Wellness Plus
Using the dashboard | The Support Team Guidebook
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Mobile Device, Wearable Device & Browser Compatibility
- This is a list of mobile devices, browsers & wearable devices that are best suited for Wellness Plus.
- We encourage users to check this list to ensure their mobile devices, browsers & wearable devices are compatible with the app before using it.
- Customers using Fireball may experience some compatibility issues while using the app.
Login
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← There may be a scenario where you have to retrieve your OTP through both phone number and email address for security reasons.
Managing Users
About My Users
Step 1:
← In the “Users” panel, you will be able to see an overview of all the users under your care. Users are arranged by alert level severity, with the users displaying the highest alert type at the top of the list.
← Each user has their own detailed page that you can view to see details on a more individual level. Features such as geolocation, medication adherence and schedule would be under the individual User page.
← Users assigned to you are displayed by default. To view “Pending Onboarding Users”, click on the “Assigned to Me” to view the drop down menu and select “Pending Onboarding Users”.
← Hover over user’s name to view the gender, age and onboarding date of the User.
← Hover over to view Medical Condition (Known case of) of the user.
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← Your organisation administrator may restrict your access to personal identifiable information (PII). Your admin may enable/disable your access at any points in time.
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← Note that if your PII access is disabled, you will not be able to view your users’ names (which will be fully blurred) or edit their information. You can refer to their User ID as required.
Pending Onboarding Users
← In this panel, you will be able to view the list of Pending Onboarding Users, where their facility & department will be shown.
← Users who are in the list of Pending Onboarding Users are user who selected a facility but has not selected any Support Team members during registration.
← To assign a user yourself, you look for the user in this list, and onboard the user, and assign them to your care.
Onboarding Users
Step 1:
← Find the User you want to onboard in the pending onboarding list under the “My Users” Tab. Click on the “Onboard” button. a
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Geolocation Setting.
← If User’s geolocation status is ON, you are required to set geolocation address and geolocation radius.
← “User’s Consent On Location Sharing” is set by the User when creating their account.
Step 7:
← If the location sharing setting is “OFF”, you can request Users to turn on the location sharing by clicking on “Request Consent from User”. The User will receive a request in the mobile app.
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← If a User’s location sharing is ”ON”, you can turn off their location sharing, by clicking on the “Stop Using GPS data” without User’s consent.
Assign Users
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← Assign User for the member by selecting through the list of Users or search the User through the search box.
Editing a User’s Profile
← You may choose to edit the User’s information by clicking on the edit icon button
What can be added/edited:
- Basic Information
- Medical History
- General Readings
- Lifestyle
- Geolocation Settings
Note: “General readings” are editable within 7 days from the onboarding date.
Sending broadcast message to user(s)
Step 1:
← Select the user(s) you want to send message to on the “My Users” screen.
← You are able to send a broadcast message to your user(s) by clicking on the “Speaker” icon
Step 2:
← Once you have type out the message you wish to send to the user(s), click send message to send it out to your user.
You may send your user message containing links as well.
Schedule broadcast message to user(s)
You may create and send a scheduled message to your Users if need be.
Step 1:
← Click on this “ “ icon and a popup containing pre-created scheduled message template for you to choose from.
Step 2:
← You may create your own custom message to send to your User. Otherwise, you can select the existing message template and press “Next”.
Step 3:
Schedule the message.
- Set Start Date and End Date
- Set Recurrence
- Set how many times a day (maximum 7) the message will be sent to the user
- Set Timing
- Set if the user will receive the message via email/phone number, other than in-app message
- Click “Next” to set the scheduled message
Viewing User’s Alerts
Step 1:
← The Alert column displays a label summarising the User’s status.
← You can view the details of the User’s self- reported status by hovering your cursor over the alert label.
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← Different alert colours will help you to identify the conditions that need to be addressed on priority. They range from red being Severe, to yellow being Mild.
← The severity label depends on the User’s data such as PMCC, SpO2, body temperature, blood pressure, resting heart rate, and respiratory rate. The severity displayed for each User is the data with highest alert.
Viewing User’s Key Parameter
Step 1:
← The Key Parameter column displays a summary of the users health condition and improvement. You can view the details of the user’s self-reported conditions by hovering your cursor over the dot.
Different colours of the numbers will help you to identify if the numbers are within/outside the normal range; green being within the normal range, red being outside the normal range.
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← Different direction of the arrows will help you to identify if the condition is in a good trend or bad trend. Arrow pointing up shows improving condition, arrow pointing down shows worsening condition.
You can view the key parameter information by hovering your cursor over the “ ” icon.
Viewing User’s Compliance percentage
Step 1:
← The Overall Compliance column displays a summary of the user’s daily schedule adherence. You can view the detailed schedule of the user by hovering your cursor over the dot.
The overall completion rate is calculated based on the average of medication schedule adherence, exercise schedule adherence, hydration goal completion rate and completion of condition report (at least once a day, where 1 time = 100%).
Step 2:
← Different colours of the numbers will help you to identify if the percentage is in a good or bad range. Green being range of 61%-100%, yellow being 41%-60%, orange being 21%-40%, red being 0%-20%.
You will receive an alert message if the user’s overall compliance drops below 61%.
The direction of the arrows will help you to identify if the percentage is in a good trend or bad trend compared to the day before. Arrow pointing up shows improving adherence, arrow pointing down shows worsening adherence.
Profile
Edit Personal Profile
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← Note: Once select “Disabled”, you will no longer able to receive any SMS & Dashboard message from the User.
User’s Dashboard
Overview
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← Parameter Widget: This widget can be used to see all the health parameters of the user & can also be used to switch on / switch off parameters as per your requirement.
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← Parameter Widget
- Press on the button.
- A drop down menu with all user health parameters will appear.
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← Parameter Widget
- Press on the button.
- A drop down menu with all user health parameters will appear.
- You can deselect a parameter that is not required.
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← Parameter Widget
- Press on the button.
- A drop down menu with all user health parameters will appear.
- You can deselect a parameter that is not required.
- The deselected parameter will disappear from the dashboard.
- A new wellness score will be calculated as per the selected parameters by the support team member
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← Parameter Widget
- Press on the button.
- A drop down menu with all user health parameters will appear.
- You can deselect a parameter that is not required.
- The deselected parameter will disappear from the dashboard.
- A new wellness score will be calculated as per the selected parameters.
Analysis
Analysis – Overview
← The analysis section includes the user’s information, plotted into a graphical report format for easy viewing.
← The data is mapped out in a format that allows you to see trends and understand the evolution of symptoms throughout the day.
← You can use this information to track the user’s recovery and update their treatment if required.
←You can choose to see the analysis of a particular day or week by changing the date range on top left corner.
Analysis – Wellness Score
← You can have an overview of the user’s health and wellness from the ‘Wellness Score’ chart. The wellness data is retrieved from the activities recorded via the smartwatch device and the information they enter from their schedule screen.
Each sector on the chart represents one parameter that contributes to the Wellness Score. The colours marked on the sectors will help you identify the parameters that need to be addressed on priority. They range from orange being critical, to green reflecting good condition.
A total wellness score is generated by calculating the hazard ratio for each parameter, and adding or subtracting the number for each positive or negative contribution respectively. The green (Good) and blue (Attention) conditions give a positive contribution, while the yellow (Risky) and orange (Critical) conditions give a negative contribution. The total wellness score indicates how well the user is doing.
Onboarding average /Average/Target value
Onboarding value shows the value recorded in the first 7 days of onboarding, average value shows the average value of the day recorded, while target value shows the ideal value that the user should achieve in order to have a better long-term health condition.
Reference Range
Reference range shows the user’s current condition. The colours, ranging from orange to green, help you easily identify if the current value is within or outside the target range.
Long term wellness indicator
The percentage shows how well the user will be in the future if they keep up their current condition.
The chart below shows an overview of the user’s data for the specific parameter over the last 30 days. To view the chart in detail, click on the expand button on the top right corner of the box.
Analysis – Wellness Score – Edit Targets
← You can change the target value of the parameter based on your user’s condition. Take “Fruit & Vegetable intake”target potion as an example:
Analysis – Activity and Sedentary Classification
← You can view the activities performed by the user, via the activity and sedentary classification charts.
← The various activities and sedentary times are colour coded for quick & easy identification.
← Fitbit now captures your sedentary score after 6 minutes.
Analysis – General Symptom Tracker
← You can have an overview of all symptoms reported by the user, using the ‘Symptom Tracker’ graph.
The colours marked on the symptoms will help you to identify the symptoms that need to be addressed on priority. They range from red being severe, to green reflecting no indication from the User.
← You will receive the SMSs if the User has reported body temperature, nausea and vomiting readings that may need your interventions.
Analysis – Medicine Intake
← The medicine intake chart will give you a quick view of the medication prescribed to the user, as well as their daily intake.
← You can view if a particular medicine has been taken by the user at the scheduled time (marked in green), or it was delayed (marked in yellow) or not taken (marked in red).
← You can check the user’s medication intake for the entire week as well.
Analysis – Geolocation
← The geolocation map will help you view the user’s current location and their breaches (if any) on any particular day or through the week.
← All the breach (outside designated location) records will be show up in the Geolocation widget.
← The timestamp and breach distance are captured for each record.
Analysis – Heart Rate
← In this chart, the range of bpm can be viewed at a glance to track the user’s heart rate.
← You will receive a SMS if the user has resting heart rate readings that may need your interventions.
Analysis – Lipids
← You can view the user’s cholesterol values here. The status labels are colour-coded to help you track the user’s status at a glance.
← If the selected time range does not have any recorded data, you can view the last recorded cholesterol values along with the date of record.
Analysis – Edit /Add/Delete Lipids values
← There might be times when you need to edit / add /delete the lipids values for your User.
Note: Maximum 3 sets of lipids values can be added in a day.
On the top right-hand side of the lipids section, click “ ” and select “Add/edit values”
Analysis – Blood Pressure
← You can view the average and range of blood pressure levels in the Blood Pressure widget.
← Switch to the week view to check the average blood pressure through the week.
You will receive a SMS if the User has reported blood pressure readings that may need your interventions.
Analysis – Edit /Add/Delete Blood Pressure values
There might be times when you need to edit / add /delete the blood pressure values for your User.
← On the top right-hand side of the blood pressure section, click “ ” and select “Add/edit values”
Analysis – Blood Glucose and HbA1c
← This chart displays the average and range of blood glucose and HbA1c of the User.
← You can easily identify the activity detail for each input in the day view through the icons at the bottom of the graph.
← Switch to the week view to check at a glance the User’s range of blood glucose through the week.
Analysis – Edit /add/delete Blood glucose and HbA1c values
There might be times when you need to edit / add /delete the Blood glucose and HbA1c values for your User.
Note: Maximum 1 set of HbA1c value can be added in a day.
← On the top right-hand side of the lipids section, click “ ” and select “Add/edit values”
Analysis – Self-reported SpO2 & PR bpm
← In this chart, you can view the User’s SpO2 and PR bpm levels that they have reported themselves throughout the day or week.
← You will receive a SMS if the User has reported SpO2 readings that may need your interventions.
Analysis – Edit /add/delete Self Reported SpO2 & PR bpm Values
There might be times when you need to edit / add /delete the Self reported SpO2 & PR bpm values for your User.
Note: Maximum 1 set of HbA1c value can be added in a day.
← On the top right-hand side of the Self reported SpO2 & PR bpm values section, click “ ” and select “Add/edit values”
Analysis – Body Shape
Analysis – Edit /add/delete Body Shape values
There might be times when you need to edit / add /delete the Body shape values for your User.
← On the top right-hand side of the body shape section, click “ ” and select “Add/edit values”
Analysis – Steps, Distance & Floors
← The steps, distance, floors and floors will help you to monitor their activity, as well as their average stride length.
← The weekly view will show an average of the same classifications during the selected week.
Analysis – Water Intake
Analysis – Sleep Analysis
← After seeing the detailed analysis of your User’s sleep pattern, you can suggest the necessary treatments or set reminders to make sure they rest well.
← After seeing the detailed analysis of your User’s sleep pattern, you can suggest the necessary treatments or set reminders to make sure they rest well.
Logging in Information on User’s Behalf
← If your user has not been entering data for a while you can directly go to a specific parameter and log in information on behalf of the user.
AICVD
← Over on the “Specialist > Analysis” section on each of your individual User dashboard, you are able to find the User’s AICVD score.
The AICVD Cardiac Risk Score is a novel artificial intelligence based risk score system that provides the individual’s risk of having Coronary Artery Disease related events in the next 10 Years.
NOTE: Do click on the “Disclaimer” and learn more about the AICVD Score.
AICVD Score
← The AICVD Score is populated based on the AICVD Risk Questionnaire send out by the Support Team to the user to do.
The dashboard will also indicate what are the contributing factors that affect the risk score.
AICVD – Sending eCOA AICVD link to User
← Click on “Send Links”
← Select the “AICVD Risk Questionnaire” follow by clicking on this “ “ button.
A message, “Please complete the questionnaire by following this link.” will be Auto generated once the link is selected and display in message box.
← Click send once confirming your selection.
Sending Private Messages/eCOA links to a User
There might be times when you are taking a look at the User’s report, and the need arises to contact the User. For eCOA links, missed medications or notes on any particular activity, you can send a private message to the User.
Send eCOA links : Type Send links, select share with email/ phone number, then click “Send”.
Step 1:
← Under the Overview or Analysis tab, click on the message button “ ” at the top right of the screen.
Step 2:
← Send message: Type message then click “Send”.
Your User will receive the message in the mobile app.
Sending Scheduled Messages to a User
There might be times when you need to schedule messages that repeat every day/ week/ month to a User.
Step 1:
← Under the Overview or Analysis tab, click on the message button “ ” at the top right of the screen.
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Step 3:
← Select the message : Select the message you would like to send the User, and click “Next”
You can also create your own message in the box.
Step 4:
← Schedule the message.
- Set Start Date and End Date
- Set Recurrence
- Set how many times a day (maximum 7) the message will be sent to the User
- Set Timing
- Set if the User will receive the message via email/phone number, other than in-app message
- Click “Next” to set the scheduled message
Schedule
View your overall completion from the progress bar, and where you placed on the leaderboard for group challenges.
← Based on the day’s overview and the analysis report, you can administer a schedule for the user.
← Apart from medication, the schedule also allows you to set reminders for staying hydrated, reporting symptoms at specific times per day, or to exercise and rest.
These reminders are set in place to help nudge the user to perform the required logs. These logs will help the user better track the development of their symptoms and help you better understand how they are progressing in their recovery.
Managing Schedule
Managing Schedule – Report Condition
← On the left-hand side of Schedule screen, select the tab ”Report Condition”.
← Click “Edit” (Pencil Icon).
← Set reminder.
- Set Start Date and End Date
- Set how many times a day (maximum 6) you want the User to be reminded
- Set Timings
- Click “Save” to update the reminder.
Managing Schedule – Take Medication
← On the left-hand side of Schedule screen, select the tab ”Take Medication”.
← Click “Add New Medication”.
Set Medication.
- Set Start Date and End Date
- Set Recurrence
- Set how many times a day (maximum 6) that the User will need to take the medicine
- Set Timing & Dose
Managing Schedule – Stay Hydrated
← On the left-hand side of Schedule screen, select the tab ”Stay Hydrated”.
← Click “Edit”(Pencil Icon).
Set reminder.
1. Set a Hydration Goal
*Hydration goal updates will be reflected on the following day.
2. Set Start Date and End Date
3. Set how many times a day (maximum 7) the User will be reminded
4. Set Timings
4)← Click “Save” to update the reminder
Managing Schedule – Activity
Set reminder.
- Set Start Date and End Date
- Set how many times a day (maximum 7) you want the User to be reminded
- Set Timings
- Click “Save” to update the reminder
Managing Schedule – Take a Rest
← In the left-hand side of Schedule screen, select the tab ”Take a Rest”
← Click “Edit”(Pencil Icon).
Set reminder.
- Set Start Date and End Date
- Set how many times a day (maximum 7) the User will be reminded
- Set Timings
- Click “Save” to update the reminder.
About Document
← The Document section allows you to view, upload and share PDF files with the User.
You can also view and download PDF files shared by the User from their Wellness Plus app.
Managing Document
Managing Documents – Upload Files
← Selected files will be listed in the box. You can delete unwanted files by clicking “Remove” or add new files by clicking “ ” on the top-right corner. Once you are ready to upload, click ”Upload All”. Click “confirm”.
← Once uploaded, the file will be listed under “My Documents”. The status will be marked as “ ” to indicate that the file is uploaded successfully.
Managing Documents – View Files
Managing Documents – Share Files with User
There may be times when you would like to share uploaded files with the user for them to view or download the files.
← Select the file you would like to share with the user on the “My Documents” screen. You can select multiple files at one time. At the bottom of the screen, click on the Share button “ ”
← Once shared, the status of the file will be marked as “ ” to indicate the file is shared with the User successfully.
← Your user will receive the file with your message on their mobile app. File status will change to “ ” if the User has viewed the shared file.
Managing Documents – Archive Files
Select the file you would like to archive on the “My Documents” screen. You can select multiple files at one time.
Managing Documents – Recover Files
Select the file you would like to recover in the “Archived” section. You can select multiple files at one time. Note: Files archived for more than 6 months are not recoverable.
Managing Documents – Sending Messages to User
Select the document you would like to send a message with to the User on the “My Documents” screen. You can select multiple files at one time. Note that you can only send message to documents which you have shared.
Overview
About Overview
The Specialist tab provides more in-depth information about a user’s wellbeing based on our unique AI models.
A glimpse of the features can be found below:
← Avg. Stride length: The data is gathered from Fitbit Sense device.
← Stride-Level Analysis: The data are generated by JIKU model based on accelerometer and gyroscope data.
← Stride Duration Analysis Distribution of the stride duration of the day. The data are generated by JIKU model.
← Stride Pattern Analysis Average pattern of User walking session. The data are generated by JIKU model.
← Discomfort Level: Manual log of discomfort level by Users.
Overview – Stride Level Analysis (ConnectedLife & JIKU Model)
Biomechanical Model
ConnectedLife has applied multivariate continuum statistics technologies to provide a variety of novel bio-mechanical metrics which summarize the spatiotemporal nature of wrist-worn wearable measured (inc. accelerometer and gyroscope) effects, in terms of both within- and between-individual variability, and including both continuum asymmetry assessments, and micro- and macro-scale movement stability.
Sensors and Associated Recording
Accelerometer measures activity against gravity. When we walk, we lift our foot up, we work against gravity and the work done increases gradually as we lift our foot upwards. When we gradually put our foot down, the work done decreases as we are working with gravity.
Hence any walking pattern will have an up and down pattern helping to determine a step. Please note when we turn, the step pattern will have a much bigger swing than observed in the normal walk.
Accelerometer and gyroscope data from a consumer health / fitness tracker can be recorded over time and this time series data can be analyzed to infer the health of a person’s gait by evaluating walking pattern and stride duration.
Overview – Stride Pattern Analysis
Every walking session will have a series of ups and downs, and when we overlap them all we will get the average pattern of the walking session. The consistency of this pattern is called Stride Pattern Stability which is indirectly proportional to the width of the band. Wider the band, less the pattern stability. This is seen in the widget (Fig 1):
There are 3 properties to review:
- Acceleration absolute value
- Shape of the curve (relative)
- Width of the band
- Acceleration Absolute Value
This is dependent on many external factors such as the height of the person, the environment they are walking in and the surface they are walking on, e.g.
(a) Position of the curve
For a clinician both Fig 2 and Fig 3 would mean the same as the curves looks similar and height of the curve is also similar.
(b) Start and end points of the curve
For a clinician, Fig 4 is of a person walking downhill with greater emphasis and extension on the placement of the foot down working with gravity, whereas Fig 5 is of a person walking uphill with greater emphasis and effort on the placement of the foot up working against gravity.
(c) Height of the curve
Greater the height of the person, greater the swing of the leg and so the difference between min and max values will be higher.
An unhealthy or shorter or older person walking gait will display smaller steps and will have shorter height Fig 6, whereas a healthy or taller or younger person walking gait will display longer stride and have a higher resultant acceleration Fig 7.
- Shape of the curve (relative)
Shape of the curve gives a hint about the person’s walking pattern. For a healthy walking gait, the curve should uniformly increase and uniformly decrease.
(a) Limping gait
Fig 8 the step down of the foot on the same side of the health tracker / smartwatch began earlier in the cycle than healthy / norm implying the person is limping on the same side of the tracker / watch.
Fig 9 the step down of the foot on the same side of the health tracker / smartwatch began later in the cycle than healthy / norm implying the person is limping on the same side of the tracker / watch.
(b) Dragging gait
Fig 10 the step down after the foot is put down lasts for a longer time. This implies the person is dragging their foot and on the same side of the watch. In Fig 11, the person is dragging their foot on the opposite side of the watch.
- Width of the band
Width of the band is another interesting factor to observe, the thinner the band the more confident we are of the quality of the data, i.e. there is less noise.
Fig 12: the pattern is consistent.
Fig 13: the variation in walking pattern is high.
The width of the band is inversely proportional to the stable walking data.
Overview – Stride Duration Analysis
Stride Duration (Step start time and end time)
If a person has a consistent walking pattern their stride time will more or less be consistent (same). However, take a scenario of a person who started walking at an expected pace and then due to discomfort (pain) had to slow down, monitoring such an occurrence would be useful.
Separately, when a person is making multiple u-turns while walking, the stride detected would be placed into two clusters.
Fig 14 is of a person that walks with speed 0.8s/ stride 70% of the time. Stride Duration Stability is how stable the stride time is.
Note: If the chart has just one bar to 100%, stride duration stability = 100%, the greater the spread of the chart the lower the stride duration stability.
Analysis
Analysis – Stride Duration Analysis
In the stride-level analysis widget, you can check the stride pattern of a user. The main metrics are Correlation with healthy Adults, Stride Pattern and Stride Duration.
In Cycle Comparison, You can make comparison between individual session or average session of a day. “Session” here means a continuous walking session.
For data collection purpose, you need to assign the exercise “walking” to your Users, so they can record their walking on their smartwatch. The walking data will be collected by the smartwatch during the recording.
Analysis – Stride Duration Analysis Cycle Comparison
Cycle Comparison allows for multiple session comparison and plots.
The latest 2 sessions are shown by default. You can click on the “ ” button to remove a session.
You can click on the “Add Compare” button to add a new comparison. Select a date first, then select a individual session or ‘day average’. Day average is average of all the session of the day.
Note: Maximum comparison allowed is 4.
Analysis – Discomfort Level Analysis
The discomfort log will reveal the location at which the User reported a certain discomfort level.
View/Edit/Delete Alerts/Nudges
Alerts/Nudges – View/Edit/Delete Alerts/Nudges
← You can set alerts/nudges for a specific user under the user dashboard> Alerts/Nudges tab.
← Here the organisation administrator can create templates for alerts/nudges to be sent out to users, administrators, or support team members based on certain scenarios (e.g. if at 3pm, steps <3000, send nudge to “move more”).
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You can edit using the ” ” button or delete the template by clicking on ” “.
You can also do a bulk delete by clicking on the checkbox and selecting the ” ” button below.
Alerts/Nudges – Add Alerts/Nudges
← You can set alerts/nudges for a specific user under the user dashboard > Alerts/Nudges tab.
← Here you can create alerts/nudges to be sent out to users, administrators, or other support team members based on certain scenarios (e.g. if at 3pm, steps <3000, send nudge to “move more”).
There are two options to do so:
- Create from template (based on the organisation’s existing repository)
- Create custom from scratch
← You can edit alerts/nudges using the ” ” button or delete the template by clicking on ” ” button.
You can also do a bulk delete by clicking on the checkbox and selecting the ” ” button below.