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This slide deck is comprised of lectures delivered at Nova Southeastern University Colleges of Medicine (MI) and Pharmacy (PHA) in the following courses: MI 6410 Consumer Health Informatics and Web 2.0 in Healthcare PHA 5203 Consumer Health Informatics and Web 2.0 in Healthcare
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Driving Change with mHealth
Kevin A. Clauson, PharmD
This slide deck is comprised of lectures delivered at Nova Southeastern University Colleges of Medicine (MI) and Pharmacy
(PHA) in the following courses:
MI 6410 Consumer Health Informatics and Web 2.0 in Healthcare
PHA 5203 Consumer Health Informatics and Web 2.0 in Healthcare
Objectives
Detail the use of mobile phones in various populations
Examine the 12 clusters of mHealth
Discuss how mHealth can be used to enact change and improve health
Delineate hurdles and psychosocial issues associated with mHealth initiatives
mHealth is the use of mobile devices and global networks to deliver health
services and information
mHealth Devices
Smartphones
o iPhone
o Blackberry (RIM)
o Misc
o iPad/TabletPC
o PDA
o USB
Who uses mobile phones?
According to CTIA WirelessSurvey, mobile penetration in
the US was 69% in 1995
Today mobile penetration in the US is 91%
Source: CTIA 2009
This translates to 82% of American
adults owning a cell phone*
*Range: 57% (65+) to 90% (18-29)Pew Cell Phones and American Adults 2010
Owns
Does not own
The United Arab Emirates boasts
a 204% mobile penetration rate
UAE Telecommunication Regulatory Authority
Wireless-only households in the US went from untracked in 1995…
…to almost a tenth of households by 2005…
…and grew to a quarter of all households by 2009
87% of blacks and Hispanics
own a cell phone*
Pew
In
tern
et M
ob
ile
Acc
ess
20
10
*Compared to 80% of whites
Hispanics use their phone to go online and to text more frequently than any other
group*
Pew
In
tern
et M
ob
ile
Acc
ess
20
10
*English-speaking Hispanics
Texting has eclipsed all other forms of communication for teens to connect with friends
Pew
In
tern
et T
een
s a
nd
Mo
bil
e P
ho
nes
20
10
31% of teens who take phones to school text every day
during class
Pew Internet Teens and Mobile Phones 2010
Due to connectivity, accessibility, and preferences – teens may be
particularly well suited for targeted mHealth interventions
Antisocial Phone Tricks
http://www.ted.com/talks/renny_gleeson_on_antisocial_phone_tricks.html
The 12 Clusters of mHealth
mHealth Initiative – Peter Waegemannhttp://www.mobih.org/observatory/
1) Patient Communications
2) Access to web-based resources
How SmartPhones Are Changing Healthcare for Consumers and Providers 2010
JACC Cardiovasc Imaging 2010;3(5):482-90.
The 12 Clusters of m-health
• 3) Point of Care
3) Point of Care
“That it will ever come into general use…is extremely doubtful”
- London Times in 1834 appraising value of stethoscope
J Healthc Inf Manag 2010;24(3):9-10.
Trials 2009;10:87.
4) Disease Management
HIV medication
and visit adherence
Walgreens sees hockey-stick growth
for text alert programBy Mickey Alam Khan
August 13, 2010
BALTIMORE – SMS text alerts are a big hit for Walgreens Co., a $63 billion drugstore
chain which puts its 7,500 stores nationwide at the center of all marketing and
commerce.
Walgreens has seen tremendous growth in registrations for its prescription SMS alerts in
the eight months since the Chicago company began the program. In fact, SMS sign-up
is outpacing email, according to a senior executive.
“Both are growing, but text alerts are hockey-sticking – we weren’t expecting that,” said
Abhi Dhar, chief technology officer for ecommerce at Walgreens.
Cough into your cell phone
• Diagnostic extender; help with triage/ decision making
• $100,000 grant by Bill & Melinda Gates Foundation
5) Point of Care Education
Video telephony-enhanced teaching of needle thoracocentesis
Emerg Med J 2009;26:177-179.
6) Professional Communication
7) Administrative Applications
J B
iom
ed I
nfo
rm 2
010
;43
(1):
75
-80
.
8) Financial Apps
9) Ambulance/EMS
10) Public Health
How did purposefully
limiting access to this creation cost millions of
lives?
SuperFreakonomics: Global Cooling, Patriotic Prostitutes, and Why Suicide Bombers Should Buy Life Insurance, 2009.
http://
www.vimeo.com/10354420
• Add poptech vid about frontline SMS viemo from mindof blog
http://vimeo.com/7392090
Frontline SMS:Medic
How do we balance needs with available
resources?
www.text4baby.org
Text BABY to 511411
Envia BEBE al 511411 para Español
MobileGiving
11) Research Data/image collection by first responders
Data collection in 11 languages in Africa
Self-administered sensitive data
collectionin Peru
Mobile Mediated Research
• Fewer inconsistencies and missing values with the PDA-based system vs. paper-based system
BMC Med Inform Decis Mak2008;8:11.
• PDA-based systems less likely to suffer from transcription errors and data more easily analyzable
Eval Rev 2003;27(2):165-78.
• Review of PDA-based collection vs. paper
J Clin Epidemiol 2007;60(1):8-17.
12) Body Area Network Applications
EDA Tech Forum 2008
International Journal of Electronic Healthcare 2007;3(3):303-16..
Bluetooth heart monitor records ECG and transmits information via patient's phone
Analyzer circuit checks the ECG signal for signs of cardiac failure
Cell phone automatically alerts the patient and nearest medical center via SMS
Wearable Cardiac Monitoring System
What would it be worth to keep you or a family member living independently?
JAMA 2002;287(8):1022-8.
Wireless Assisted Living
One way to help manage the approaching storm of an increasingly aging population…
„Nana technology‟ vs Nanotechnology
J
Gerontol A Biol Sci Med Sci 2008;63(3):298-307.
mHealth Security Measures
How young is too young?
The changing nature of mobile mediated social interactions
JA
MA
20
09
;30
2(1
1):
11
59-6
0.
Honk if you love Jesusif you’re readyText to meet Him!
Texting increases crash risk
by 23.2 times!
JA
MA
20
09
;30
2(1
1):
11
59-6
0.
PolicymakersInteroperabilityScalabilityChange managementCulture
“Let‟s make technologies that make people more human, and not less”- Renny Gleeson
Summary
mHealth offers opportunities to improve individual and population based health as well as address health disparities
Strategy is to find the tech that serves as a solution, not the reverse
Barriers exist for mHealth initiatives as with all aspects of healthcare
Images
• http://www.mhealthalliance.org/
• http://weblogs.baltimoresun.com/business/consuminginterests/blog/apple-iphone.jpg
• http://www.letsgomobile.org/images/news/blackberry/blackberry-bold.jpg
• http://regmedia.co.uk/2005/05/11/htc_mda.jpg
• http://www.ixbt.com/editorial/images/itogi/itogi2k2-may/TabletPC2_H.jpg
• http://www.ted.com/talks/renny_gleeson_on_antisocial_phone_tricks.html
• http://www.doh.state.fl.us/family/mch/text4baby/text4baby.html
Images
• http://pillbox.nlm.nih.gov/
• http:// www.handylife.com/
• http://www.mobilemarketer.com/cms/news/commerce/7071.html
• http://dianhasan.wordpress.com/2010/03/29/mobile-phone-innovation-cough-into-your-phone-and-get-diagnostics-theres-an-app-for-that-too/
• http://www.airstriptech.com/
http://jeffreyleow.wordpress.com/2008/06/10/iphone-in-medical-education/
• http://emj.bmj.com/content/26/3/177.long
Images
• http://www.mobiletor.com/img/motorola-droid-phone.jpg
• http://theandroidsite.com/wp-content/uploads/2010/08/twitter30.png
• http://www.ushahidi.com/platform
• http://www1.sciencemuseum.org.uk/hommedia.ashx?id=8903&size=Small
• http://www.mirlabs.org/jias/800px-Open_Access_PLoS.png
• http://www.vimeo.com/10354420
• http://www.mhealthsummit.org/conference/speakers-moderators
• http://vimeo.com/7392090
Images
• http://www.mgive.com/
• http://s3.edatechforum.com/legacy_images/june2008/images/eda0806_tou1.jpg
• http://www.excointouch.com/
• http://www.fitbit.com/
• http://www.jasonhill.com/wp-content/2009/06/zeo.png
Unreferenced pictures are licensed images
Recommended Poolside ReadingWaegemann CP. mHealth: the next generation of telemedicine? Telemed J E Health 2010;16(1):23-5.
Vital Wave Consulting. mHealth for Development: The Opportunity of Mobile Technology for Healthcare in the Developing World, 2009.
Smith A. Mobile Access 2010. Pew Internet & American Life Project, July 2010.
Lenhart A, Ling R, Campbell S, Purcell K. Teens and Mobile Phones. Pew Internet & American Life Project, April 2010.
Lenhart A. Cell phones and American adults. Pew Internet & American Life Project, September 2010.
www.unhub.com/kevinclauson
Thank You!