Dyer mHealth Summit Presentation 2011
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Use case examples of mobile health in diabetes medical care to change health behaviors and affect health outcomes given at mHealth Summit December 5, 2011.
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Dyer mHealth Summit Presentation 2011
- 1. Jennifer Shine Dyer M.D., M.P.H . Chief Medical Advisor DuetHealth.com by eProximiti Columbus, Ohio December 2011 Doctor-Patient Use Cases: Mobile Health and Diabetes
- 5. Meal Bolus
- 6. Pump download, missed meal boluses
- 9. Subjects
- 10. Results
- 12. External Internet Services: Facilitate initial programming, Facilitate operations of SMS texting delivery and storage
- 14. Nick Jonas Music Also loves Frappuccinos.
- 16. Hey Nick! I’ve added you to my address book! Cool. Thanks! Keep rockin’ Dr. Dyer.
- 19. Nick. Hope the carb counting is going well. I know u love Frappuccinos! :) February 24th
- 20. Keep on rocking the boluses, Nick! See you in a few weeks. March 3rd
- 22. What Isn’t Working: Engagement
- 25. BJ Fogg’s Health Behavior Model
- 29. SXSW Interactive
- 31. Download from App Store
- 39. EndoGoddess App: Droid version in process…
- 40. How many diabetes apps are there? «diabetes» OR «glucose» search on iTunes Norwegian Market T Chomutare, et al. JMIR, 2011. http://www.jmir.org/2011/3/e65/
- 41. Results Feature Prevalence (%) 19/49 Apps Free Mean Price = $4.00 Modal Price = $3.00 T Chomutare, et al. JMIR, 2011. http://www.jmir.org/2011/3/e65/
- 44. [email_address]
Editor's Notes
- This is PJ, a fantastic kid who I diagnosed with type 1 diabetes at 15mo and was lucky enough to get to see him every 3 months for his checkups as his endocrinology doctor. Who am I? 30-something physician first, behavioralist 2 nd , and mobile health entrepreneur. As a 30-something I did not grow up with texting or apps but I have seen how technology is integrated deeply within our lives…and things have changed fast in my lifetime
- Initially focused on medication adherence by friendly personalized nagging (aka, personal question then standardized nagging once a week as their doctor asking about taking their meds)
- 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.
- Good patients record/engage, and bad patients don’t record/engage. Not checking glucoses.
- Motivation, Ability, Trigger….engagement theory
- Email – too passive
- Email – too passive
- Startup lifestyle
- Startup lifestyle
- So
- Published in the September edition of the Archives of Internal Medicine , William H. Shrank , MD, from the division of pharmacoepidemiology and pharmacoeconomics, department of medicine, Brigham and Women's Hospital and Harvard Medical School in Boston, and colleagues conducted a survey of online social networking sites to explore characteristics of social media communities and to better inform physicians and patients about the choices available to them. The researchers evaluated and abstracted data from 15 online social networking website focused on diabetes . Membership ranged from 3,074 to more than 300,000 patients; three sites had more than 150,000 members, eight had more than 10,000 members, while two were confidential and one was unavailable, the authors found. “Eighty percent of the sites directly linked to Facebook and 67 percent linked to Twitter . All but two of the sites had an explicit membership process, a requirement to post a comment.” According to the authors, the level and type of health professional participation varied across the sites. Site administrators reviewed the content of posts in 67 percent of the sites. And in 47 percent of the sites, administrators responded directly to questions from the members. “Physicians were available to answer questions in 33 percent of the sites but systematically scanned postings and offered feedback in only 7 percent of postings. More than half of the sites used diabetes educators to answer member questions and in 13 percent they scanned member discussions. “Online social networks may play an increasing role in health promotion, as primary care physicians are asked to see increasing numbers of patients, limiting time for telephone consultations to answer questions related to chronic disease management , and as a web-savvy population ages and develops more chronic diseases,” the authors remarked. “Existing sites differ in their approach toward communication structure, authenticity and quality oversight, expert participation, and advertising or sources of funding. These metrics may be important to patients when selecting a community and may be of interest to healthcare providers who ultimately may advise patients about their particular needs.” Shrank and colleagues concluded with a call for further research regarding these metrics to explore patient and healthcare provider perceptions to build an evidence-based database to encourage social network development that will promote patient health.
- After showing that there are a lot of downloads,
- Being a 30 something technology entrepreneur, I never went to school specifically for app making but find myself here solving human problems with human methods just by watching how technology integrates into mine and my patients lives…and you can and should do it too!