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

http://www.airstriptech.com/

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

http://www.mgive.com/

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!