My JourneyMobile AppEvidence for Healthcare Mobile AppsSarah AmaniYouth Mental Health LeadSurrey & Borders Partnership NHS Foundation Trust
Overview1. Background2. Mobile Health App Ecosystem3. An App a day keeps the doctor away?4. Evidence for Mobile Health Apps5. Next Steps
Released: 1998CPU: 233 MHzRAM: 32 MB (512 MB max)Storage: 4 GB (+ optical drive)Display: 38.1 cm Millions of coloursDimensions: 40.1 x 38.6 x 44.7 cmWeight: 17.3 kgsReleased: 2007CPU: 412 MHzRAM: 128 MBStorage: 4 GB (8 GB max)Display: 8.9 cm Millions of coloursDimensions: 11.4 x 6.1 x 1.2 cmWeight: 135 gThis was ‘portable’...<10 years...The Digital Revolution
http://www.ﬂickr.com/photos/43533334@N07/5153726732Your mobile phone hasall of NASA in 1969.more computing power than
UKSmartphone penetration is 52%...312Who uses smartphones?
http://www.ﬂickr.com/photos/oimax/3800475934Public spacedistractionslimited attentionmobile usage can be this...glanceable?simple?tedious inputpersonalonehandHow do they use smartphones?
“http://www.ﬂickr.com/photos/armaggeusa/3176297283The most profound technologies are thosethat disappear. They weave themselvesinto the fabric of everyday life until they areindistinguishable from it…. Mark Weiser
worklearningnavigationdiscoveryWith a button or two!creativityvideoa big screen...web browser+applicationlayer+APIscameracommunicationplaysharingEnabling users to choosemusic their own experiencechatHealth
Advantages & DisadvantagesInterventional (RCT) ObservationalApplicability ControlledEnvironmentReal WorldPatient Population Narrowly Defined GeneralControls All all times VariableLikelihood of Bias Low HighResourceRequirementHigh Low
The HypothesisMobile health apps are effective adjuncts forimproving adherence and reducing hospitalizationswhich reduces healthcare expenditureMobile health apps are effective adjuncts forimproving adherence and reducing hospitalizationswhich reduces healthcare expenditure
Authors: Caroline Free, Gemma Phillips, Louise Watson,Leandro Galli, Lambert Felix, Phil Edwards, Vikram Patel andAndy Haines.
• 42 trials• 11 showed statistically significant benefits incommunication between clinicians & people who useservices• One study showed less accurate diagnosis throughmobile technology photos than gold standardmHealth Meta AnalysisConclusionsThe results for health care provider support interventions on diagnosisand management outcomes are generally consistent with modestbenefits. Trials using mobile technology-based photos reported reductionsin correct diagnoses when compared to the gold standard. SMSappointment reminders have modest benefits and may be appropriate forimplementation. High quality trials measuring clinical outcomes areneeded.
Survey of 20 young people aged 14-25 who used the appThe Best Feature About the app is…
Survey of 20 young people aged 14-25 who used the appWhat will you use the app for?
Service UsersMy JourneyMobile AppSelf Rated Measures+Activity TrackersSecure Data BaseElectronic HealthRecordEIIP TeamCare Coordinator+ MDTMobile Internet+N3 NetworkNext Steps
From: Vorst, Bernard [mailto:Bernard.Vorst@viha.ca] Sent: 25 March 2013 20:00To:ComplaintsSubject: Sarah Amani- not actually a complaint, but could find no other e-mail address!Hello,We are the team at the Child, Youth, and Family Mental Health Services of the VancouverIsland Health Authority in Saanich, British Columbia, Canada (it’s a mouthful – I know).Our manager, Elaine Halsall, is very interested in the My Journey App project beingcoordinated by Sarah Amani of NHS South East. Unfortunately, we are unable to find on-line any contact information for Sarah; would it be possible to please pass this message onto either Sarah herself or somebody else well-informed around the project? We are veryexcited about what this type of tool could do for our service and would like to learn moreabout it.Many thanks,Ben VorstChild, Youth, and Family Mental Health Services – Vancouver Island Health AuthorityPossibilities