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Helping Your Patients Make Sense of the mHealth Marketplace


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Presentation for the Florida Society of Health-System Pharmacists 46th Annual Meeting in Orlando, FL.

Helping Your Patients Make Sense of the mHealth Marketplace

  1. Helping Your Patients Make Sense of the mHealth Marketplace Kevin A. Clauson, PharmD
  2. ObjectivesOutline mobile health (mHealth) market andpatient-centric apps currently availableDiscuss the use of apps to enhance patientself-care and improve medication adherenceDelineate approaches of how to guidepatients to mHealth apps and tools
  3. Outlining the mHealth App Market
  4. mHealth is the use of mobile devicesand global networks to deliver health services and information
  5. In 1996, mobile phonepenetration in the US &territories (e.g. Puerto Rico) was only 16% With Without phone phone Source: CTIA December 2011
  6. Mobile phone penetrationin the US hasrisen to 105%(half are nowsmartphones) Source: CTIA December 2011
  7. Smartphone share by operating system 1.1% 0.7% 4.0% 11.4% Android (Google) iPhone BlackBerry 50.9% Windows Symbian (Nokia) 31.9% OtherSource: comScore MobiLens May 2012.
  8. Pay-a$-you-gophones are still used by ~ 70million people in the US CTIA Wireless Industry Indices: Semi-Annual Data Survey Results, 2012.
  9. Patient-centric iPhone apps* 2% 1% 3% 2% Other 4% 18% Cardio Fitness Diet 5% Stress/Relax 5% Strength Training Womens Health Mental Health 5% 16% Chronic Dx Calculator 7% Sleep Emergency Smoking Cess 8% Med Adherence 14% 10% PHRsSource: Segmentation of Consumer Health Apps, MobiHealthNews Research, April 2012. *n~13,600
  10. Whypatient-centric apps?
  11. Paternalistic approach to healthcare**Legacy model
  12. “As opposed to the doctor-centric, curativemodel of the past, the future is going to bepatient-centric and proactive.” - NIH Director (Past) Elias A. Zerhouni, M.D.
  13. Consumers want to use health apps To keep track of health information 48.5 To help manage 58.4 disease or drug To gain information 91.1 0 20 40 60 80 100 PercentSource: Consumer Health Information Corporation, April 2011 (n=395),
  14. All adults 84% use cell phones 35% have apps 24% use apps The average number ofAdapted from: Purcell K. Information 2.0 and Beyond: apps on a smartphone isWhere are we, where are we going, Pew Internet &American Life Project. March 2011 & Nielsen, 2012. 41
  15. Demographic groups most likely to download a health app All (n=658) 29% Urban (n=203) 33% Suburban (n=322) 29% Rural (n=100) 20% 18-29 (n=224) 28% 30-49 (n=276) 32% 50+ (n=145) 20% 0% 10% 20% 30% 40% Percentages of those who have downloaded a health appSource: Pew Research Center’s Internet & American Life Project, July 25-August 26, 2011 Tracking Survey.
  16. Enhancing patient self-care and adherence
  17. Personal Health Record(PHR)
  18. WiFi body scalewith HealthVault or iPhone app integration
  19. What is the only “health app” in the Top 5 most used apps? (hint)
  20. What is the only “health app” in the Top 5 most used apps? (answer)
  21. Bant app
  22. Cafazzo JA, Casselman M, Hamming N, Katzman DK, Palmert MR. Design of an mHealth app for the self-management of adolescent Type 1 diabetes: A pilot study. J Med Internet Res 2012;14(3):e70.
  23. Scan QR code for the Medicine 2.0’12 research abstract !
  24. RunKeeper
  25. Can Texting HelpPatients?
  26. Adhere to me.Not the other way around.
  27. Text BABY to 511411Envia BEBE al 511411para Español
  28. Texting to improvesunscreen use Arch Dermatol 2009;145(11):1230-6.
  29. Lancet 2011;378(9785):49-55. Smoking cessation support delivered via text messaging
  30. Textus interruptus
  31. It’s Not Just MobilePhones…
  32. “Most technology needs to go to finishing school” - David Rose
  33. iBGStar
  34. “When purchasing the iBGStar at my local Walgreens, it had not yet reached the storeshelves, and the pharmacist was not even aware of its existence. However, after retrieving the device from the back, there was a natural buzzaround the pharmacy staff. In fact, the tech who rang up my order actually snapped a picture of the iBGStar on her iPhone. Whether you like it or not, there is a certain magical appeal to the iPhone, and this can go a long way with a disease like diabetes.” - David Ahn, M.D.
  35. GuidingPatients to mHealthApps and Tools
  36. eHealthLiteracy Lily ModelJ Med Internet Res 2006;8(2):e9.
  37. Final Issues toConsider…
  38. The Dark Side of mHealth(hey, we are here at Disney)
  39. Frequency of cell phone problems Several times/day Once/day Few times/week Less often Never Slow download speeds 12% 9% 25% 31% 21% (Internet/email/app users) Spam/unwanted texts 4% 4% 17% 44% 31% (texters) Dropped calls 6% 6% 19% 41% 26% (cell phone owners) 0% 20% 40% 60% 80% 100%Source: Pew Research Center’s Internet & American Life Project Spring Tracking Survey, March 15-April 3, 2012.
  40. Br J Dermatol 2009;160(6):1273-85.
  41. Summary PointsThe patient-centric app marketplace largelyremains ‘buyer beware’ with final FDA regulationpendingCurrent evidence is stronger for texting than appsin improving clinical outcomes/QOL indicators,but numerous studies are underwaymHealth is a rapidly expanding arena offeringopportunities to improve patient engagement,activation, and health
  42. Images walking/id300235330?mt=8 walking/id300235330?mt=8 wait/id426645573?mt=8wallpaper/ http://scriptyourfuture.org alerts.jsp Fitbit.jpg logo.jpg0721ca4ff7a2 ature=category-nav patients-clinicians/ mhealth-app-approvals-19049/ mobile-health-apps-regulation/ regulate/ content/uploads/2010/02/Blogit_acneapp.jpg
  43. Center for Consumer Health Informatics Research
  44. Recommended Poolside Surfing      Hashtag #mhealth 
  45. QuestionsKevin Clauson, PharmD @kevinclauson