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Going Mobile For Public Health
 

Going Mobile For Public Health

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Presentation at CDC Health Communication, Marketing and Media Conference 2008

Presentation at CDC Health Communication, Marketing and Media Conference 2008

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Going Mobile For Public Health Going Mobile For Public Health Presentation Transcript

  • The Idea of Mobile Health R. Craig Lefebvre, PhD Presentation in the panel “ Going Mobile for Public Health” National Conference on Health Communication, Marketing and Media 14 August 2008 Atlanta, GA
  •  
  • What’s Social About Behavior?
    • Treatment adherence
    • Precaution adoption
    • Health information seeking
    • Collective action and advocacy
    • Screening behaviors
    • Quitting addictive behaviors
    • Adopting new ones
  • Social Network Interventions
    • Enhance existing linkages
    • Develop new linkages
    • Enable indigenous helpers
    • Create new networks
    • Empower existing ones
    • Weave together networks
    • Engage communities in new ways
  • Mobile Thoughts
    • When the expectations
    • of wireless experts are
    • realized everyone will
    • have his own pocket
    • telephone and may be
    • called wherever he
    • happens to be…When that
    • invention is perfected, we
    • shall have a new series of
    • daily miracles.
  •  
  • Mobile Phones in 2008
    • Worldwide there are about 800 million registered automobiles.
    • 850 million people use PCs.
    • 1.1 billion people around the world access the internet.
    • Today there are 1.3 billion fixed landline phones.
    • 1.4 billion people carry at least one credit card.
    • There are about 1.5 billion TV sets in use.
    • Last year the total worldwide mobile subscriber base grew from 2.1 billion to 2.7 billion.
  • Eighty percent of the world’s population now lives within range of a cellular network – Sara Corbett, NYT Magazine 7 Apr 2008
  • 1.8 Billion SMS
    • 2X as many users as internet email
    • Worth over $80 billion worldwide
    • Brits send 6 SMS per person, South Koreans send 10, Singaporeans 12 and the Philippinos 15 SMS every day.
    • In South Korea 45% of all music is sold directly to music phones
    • 54% of Helsinki public transportation single tickets to the trams and subways are paid by mobile
    • In South Africa you can have your full paycheck sent to you onto your mobile phone
    • Mobile data is used by anywhere from 540 million (internet access via mobile) to 1.1 billion (non-SMS mobile data services used on mobile) to 1.8 billion (mobile data including SMS)
  • Who Uses It?
    • Over 200 million cell phone subscribers
    • 40% use SMS (32.5 billion txt msgs sent in last half of 2005)
    • 44% of people use their mobile as their main camera
    • 34.6 million use mobile Internet services
    • By 2009, every US mobile subscriber will have a SMS-enabled phone; 98% will be web-enabled
  • … in an increasingly transitory world, the cellphone is becoming the one fixed piece of our identity – Jan Chipchase, User Anthropologist NYT Magazine 7 Apr 2008
  • Health Marketing SexInfo: San Francisco Department of Public Health
    • Address rising prevalence of STDs among urban youth
    • Make it private, personal and timely
    • First quarter:
      • 1,538 inquiries
      • Condom failure, STD info and pregnant (?) top three calls
  • Mobile Health Applications
  • RFID Enabled Cellphones
    • Supply chain management
    • Blood glucose monitoring
    • Exposure to asthma triggers
    • Radiation
    • Product authentication
  • Mobile Health Monitoring
  • Clinical Management of Diabetes
    • 30 patients random assignment
    • Intervention (n=15) received cellphone software with real-time feedback of blood glucose levels, displayed medication regimens and requested additional data needed to evaluate diabetes management.
    • Average decrease in A1c for intervention patients was 2.03%, compared to 0.68% ( P < 0.02, one-tailed) for control patients.
    Quinn, CC, Clough, SS, Minor, JM, Lender, D, Okafor, MC, Gruber-Baldini, A. WellDoc Mobile Diabetes Management Randomized Controlled Trial: Change in Clinical and Behavioral Outcomes and Patient and Physician Satisfaction. Diabetes Technology & Therapeutics . June 1, 2008, 10(3): 160-168. doi:10.1089/dia.2008.0283.
  • Increasing Physical Activity Levels
    • Random assignment of 77 healthy adults
    • Intervention (n=47) received tailored solutions for perceived barriers, a schedule to plan weekly exercise sessions with mobile phone and email reminders, a message board to share their experiences with others, and feedback on their level of physical activity (accelerometers).
    Hurling R, Catt M, De Boni M, Fairley BW, Hurst T, Murray P, Richardson A, Sodhi JS. Using Internet and Mobile Phone Technology to Deliver an Automated Physical Activity Program: Randomized Controlled Trial. J Med Internet Res 2007;9(2):e7 URL: http://www.jmir.org/2007/2/e7/>
  • get.active! internet and mobile physical activity intervention
  • Get.active! Results
    • More than 70% of participants logged on at least twice a week for all 9 weeks of the study
    • The most popular parts of the system were the activity charts (showing the accelerometer feedback), schedule (weekly exercise planner) and chat-room style message board.
    • 3 Month Results: Intervention participants more likely to report
      • Greater increase in intention/expectation
      • to exercise (p<.001)
      • More physical activity via self-report
      • (p=.03) and accelerometer (p=.02)
      • More lost in percent body fat (p=.04)
  • Mobile Activity Guides
  • My FoodPhone
    • Photo food journal
    • Social network features
    • Self-scoring of food choices and portion sizes
    • SMS reminders
    • Track biometric data
  • txt2connect: A Parents TXT Tutorial
    • Parents get a quick answer to their questions.
    • Kids are more apt to respond to text messages when they are with their friends.
    • You, or they, don't have to worry about tone of voice.
    • Texting allows you to enter your child’s world.
    • Text messaging allows parents to compose and edit a message before pressing send.
    • Texting vs. calling gives kids more space but allows parents to keep in touch as often as necessary.
  • Mobile Alerts The school did not notify students by e-mail of the first shootings until 9:26 a.m., said Matt Dixon, who lives in the dorm. Mr. Dixon did not receive the e-mail message until he returned from his 9:05 class. When he left for that class, he said, a resident adviser told him not to use the central stairs, so he left another way…On dry erase boards, advisers had written, “Stay in your rooms,” Mr. Dixon said. - NYT.
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