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CALPACT New Media Workshop: Mobile Technology for Public Health


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If you could create a tool that empowers young adults to prevent violence in real time … or a tool that empowers public health and disaster response workers working with the information they need to communicate reliably with headquarters, community leaders, and one another to deliver critical services to hard to reach, vulnerable populations. mHealth (mobile technologies for health) has emerged as an innovative means to do these very things and shape how public health is practiced. In this workshop, the sixth session in the latest 21st Century New Media Series from CALPACT and CHL at UC Berkeley's School of Public Health, Caricia Catalani of Innovative Support to Emergencies, Diseases, and Disasters (InSTEDD) and Deb Levine of Youth + Tech + Health (YTH) share their best practices for using mobile technology in public health.

Enjoy this presentation from the training!

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CALPACT New Media Workshop: Mobile Technology for Public Health

  1. 1. Mobile Tech for Public Health:Focus on Youth and SexualHealthDeb Levine, Founder, YTH(formerly ISIS)UC Berkeley Center forHealth LeadershipJune 12, 2013 Oakland
  2. 2. Why Mobile?•  91% of people in the U.S. own mobilephones•  56% of adults in the U.S. own smartphones•  78% of teens have mobile phones•  36% of teens have smart phones•  There is little disparity in phone ownershipbased on race/ethnicity/socioeconomicstatus
  3. 3. Adult Latina Women•  251 surveys of Latinas aged 16-59 inFresno•  96% have mobile phones•  70% have data plans on their mobilephones
  4. 4. African-American Youth•  Conversations with youth of color in SanFrancisco•  99% have mobile phones; about 20%have more than one•  100% use their phones for calls and SMStext messaging•  66% have data plans on their mobilephones
  5. 5. The Basics: Messaging•  Text messages: 140 – 160 characters, oneway or two way messaging. One way bestused to engage and encourage to take anaction, such as increase access to servicesor sign a petition. Two way good for deepengagement, crisis management. •  Multimedia messaging: Enhanced textmessages with pics, video and audio
  6. 6. The Basics: Web and Apps•  Mobile web: Reaching those who accessthe Internet only via their mobile phones,most often people with greatest economicand health disparities•  Smartphone apps: Makes optimum use ofphone features such as photo, video,GPS, etc. Platform dependent (iPhone/Droid)
  7. 7. Common Uses – Education and outreach– Contraception & appt. reminders– Medication adherence/compliance-  Risk Assessment -  Data Collection
  8. 8. Education and Outreach•  Referrals: Txt clinic + your zip code to 61827 tofind free and low cost health centers•  Education: Txt Hookup to 877877 and weeklytips and life advice
  9. 9. Sample Messages•  (1/4): Chappell Hayes Ctr@McClymondsHS2607Myrtle St. Oakland CA 94607 5108351393•  SexINFO: If u think he/she’s cheating on u, get acheckup 2day STDs can go backnforth most timesthere’s no symptoms drop in City Clinic 356 7th St.415-387-5500•  Hookup: Wanna get buff? Steroids can make a mansbreasts bigger, his nuts smaller, & make u feel angry allthe time. Txt Clinic+ zip code for clinics Pwred by ISIS
  10. 10. Reminders•  Daily, weekly, monthly self-reminders forcontraception–  Sign up online, receive automated msg•  Appointment reminders for follow-ups after STDdiagnoses, annual exams, etc.•  Good results in primary care and other specialtyclinics
  11. 11. Best Practices•  Understand the local mobile landscape•  Community inclusion•  Partnerships (community and tech)•  Multi-media strategy•  Evaluation and marketing built in andbudgeted
  12. 12. Risks and Challenges•  Confidentiality–  Msgs sent via mobile phones are not confidential–  Unclear terms of service by carriers•  Legal compliance–  Cannot send diagnoses via text in US–  Concerns w/partner notification, under-age patients/parental notification, defamation of character•  Staff comfort levels–  Many mobile enabled, but not using SMS for work
  13. 13. Case Studies•  TIPS: Text information portal for Latinawomen in Fresno County•  Oregon Reminders: SMS, Voice and Emailreminders for HIV testing and medication•  Circle of 6: Mobile app to prevent datingviolence and sexual assault on collegecampuses
  14. 14. YTH Live mHealth for Youth track–  SMS to improve medication adherence for HIV+youth: Children’s Hosp of Chicago–  Geolocating apps for HIV prevention: San MateoCounty Health–  Mobile app to help teens find docs: NYC DOH–  SMS and text-chat to replace f/u appointments: Cell-Life, South Africa–  Mobile and tech on a shoestring budget: Family TreeClinic–  Responsive design:
  15. 15. Contact InfoDeb Levine, YTH