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Community case study deep dive: The Looper Community

Data empowerment may sound like an abstract idea. The Data Empowerment Clinic hopes to close that gap by working with various types of organisations to develop innovative governance approaches that solve real challenges. This blog is the last instalment in a series that introduces our community partners and the projects our first student cohort is working on with them.

Health data governance by patients, for patients

The challenge

The Looper Community is a global, self-organised network of people living with diabetes. Frustrated by barriers imposed by commercial medical device companies which have historically restricted access to and transparency over patient data, members began connecting their own devices and sharing data directly. What started as a workaround has evolved into a thriving peer support network, where people co-develop and refine tools based on lived experience, reclaiming agency over their own health in the process.

That success, however, creates its own governance challenge. The community generates significant volumes of sensitive health data, and researchers and health systems are increasingly interested in using it. At present, there are no formal structures to govern how that data is used, shared, or protected. Without safeguards, there is a real risk that community-generated knowledge is co-opted without accountability, mirroring the very dynamic the community originally organised to push back against. An additional complexity is that the Looper community is not monolithic: members' motivations, regulatory contexts, and attitudes towards privacy and data sharing vary enormously. These tensions are aggravated by the rapid advancement of AI, which increases the potential for the automated, large-scale extraction of community data for commercial research and development without the community’s informed consent.

Our partner

The Looper Community represents a model of patient-led innovation that is increasingly relevant beyond diabetes, to any community that generates data collectively and wants to ensure it remains in their hands. To enable this work, we’re working closely in collaboration with Dr Mark Coté and Dr Sufyan Hussain whose expertise and deep ties with the looper community make them uniquely positioned to bridge research, clinical practice and drive patient-led data governance innovation.

"Loopers have already modified commercial wearable technologies to make them safer and more effective. To keep improving solutions in the age of AI, they now need meaningful control over how their data is accessed, used, and eused.– Dr Mark Coté, Reader in Data and Society

What the student team is working on

As part of the clinic, we aim to engage with a small subset of the looper community where we will seek to understand the following questions:

  • What does data governance mean to a community like the Loopers, one that formed organically, without formal structures?
  • What are your biggest concerns and aspirations about how the community's data could be used?
  • What would a governance model that genuinely reflects the community's values look like?

As an outcome of this work, this will help us chart possibilities for what a bottom-up data governance structure could look like in practice. Specifically, this would involve mapping community interests, identifying relevant legal frameworks, and designing consent mechanisms to ensure the community is genuinely represented.

With the right support, our longer-term ambition is to develop a model with relevance beyond diabetes, offering applicable lessons for other patient-led movements navigating similar questions about data, power, and collective control.

Data Empowerment Clinic blog

Welcome to the Data Empowerment Clinic blog, where we will showcase our work, partnerships and student stories.

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