’ evidence centres: March 2013
  • Core funding for the What Works Centre for Local Economic Growth: £1m p.a. over an initial three year term
  • How many SOLACE Summit members in 2012 were “very satisfied” with how Research and Intelligence resources support evidence-based decision-making: 4%
    • Number of areas they identified for improving evidence-based decision-making: 5
    • Evaluation of the impact of past decisions: 46% of respondents
    • Benchmarking data with other areas: 39%
    • assessment of options available: 33% 
    • how evidence is presented: 29% 
    • Feedback on public engagement and consultation: 25%
  •  Number of areas for improvement for Research and Intelligence staff development identified at the SOLACE Summit: 6
    • Strengthening customer insight and data analysis: 49%
    • Impact evaluation: 48%
    • Strategic/corporate thinking/awareness: 48%
    • Political acumen: 46%
    • Raising profile/reputation of the council for evidence-based decisions: 37%
    • Guidance/mentoring on use of research for other officers: 25%

Sources

Fort McMoney Online Game-Documentary Puts Fate Of Alberta Oilsands In Players' Hands


The Huffington Post: “The fate of the Alberta oilsands is now in the hands of the people. An interactive web documentary-game, titled “Fort McMoney,” launched Monday, inviting players into an immersive online experience set far north in the oil town of Fort McMurray, Alta.
Players explore the city and connect with key players in the oil industry, environmental activists as well as those living and working in the city and surrounding oil patch. Players learn the town’s environmental, cultural, political, social and economic concerns.
Every week for four weeks, players will explore different themes and issues of concern in the oil patch, virtually walking through the city to interview residents, executives and activists. At the end of each week, players vote in a referendum and try to convince other players of their opinions. The results of the referendum will decide the course of the game – for instance, users may decide to make the environment a priority over economy, or vice versa.
Votes will be tallied each Sunday evening, and Fort McMurray will change accordingly…
Fort McMoney, a joint project by the National Film Board and Montreal-based Toxa and Franco-German TV network Arte, is available in English, French and German. It can be played on a computer browser or tablet and requires players to register with Facebook or Twitter beyond the first segment.”

El Hacker Cívico: Civic-Minded Techies Gain Sway with Government in Mexico and Beyond


in the Huffington Post: “A handful of young hackers looked up from their laptops when Jorge Soto burst into the upstairs office they shared in an old Mexico City house one morning last spring. Soto wanted to be sure they’d seen the front-page headline then flying across Twitter: Mexico’s congress was set to spend 115 million pesos (then US $9.3 million) on a mobile app that would let 500 lawmakers track legislative affairs from their cellphones — more than a hundred times what such software could cost.
To many in Mexico, what became known as the “millionaire’s app” was just the latest in an old story of bloated state spending; but Soto and his colleagues saw a chance to push a new approach instead. In two days, they’d covered their white office walls with ideas for a cheaper alternative and launched an online contest that drew input from more than 150 software developers and designers, producing five open-source options in two weeks.
Lawmakers soon insisted they’d never known about the original app, which had been quietly approved by a legislative administrative board; and a congressional spokesman rushed to clarify that the project had been suspended. Invited to pitch their alternatives to Congress, a half-dozen young coders took the podium in a sloping auditorium at the legislature. The only cost for their work: a 11,500-peso (then US $930) prize for the winner.
“We didn’t just ‘angry tweet,’ we actually did something,” Soto, a 28-year-old IT engineer and social entrepreneur, said at the time. “Citizens need to understand democracy beyond voting every few years, and government needs to understand that we’re willing to participate.”
Seven months later, Mexico’s president appears to have heard them, hiring Soto and nine others to launch one of the world’s first federal civic innovation offices, part of a broader national digital agenda to be formally unveiled today. Building on a model pioneered in a handful of U.S. cities since 2010, Mexico’s civic innovation team aims to integrate so-called “civic hackers” with policy experts already inside government — to not only build better technology, but to seed a more tech-minded approach to problem-solving across federal processes and policy. What began as outside activism is slowly starting to creep into government….Mexico’s app incident reflects a common problem in that process: wasteful spending by non-techie bureaucrats who don’t seem to know what they’re buying — at best, out-of-touch; at worst, party to crony contracting; and overseen, if at all, by officials even less tech-savvy than themselves. Citizens, in contrast, are adopting new technologies faster than much of the public sector, growing the gap between the efficiency and accountability that they expect as private consumers, and the bureaucratic, buggy experience that government still provides.
To break that cycle, a movement of community-minded “civic hackers” like Soto has stepped into the void, offering their own low-cost tools to make government more efficient, collaborative and transparent….The platform, named Codeando Mexico, has since hosted more than 30 civic-themed challenges.
With Soto as an advisor, the team seized on the scandal surrounding the “millionare’s app” to formally launch in March, calling for help “taking down the Mexican tech mafia” – a play on the big, slow software makers that dominate public contracting around the world. In that, Codeando Mexico tackled a central civic-tech target: procurement, widely considered one of the public spheres ripest for reform. Its goal, according to Wilhelmy, was to replace clueless or “compadrismo” crony contracting with micro-procurement, swapping traditional suppliers for leaner teams of open-source coders who can release and revise what they build in near real-time. “It’s like the Robin Hood of procurement: You take money that’s being spent on big projects and bring it to the developer community, giving them an opportunity to work on stuff that matters,” he said. “There’s a whole taboo around software: government thinks it has to be expensive. We’re sending a message that there are different ways to do this; it shouldn’t cost so much.”
The maker of the costly congressional app in question, Mexico City consultancy Pulso Legislativo, insisted last spring that its hefty price tag didn’t reflect its software as much as the aggregated data and analysis behind it. But critics were quick to note that Mexican lawmakers already had access to similar data compiled by at least five publicly-funded research centers – not to mention from INFOPAL, a congressional stats system with its own mobile application. With Mexico then in the midst of a contentious telecom reform, the public may’ve been especially primed to pounce on any hint of corruption or wasteful IT spending. Codeando Mexico saw an opening.
So it was that a crew of young coders, almost all under 23-years-old, traipsed into the legislature, a motley mix of suits and skinny jeans, one-by-one pitching a panel of judges that included the head of the congressional Science and Technology Committee. Drawing on public data culled by local transparency groups, their Android and iOS apps – including the winner, “Diputados” — allowed citizens to track and opine on pending bills and to map and contact their representatives — still a relatively new concept in Mexico’s young democracy.”

Accountability Technologies – Tools for Asking Hard Questions


New book by Dietmar Offenhuber and Katja Schechtner: “A growing part of the public is concerned about cities being designed and governed in a responsible way. In the contemporary information society, however, the democratic obligation of the citizens to inform themselves thoroughly, so that they can participate in public affairs has become impossible to fulfill. Rather than submitting to the opinions of self-proclaimed experts, citizens need new ways to make sense of what is going on around them. Accountability technologies stand for new innovative approaches to bottom-up governance: technologies to monitor those in power and hold them accountable for their actions. Accountability technologies are designed to coordinate citizen-led data collection, visualization and analysis in order to achieve social change. This book takes a close look at initiatives that have succeeded in making an impact on the reality of the city, as well as the motivations, strategies and tactics of the people who create and use these technologies. How can data generated by citizens be put into action?”
See also https://web.archive.org/web/http://accountabilitytech.net/
 

Owning the city: New media and citizen engagement in urban design


Paper by Michiel de Lange and Martijn de Waal in First Monday : “In today’s cities our everyday lives are shaped by digital media technologies such as smart cards, surveillance cameras, quasi–intelligent systems, smartphones, social media, location–based services, wireless networks, and so on. These technologies are inextricably bound up with the city’s material form, social patterns, and mental experiences. As a consequence, the city has become a hybrid of the physical and the digital. This is perhaps most evident in the global north, although in emerging countries, like Indonesia and China mobile phones, wireless networks and CCTV cameras have also become a dominant feature of urban life (Castells, et al., 2004; Qiu, 2007, 2009; de Lange, 2010). What does this mean for urban life and culture? And what are the implications for urban design, a discipline that has hitherto largely been concerned with the city’s built form?
In this contribution we do three things. First we take a closer look at the notion of ‘smart cities’ often invoked in policy and design discourses about the role of new media in the city. In this vision, the city is mainly understood as a series of infrastructures that must be managed as efficiently as possible. However, critics note that these technological imaginaries of a personalized, efficient and friction–free urbanism ignore some of the basic tenets of what it means to live in cities (Crang and Graham, 2007).
Second, we want to fertilize the debates and controversies about smart cities by forwarding the notion of ‘ownership’ as a lens to zoom in on what we believe is the key question largely ignored in smart city visions: how to engage and empower citizens to act on complex collective urban problems? As is explained in more detail below, we use ‘ownership’ not to refer to an exclusive proprietorship but to an inclusive form of engagement, responsibility and stewardship. At stake is the issue how digital technologies shape the ways in which people in cities manage coexistence with strangers who are different and who often have conflicting interests, and at the same time form new collectives or publics around shared issues of concern (see, for instance, Jacobs, 1992; Graham and Marvin, 2001; Latour, 2005). ‘Ownership’ teases out a number of shifts that take place in the urban public domain characterized by tensions between individuals and collectives, between differences and similarities, and between conflict and collaboration.
Third, we discuss a number of ways in which the rise of urban media technologies affects the city’s built form. Much has been said and written about changing spatial patterns and social behaviors in the media city. Yet as the editors of this special issue note, less attention has been paid to the question how urban new media shape the built form. The notion of ownership allows us to figure the connection between technology and the city as more intricate than direct links of causality or correlation. Therefore, ownership in our view provides a starting point for urban design professionals and citizens to reconsider their own role in city making.
Questions about the role of digital media technologies in shaping the social fabric and built form of urban life are all the more urgent in the context of challenges posed by rapid urbanization, a worldwide financial crisis that hits particularly hard on the architectural sector, socio–cultural shifts in the relationship between professional and amateur, the status of expert knowledge, societies that face increasingly complex ‘wicked’ problems, and governments retreating from public services. When grounds are shifting, urban design professionals as well as citizens need to reconsider their own role in city making.”