2 stanford talkdyer
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The document discusses using mobile health technologies like text messaging to improve diabetes management and outcomes for teens. It outlines a proposed study to test if weekly personalized text messages over 3 months can significantly lower HbA1c levels compared to standard care. The study would enroll 100 teens split evenly between a control group receiving standard care and an intervention group receiving the text messages.
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2 stanford talkdyer
- 1. Jennifer Shine Dyer M.D., M.P.H . Chief Medical Advisor eProximiti Duethealth.com Columbus, Ohio May 2011 'What Really Works': Diabetes and Mobile Health in Medical Practice
- 5. Intensive Basal Bolus Therapy Basal Insulin Prandial Boluses Insulin 0hr 24hr BG mg/dl
- 6. Meal Bolus
- 7. Pump download, missed meal boluses
- 10. Subjects
- 12. Results
- 15. Phone, tablet, and iPod touch versions available for both platforms. Duet
- 17. What Really Isn’t Working?
- 18. BJ Fogg’s Health Behavior Model
- 19. Motivating & Rewarding Behavior
- 20. Motivating & Rewarding Behavior
- 22. Doctor-Patient Communication, Education, and Literacy Data Mgmt Weekly Texting Reminders Comprehensive Patient Tools
- 26. Jennifer Shine Dyer MD, MPH Chief Medical Advisor [email_address] [email_address] eproximiti.com duethealth.com © 2011 eProximiti, Inc. All rights reserved
- 28. Blogging
- 29. Twitter
- 30. Facebook
- 31. LinkedIn
- 32. YouTube
- 33. Podcast
- 34. Health Literacy: Online Content
- 36. The United States of Diabetes? Half the Country Could Have Diabetes or Prediabetes by 2020 Predicted cost of $3.35 trillion (10% of total healthcare spending) The United States of Diabetes: Challenges and Opportunities in the Decade Ahead , UnitedHealth Group’s (NYSE: UNH) Center for Health Reform & Modernization, November 23, 2010: http://www.unitedhealthgroup.com/newsroom/news.aspx?id=36df663f-f24d-443f-9250-9dfdc97cedc5
- 38. External Internet Services: Facilitate initial programming, Facilitate operations of SMS texting delivery and storage
- 40. Nick Jonas Music Also loves Frappuccinos.
- 42. Hey Nick! I’ve added you to my address book! Cool. Thanks! Keep rockin’ Dr. Dyer.
- 45. Dr. Dyer here. Hope the work on the new album is going well. Can’t wait to hear a sample on your next visit! February 10th
- 46. Hey Nick. How is it going with your boluses? February 17th
- 47. Nick. Hope the carb counting is going well. I know u love Frappuccinos! :) February 24th
- 48. Keep on rocking the boluses, Nick! See you in a few weeks. March 3rd
- 49. Conversation Monitoring: Tweetdeck Interface
- 74. Evolution of the Blackberry
- 78. http://www.time.com/time/photogallery/0,29307,1636836_1721987,00.html#ixzz15BoqFZg8 2008: The iPhone 3G Steve Jobs unveils the latest generation of his revolutionary product. The 3G is faster and less expensive than its predecessor with larger screen for video.
Editor's Notes
- Reduced mindfulness, diabetes happens every meal and there isn’t a choice about it. It sucks.
- Frequent contact (intensive) as evidenced by DCCT trial and more physiologic basal bolus therapy.
- A lot of visits (good doc patient relationship) but they weren’t helping as noted by skipped bolues. I’m an academic and have removed some details of methods.
- One app with 20-30 specialty modules within it so duet becomes an educational software platform. Giving me an automated platform that I needed.
- Good patients record/engage, and bad patients don’t record/engage. Not checking glucoses.
- Motivation, Ability, Trigger….engagement theory
- In conclusion…
- If your not solving a problem, you’re irrelevant.
- At the current rate, it is projected that by 2020 that 40% of nation will be obese. One in five health dollars will be spent to address the consequences of obesity.
- Email – too passive
- The Fitbit accurately tracks your calories burned, steps taken, distance traveled and sleep quality. The Fitbit contains a 3D motion sensor like the one found in the Nintendo Wii. The Fitbit tracks your motion in three dimensions and converts this into useful information about your daily activities. You can wear the Fitbit on your waist, in your pocket or on undergarments. At night, you can wear the Fitbit clipped to the included wristband in order to track your sleep. Anytime you walk by the included wireless base station, data from your Fitbit is silently uploaded in the background to Fitbit.com. Integrates with Google Health, Facebook, Twitter
- 15-20% of total inpatient discharges ~1000 in the year
- Rate limiting factors: physician time and overhead. Incentives determine how time is spent. Average salary ~$200,000 per year (senior and junior faculty).