The beginning of 2016 saw the achievement of the first phase of the Less App project; a platform of psychosocial assistance dedicated to people who are subject to addiction. This gives Highlights the opportunity to place our new issue of the magazine under the theme of health and wellbeing, and concepts that concerned people are able to limit.
Both of the projects that are presented in this issue place the person, instead of the practitioner, in the center of the objective, by giving priority to their point of view.
It’s time to let you discover them by yourself, and we are ready to announce the next phases of the Less App project scheduled to launch within the next six month. We hope that you will enjoy using the site as much as we did developing it.

The Publisher, Barcelona 26/01/2016

STATISTICS: Is TV still UK favorite screen?

Over the 30 countries with the highest penetration of smartphone in the 16 to 44 years old population, UK was in 2013 the second country after France where the average time spent in front of a smartphone screen had the smallest ratio of time compared to the time spent in front of the TV, with 1h11 per day for 2h28 in front of the TV (43% vs. 57%).
But UK still detains the world record for the maximum time spent on TV.
For comparison, the average for the 30 countries is 2h27 on a smartphone versus 1h53 minutes in front of the TV (57% vs. 43%).
Furthermore, time spent in front of a screen (tv, pc, smartphone and tablet) places UK at the 15th rank out of 30, with a total of 411 minutes per day, for an average 417 minutes for the 30 countries, and a maximum of 540 minutes in Indonesia.

Millward Brown 2013



For adult population in the UK, in march 2015, the average share of their time spent on smartphone between APPs and Mobile Web (browsers) was 81% versus 19%.
But this figure doesn’t reflects the percentage of time connected to Internet, because 75% of the time spent on APPs is for social media and collaborative games.
Actually, the usage of connection to Internet with mobiles is just increasing.




Our goal for LESS APP ALCOHOL was to design a platform to provide online psychosocial assistance for people interested in entering a process of reducing alcohol consumption, and possibly even abstinence.
LESS APP ALCOHOL concept is supported by the results obtained by placebo groups during clinical studies of medications to help people with excessive drinking behavior, and who are subject to dependency.
LESS APP ALCOHOL is designed around an expert system that evaluates candidates to LESS APP programs. This provides individual coaching complete with question and answers and includes topics like somatic, psychological and environmental indicators. A practitioner that has been given access to the user’s medical file, or shortly a “godfather”, can also monitor the program. The Website presents the different programs and their access conditions, as well as tests regarding consumption and dependency, and also registration as a user or a practitioner. It is the doorway into the platform, and it has an important impact on the structure of the entire platform because it determines the entry protocol for the user's consumption, which is the central data for all the projects developed on the platform, as well as conditions of data storage, which is subject to binding regulation.

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Motivational Interview (MI) is a client-centred counselling style that is meant to elicit changes by helping clients explore and resolve doubts on the basis of their own values and personal interests.
The ability of Motivational Interview to help people with excessive alcohol consumption reduce their consumption has been widely demonstrated.
Other psychosocial counselling interventions (i.e. non-medicine therapy practices) are available for excessive consumers, as well.
Among these, Personalized Feedback is delivered to the patient with specific information about his or her level of consumption and related risks.
It is important to note that alcohol consumption amongst US students has become a growing public health problem.
An American research team used 279 drinking students that had at least one heavy-drinking episode in the past 2 weeks. After splitting them into 4 homogeneous groups, the team has evaluated 4 different types of interventions.
The interventions were, respectively:
Group 1) A personalized Feedback report displayed on the screen; Group 2) A single session of Motivational Interview without a personalized Feedback report; Group 3) A single session of Motivational Interview with a personalized Feedback report; or Group 4) Assessment of alcohol consumption only.
The follow up of the students was obtained with consumption calendars filling each of the 7 days.
Results: During the course of the study, each of the 4 groups had the same levels of alcohol consumption. After 6 months, a decrease of alcohol consumption was noticed in the group with Motivational Interview and Feedback, while no additional impact other than the simple evaluation was noticed for the interventions, and were applied separately.
Results of the study suggest, like other studies before, that it is necessary to associate Motivational Interview and Personalized Feedback in order to help excessive drinkers.
These two interventions are complementary and they have a collaborative therapeutic effect.
It is also important to notice that reduced consumption was obtain after 6 months after a unique interview; quite a long one, in fact, with Motivational Interviews averaging about 50 minutes.
In conclusion, the combination of clear information with Motivational Interview is effective in helping student reduce their alcohol consumption without the use of any medication.

Walters et al. Dismantling Motivational Interviewing and Feedback for College Drinkers: A Randomized Clinical Trial - J Consult Clin Psychol. 2009 February; 77(1): 64-73

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The online version of the coaching interface of LESS APP ALCOHOL is the first one to be developed, and the version that implies internet connection.
With a full responsive design, coaching screens adapt to all formats of monitors, tablets and smartphones.
After the user has set his or her consumption goal, the coaching program questions the user about their consumption and more than 15 indicators of their physical, psychological and environmental state. Questions are asked based a schedule that avoids overloading the user with requests, and LESS APP ALCOHOL delivers personalized evaluations and coaching messages for each returning user.
A color code that applies to the coaching screens gives the user a direct indication about their current status in the program.
The expert system that operates LESS APP ALCOHOL takes into consideration its use of medical treatment, and the coaching mechanism. This allows for follow up observance, and as well as communications of any adverse effects to the user's prescriber or the administration, if it occurs.

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Cap Ophtalmologie is a medical centre dedicated to ophthalmology that includes two offices in the South East of France.
They are best known for their level of expertise and equipment that rivals what even the best hospitals and clinics can offer in their specialty. The approach of Cap Ophthalmology is to place the patient in the centre of the process from consultation and reception to diagnostic and treatment.
Highlights was invited to conceptualize a website that focuses on their philosophy, and it was designed to address the requirements of each potential patient.
At first, the visitor of the website selects their main sight defect and its severity. They then select their centre of interest, which is mostly dependent on their site defect. Then, the website adapts to present information to the visitor in a very personalized manner. This personalization allows the visitor to understand what his sight defect is, the available methods of treatment and equipment used, as well as the team that will operate.
At any stage of the visit, the website allows the visitor to book an appointment in the centre of his choice.


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Percentage of persons that detain a smartphone in the UK has reached 71.7 % in 2015 after another 7.5% increase from 2014.
With a landline penetration ratio stabilised at 88%, its is expected that mobile will take over landline in 2018.
It already happened in the US in 2012, and now 50% of the population has a landline, and next year, the same percentage of the population will have a mobile line only.


LESS APP ALCOHOL - Prescriber End


A user of LESS APP ALCOHOL has the possibility to grant access to his file to a practitioner of their choice. That option can be selected when registering or can be selected at any time during the course of the program. This allows the practitioner to then add the user to the list of patients they follows through their LESS APP account. They can then visualize the data collected during the coaching, which includes alcohol consumption, multiple indicator evaluations, observance, reported adverse effects, and quality of life evaluation.
In addition to the collected data, the practitioner has the ability, but with no obligation, to add extensive information about the patient in order to have a full image of the patients profile and his evolution in the program.
The available sections cover family history, existing pathologies associated to alcohol abuse, other pathologies or treatments affected by alcohol consumption, and the user's environment. The extent of the system possibilities doesn't lead to a high level of usage constraints, and entry of mandatory data needed to activate and operate a user’s file takes less than two minutes.
The structure of the prescribers end gives them the ability to visualize the main information of the patients file at any time and without the need to navigate within the pages, all thanks to a system that reports this data in all page margins.

If you are a doctor and you wish to know more, or to receive access to a demo account, please contact us at +34 932 384 221 or by using the contact form located on this page. Thanks

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The coaching part of LESS APP ALCOHOL is launched as an online version, and the transcription into a mobile application is currently in progress.
The brief exchange of information between the coaching platform and the user, and the low frequency of this exchange, keeps the online version efficient, especially since recent statistics show that 67% of smartphone users in France connect daily to the Internet, and they are, on average, connected for 15 minutes.
In addition, LESS APP ALCOHOL program manages its requests to a user by placing them in a priority-operated queue: lack of connection for more than a week doesn't affect the coaching program.
In order to familiarize users with the coming application, online coaching screens are very similar to what the application screens will be.
And when the application is used for coaching, the user will be able to switch to the online coaching at any moment. Information will synchronize automatically each time the smartphone is connected to the Internet, and the APP is opened by the user.

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