• Save
A Systematic Review of the Uses of Mobile Phone Text Messaging in Chronic Disease Prevention & Management
Upcoming SlideShare
Loading in...5
×
 

A Systematic Review of the Uses of Mobile Phone Text Messaging in Chronic Disease Prevention & Management

on

  • 2,438 views

Delivered at the 2010 CDC National Conference on Health Communication, Marketing, and Media; ...

Delivered at the 2010 CDC National Conference on Health Communication, Marketing, and Media;
Panel session entitled, Examining the Power of Text Messages for Health Promotion and Disease Prevention

Statistics

Views

Total Views
2,438
Views on SlideShare
2,433
Embed Views
5

Actions

Likes
3
Downloads
0
Comments
1

2 Embeds 5

http://www.linkedin.com 4
https://www.linkedin.com 1

Accessibility

Categories

Upload Details

Uploaded via as Microsoft PowerPoint

Usage Rights

© All Rights Reserved

Report content

Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
  • Full Name Full Name Comment goes here.
    Are you sure you want to
    Your message goes here
    Processing…
  • Brilliant!!!
    Are you sure you want to
    Your message goes here
    Processing…
Post Comment
Edit your comment
  • A recent PricewaterhouseCoopers analysis determined that productivity losses in workers with chronic disease (such as disability & unplanned absences and inefficiencies) are four times the cost of early treatment.

A Systematic Review of the Uses of Mobile Phone Text Messaging in Chronic Disease Prevention & Management A Systematic Review of the Uses of Mobile Phone Text Messaging in Chronic Disease Prevention & Management Presentation Transcript

  • SMS and Health : A Systematic Review of the Uses of Mobile Phone Text Messaging in Chronic Disease Prevention & Management National Conference on Health Communication, Marketing, and Media Examining the Power of Text Messages for Health Promotion and Disease Prevention Session 19 August 2010 Robert D Furberg, MBA Research Programmer / Analyst Health Communication Program RTI International
  • Acknowledgements
    • This work was carried out under an FY10 Independent Research & Development award from RTI International.
    • Design & development of SMS gateway.
    • Literature review was carried out to inform design specifications.
    • The project team also includes:
      • Annice Kim, PhD
      • Jennifer Gard, MPH
      • Ron Thigpen, MSLS
      • Mark Howell, MSLS
      • Stacey Weger, MSW
      • Nancy Braxton, BA
  • SMS Statistics
    • Text messaging is the most widely used data application in the world, with 2.4B active users, or 74% of all mobile phone subscribers.
    • There are 285.6M wireless subscribers in the United States (91% penetration). Nearly 25% of Americans report being wireless only households.
    • 1.56T text messages were sent in the United States in 2010.
    • 152.7B text messages were sent each month.
  • Disease Statistics
    • More than 100M Americans are currently living with at least one chronic health condition.
    • Unlike acute illnesses that may be amenable to short-term intervention, chronic diseases require long-term monitoring and management, lifestyle changes, and adherence to medication regimens that may be inconvenient or produce side effects.
    • Chronic diseases account for more than 75% of the $2.3T cost of our healthcare system.
  • WWHI Focus Areas http://www.westwirelesshealth.org/wireless-health/focus-areas-disease-management.html (Accessed 15AUG2010)
  • Underlying Theories
    • The process of text messaging itself may complement important constructs (e.g., cues to action, reinforcement, and social support) central to many behavioral theories.
    • Text messaging can be used as a means to deliver prevention components based on theoretical models such as the Theory of Planned Behavior and the Health Belief Model.
  • Welcome to mHealth
    • Mobile health (mHealth) is the use of mobile phone technology to deliver health care.
    • Recently, the investigation and application of this technology to public health has emerged as the “the only viable interactive means of reaching people on a massive scale around the world." (TextMessaging4Health)
    • There is a growing body of evidence that demonstrates the potential of mobile communications to radically improve healthcare services, even in some of the most remote and resource-constrained environments.
  • Literature Review Methods
    • A list of search terms were informed by an environmental scan of grey literature, including key reports, and previous literature reviews on mHealth conducted by RTI staff.
    • Final search terms used for the review included:
      • “ cell phone”
      • “ mobile phone”
      • “ text message”
      • “ Short Message Service”
      • “ SMS”
    • All of the search terms were paired with the keyword “health” to narrow the scope of results.
  • Literature Review Methods
    • The keyword phrases were entered into ISI Web of Science, MEDLINE, Cochrane Library, PsychINFO, and PubMed databases for years 1995 to 2010.
    • RTI’s Library & Information Services initially conducted this literature search of the PubMed database on 11/17/09; the search was expanded to include additional sources listed above and repeated on 04/19/2010.
    • A total of 203 unique results were retrieved.
  • Literature Review Methods
    • The abstract, title, authors, journal name, and publication date were exported into Word and EndNote.
    • Full-text articles were retrieved for all entries by Library & Information Services.
    • Two research associates were oriented to the abstraction form and carried out a controlled review on a standard set of citations to verify results prior to initiating the review.
  • Summary Findings
    • Existing literature on health applications of SMS for health is mostly exploratory in nature.
    • Most researchers use descriptive and qualitative methods to characterize SMS campaigns.
    • Several articles describe surveys of subjects with chronic disease and their level of interest in the use SMS.
    • Randomized or quasi-experimental controlled trials of interventions for disease prevention or management are rare.
  • Disease prevention & management areas
    • Appointment reminders / adherence
    • Asthma / COPD
    • Cardiovascular disease
    • Diabetes
    • Diet / Nutrition
    • HIV / AIDS
    • Mental Health
    • Review articles
    • Sexual / Reproductive health
    • Smoking cessation
    • “Other”
  • Summary Findings
    • Current applications of SMS for health focus on:
      • Health information-seeking
      • Health education / intervention
      • Patient support
      • Mental health treatment
      • Biomedical and public health research
      • Patient-provider communication
      • Fundraising
  • Summary Findings
    • The majority of quantitative studies found evidence of a short-term effect regarding a behavioral or clinical outcome related to disease management.
    • Evidence for text messaging in disease prevention interventions was observed for weight loss, smoking cessation, and diabetes management.
  • Summary Findings
    • There are no RCTs assessing the effect of text messaging on medication adherence in diseased populations.
    • Nevertheless, several studies of medication adherence interventions show the benefits of medication reminders.
    • There is also evidence of the benefits of periodic prompts and reminders as stand-alone interventions for health behavior.
  • Conclusions
    • Initial results suggest that SMS-delivered interventions have positive short-term behavioral outcomes.
    • The increasing uptake of mobile technologies suggests that text messaging may be used to improve existing prevention and management practices.
    • The quality of studies in this emerging field of research needs to improve to allow the full potential of this medium to be explored.
  • Contact
    • Robert D Furberg, MBA
    • Research Programmer / Analyst
    • Health Communication Program
    • RTI International
    • tel: 919.316.3726
    • sms: 919.452.8021
    • twitter: @medicfurby
    • [email_address]