Student Engagement in mHealth


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March 19, 2011 presentation at the Annual conference for the Association for Prevention Teaching and Research on opportunities for students to be engaged with mHealth.

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Student Engagement in mHealth

  1. 1. Student mHealth EngagementLearning about the Preventive Health IT Toolbox Jessica Jacobs Georgetown UniversityAssociation for Prevention Teaching and Research - Annual Conference March 19th 2011
  2. 2. What is mHealth? Current Trends ApplicationsWhy Education?
  3. 3. What is mHealth?: Questions to Consider There is not a consensus on what mHealth is. Questions to Consider: 1) What kind of connection does it have to have?  Broadband? Wifi? Wired Internet? 2) What technology does it include?  Cell phones? PDAs? Devices? Computers? 3) What’s  the  application?    Clinical Data? Community Health? Personal Health? 4) What’s  it  part  of?    Telehealth? eHealth?
  4. 4. What is mHealth?: Broad Definition All the definitions focus on mobile communications and healthcare. Broader definitions seem to be gaining more steam. “The  integration  of  mobile  technology,  computing  devices,  and   emerging delivery system capabilities into a patient-centered model  of  care.” – Indian Health Service US Department of Health and Human Services
  5. 5. What is mHealth? Current Trends ApplicationsWhy Education?
  6. 6. Current Trends: Technology Adoption Utilization of Mobile Technology Aged 18-29 Aged 30-49 Aged 50-64 Aged 65 and Over90% 88% 86% 82% 72% 57% 59% 47% 38% 11% 15% 6% Own a Cellphone Send/Receive Text Access Internet on a Cell Messages Phone
  7. 7. Current Trends: Federal Support•HITECH Act to spur the adoption of EHRs, HIEs, and other Health IT.•Provisions in PPACA for telehealth and innovation in healthcare.•Continued Presidential commitment to “the need to increase coverage ofhigh speed wireless networks to 98 percent of all Americans within the nextfive  years”:  “This  isn’t  about  faster  Internet  or  fewer  dropped  calls.  It’s  about  connecting  every  part  of  America  to  the  digital  age.  It’s  about  a  rural  community in Iowa or Alabama where farmers and small business owners willbe  able  to  sell  their  products  all  over  the  world.  It’s  about  a  firefighter  who  can  download the design of a burning building onto a handheld device; a studentwho can take classes with a digital textbook; or a patient who can have face-to-face video chats with her doctor.”   - President Barack Obama 2011 State of the Union Address
  8. 8. What is mHealth? Current Trends ApplicationsWhy Education?
  9. 9. Applications: ContinuumManagement Promotion Surveillance Personal Public Population
  10. 10. Applications: Management•Patient-centered personal healthmanagement.•Patient or care-giver driven.•Typically includes a device or smartphoneapplication.•PHR and EHR integration is possible.•Particularly beneficial for conditions wherecontinual tracking is warranted: •Diabetes •Asthma/COPD •CHF •Aging in Place •Medication Adherence 10
  11. 11. Applications: Management - Diabetes Link glucose meter readings to patient records electronically. This link ensures that readings are recorded correctly and allows for physicians to passively monitor a patient’s  blood  glucose.   Pilot studies show that this kind of application is effective; indeed, it is correlated to a reduction of 5 points in blood glucose readings and a 1% reduction in HbA1c readings over a three-month period. Watson  et  al.  “Diabetes  Connected  Health:  A  Pilot  Study  of  a  Patient- and Provider-Shared Glucose Monitoring Web  Application”  Journal  of  Diabetes  Science  and  Technology,  March  2009,  Volume  3,  Issue  2:  Page  345-352. health-a-pilot-study-of-a-patient--and-provider-shared-glucose-monitoring-web-application.aspx
  12. 12. Applications: Promotion• Educational messages targeted at behavior modification.• Public Health department/federally driven.• Usually utilizes cell phone messaging because  it’s  quick,  easy,  and  cheap.• May be one way or two way messaging.• Particularly beneficial for chronic.  Smoking Cessation  Sexual Health  Pregnancy  Depression 12
  13. 13. Applications: Promotion – text4baby Free national SMS health information service.  One way text messaging. Large public-private partnership.  Healthy Mothers Healthy Babies (HMHB), Voxiva, The Wireless Foundation (CTIA), HHS/OSTP, J&J, etc. 3 messages/week.  Pregnancy  through  first  year  of  child’s  life. “1  Million  Moms”  2012  Goal   0% 20% 40% 60% 80% 100% Current Enrollment To Go 13 * As of February 2012,
  14. 14. Applications: Surveillance• Health tracking for timely notification.• Health Worker and/or community driven.• Low cost reporting mechanisms.• Particularly useful in remote areas. • Web and SMS based.• Potentially Useful for: • Disease Outbreaks • Program Evaluation • Contaminations 14
  15. 15. Applications: Surveillance - EpiSurveyor Allows people to design forms for data collection on the internet. Data is entered into the forms using either a smart phone application or SMS messaging. Allows for real-time data uploads and analysis. "drastically cut costs while Been used to evaluate: facilitating quality control and improving  anti-malarial bednet distribution and vaccination campaigns in sub-Saharan Africa implementation  speed.“  clean water initiatives in Vietnam - The World Bank  drug supplies in several African countries  health delivery systems in Guatemala * 2011 World Bank Report: 1269390034020/EnBreve_166_Web.pdf
  16. 16. What is mHealth? Current Trends ApplicationsWhy Education?
  17. 17. Why Education? Opportunity Prepare to engage and be engaged with mHealth. Contribute to the growing body of knowledge. Review  for  efficacy  and  separate  “signal”  from   “noise.”   Innovate to discover applications for new and existing technologies.
  18. 18. In  Conclusion…    Current trends show that the utilization of mHealth will increase.  Its applications are numerous and widely encompassing:  Management: Connecting mHealth applications with traditional health IT systems will provide a groundbreaking continuum of personal care, particularly for those with chronic conditions.  Promotion: Wide scale education and behavior modification will improve the health of the public.  Surveillance: Real-time health tracking and data aggregation leads to actionable information for population health.  There is significant opportunity for educators to inform and engage students with these technologies.Source: