This document outlines the mobile health (mHealth) marketplace and patient-centric apps. It discusses how apps can enhance patient self-care and medication adherence. It also delineates approaches for guiding patients to mHealth apps and tools. The mHealth app market largely remains "buyer beware" with FDA regulation pending. Current evidence is stronger for texting than apps in improving outcomes, but many studies are underway. mHealth offers opportunities to improve patient engagement, activation, and health.
2. Objectives
Outline mobile health (mHealth) market and
patient-centric apps currently available
Discuss the use of apps to enhance patient
self-care and improve medication adherence
Delineate approaches of how to guide
patients to mHealth apps and tools
7. Smartphone share by operating system
1.1% 0.7%
4.0%
11.4%
Android (Google)
iPhone
BlackBerry
50.9% Windows
Symbian (Nokia)
31.9% Other
Source: comScore MobiLens May 2012.
8. Pay-a$-you-go
phones are still
used by ~ 70
million people in
the US
CTIA Wireless Industry Indices: Semi-Annual Data Survey Results, 2012.
9.
10.
11. Patient-centric iPhone apps*
2% 1%
3%
2% Other
4% 18% Cardio Fitness
Diet
5%
Stress/Relax
5% Strength Training
Women's Health
Mental Health
5%
16% Chronic Dx
Calculator
7% Sleep
Emergency
Smoking Cess
8% Med Adherence
14%
10% PHRs
Source: Segmentation of Consumer Health Apps, MobiHealthNews Research, April 2012. *n~13,600
14. “As opposed to the doctor-centric, curative
model of the past, the future is going to be
patient-centric and proactive.”
- NIH Director (Past)
Elias A. Zerhouni, M.D.
15.
16. 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
Percent
Source: Consumer Health Information Corporation, April 2011 (n=395),
17. All adults
84% use
cell phones
35% have apps
24% use apps
The average number of
Adapted from: Purcell K. Information 2.0 and Beyond:
apps on a smartphone is
Where are we, where are we going, Pew Internet &
American Life Project. March 2011 & Nielsen, 2012.
41
18. 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 app
Source: Pew Research Center’s Internet & American Life Project, July 25-August 26, 2011 Tracking Survey.
32. 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.
33.
34.
35. Scan QR code
for the Medicine
2.0’12 research
abstract !
http://bit.ly/OaMiR3
58. “When purchasing the iBGStar at my local
Walgreens, it had not yet reached the store
shelves, and the pharmacist was not even aware
of its existence. However, after retrieving the
device from the back, there was a natural buzz
around 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/
67. The
Dark Side
of mHealth
(hey, we are here at Disney)
68. 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.
73. Summary Points
The patient-centric app marketplace largely
remains ‘buyer beware’ with final FDA regulation
pending
Current evidence is stronger for texting than apps
in improving clinical outcomes/QOL indicators,
but numerous studies are underway
mHealth is a rapidly expanding arena offering
opportunities to improve patient engagement,
activation, and health