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mHealth Service for HIV Prevention and Care

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Dano Beck from the Oregon Health Authority describes outcomes and lessons learned from the implementation and marketing of "Oregon Reminders" a mHealth service developed by YTH and the Oregon Health …

Dano Beck from the Oregon Health Authority describes outcomes and lessons learned from the implementation and marketing of "Oregon Reminders" a mHealth service developed by YTH and the Oregon Health Authority. Presented at YTH Live 2014 session "Stick to it: Tech for Medical Adherence + Health Interventions."

Published in: Health & Medicine

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  • 1. Implementing and Marketing a Mobile Health Service for HIV Prevention and Care: Outcomes and Lessons Learned Dano W. Beck, MSW Bhupendra Sheoran, MD Ruth Helsley, RN, BSN April 6-8, 2014 San Francisco, CA Annual Conference on Youth + Tech + Health  
  • 2. What is Oregon Reminders? HIV/STD  test   reminders  every  3-­‐6   months   Weekly  health  <ps   Monthly  prescrip<on   refill  reminders   Daily  medica<on   reminders  
  • 3. HIV/STD  test   reminders  every  3-­‐6   months   Weekly  health  <ps*   Monthly  prescrip<on   refill  reminders   Daily  medica<on   reminders    *Only  available  via  text  message   What is Oregon Reminders?
  • 4. •  Increase frequency of HIV testing. –  Early diagnosis can help reduce transmission. •  Improve HIV medication adherence. –  A suppressed viral load helps optimize health outcomes and reduce transmission. Objectives of Oregon Reminders
  • 5. •  Mobile reminder systems for HIV testing1 and medication adherence2 have proven efficacy. •  User choices help empower clients. •  People are using technology to communicate. Background 1Bourne  et  al.,  2011   2Pop-­‐Eleches  et  al.,  2011;  Dowshen  et  al.,  2012  
  • 6. 631 208 104 138 36 0 100 200 300 400 500 600 700 Test  Reminders Med  Reminders Refill  Reminders Health  Tips Health  Tips  for   People  w/HIV Oregon Reminders Usage Through Feb. 2014, N = 1,086 People  enrolled
  • 7. Text, 64% Email, 30% Voice, 6% Message  Delivery  Method  
  • 8. Standard, 78% Customized, 22% Reminder  Message  Customiza<on  
  • 9. •  Staff-client conversations •  Posters and cards •  Peer-to-peer (social) •  Radio •  Online Marketing methods
  • 10. Mobile, 89% Non-mobile, 11% Website  visits,  N=98,154  
  • 11. •  Placements –  Grindr –  Scruff –  Manhunt –  Facebook –  News website •  Impressions: 39,000,000 Online advertising
  • 12. Yield from online ad placements App or site Impressions needed for one click Grindr 163 Willamette Week (news site) 1,111 Manhunt 2,000 Scruff 3,125
  • 13. •  Data collection is ongoing –  Survey is emailed to users 6 months after enrollment •  Responses to date = 42 Survey
  • 14. •  The majority are white (86%) and MSM (75%). •  Most (68%) test reminder users are ages 18-34. •  Most (60%) medication/refill reminder users are 35-49. Respondent characteristics, N=42
  • 15. •  2/3 (67%) reported sex without a condom. •  1/5 (22%) reported being drunk or high during sex in the past 30 days. •  8% reported injecting non-prescription drugs. Risk behaviors, N=36
  • 16. Yes, 74% No, 26%     Does  Oregon  Reminders  help  you   remember  to  take  your   medicaDon?   Medication and refill reminder outcomes, N=19 Less often, 63% About the same as before signing up, 37% Since  you  signed  up  for  Oregon   Reminders,  which  of  the  following   opDons  best  describes  how  oHen   you  have  missed  a  dose  of  your   medicaDon?   Unsure,  0%   More  frequently,  0%  
  • 17. Yes, 59% No, 35% Unsure, 6%       Does  Oregon  Reminders  help  you   remember  to  test  for  HIV/STDs?   Test reminder outcomes, N=17 More often, 24% About the same as before signing up, 76%   Since  you  signed  up  for  Oregon   Reminders,  which  of  the  following   opDons  best  describes  how  oHen   you  get  tested  for  HIV?   Less  frequently,  0%  
  • 18. •  Secondary research and early survey findings suggest Oregon Reminders is effective. •  Text and email are desirable methods of health communication. •  Choices help empower clients. •  A mobile-friendly website is important. •  Adjust your online marketing campaign based on data. Conclusions
  • 19. Dano W. Beck, MSW Technology Intervention Specialist Oregon Health Authority, HIV Prevention Program daniel.w.beck@state.or.us (971) 673-0170 OregonReminders.org