Hc2013 my journey mobile app presentation

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An overview of the 'My Journey' Youth Mental Health App including background to developing the app, research for mobile health and next steps.

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Hc2013 my journey mobile app presentation

  1. 1. My JourneyMobile AppEvidence for Healthcare Mobile AppsSarah AmaniYouth Mental Health LeadSurrey & Borders Partnership NHS Foundation Trust
  2. 2. Overview1. Background2. Mobile Health App Ecosystem3. An App a day keeps the doctor away?4. Evidence for Mobile Health Apps5. Next Steps
  3. 3. Released: 1998CPU: 233 MHzRAM: 32 MB (512 MB max)Storage: 4 GB (+ optical drive)Display: 38.1 cm Millions of coloursDimensions: 40.1 x 38.6 x 44.7 cmWeight: 17.3 kgsReleased: 2007CPU: 412 MHzRAM: 128 MBStorage: 4 GB (8 GB max)Display: 8.9 cm Millions of coloursDimensions: 11.4 x 6.1 x 1.2 cmWeight: 135 gThis was ‘portable’...<10 years...The Digital Revolution
  4. 4. http://www.flickr.com/photos/43533334@N07/5153726732Your mobile phone hasall of NASA in 1969.more computing power than
  5. 5. UKSmartphone penetration is 52%...312Who uses smartphones?
  6. 6. http://www.flickr.com/photos/oimax/3800475934Public spacedistractionslimited attentionmobile usage can be this...glanceable?simple?tedious inputpersonalonehandHow do they use smartphones?
  7. 7. “http://www.flickr.com/photos/armaggeusa/3176297283The most profound technologies are thosethat disappear. They weave themselvesinto the fabric of everyday life until they areindistinguishable from it…. Mark Weiser
  8. 8. worklearningnavigationdiscoveryWith a button or two!creativityvideoa big screen...web browser+applicationlayer+APIscameracommunicationplaysharingEnabling users to choosemusic their own experiencechatHealth
  9. 9. 17,000+ Health Apps
  10. 10. http://www.flickr.com/photos/diloz/5023417436MY JourneyMobile App
  11. 11. Crowdsourcing
  12. 12. The Design Process
  13. 13. PPhase 1 – February 2012
  14. 14. Phase 2- September 2012
  15. 15. Ce n’est pas un phonetimes havechangedIntuitiveResponsive UsableHelpfulMy JourneyPersonalCustomizableMotivationalTesting 1-2-3
  16. 16. Iteration
  17. 17. Modifications
  18. 18. Researching mHealthClaimClaimHypothesisHypothesis Literature Searchof HypothesisLiterature Searchof HypothesisReconsiderSolutionReconsiderSolutionValidateclaimthroughanalysis ofexistingresearchValidateclaimthroughanalysis ofexistingresearchConductPrimaryResearchConductPrimaryResearchObservationalObservationalInterventionalInterventionalChecklist:•Appropriate subject selection•Sufficient Sample Size•Suitable Controls•Outcomes aligned to hypothesisChecklist:•Appropriate subject selection•Sufficient Sample Size•Suitable Controls•Outcomes aligned to hypothesisNo evidence toSupport hypothesis
  19. 19. Types of EvidenceExpertOpinionExpertOpinionCaseStudies &PilotsCaseStudies &PilotsMultiTimeSeriestrialMultiTimeSeriestrialMulti CentreTrialsMulti CentreTrialsNon-RandomizedControl TrialNon-RandomizedControl TrialRandomizedControl TrialRandomizedControl TrialReferenceabilityEffort Needed to Produce EvidenceObservationalInterventionalLowHighHigh
  20. 20. AdoptionNewHealthAppNewHealthAppSuccessfulAdoptionSuccessfulAdoptionTechnicalQuestionsRegardingsafety &ReliabilityEconomicHurdles e.g.cost-effectivenessPatient/End-UserPreferencesClinicalEffectivenessHealthcareSystem Impacte.g. access,impact onservice use &hospitalization1 2 3 4 5
  21. 21. Advantages & DisadvantagesInterventional (RCT) ObservationalApplicability ControlledEnvironmentReal WorldPatient Population Narrowly Defined GeneralControls All all times VariableLikelihood of Bias Low HighResourceRequirementHigh Low
  22. 22. The HypothesisMobile health apps are effective adjuncts forimproving adherence and reducing hospitalizationswhich reduces healthcare expenditureMobile health apps are effective adjuncts forimproving adherence and reducing hospitalizationswhich reduces healthcare expenditure
  23. 23. Key Issues for Investigation
  24. 24. Authors: Caroline Free, Gemma Phillips, Louise Watson,Leandro Galli, Lambert Felix, Phil Edwards, Vikram Patel andAndy Haines.
  25. 25. • 42 trials• 11 showed statistically significant benefits incommunication between clinicians & people who useservices• One study showed less accurate diagnosis throughmobile technology photos than gold standardmHealth Meta AnalysisConclusionsThe results for health care provider support interventions on diagnosisand management outcomes are generally consistent with modestbenefits. Trials using mobile technology-based photos reported reductionsin correct diagnoses when compared to the gold standard. SMSappointment reminders have modest benefits and may be appropriate forimplementation. High quality trials measuring clinical outcomes areneeded.
  26. 26. Survey of 20 young people aged 14-25 who used the appThe Best Feature About the app is…
  27. 27. Survey of 20 young people aged 14-25 who used the appWhat will you use the app for?
  28. 28. Service UsersMy JourneyMobile AppSelf Rated Measures+Activity TrackersSecure Data BaseElectronic HealthRecordEIIP TeamCare Coordinator+ MDTMobile Internet+N3 NetworkNext Steps
  29. 29. From: Vorst, Bernard [mailto:Bernard.Vorst@viha.ca] Sent: 25 March 2013 20:00To:ComplaintsSubject: Sarah Amani- not actually a complaint, but could find no other e-mail address!Hello,We are the team at the Child, Youth, and Family Mental Health Services of the VancouverIsland Health Authority in Saanich, British Columbia, Canada (it’s a mouthful – I know).Our manager, Elaine Halsall, is very interested in the My Journey App project beingcoordinated by Sarah Amani of NHS South East. Unfortunately, we are unable to find on-line any contact information for Sarah; would it be possible to please pass this message onto either Sarah herself or somebody else well-informed around the project? We are veryexcited about what this type of tool could do for our service and would like to learn moreabout it.Many thanks,Ben VorstChild, Youth, and Family Mental Health Services – Vancouver Island Health AuthorityPossibilities
  30. 30. Thank YouAny Questions?Twitter: @S_Amani

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