SUMMER INTERNSHIP

REPORTPRESENTED BY

SAUMYA VERMA

Organization Profile: Alleviate Technologies

• Founded in 2010 by IIT and NSIT graduates with aiming to build the intelligent products on IT arena.

• Specializes in Quality IT Consulting and Enterprise solutions

• Enterprise Solutions

• Staff augmentation

• Mobile App Development

• NETIQ Consultancy

• mHealth Technologies: mVirtual Health mobile application and web portal.

DEVELOPMENT OF MHEALTH APPLICATION

Introduction

• mHealth

• Use of mobile telecommunication and multimedia technologies as they are integrated within increasingly mobile and wireless health care delivery systems.

• Mobile computing, medical sensor, and communications technologies for health care.

Problem statement: Development of mVirtual Health

application.

Rationale: 1. mHealth is a user oriented health service which can significantly improve the quality of healthcare inn India.

2. mHealth has a huge potential to make a difference in preventive health care which has not been studied yet in India.

Working of mHealth

mvh Universal Device measures blood glucose, SpO2, ECG, temperature

Data goes to

secured cloud.

Patient can enter data

in web portal, mobile,

receive notifications

and interact with the

doctor through them.

Can access patient records

and communicate with

patient accordingly via

mobile and web portal.

Data communication

with secured cloud via

secured channel.

Secured cloud

- maintains EHR

- generates

notifications,

reminders, reports

- enables interaction

1. Amneris E Luque et al (2013) : Barriers And Facilitators Of Online Patient Portals To Personal Health Records Among Persons Living With HIV: Formative Research

• 86% respondents had some experience of using internet

• Majority expressed interest in the portal and its features

• 70% wanted to learn the use

• Important barriers were computer or broadband access and privacy

• Majority preferred use of a small handheld device like an iPad than a desktop PC

2. Chang LW et al (2013): Perceptions and acceptability of mHealth interventions for improving patient care at a community-based HIV/AIDS clinic in Uganda: A mixed methods study

• Majority believed that mHealth would improve efficiency and patient care

• Barriers were maintenance of patient confidentiality and lack of training

Review of Literature

3. Samantha J Parker et al (2013) : Older adults are mobile too! Identifying the barriers and facilitators to older adults’ use of mHealth for pain management

• 85% of participants were very willing to use mHealth to help manage their pain condition

• 59% used cell phones and 41% regularly searched internet

• Potential barriers included cost, privacy concerns, and functional limitations like visual and auditory deficits

4. McGillicuddy JW (2013): Patient attitudes toward mobile phone-based health monitoring: questionnaire study among kidney transplant recipients.

• 90% of respondents own a mobile yet only 7% had a prior knowledge of mobile based remote monitoring

• 79% had positive attitude towards its use if it was available free of cost

• Majority believed that it would improve self-efficacy and provider driven medical management

• Believed privacy would be maintained

Objectives

• General objective:

• Development of mVirtualhealth application

• Specific objectives:

• Analysis of the acceptance of mobile healthcare

• Preparation of the content for the portal and the mobile application

• Observation of the technology used in making the mobile application and web portal

• Testing of the working of the website portal.

• Preparation of the documents for product promotion.

1. Acceptance of mHealth services by mobile users

• Methodology :

• Study area: Delhi and NCR

• Study design: Cross Sectional And Descriptive

• Study population: Mobile Phone Users Of Delhi and NCR

• Sample size: Consisted Of 57 Mobile Users

• Tools and techniques: Questionnaire And Personal Interviews to survey on acceptance of mHealth services by mobile users of Delhi and NCR .

• Development of software

• Data analysis : Using SPSS

Survey findings:

• Fig.1 Usefulness of a device that will measure your body vitals (blood glucose, blood pressure, BMI, temperature, ECG and pulse oximetry) and apprise you of your health status immediately

Fig 2 Cost effectiveness of mobile healthcare servicess

Fig. 3 mHealth services can improve the quality of healthcare

Fig. 4 Willingness to provide data in an unidentified format to surveillance and research authorities

Fig. 5 Being able to manage your health via your mobile phone will induce regularity and convenience in managing your

healthcare

Fig. 6 mHealth services can improve the quality of healthcare

Fig. 7 Willingness to pay for mobile health service? (Rs/month)

Discussion

• Most of the people agree that a tool apprising them of their health status regularly will be useful

• People have no reservations in accessing their health records via a web portal

• Majority of people agree that mHealth can be instrumental in bringing down healthcare costs

• People agree that mHealth has potential to improve quality of healthcare

2. Preparation of content for the web portal and mobile application

• Information and representation of the following parameters:

• Body mass index

• Blood glucose

• Blood pressure

• Pulse oximetry

• Temperature

mVirtualhealth portal

3. Technologies observed

• Hardware : universal device with bluetooth connectivity to measure the body parameters

• Languages used :

• HTML

• CSS

• Java Script

• AJAX

• ASP.NET based web apps

• Android phone ( native app)

4. Testing of the working of the website portal• A demo video explaining the features of the website was

developed.

Preparation of documents for promotion of mVirtualhealth• User Guide

• Presentation for Users

• Presentation for Physicians

• Demo videos for Users and Physicians

Conclusion

• mHealth : need of the hour

• High mobile penetration in India

• Has potential to bring down costs

• Instrumental in preventive healthcare

• Improve the accessibility and quality of healthcare

References

1. Alleviate Technologies Pvt Ltd c 2013[cited May24, 2013]. Available from http://www.alleviatetech.com/

2. mvirtualhealth.com. c 2013 [cited May 12, 2013] Available from https://www.mvirtualhealth.com/

3. Amneris E Luque, Adjuah van Keken, Paul Winters, Michael C Keefer, MechelleSanders, and Kevin Fiscella. Barriers and Facilitators of Online Patient Portals to Personal Health Records Among Persons Living With HIV: Formative Research. JMIR Res Protoc. 2013 Jan-Jun; 2(1): e8. [Published online 2013 January 22]. doi: 10.2196/resprot.2302

4. Parker SJ, Jessel S, Richardson JE, Reid MC. Older adults are mobile too! Identifying the barriers and facilitators to older adults' use of mHealth for pain management. BMC Geriatr. 2013 May 6;13:43. doi: 10.1186/1471-2318-13-43.

5. Chang LW, Njie-Carr V, Kalenge S, Kelly JF, Bollinger RC, Alamo-Talisuna S. Perceptions and acceptability of mHealth interventions for improving patient care at a community-based HIV/AIDS clinic in Uganda: A mixed methods study.AIDS Care.[published online ahead of print Mar 1,2013] PMID: 23452084

6. McGillicuddy JW, Weiland AK, Frenzel RM, Mueller M, Brunner-Jackson BM, Taber DJ, et al. Patient attitudes toward mobile phone-based health monitoring: questionnaire study among kidney transplant recipients. J Med Internet Res. 2013 Jan 8;15(1):e6. doi: 10.2196/jmir.2284.

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