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Hc2013 my journey mobile app presentation

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My Journey
Mobile App
Evidence for Healthcare Mobile Apps
Sarah Amani
Youth Mental Health Lead
Surrey & Borders Partnershi...
Overview
1. Background
2. Mobile Health App Ecosystem
3. An App a day keeps the doctor away?
4. Evidence for Mobile Health...
Released: 1998
CPU: 233 MHz
RAM: 32 MB (512 MB max)
Storage: 4 GB (+ optical drive)
Display: 38.1 cm Millions of colours
D...

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Hc2013 my journey mobile app presentation

  1. 1. My Journey Mobile App Evidence for Healthcare Mobile Apps Sarah Amani Youth Mental Health Lead Surrey & Borders Partnership NHS Foundation Trust
  2. 2. Overview 1. Background 2. Mobile Health App Ecosystem 3. An App a day keeps the doctor away? 4. Evidence for Mobile Health Apps 5. Next Steps
  3. 3. Released: 1998 CPU: 233 MHz RAM: 32 MB (512 MB max) Storage: 4 GB (+ optical drive) Display: 38.1 cm Millions of colours Dimensions: 40.1 x 38.6 x 44.7 cm Weight: 17.3 kgs Released: 2007 CPU: 412 MHz RAM: 128 MB Storage: 4 GB (8 GB max) Display: 8.9 cm Millions of colours Dimensions: 11.4 x 6.1 x 1.2 cm Weight: 135 g This was ‘portable’... <10 years... The Digital Revolution
  4. 4. http://www.flickr.com/photos/43533334@N07/5153726732 Your mobile phone has all of NASA in 1969. more computing power than
  5. 5. UK Smartphone penetration is 52%... 31 2 Who uses smartphones?
  6. 6. http://www.flickr.com/photos/oimax/3800475934 Public space distractions limited attention mobile usage can be this... glanceable? simple? tedious input personal onehand How do they use smartphones?
  7. 7. “ http://www.flickr.com/photos/armaggeusa/3176297283 The most profound technologies are those that disappear. They weave themselves into the fabric of everyday life until they are indistinguishable from it…. Mark Weiser
  8. 8. work learning navigation discovery With a button or two! creativity video a big screen... web browser + application layer + APIs camera communication play sharing Enabling users to choose music their own experience chat Health
  9. 9. 17,000+ Health Apps
  10. 10. http://www.flickr.com/photos/diloz/5023417436 MY Journey Mobile App
  11. 11. Crowdsourcing
  12. 12. The Design Process
  13. 13. P Phase 1 – February 2012
  14. 14. Phase 2- September 2012
  15. 15. Ce n’est pas un phone times have changed Intuitive Responsive Usable Helpful My Journey Personal Customizable Motivational Testing 1-2-3
  16. 16. Iteration
  17. 17. Modifications
  18. 18. Researching mHealth ClaimClaim HypothesisHypothesis Literature Search of Hypothesis Literature Search of Hypothesis Reconsider Solution Reconsider Solution Validate claim through analysis of existing research Validate claim through analysis of existing research Conduct Primary Research Conduct Primary Research ObservationalObservational Interventiona l Interventiona l Checklist: •Appropriate subject selection •Sufficient Sample Size •Suitable Controls •Outcomes aligned to hypothesis Checklist: •Appropriate subject selection •Sufficient Sample Size •Suitable Controls •Outcomes aligned to hypothesis No evidence to Support hypothesis
  19. 19. Types of Evidence Expert Opinion Expert Opinion Case Studies & Pilots Case Studies & Pilots Multi Time Series trial Multi Time Series trial Multi Centre Trials Multi Centre Trials Non- Randomized Control Trial Non- Randomized Control Trial Randomized Control Trial Randomized Control Trial Referenceability Effort Needed to Produce Evidence Observational Interventional Low High High
  20. 20. Adoption New Health App New Health App Successful Adoption Successful Adoption Technical Questions Regarding safety & Reliability Economic Hurdles e.g. cost- effectiveness Patient/End- User Preferences Clinical Effectiveness Healthcare System Impact e.g. access, impact on service use & hospitalization 1 2 3 4 5
  21. 21. Advantages & Disadvantages Interventional (RCT) Observational Applicability Controlled Environment Real World Patient Population Narrowly Defined General Controls All all times Variable Likelihood of Bias Low High Resource Requirement High Low
  22. 22. The Hypothesis Mobile health apps are effective adjuncts for improving adherence and reducing hospitalizations which reduces healthcare expenditure Mobile health apps are effective adjuncts for improving adherence and reducing hospitalizations which reduces healthcare expenditure
  23. 23. Key Issues for Investigation
  24. 24. Authors: Caroline Free, Gemma Phillips, Louise Watson, Leandro Galli, Lambert Felix, Phil Edwards, Vikram Patel and Andy Haines.
  25. 25. • 42 trials • 11 showed statistically significant benefits in communication between clinicians & people who use services • One study showed less accurate diagnosis through mobile technology photos than gold standard mHealth Meta Analysis Conclusions The results for health care provider support interventions on diagnosis and management outcomes are generally consistent with modest benefits. Trials using mobile technology-based photos reported reductions in correct diagnoses when compared to the gold standard. SMS appointment reminders have modest benefits and may be appropriate for implementation. High quality trials measuring clinical outcomes are needed.
  26. 26. Survey of 20 young people aged 14-25 who used the app The Best Feature About the app is…
  27. 27. Survey of 20 young people aged 14-25 who used the app What will you use the app for?
  28. 28. Service Users My Journey Mobile App Self Rated Measures + Activity Trackers Secure Data Base Electronic Health Record EIIP Team Care Coordinator + MDT Mobile Internet + N3 Network Next Steps
  29. 29. 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 Vancouver Island 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 being coordinated 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 on to either Sarah herself or somebody else well-informed around the project? We are very excited about what this type of tool could do for our service and would like to learn more about it. Many thanks, Ben Vorst Child, Youth, and Family Mental Health Services – Vancouver Island Health Authority Possibilities
  30. 30. Thank You Any Questions? Twitter: @S_Amani

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