Mobile Rapid Response Tobacco Surveillance

Mobile Rapid Response Tobacco Surveillance Thomas R. Kirchner, PhD Research Investigator The Steven A. Schroeder Institute for Tobacco Research & Policy Studies Adjunct Assistant Professor Johns Hopkins Bloomberg School of Public Health Adjunct Assistant Professor Georgetown Lombardi Comprehensive Cancer Center PRESENTED AT: CDC OSH EXPERT PANEL ON RAPID RESPONSE METHODOLOGY FOR TOBACCO CONTROL SURVEILLANCE CDC OFFICE ON SMOKING AND HEALTH, ATLANTA, GA JUNE 2, 2011

Wireless Penetration: USCTIA, 2010 Year-end Data 302.9 million active mobile devices ~308.7 million people (+territories) = ~96% US Market Penetration Average wireless bill = $47.21 Down 95 cents from 2009Source: Wireless Substitution: International Assoc. for the WirelessTelecommunications Industry (CTIA), 2011

Minority Smartphone PreferencesNielsen, 2011

Minority Feature PreferencesPew Internet & American LifeMobile Access, 2010

Underserved SMSPricewaterhouseCoopersHRI Consumer Survey, 2010

Wireless Substitution% Adults living in wireless-‐only households, January 2007-‐June 2010 Source: Wireless Substitution: Early Release of Estimates From the National Health Interview Survey, January -‐ June 2010 by Stephen J. Blumberg, Ph.D., and Julian V. Luke, Division of Health Interview Statistics, National Center for Health Statistics

Ecological Momentary Assessment•  ~ 2 decades mobile health survey researchEMA 2.0•  Participant provided device•  Dynamic Remote Content Management•  Mixed-mode Integration•  Ecological (i.e., GIS) Integration•  Remote Sensing (e.g., accelerometer)

Ecological Momentary InterventionLegacy: Become and EX Mobile (iPhone)

Ecological Momentary “Surveillance” IVR MMS SMS Email GPS

Prospective Targets•  Industry?•  Policy?•  Advocacy?•  Smoker Attitudes / Beliefs?•  Tobacco Product Use Patterns?•  Smoking Initiation and/or Cessation Milestones?

Rapid Learning Studies•  Prospective Cohort•  Large, Representative Samples•  Longitudinal (but not “long”)•  Iterative •  c.f., Multiphase optimization strategy (MOST)•  Adaptive •  c.f., Sequential Multiple Assignment Randomized Trial (SMART)

Gulf Oil Spill

Amazon Mechanical Turk

Opportunities•  Methodological –  Reach among Priority Populations –  Prospective, Longitudinal Research Questions –  Rapid Learning Studies•  Logistical –  Existing systems lower cost –  Automation lowers staffing overhead –  Improved retention / follow-up•  Collaborative –  Community Outreach –  Participatory Involvement

Challenges•  Privacy•  Platform standards•  Mobile Usage Fees•  Mixed-mode effects•  Reliability / Validity•  Data Processing•  Data Analysis

Recommendations•  National Prospective Cohort•  Mobile Platform / Device Independent System Development•  Feature Phone Focus (for now)•  User Preferences Trump Mode Effects•  Mobile + GIS Integration

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Mobile Rapid Response Tobacco Surveillance

by AmericanLegacyFoundation on Jul 22, 2011

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Mobile Rapid Response Tobacco Surveillance — Presentation Transcript