Helping Your Patients Make Sense of the mHealth Marketplace

Helping Your Patients Make Sense of the mHealth Marketplace Kevin A. Clauson, PharmD

ObjectivesOutline mobile health (mHealth) market andpatient-centric apps currently availableDiscuss the use of apps to enhance patientself-care and improve medication adherenceDelineate approaches of how to guidepatients to mHealth apps and tools

Outlining the mHealth App Market

mHealth is the use of mobile devicesand global networks to deliver health services and information

In 1996, mobile phonepenetration in the US &territories (e.g. Puerto Rico) was only 16% With Without phone phone Source: CTIA December 2011

Mobile phone penetrationin the US hasrisen to 105%(half are nowsmartphones) Source: CTIA December 2011

Smartphone share by operating system 1.1% 0.7% 4.0% 11.4% Android (Google) iPhone BlackBerry 50.9% Windows Symbian (Nokia) 31.9% OtherSource: comScore MobiLens May 2012.

Pay-a$-you-gophones are still used by ~ 70million people in the US CTIA Wireless Industry Indices: Semi-Annual Data Survey Results, 2012.

Patient-centric iPhone apps* 2% 1% 3% 2% Other 4% 18% Cardio Fitness Diet 5% Stress/Relax 5% Strength Training Womens Health Mental Health 5% 16% Chronic Dx Calculator 7% Sleep Emergency Smoking Cess 8% Med Adherence 14% 10% PHRsSource: Segmentation of Consumer Health Apps, MobiHealthNews Research, April 2012. *n~13,600

Whypatient-centric apps?

Paternalistic approach to healthcare**Legacy model

“As opposed to the doctor-centric, curativemodel of the past, the future is going to bepatient-centric and proactive.” - NIH Director (Past) Elias A. Zerhouni, M.D.

Consumers want to use health apps To keep track of health information 48.5 To help manage 58.4 disease or drug To gain information 91.1 0 20 40 60 80 100 PercentSource: Consumer Health Information Corporation, April 2011 (n=395),

All adults 84% use cell phones 35% have apps 24% use apps The average number ofAdapted from: Purcell K. Information 2.0 and Beyond: apps on a smartphone isWhere are we, where are we going, Pew Internet &American Life Project. March 2011 & Nielsen, 2012. 41

Demographic groups most likely to download a health app All (n=658) 29% Urban (n=203) 33% Suburban (n=322) 29% Rural (n=100) 20% 18-29 (n=224) 28% 30-49 (n=276) 32% 50+ (n=145) 20% 0% 10% 20% 30% 40% Percentages of those who have downloaded a health appSource: Pew Research Center’s Internet & American Life Project, July 25-August 26, 2011 Tracking Survey.

Enhancing patient self-care and adherence

Personal Health Record(PHR)

WiFi body scalewith HealthVault or iPhone app integration

What is the only “health app” in the Top 5 most used apps? (hint)

What is the only “health app” in the Top 5 most used apps? (answer)

Bant app www.jmir.org/2012/3/e70/

Cafazzo JA, Casselman M, Hamming N, Katzman DK, Palmert MR. Design of an mHealth app for the self-management of adolescent Type 1 diabetes: A pilot study. J Med Internet Res 2012;14(3):e70.

Scan QR code for the Medicine 2.0’12 research abstract !http://bit.ly/OaMiR3

RunKeeper

Can Texting HelpPatients?

Adhere to me.Not the other way around.

Text BABY to 511411Envia BEBE al 511411para Español www.text4baby.org

Texting to improvesunscreen use Arch Dermatol 2009;145(11):1230-6.

Lancet 2011;378(9785):49-55. Smoking cessation support delivered via text messaging

Textus interruptus

It’s Not Just MobilePhones…

“Most technology needs to go to finishing school” - David Rose

iBGStar

“When purchasing the iBGStar at my local Walgreens, it had not yet reached the storeshelves, and the pharmacist was not even aware of its existence. However, after retrieving the device from the back, there was a natural buzzaround the pharmacy staff. In fact, the tech who rang up my order actually snapped a picture of the iBGStar on her iPhone. Whether you like it or not, there is a certain magical appeal to the iPhone, and this can go a long way with a disease like diabetes.” - David Ahn, M.D. www.imedicalapps.com/2012/06/ibgstar-iphone-glucometer-review/3/

GuidingPatients to mHealthApps and Tools

eHealthLiteracy Lily ModelJ Med Internet Res 2006;8(2):e9.

Final Issues toConsider…

The Dark Side of mHealth(hey, we are here at Disney)

Frequency of cell phone problems Several times/day Once/day Few times/week Less often Never Slow download speeds 12% 9% 25% 31% 21% (Internet/email/app users) Spam/unwanted texts 4% 4% 17% 44% 31% (texters) Dropped calls 6% 6% 19% 41% 26% (cell phone owners) 0% 20% 40% 60% 80% 100%Source: Pew Research Center’s Internet & American Life Project Spring Tracking Survey, March 15-April 3, 2012.

Br J Dermatol 2009;160(6):1273-85.http://ftc.gov/opa/2011/09/acnecure.shtm

Summary PointsThe patient-centric app marketplace largelyremains ‘buyer beware’ with final FDA regulationpendingCurrent evidence is stronger for texting than appsin improving clinical outcomes/QOL indicators,but numerous studies are underwaymHealth is a rapidly expanding arena offeringopportunities to improve patient engagement,activation, and health

Imageshttp://blog.nielsen.com/nielsenwire/consumer/among-mobile-phone- http://itunes.apple.com/us/app/runkeeper-gps-running-users-hispanics-asians-are-most-likely-smartphone-owners-in-the-u-s/ walking/id300235330?mt=8http://cowbgonaca.blogspot.com/2011/06/wallpaper-for-android- http://itunes.apple.com/us/app/runkeeper-gps-running-mobile.html walking/id300235330?mt=8http://www.iphonewallpaperblog.com/wp- http://www.doctormole.com/content/uploads/2010/12/Windows-7black-iphone4Walpaper.jpg http://itunes.apple.com/us/app/florida-hospital-er-http://www.mac-wallpapers.com/Apple-Wallpapers/white-apple-logo- wait/id426645573?mt=8wallpaper/ http://itunes.apple.com/us/app/biooncology-hd/id439099630?mt=8http://www.laptopsteria.com/wp-content/uploads/2011/06/blackberry- https://qpid.me/logo.jpg http://bedsider.org/http://www.onestopwebmasters.com/wp-content/uploads/2011/04/hp- http://www.myicondom.com/logo.jpghttp://sanaakosirickylee.files.wordpress.com/2012/03/piggy-bank.jpg http://scriptyourfuture.orghttp://9to5google.files.wordpress.com/2011/12/android-market-growth- http://www.walgreens.com/topic/mobile/apps/learn_about_mobile_text_10-billion.png?w=657&h=629 alerts.jsphttp://www.engadget.com/2012/03/03/apple-app-store-25-billion/ http://www.doh.state.fl.us/family/mch/text4baby/text4baby.htmlhttp://en.wikipedia.org/wiki/File:NIH_Clinical_Research_Center_aerial.j http://www.vitality.net/docs/pharma_presentation.pdfpg http://www.fitbit.com/http://www.accenture.com/SiteCollectionDocuments/PDF/Accenture-Is- http://blogs-images.forbes.com/kashmirhill/files/2011/02/A-day-on-Healthcare-Self-Service-Online-Enough-to-Satisfy-Patients.pdf Fitbit.jpghttp://www.microsoft.com/en-us/healthvault/ http://mobihealthnews.com/wp-content/uploads/2009/02/healthvault-http://www.windowsphone.com/en-US/apps/daa5bf42-cf02-4327-97cf- logo.jpg0721ca4ff7a2 http://www.misfitwearables.com/health_device_at_a_glancehttp://www.windowsphone.com/en-US/apps/daa5bf42-cf02-4327-97cf- https://play.google.com/store/apps/category/HEALTH_AND_FITNESS?fe0721ca4ff7a2 ature=category-navhttp://www.cvs.com/promo/promoLandingTemplate.jsp?promoLandingId http://www.imedicalapps.com/2012/07/glucose-buddy-app-diabetes-=mobile-apps patients-clinicians/http://images.mobilefun.com/graphics/450pixelp/34456.jpg http://www.happtique.com/http://mygazelleapp.com/ http://farm4.static.flickr.com/3248/3150680372_7df65fc712_o.jpghttp://mygazelleapp.com/tour/ http://mhealthwatch.com/republicans-urge-fda-fcc-to-move-faster-on-http://www.journaldugeek.com/files/2012/06/cat-video-youtube-logo.jpg mhealth-app-approvals-19049/http://eerc.ra.utk.edu/etcfc/images/youtube-logo.jpg http://www.imedicalapps.com/2012/06/congress-leaves-fda-complete-job- mobile-health-apps-regulation/http://pillboxie.tumblr.com/ http://mobihealthnews.com/11980/types-of-medical-apps-the-fda-will-http://bantapp.com/ regulate/http://www.jmir.org/2012/3/e70/ http://mobihealthnews.com/11978/fda-wont-regulate-these-apps-for-now/http://itunes.apple.com/us/app/endogoddess/id464431379?mt=8 http://itunes.apple.com/us/app/pill-reminder-by-http://itunes.apple.com/us/app/glucose-buddy-diabetes- drugs.com/id453359236?mt=8helper/id294754639?mt=8 http://itunes.apple.com/us/app/webmd/id295076329?mt=8http://www.medicine20congress.com/ocs/index.php/med/med2012/paper http://www.blogit.com.br/blog/wp-/view/917 content/uploads/2010/02/Blogit_acneapp.jpg

Center for Consumer Health Informatics Research www.CCHIR.org

Recommended Poolside Surfing  iMedicalapps.com  MobiHealthNews.com  mHealthWatch.com  Medgadget.com  Hashtag #mhealth  Participatorymedicine.org

QuestionsKevin Clauson, PharmD clauson@nova.edu @kevinclauson www.CCHIR.org

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Helping Your Patients Make Sense of the mHealth Marketplace

by Kevin Clauson on Aug 03, 2012

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