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Driving Change with mHealth

This slide deck is comprised of lectures delivered at Nova Southeastern University Colleges of Medicine (MI) and Pharmacy (PHA) in the following courses:

MI 6410 Consumer Health Informatics and Web 2.0 in Healthcare

PHA 5203 Consumer Health Informatics and Web 2.0 in Healthcare

Driving Change with mHealth

  1. Driving Change with mHealth Kevin A. Clauson, PharmD
  2. This slide deck is comprised of lectures delivered at Nova Southeastern University Colleges of Medicine (MI) and Pharmacy (PHA) in the following courses: MI 6410 Consumer Health Informatics and Web 2.0 in Healthcare PHA 5203 Consumer Health Informatics and Web 2.0 in Healthcare
  3. Objectives  Detail the use of mobile phones in various populations  Examine the 12 clusters of mHealth  Discuss how mHealth can be used to enact change and improve health  Delineate hurdles and psychosocial issues associated with mHealth initiatives
  4. mHealth is the use of mobile devices and global networks to deliver health services and information
  5. mHealth Devices Smartphones o iPhone o Blackberry (RIM) o Misc o iPad/TabletPC o PDA o USB
  6. Who uses mobile phones?
  7. According to CTIA Wireless Survey, mobile penetration in the US was 69% in 1995
  8. Today mobile penetration in the US is 91% Source: CTIA 2009
  9. This translates to 82% of American adults owning a cell phone* Owns *Range: 57% (65+) to 90% (18-29) Does not own Pew Cell Phones and American Adults 2010
  10. The United Arab Emirates boasts a 204% mobile penetration rate UAE Telecommunication Regulatory Authority
  11. Wireless-only households in the US went from untracked in 1995…
  12. …to almost a tenth of households by 2005…
  13. …and grew to a quarter of all households by 2009
  14. Pew Internet Mobile Access 2010 87% of blacks and Hispanics own a cell phone* *Compared to 80% of whites
  15. Pew Internet Mobile Access 2010 Hispanics use their phone to go online and to text more frequently than any other group* *English-speaking Hispanics
  16. Pew Internet Teens and Mobile Phones 2010 Texting has eclipsed all other forms of communication for teens to connect with friends
  17. 31% of teens who take phones to school text every day during class Pew Internet Teens and Mobile Phones 2010
  18. Due to connectivity, accessibility, and preferences – teens may be particularly well suited for targeted mHealth interventions
  19. Antisocial Phone Tricks
  20. The 12 Clusters of mHealth mHealth Initiative – Peter Waegemann
  21. 1) Patient Communications
  22. 2) Access to web-based resources How SmartPhones Are Changing Healthcare for Consumers and Providers 2010
  23. JACC Cardiovasc Imaging 2010;3(5):482-90.
  24. 3) Point of Care The 12 Clusters of m-health • 3) Point of Care
  25. “That it will ever come into general use…is extremely doubtful” - London Times in 1834 appraising value of stethoscope J Healthc Inf Manag 2010;24(3):9-10.
  26. 4) Disease Management HIV medication and visit adherence Trials 2009;10:87.
  27. Walgreens sees hockey-stick growth for text alert program Mickey Alam Khan By August 13, 2010 BALTIMORE – SMS text alerts are a big hit for Walgreens Co., a $63 billion drugstore chain which puts its 7,500 stores nationwide at the center of all marketing and commerce. Walgreens has seen tremendous growth in registrations for its prescription SMS alerts in the eight months since the Chicago company began the program. In fact, SMS sign-up is outpacing email, according to a senior executive. “Both are growing, but text alerts are hockey-sticking – we weren’t expecting that,” said Abhi Dhar, chief technology officer for ecommerce at Walgreens.
  28. Cough into your cell phone • Diagnostic extender; help with triage/ decision making • $100,000 grant by Bill & Melinda Gates Foundation
  29. 5) Point of Care Education
  30. Video telephony-enhanced teaching of needle thoracocentesis Emerg Med J 2009;26:177-179.
  31. 6) Professional Communication
  32. 7) Administrative Applications J Biomed Inform 2010;43(1):75-80.
  33. 8) Financial Apps
  34. 9) Ambulance/EMS
  35. 10) Public Health
  36. How did purposefully limiting access to this creation cost millions of lives? SuperFreakonomics: Global Cooling, Patriotic Prostitutes, and Why Suicide Bombers Should Buy Life Insurance, 2009.
  37. http://
  38. Frontline SMS:Medic • Add poptech vid about frontline SMS viemo from mindof blog
  39. How do we balance needs with available resources?
  40. Text BABY to 511411 Envia BEBE al 511411 para Español
  41. Mobile Giving
  42. 11) Research Data/image collection by first responders Data collection in 11 languages in Africa Self-administered sensitive data collection in Peru
  43. Mobile Mediated Research • Fewer inconsistencies and missing values with the PDA-based system vs. paper-based system BMC Med Inform Decis Mak 2008;8:11. • PDA-based systems less likely to suffer from transcription errors and data more easily analyzable Eval Rev 2003;27(2):165-78. • Review of PDA-based collection vs. paper J Clin Epidemiol 2007;60(1):8-17.
  44. 12) Body Area Network Applications EDA Tech Forum 2008
  45. Wearable Cardiac Monitoring System Bluetooth heart monitor records ECG and transmits information via patient's phone Analyzer circuit checks the ECG signal for signs of cardiac failure Cell phone automatically alerts the patient and nearest medical center via SMS International Journal of Electronic Healthcare 2007;3(3):303-16..
  46. What would it be worth to keep you or a family member living independently? JAMA 2002;287(8):1022-8.
  47. Wireless Assisted Living One way to help manage the approaching storm of an increasingly aging population…
  48. „Nana technology‟ vs Nanotechnology J Gerontol A Biol Sci Med Sci 2008;63(3):298-307.
  49. mHealth Security Measures
  50. How young is too young?
  51. The changing nature of mobile mediated social interactions
  52. JAMA 2009;302(11):1159-60. Honk if you love Jesus Text to meet Him! if you’re ready
  53. JAMA 2009;302(11):1159-60. Texting increases crash risk by 23.2 times!
  54. Policymakers Interoperability Scalability Change management Culture
  55. “Let‟s make technologies that make people more human, and not less” - Renny Gleeson
  56. Summary mHealth offers opportunities to improve individual and population based health as well as address health disparities Strategy is to find the tech that serves as a solution, not the reverse Barriers exist for mHealth initiatives as with all aspects of healthcare
  57. Images • • • • • • •
  58. Images • • http:// • • diagnostics-theres-an-app-for-that-too/ • •
  59. Images • • • • • • • •
  60. Images • • • • • Unreferenced pictures are licensed images
  61. Recommended Poolside Reading Waegemann CP. mHealth: the next generation of telemedicine? Telemed J E Health 2010;16(1):23-5. Vital Wave Consulting. mHealth for Development: The Opportunity of Mobile Technology for Healthcare in the Developing World, 2009. Smith A. Mobile Access 2010. Pew Internet & American Life Project, July 2010. Lenhart A, Ling R, Campbell S, Purcell K. Teens and Mobile Phones. Pew Internet & American Life Project, April 2010. Lenhart A. Cell phones and American adults. Pew Internet & American Life Project, September 2010.
  63. Thank You!