SlideShare a Scribd company logo
1 of 40
mCollegeHealth:
    Leveraging Mobile for
     Healthier Campuses
         Jay M. Bernhardt, PhD, MPH
Professor and Chair of Health Education and Behavior
   Director, Center for Digital Health and Wellness
     College of Health and Human Performance




                                            @jaybernhardt
Epidemiology of mHealth Access

                       http://rememberitnow.com/blog/tag/mhealth/


                                          @jaybernhardt
Internet Use by Age, 2000-2010




                                 @jaybernhardt
http://www.pewinternet.org/Infographics/Generational-differences-in-online-activities.aspx

                                                                   @jaybernhardt
Social Media Use by Age, 2005-2010




                                @jaybernhardt
http://www.pewinternet.org/Reports/2010/Home-Broadband-2010/Summary-of-Findings.aspx



                                                                                       @jaybernhardt
Cellphone Use by US Adults

Topic                                              Dec 2005                   Dec 2010

Wireless subscribers                               208M                       303M

Wireless penetration                               69%                        96%

Wireless only households                           8%                         27%

Minutes of use                                     1.5T                       2.2T

Annual text messages                               81B                        2.1T




                             http://www.ctia.org/advocacy/research/index.cfm/AID/10378



                                                                                   @jaybernhardt
@jaybernhardt
Mobile-Only Household Health




                               @jaybernhardt
mHealth Dynamic Growth




                         @jaybernhardt
@jaybernhardt
@jaybernhardt
http://healthpopuli.com/wp-content/uploads/2011/06/Adoption-of-mHealth-Initiatives-and-Phases-Globally.jpg


                                                                                @jaybernhardt
mHealth > SMS

   SMS or MMS                                                             Video file
                                                                          (M4V, etc.)
 Voice (human,
 recorded, IVR)                                                           Mobile Web
        Email or                                                          Monitoring
Instant Message                                                           Custom
      Audio file                                                          application
     (MP3, etc.)                                                          program
                                                                          (“apps”)


                     http://www.technobuffalo.com/mobile-devices/phones/the-all-in-one-conundrum-a-delightful-rant/



                                                                                            @jaybernhardt
http://mobihealthnews.com/13368/report-13k-iphone-consumer-health-apps-in-2012/


                                                                                  @jaybernhardt
http://medhealthworld.code.com/wp-content/uploads/2011/03/smarthealth-apps-2015.jpg


                                                           @jaybernhardt
mHealth State of the Science

                           @jaybernhardt
What works in mHealth?
• Hundreds of pilots = Limited evidence base
• Conducted a “review of systematic reviews”
  – Google Scholar search for ‘review’ and terms:
    mHealth, mobile, SMS, cell phone, wireless
• Found 6 full-text systematic-reviews
  – Broad topics: Healthcare, Health services,
    Maternal and Child Health, Behavior change
  – Narrow topics: Diabetes management,
    Chronic pain, Hospital appointments
  – Mobile channels: Voice, SMS, email, etc.

                                                 @jaybernhardt
Free et al. (2010) The effectiveness of m-health
technologies for improving health and health services:
  A systematic review protocol. BMC Research Notes.


• mHealth interventions taxonomy:
  – Improve diagnosis, treatment, monitoring
  – Deliver treatment or disease management, health
    promotion, improve treatment compliance
  – Improve processes, attendance, reminders



                                                @jaybernhardt
Free et al. (2010) The effectiveness of m-health
technologies for improving health and health services:
  A systematic review protocol. BMC Research Notes.
• Clinical decision support   • Treatment programs
  systems (diagnosis &        • Chronic disease
  disease management)           management
• Medical education           • Medication adherence
• Disease monitoring          • Health behavior change
• Data collection tools       • Acute disease
• Medical records               management
• Test results notification   • Untargeted mass health
• Appointment reminders         promotion

                                                 @jaybernhardt
Cole-Lewis & Kershaw (2010) Text messaging as a
tool for behavior change in disease prevention and
        management. Epidemiologic Review.

• Reviewed 12 studies (17 articles) using SMS
  – Intervention length ranged from 3-12 months
  – Sample sizes (n=16-126, + 1,705)
  – Disease management: Diabetes, Asthma
  – Disease prevention: Medication adherence,
    Weight loss, Physical activity, Smoking cessation
  – 8 of 9 powered studies found
    evidence of significant behavior change


                                                 @jaybernhardt
Holtz & Lauckner (2012) Diabetes Management via Mobile
 Phones: A Systematic Review, Telemedicine and e-Health

• 21 studies reviewed from 2010 and 2011
• Interventions:
  – Diary/log, Reminders, Education
• Significant outcomes:
  – Self-efficacy, HbA1c, Self-management behaviors
• Limitations:
  – Small samples (n=6-100)
  – Short durations (2 weeks - 1 year)
  – Technical issues (67% of studies)


                                                 @jaybernhardt
Krishna et al. (2009) Healthcare via Cell Phones:
A Systematic Review, Telemedicine and e-Health
•   25 studies conducted in 13 countries
•   Interventions: SMS, voice, email, or combination
•   Message frequency: 5x day – 1x week
•   Significant Improvements (60% of measures):
    – Processes: Appointment attendance, Diagnosis and
      treatment time, Improved teaching and training.
    – Clinical outcomes: Adherence, Asthma, HbA1C,
      Stress levels, Smoking quit rates, Self-efficacy.
    – Limited data on cost/benefit


                                                   @jaybernhardt
Fjeldsoe et al. (2009) Behavior change
  interventions delivered by mobile telephone
          short-message service. AJPM.
• Reviewed 14 studies (4 = prevention; 10 = care)
   – Intervention length: 6 weeks to 1 year
   – Sample sizes: 10-1705
   – 4 of 14 used theory-based intervention
• 13 of 14 found positive behavior change outcomes
• Most effective SMS interventions:
   – SMS dialogue initiation
   – Tailored SMS content
   – Interactive SMS exchanges

                                                @jaybernhardt
Hasvold & Wooton (2011) Use of telephone
    and SMS reminders to improve attendance at
     hospital appointments: A systematic review.
        Journal of Telemedicine and Telecare.

• Reviewed 29 studies with 33 interventions
  – Study sizes: n=325-2864
  – Study durations: 2-7 months
• 32 of 33 interventions showed benefits of
  sending patient reminders prior to appointments
  – Manual calls more effective than automated
    reminders (39% vs. 29%) but higher cost
  – No differences on reminder timing

                                                 @jaybernhardt
Tamrat & Kachnowski (2011) Special Delivery: An
 analysis of mHealth in maternal and newborn health
programs and their outcomes around the world. MCHJ.

• Reviewed 34 articles in developing countries
  – Topics: Emergency medical response, point-of-
    care support, health promotion, data collection
• Most studies showed positive benefits
  – Minimize time barriers and facilitate urgent care
  – Address low coverage and professional isolation
  – SMS messages/reminders for health promotion
  – Data collection and interoperability

                                                @jaybernhardt
mHealth Review of Reviews: Summary
• SMS-based interventions can be effective for:
  – Simple behaviors (e.g., reminders, appointments)
  – Short-term complex behaviors
    (e.g., adherence, smoking cessation, disease self-
    management) if:
     • SMS messages are individually-tailored
     • SMS messages facilitate interactive dialogue
• More research and evaluation are needed:
  – Larger samples, longer durations, more cost data
  – mHealth beyond SMS (voice, IVR, mWeb, apps)
                                                      @jaybernhardt
Selected mHealth Examples:
 Adult and College Health

                             @jaybernhardt
Don’t forget your
multivitamin! Baby’s spine
and brain are developing now.
Getting 400 micrograms of
folic acid daily is key to help
prevent birth defects.

Reply                Back




                                  http://text4baby.org

                                        @jaybernhardt
http://voxiva.com

    @jaybernhardt
@jaybernhardt
Location Based mHealth Programs




                            @jaybernhardt
Mobile Web




             @jaybernhardt
Quantified Self




                               http://nike.com
                               http://fitbit.com
                  http://www.diabetesmine.com
                           http://sleepzine.com


                        @jaybernhardt
http://challenge.gov

      @jaybernhardt
Top mHealth Apps for College Students




                                @jaybernhardt
“Real” Top mHealth Apps for College Students




                                        http://www.watblog.com
                                     http://www.gadgetsdna.com
                                       http://hireheathervilla.com



                                             @jaybernhardt
mHealth Overview
mHealth Applications:         mHealth Channels:
• Call Centers
• Emergency Alerts            • SMS or MMS
• Appointment Reminders       • Voice (human,
• Patient Records               recorded, IVR)
• Health Surveys              • Email or IMs
• Monitoring & Surveillance   • Audio files
• Treatment Adherence         • Video files
• Health Promotion            • Mobile Web
                              • Monitoring
• Mobile Telemedicine
                              • Custom apps
• Community Mobilization
• Decision Support Systems


                                             @jaybernhardt
College mHealth Summary

• Many positives for mHealth interventions
   – Increased & Sustained Reach
   – Audience Relevance, Involvement, and Engagement
   – Scalable and Affordable Interventions
   – Facilitates Measurement and Program Evaluation
   – Early evidence-base for SMS interventions is promising
• Many challenges remain for mHealth
   – Limited expertise and resources among professionals
   – More research and evaluation with sustained programs


                                                        @jaybernhardt
THANK
                       YOU
jaybernhardt@ufl.edu
  jaybernhardt.com
    @jaybernhardt


    http://collegelife.bellerosewebmedia.com/thinking-of-joining-a-fraternity?ref=frontpage


                                                                @jaybernhardt

More Related Content

Viewers also liked

Social marketing and social media for social change
Social marketing and social media for social changeSocial marketing and social media for social change
Social marketing and social media for social changeJay Bernhardt
 
NCRP Communicaton 2.0
NCRP Communicaton 2.0NCRP Communicaton 2.0
NCRP Communicaton 2.0Jay Bernhardt
 
The Future of mHealth
The Future of mHealthThe Future of mHealth
The Future of mHealthJay Bernhardt
 
mHealth: The future of health is mobile
mHealth: The future of health is mobilemHealth: The future of health is mobile
mHealth: The future of health is mobileJay Bernhardt
 

Viewers also liked (6)

Social marketing and social media for social change
Social marketing and social media for social changeSocial marketing and social media for social change
Social marketing and social media for social change
 
NCRP Communicaton 2.0
NCRP Communicaton 2.0NCRP Communicaton 2.0
NCRP Communicaton 2.0
 
College Health 2.0
College Health 2.0College Health 2.0
College Health 2.0
 
The Future of mHealth
The Future of mHealthThe Future of mHealth
The Future of mHealth
 
Healthy Aging 2.0
Healthy Aging 2.0Healthy Aging 2.0
Healthy Aging 2.0
 
mHealth: The future of health is mobile
mHealth: The future of health is mobilemHealth: The future of health is mobile
mHealth: The future of health is mobile
 

Similar to mCollegeHealth: Leveraging Mobile for Healthier Campus

Pediatrics 2.0: Digital Health Promotion for Behavior Change
Pediatrics 2.0: Digital Health Promotion for Behavior ChangePediatrics 2.0: Digital Health Promotion for Behavior Change
Pediatrics 2.0: Digital Health Promotion for Behavior ChangeJay Bernhardt
 
Student Engagement in mHealth
Student Engagement in mHealthStudent Engagement in mHealth
Student Engagement in mHealthJess Jacobs
 
How Informatics Will Change the Future of Pharmacy
How Informatics Will Change the Future of PharmacyHow Informatics Will Change the Future of Pharmacy
How Informatics Will Change the Future of PharmacyKevin Clauson
 
Facilitating cross-talk in mHealth intervention development
Facilitating cross-talk in mHealth intervention developmentFacilitating cross-talk in mHealth intervention development
Facilitating cross-talk in mHealth intervention developmentMegan Ranney
 
Introduction to mHealth
Introduction to mHealthIntroduction to mHealth
Introduction to mHealthJess Jacobs
 
Labrique global health v4
Labrique global health v4Labrique global health v4
Labrique global health v4Johns Hopkins
 
Mobile Rapid Response Tobacco Surveillance
Mobile Rapid Response Tobacco Surveillance Mobile Rapid Response Tobacco Surveillance
Mobile Rapid Response Tobacco Surveillance AmericanLegacyFoundation
 
Driving Change with mHealth
Driving Change with mHealthDriving Change with mHealth
Driving Change with mHealthKevin Clauson
 
FINAL PRESENTATION - Mobile Technology & Consumer Behaviour Change
FINAL PRESENTATION - Mobile Technology & Consumer Behaviour ChangeFINAL PRESENTATION - Mobile Technology & Consumer Behaviour Change
FINAL PRESENTATION - Mobile Technology & Consumer Behaviour ChangePhilip "Pip" Tsepelidis
 
Connected Health & Me - Matic Meglic - Nov 24th 2014
Connected Health & Me - Matic Meglic - Nov 24th 2014Connected Health & Me - Matic Meglic - Nov 24th 2014
Connected Health & Me - Matic Meglic - Nov 24th 2014ipposi
 
Impact of Texting & Predictive Potential of Health Literacy on Medication Adh...
Impact of Texting & Predictive Potential of Health Literacy on Medication Adh...Impact of Texting & Predictive Potential of Health Literacy on Medication Adh...
Impact of Texting & Predictive Potential of Health Literacy on Medication Adh...Kevin Clauson
 
Health Guardian - Little Green Monsters
Health Guardian - Little Green MonstersHealth Guardian - Little Green Monsters
Health Guardian - Little Green MonstersMannMadeMedia
 
Leveraging Mobile Technologies for Mental Health
Leveraging Mobile Technologies for Mental HealthLeveraging Mobile Technologies for Mental Health
Leveraging Mobile Technologies for Mental HealthUBC eHealth Strategy Office
 
Health Guardian - Little Green Monsters
Health Guardian - Little Green MonstersHealth Guardian - Little Green Monsters
Health Guardian - Little Green MonstersMannMadeMedia
 
Health guardian little green monsters
Health guardian   little green monstersHealth guardian   little green monsters
Health guardian little green monstersHristo Deliolanov
 
Big data for better life
Big data for better lifeBig data for better life
Big data for better lifeShrutika Oswal
 
Confused About Nutrition and Technology?
Confused About Nutrition and Technology?Confused About Nutrition and Technology?
Confused About Nutrition and Technology?Nadine Fisher
 

Similar to mCollegeHealth: Leveraging Mobile for Healthier Campus (20)

Pediatrics 2.0: Digital Health Promotion for Behavior Change
Pediatrics 2.0: Digital Health Promotion for Behavior ChangePediatrics 2.0: Digital Health Promotion for Behavior Change
Pediatrics 2.0: Digital Health Promotion for Behavior Change
 
Mobile Apps in Clinical Settings
Mobile Apps in Clinical SettingsMobile Apps in Clinical Settings
Mobile Apps in Clinical Settings
 
Student Engagement in mHealth
Student Engagement in mHealthStudent Engagement in mHealth
Student Engagement in mHealth
 
How Informatics Will Change the Future of Pharmacy
How Informatics Will Change the Future of PharmacyHow Informatics Will Change the Future of Pharmacy
How Informatics Will Change the Future of Pharmacy
 
Facilitating cross-talk in mHealth intervention development
Facilitating cross-talk in mHealth intervention developmentFacilitating cross-talk in mHealth intervention development
Facilitating cross-talk in mHealth intervention development
 
Introduction to mHealth
Introduction to mHealthIntroduction to mHealth
Introduction to mHealth
 
Labrique global health v4
Labrique global health v4Labrique global health v4
Labrique global health v4
 
Mobile Rapid Response Tobacco Surveillance
Mobile Rapid Response Tobacco Surveillance Mobile Rapid Response Tobacco Surveillance
Mobile Rapid Response Tobacco Surveillance
 
Kirchner_CDC OSH 2011
Kirchner_CDC OSH 2011Kirchner_CDC OSH 2011
Kirchner_CDC OSH 2011
 
Driving Change with mHealth
Driving Change with mHealthDriving Change with mHealth
Driving Change with mHealth
 
FINAL PRESENTATION - Mobile Technology & Consumer Behaviour Change
FINAL PRESENTATION - Mobile Technology & Consumer Behaviour ChangeFINAL PRESENTATION - Mobile Technology & Consumer Behaviour Change
FINAL PRESENTATION - Mobile Technology & Consumer Behaviour Change
 
Connected Health & Me - Matic Meglic - Nov 24th 2014
Connected Health & Me - Matic Meglic - Nov 24th 2014Connected Health & Me - Matic Meglic - Nov 24th 2014
Connected Health & Me - Matic Meglic - Nov 24th 2014
 
Impact of Texting & Predictive Potential of Health Literacy on Medication Adh...
Impact of Texting & Predictive Potential of Health Literacy on Medication Adh...Impact of Texting & Predictive Potential of Health Literacy on Medication Adh...
Impact of Texting & Predictive Potential of Health Literacy on Medication Adh...
 
Health Guardian - Little Green Monsters
Health Guardian - Little Green MonstersHealth Guardian - Little Green Monsters
Health Guardian - Little Green Monsters
 
Leveraging Mobile Technologies for Mental Health
Leveraging Mobile Technologies for Mental HealthLeveraging Mobile Technologies for Mental Health
Leveraging Mobile Technologies for Mental Health
 
Integrated health monitoring
Integrated health monitoringIntegrated health monitoring
Integrated health monitoring
 
Health Guardian - Little Green Monsters
Health Guardian - Little Green MonstersHealth Guardian - Little Green Monsters
Health Guardian - Little Green Monsters
 
Health guardian little green monsters
Health guardian   little green monstersHealth guardian   little green monsters
Health guardian little green monsters
 
Big data for better life
Big data for better lifeBig data for better life
Big data for better life
 
Confused About Nutrition and Technology?
Confused About Nutrition and Technology?Confused About Nutrition and Technology?
Confused About Nutrition and Technology?
 

More from Jay Bernhardt

The Dos and Don'ts of Digital: Using Social Media for Professional Advancement
The Dos and Don'ts of Digital: Using Social Media for Professional AdvancementThe Dos and Don'ts of Digital: Using Social Media for Professional Advancement
The Dos and Don'ts of Digital: Using Social Media for Professional AdvancementJay Bernhardt
 
Digital Health Departments: Using New Media for Greater Engagement and Impact
Digital Health Departments:Using New Media for Greater Engagement and ImpactDigital Health Departments:Using New Media for Greater Engagement and Impact
Digital Health Departments: Using New Media for Greater Engagement and ImpactJay Bernhardt
 
Social Media for Professional Advancement
Social Media for Professional AdvancementSocial Media for Professional Advancement
Social Media for Professional AdvancementJay Bernhardt
 
mHealth for Alcohol
mHealth for Alcohol mHealth for Alcohol
mHealth for Alcohol Jay Bernhardt
 

More from Jay Bernhardt (6)

The Dos and Don'ts of Digital: Using Social Media for Professional Advancement
The Dos and Don'ts of Digital: Using Social Media for Professional AdvancementThe Dos and Don'ts of Digital: Using Social Media for Professional Advancement
The Dos and Don'ts of Digital: Using Social Media for Professional Advancement
 
Digital Health Departments: Using New Media for Greater Engagement and Impact
Digital Health Departments:Using New Media for Greater Engagement and ImpactDigital Health Departments:Using New Media for Greater Engagement and Impact
Digital Health Departments: Using New Media for Greater Engagement and Impact
 
Social Media for Professional Advancement
Social Media for Professional AdvancementSocial Media for Professional Advancement
Social Media for Professional Advancement
 
mHealth for Alcohol
mHealth for Alcohol mHealth for Alcohol
mHealth for Alcohol
 
Public Health 2.0
Public Health 2.0Public Health 2.0
Public Health 2.0
 
091409 U Of Florida
091409 U Of Florida091409 U Of Florida
091409 U Of Florida
 

Recently uploaded

AORTIC DISSECTION and management of aortic dissection
AORTIC DISSECTION and management of aortic dissectionAORTIC DISSECTION and management of aortic dissection
AORTIC DISSECTION and management of aortic dissectiondrhanifmohdali
 
power point presentation of Clinical evaluation of strabismus
power point presentation of Clinical evaluation  of strabismuspower point presentation of Clinical evaluation  of strabismus
power point presentation of Clinical evaluation of strabismusChandrasekar Reddy
 
Clinical Research Informatics Year-in-Review 2024
Clinical Research Informatics Year-in-Review 2024Clinical Research Informatics Year-in-Review 2024
Clinical Research Informatics Year-in-Review 2024Peter Embi
 
Role of Soap based and synthetic or syndets bar
Role of  Soap based and synthetic or syndets barRole of  Soap based and synthetic or syndets bar
Role of Soap based and synthetic or syndets barmohitRahangdale
 
Generative AI in Health Care a scoping review and a persoanl experience.
Generative AI in Health Care a scoping review and a persoanl experience.Generative AI in Health Care a scoping review and a persoanl experience.
Generative AI in Health Care a scoping review and a persoanl experience.Vaikunthan Rajaratnam
 
Red Blood Cells_anemia & polycythemia.pdf
Red Blood Cells_anemia & polycythemia.pdfRed Blood Cells_anemia & polycythemia.pdf
Red Blood Cells_anemia & polycythemia.pdfMedicoseAcademics
 
CPR.nursingoutlook.pdf , Bsc nursing student
CPR.nursingoutlook.pdf , Bsc nursing studentCPR.nursingoutlook.pdf , Bsc nursing student
CPR.nursingoutlook.pdf , Bsc nursing studentsaileshpanda05
 
Unit I herbs as raw materials, biodynamic agriculture.ppt
Unit I herbs as raw materials, biodynamic agriculture.pptUnit I herbs as raw materials, biodynamic agriculture.ppt
Unit I herbs as raw materials, biodynamic agriculture.pptPradnya Wadekar
 
ayurvedic formulations herbal drug technologyppt
ayurvedic formulations herbal drug technologypptayurvedic formulations herbal drug technologyppt
ayurvedic formulations herbal drug technologypptPradnya Wadekar
 
SGK ĐIỆN GIẬT ĐHYHN RẤT LÀ HAY TUYỆT VỜI.pdf
SGK ĐIỆN GIẬT ĐHYHN        RẤT LÀ HAY TUYỆT VỜI.pdfSGK ĐIỆN GIẬT ĐHYHN        RẤT LÀ HAY TUYỆT VỜI.pdf
SGK ĐIỆN GIẬT ĐHYHN RẤT LÀ HAY TUYỆT VỜI.pdfHongBiThi1
 
Trustworthiness of AI based predictions Aachen 2024
Trustworthiness of AI based predictions Aachen 2024Trustworthiness of AI based predictions Aachen 2024
Trustworthiness of AI based predictions Aachen 2024EwoutSteyerberg1
 
SGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdf
SGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdfSGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdf
SGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdfHongBiThi1
 
blood bank management system project report
blood bank management system project reportblood bank management system project report
blood bank management system project reportNARMADAPETROLEUMGAS
 
pA2 value, Schild plot and pD2 values- applications in pharmacology
pA2 value, Schild plot and pD2 values- applications in pharmacologypA2 value, Schild plot and pD2 values- applications in pharmacology
pA2 value, Schild plot and pD2 values- applications in pharmacologyDeepakDaniel9
 
ORAL HYPOGLYCAEMIC AGENTS - PART 2.pptx
ORAL HYPOGLYCAEMIC AGENTS  - PART 2.pptxORAL HYPOGLYCAEMIC AGENTS  - PART 2.pptx
ORAL HYPOGLYCAEMIC AGENTS - PART 2.pptxNIKITA BHUTE
 
Basic structure of hair and hair growth cycle.pptx
Basic structure of hair and hair growth cycle.pptxBasic structure of hair and hair growth cycle.pptx
Basic structure of hair and hair growth cycle.pptxkomalt2001
 
How to cure cirrhosis and chronic hepatitis naturally
How to cure cirrhosis and chronic hepatitis naturallyHow to cure cirrhosis and chronic hepatitis naturally
How to cure cirrhosis and chronic hepatitis naturallyZurück zum Ursprung
 
SGK RỐI LOẠN TOAN KIỀM ĐHYHN RẤT HAY VÀ ĐẶC SẮC.pdf
SGK RỐI LOẠN TOAN KIỀM ĐHYHN RẤT HAY VÀ ĐẶC SẮC.pdfSGK RỐI LOẠN TOAN KIỀM ĐHYHN RẤT HAY VÀ ĐẶC SẮC.pdf
SGK RỐI LOẠN TOAN KIỀM ĐHYHN RẤT HAY VÀ ĐẶC SẮC.pdfHongBiThi1
 

Recently uploaded (20)

AORTIC DISSECTION and management of aortic dissection
AORTIC DISSECTION and management of aortic dissectionAORTIC DISSECTION and management of aortic dissection
AORTIC DISSECTION and management of aortic dissection
 
power point presentation of Clinical evaluation of strabismus
power point presentation of Clinical evaluation  of strabismuspower point presentation of Clinical evaluation  of strabismus
power point presentation of Clinical evaluation of strabismus
 
Clinical Research Informatics Year-in-Review 2024
Clinical Research Informatics Year-in-Review 2024Clinical Research Informatics Year-in-Review 2024
Clinical Research Informatics Year-in-Review 2024
 
Role of Soap based and synthetic or syndets bar
Role of  Soap based and synthetic or syndets barRole of  Soap based and synthetic or syndets bar
Role of Soap based and synthetic or syndets bar
 
Generative AI in Health Care a scoping review and a persoanl experience.
Generative AI in Health Care a scoping review and a persoanl experience.Generative AI in Health Care a scoping review and a persoanl experience.
Generative AI in Health Care a scoping review and a persoanl experience.
 
Immune labs basics part 1 acute phase reactants ESR, CRP Ahmed Yehia Ismaeel,...
Immune labs basics part 1 acute phase reactants ESR, CRP Ahmed Yehia Ismaeel,...Immune labs basics part 1 acute phase reactants ESR, CRP Ahmed Yehia Ismaeel,...
Immune labs basics part 1 acute phase reactants ESR, CRP Ahmed Yehia Ismaeel,...
 
Red Blood Cells_anemia & polycythemia.pdf
Red Blood Cells_anemia & polycythemia.pdfRed Blood Cells_anemia & polycythemia.pdf
Red Blood Cells_anemia & polycythemia.pdf
 
CPR.nursingoutlook.pdf , Bsc nursing student
CPR.nursingoutlook.pdf , Bsc nursing studentCPR.nursingoutlook.pdf , Bsc nursing student
CPR.nursingoutlook.pdf , Bsc nursing student
 
Unit I herbs as raw materials, biodynamic agriculture.ppt
Unit I herbs as raw materials, biodynamic agriculture.pptUnit I herbs as raw materials, biodynamic agriculture.ppt
Unit I herbs as raw materials, biodynamic agriculture.ppt
 
GOUT UPDATE AHMED YEHIA 2024, case based approach with application of the lat...
GOUT UPDATE AHMED YEHIA 2024, case based approach with application of the lat...GOUT UPDATE AHMED YEHIA 2024, case based approach with application of the lat...
GOUT UPDATE AHMED YEHIA 2024, case based approach with application of the lat...
 
ayurvedic formulations herbal drug technologyppt
ayurvedic formulations herbal drug technologypptayurvedic formulations herbal drug technologyppt
ayurvedic formulations herbal drug technologyppt
 
SGK ĐIỆN GIẬT ĐHYHN RẤT LÀ HAY TUYỆT VỜI.pdf
SGK ĐIỆN GIẬT ĐHYHN        RẤT LÀ HAY TUYỆT VỜI.pdfSGK ĐIỆN GIẬT ĐHYHN        RẤT LÀ HAY TUYỆT VỜI.pdf
SGK ĐIỆN GIẬT ĐHYHN RẤT LÀ HAY TUYỆT VỜI.pdf
 
Trustworthiness of AI based predictions Aachen 2024
Trustworthiness of AI based predictions Aachen 2024Trustworthiness of AI based predictions Aachen 2024
Trustworthiness of AI based predictions Aachen 2024
 
SGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdf
SGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdfSGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdf
SGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdf
 
blood bank management system project report
blood bank management system project reportblood bank management system project report
blood bank management system project report
 
pA2 value, Schild plot and pD2 values- applications in pharmacology
pA2 value, Schild plot and pD2 values- applications in pharmacologypA2 value, Schild plot and pD2 values- applications in pharmacology
pA2 value, Schild plot and pD2 values- applications in pharmacology
 
ORAL HYPOGLYCAEMIC AGENTS - PART 2.pptx
ORAL HYPOGLYCAEMIC AGENTS  - PART 2.pptxORAL HYPOGLYCAEMIC AGENTS  - PART 2.pptx
ORAL HYPOGLYCAEMIC AGENTS - PART 2.pptx
 
Basic structure of hair and hair growth cycle.pptx
Basic structure of hair and hair growth cycle.pptxBasic structure of hair and hair growth cycle.pptx
Basic structure of hair and hair growth cycle.pptx
 
How to cure cirrhosis and chronic hepatitis naturally
How to cure cirrhosis and chronic hepatitis naturallyHow to cure cirrhosis and chronic hepatitis naturally
How to cure cirrhosis and chronic hepatitis naturally
 
SGK RỐI LOẠN TOAN KIỀM ĐHYHN RẤT HAY VÀ ĐẶC SẮC.pdf
SGK RỐI LOẠN TOAN KIỀM ĐHYHN RẤT HAY VÀ ĐẶC SẮC.pdfSGK RỐI LOẠN TOAN KIỀM ĐHYHN RẤT HAY VÀ ĐẶC SẮC.pdf
SGK RỐI LOẠN TOAN KIỀM ĐHYHN RẤT HAY VÀ ĐẶC SẮC.pdf
 

mCollegeHealth: Leveraging Mobile for Healthier Campus

  • 1. mCollegeHealth: Leveraging Mobile for Healthier Campuses Jay M. Bernhardt, PhD, MPH Professor and Chair of Health Education and Behavior Director, Center for Digital Health and Wellness College of Health and Human Performance @jaybernhardt
  • 2. Epidemiology of mHealth Access http://rememberitnow.com/blog/tag/mhealth/ @jaybernhardt
  • 3. Internet Use by Age, 2000-2010 @jaybernhardt
  • 5. Social Media Use by Age, 2005-2010 @jaybernhardt
  • 7. Cellphone Use by US Adults Topic Dec 2005 Dec 2010 Wireless subscribers 208M 303M Wireless penetration 69% 96% Wireless only households 8% 27% Minutes of use 1.5T 2.2T Annual text messages 81B 2.1T http://www.ctia.org/advocacy/research/index.cfm/AID/10378 @jaybernhardt
  • 10. mHealth Dynamic Growth @jaybernhardt
  • 14. mHealth > SMS SMS or MMS Video file (M4V, etc.) Voice (human, recorded, IVR) Mobile Web Email or Monitoring Instant Message Custom Audio file application (MP3, etc.) program (“apps”) http://www.technobuffalo.com/mobile-devices/phones/the-all-in-one-conundrum-a-delightful-rant/ @jaybernhardt
  • 17. mHealth State of the Science @jaybernhardt
  • 18. What works in mHealth? • Hundreds of pilots = Limited evidence base • Conducted a “review of systematic reviews” – Google Scholar search for ‘review’ and terms: mHealth, mobile, SMS, cell phone, wireless • Found 6 full-text systematic-reviews – Broad topics: Healthcare, Health services, Maternal and Child Health, Behavior change – Narrow topics: Diabetes management, Chronic pain, Hospital appointments – Mobile channels: Voice, SMS, email, etc. @jaybernhardt
  • 19. Free et al. (2010) The effectiveness of m-health technologies for improving health and health services: A systematic review protocol. BMC Research Notes. • mHealth interventions taxonomy: – Improve diagnosis, treatment, monitoring – Deliver treatment or disease management, health promotion, improve treatment compliance – Improve processes, attendance, reminders @jaybernhardt
  • 20. Free et al. (2010) The effectiveness of m-health technologies for improving health and health services: A systematic review protocol. BMC Research Notes. • Clinical decision support • Treatment programs systems (diagnosis & • Chronic disease disease management) management • Medical education • Medication adherence • Disease monitoring • Health behavior change • Data collection tools • Acute disease • Medical records management • Test results notification • Untargeted mass health • Appointment reminders promotion @jaybernhardt
  • 21. Cole-Lewis & Kershaw (2010) Text messaging as a tool for behavior change in disease prevention and management. Epidemiologic Review. • Reviewed 12 studies (17 articles) using SMS – Intervention length ranged from 3-12 months – Sample sizes (n=16-126, + 1,705) – Disease management: Diabetes, Asthma – Disease prevention: Medication adherence, Weight loss, Physical activity, Smoking cessation – 8 of 9 powered studies found evidence of significant behavior change @jaybernhardt
  • 22. Holtz & Lauckner (2012) Diabetes Management via Mobile Phones: A Systematic Review, Telemedicine and e-Health • 21 studies reviewed from 2010 and 2011 • Interventions: – Diary/log, Reminders, Education • Significant outcomes: – Self-efficacy, HbA1c, Self-management behaviors • Limitations: – Small samples (n=6-100) – Short durations (2 weeks - 1 year) – Technical issues (67% of studies) @jaybernhardt
  • 23. Krishna et al. (2009) Healthcare via Cell Phones: A Systematic Review, Telemedicine and e-Health • 25 studies conducted in 13 countries • Interventions: SMS, voice, email, or combination • Message frequency: 5x day – 1x week • Significant Improvements (60% of measures): – Processes: Appointment attendance, Diagnosis and treatment time, Improved teaching and training. – Clinical outcomes: Adherence, Asthma, HbA1C, Stress levels, Smoking quit rates, Self-efficacy. – Limited data on cost/benefit @jaybernhardt
  • 24. Fjeldsoe et al. (2009) Behavior change interventions delivered by mobile telephone short-message service. AJPM. • Reviewed 14 studies (4 = prevention; 10 = care) – Intervention length: 6 weeks to 1 year – Sample sizes: 10-1705 – 4 of 14 used theory-based intervention • 13 of 14 found positive behavior change outcomes • Most effective SMS interventions: – SMS dialogue initiation – Tailored SMS content – Interactive SMS exchanges @jaybernhardt
  • 25. Hasvold & Wooton (2011) Use of telephone and SMS reminders to improve attendance at hospital appointments: A systematic review. Journal of Telemedicine and Telecare. • Reviewed 29 studies with 33 interventions – Study sizes: n=325-2864 – Study durations: 2-7 months • 32 of 33 interventions showed benefits of sending patient reminders prior to appointments – Manual calls more effective than automated reminders (39% vs. 29%) but higher cost – No differences on reminder timing @jaybernhardt
  • 26. Tamrat & Kachnowski (2011) Special Delivery: An analysis of mHealth in maternal and newborn health programs and their outcomes around the world. MCHJ. • Reviewed 34 articles in developing countries – Topics: Emergency medical response, point-of- care support, health promotion, data collection • Most studies showed positive benefits – Minimize time barriers and facilitate urgent care – Address low coverage and professional isolation – SMS messages/reminders for health promotion – Data collection and interoperability @jaybernhardt
  • 27. mHealth Review of Reviews: Summary • SMS-based interventions can be effective for: – Simple behaviors (e.g., reminders, appointments) – Short-term complex behaviors (e.g., adherence, smoking cessation, disease self- management) if: • SMS messages are individually-tailored • SMS messages facilitate interactive dialogue • More research and evaluation are needed: – Larger samples, longer durations, more cost data – mHealth beyond SMS (voice, IVR, mWeb, apps) @jaybernhardt
  • 28. Selected mHealth Examples: Adult and College Health @jaybernhardt
  • 29. Don’t forget your multivitamin! Baby’s spine and brain are developing now. Getting 400 micrograms of folic acid daily is key to help prevent birth defects. Reply Back http://text4baby.org @jaybernhardt
  • 30. http://voxiva.com @jaybernhardt
  • 32. Location Based mHealth Programs @jaybernhardt
  • 33. Mobile Web @jaybernhardt
  • 34. Quantified Self http://nike.com http://fitbit.com http://www.diabetesmine.com http://sleepzine.com @jaybernhardt
  • 35. http://challenge.gov @jaybernhardt
  • 36. Top mHealth Apps for College Students @jaybernhardt
  • 37. “Real” Top mHealth Apps for College Students http://www.watblog.com http://www.gadgetsdna.com http://hireheathervilla.com @jaybernhardt
  • 38. mHealth Overview mHealth Applications: mHealth Channels: • Call Centers • Emergency Alerts • SMS or MMS • Appointment Reminders • Voice (human, • Patient Records recorded, IVR) • Health Surveys • Email or IMs • Monitoring & Surveillance • Audio files • Treatment Adherence • Video files • Health Promotion • Mobile Web • Monitoring • Mobile Telemedicine • Custom apps • Community Mobilization • Decision Support Systems @jaybernhardt
  • 39. College mHealth Summary • Many positives for mHealth interventions – Increased & Sustained Reach – Audience Relevance, Involvement, and Engagement – Scalable and Affordable Interventions – Facilitates Measurement and Program Evaluation – Early evidence-base for SMS interventions is promising • Many challenges remain for mHealth – Limited expertise and resources among professionals – More research and evaluation with sustained programs @jaybernhardt
  • 40. THANK YOU jaybernhardt@ufl.edu jaybernhardt.com @jaybernhardt http://collegelife.bellerosewebmedia.com/thinking-of-joining-a-fraternity?ref=frontpage @jaybernhardt

Editor's Notes

  1. http://www.pewinternet.org/Infographics/2010/Internet-acess-by-age-group-over-time-Update.aspx
  2. http://www.pewinternet.org/Infographics/Generational-differences-in-online-activities.aspx