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Bringing new information into Healthcare:
Going mobile with PatientsLikeMe

Jeana H Frost, PhD
Healthcare is traditionally delivered
intermittently through formal channels
People with life altering conditions manage
health everyday
Camera
Accelerometer
Note pad
Audio recorder
Location sensor
Opportunity
Patients sharing health data

  Value for patients
  Value for researchers and industry
  Opportunities for Mobile Computing
Visualizing Health:
                      “It made me more aware of
                      what I need to be doing
                      and the positive things I
                      could do. I have an eating
                      problem you know, and in
                      order to be halfway
                      successful I need to be
                      aware, to think about it
                      before I do it.”
                               -Study participant




                                 J. Frost & B. Smith, 2002
Core                                         Platform




SHARE                           FIND                                 LEARN
Patients sharing detailed       Patients find other patients like    The information shared creates
health data is what makes       them. They discover what             a new knowledge about the
our communities unique.         options are available for            real-world treatments,
This information is the basis   treatment and if their experience    symptoms, and reality of living
of the PatientsLikeMe           with their disease is normal. They   with illness. Patients learn about
network and validates each      can reach out to others like them    their disease and themselves in
individual.                     for advice and insight.              context of the community.
How it works
Currently over 50,000 Patients, 9 conditions
                              First     # Patient
PatientsLikeMe Community
                             Patient    Members
                                                    12% US
                  ALS        Nov 2005     4,200
                                                    Prevalence
                  MS         Mar 2007    13,720
                                                    10% US
               Parkinson’s   Mar 2007     3,969     Newly
                                                    diagnosed
                HIV/AIDS     Sep 2007     2,562

                 Mood        Feb 2008    12,933

                  PSP        Sep 2008     <500

                  MSA        Sep 2008     <500

                 Devic’s     Sep 2008     <500


              Fibromyalgia   Nov 2008     9,668
How are you feeling?
                Very good
                Good
                Ok
                Bad
                Very bad
Section of Mood Profile
Mood Chart for one Member:
Mood Chart for Another Member:
Member of Fibromyalgia Community
Value to this individual
“I added the symptom Menstrual Cycle and
   PMS…Then, I could actually print out my
   charts and show the doctor: My back pain
   is more severe, that’s about the only time I
   have depression or anxiety, even my
   allergies were worse …”
Researching a Treatment
“I wanted a milder analgesic that did not have the strong side effects as the
    more powerful narcotics …”


   See who is taking it

                                 Read about the effect




                                                         Discuss findings with the community

Why they take it
Value of PatientsLikeMe:
Some Results from a User Survey
1,323 Users completed the survey

• 71% helpful in learning about the symptoms
• 67% getting better care by recording symptoms
• 69% feel more comfortable discussing sensitive
  topics on PatientsLikeMe such as sex, sexuality,
  religion, or spirituality than in online and offline
  support groups
What does this mean for our clients?
Data missing from published trials reported on
PatientsLikeMe

Drug Name   Sexual side effect    % reported on        % reported in
            (Patient labels)      PatientsLikeMe       clinical trial *
Prozac      Sexual side effects   24%                  4%
            Sexual dysfunction    17%
                                  (N=169)              (N=2869)
Lexapro     Decreased sex drive   22%                  3%
                                  (N=106)              (N=715)
Zoloft      Loss of sex drive     27%                  6%
                                  (N=99)               (N=2799)
Cymbalta    Decreased sex drive   19%                  3%
                                  (N=122)              (N=1139)




                                                   * as ‘libido decreased’
Better understanding of rare diseases
•   Primary Lateral Sclerosis (PLS) and Progressive Muscular Atrophy
    (PMA) are two rare variants of the disease ALS
•   To date, we now have 182 patients with PLS and 270 with PMA.
•   Previous studies examined about 40 PLS patients
•   Can begin to understand PLS progression for the first time
Unique data on the impact of experimental
and off-label treatments
“To listen well is as powerful a
means of communication and
influence as to talk well.”

John Marshall
Thank You

PatientsLikeMe Team
 patientslikeme.com

jeana.frost@gmail.com

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Jeana Frost - Bringing new information into Healthcare

  • 1. Bringing new information into Healthcare: Going mobile with PatientsLikeMe Jeana H Frost, PhD
  • 2.
  • 3. Healthcare is traditionally delivered intermittently through formal channels
  • 4. People with life altering conditions manage health everyday
  • 7. Patients sharing health data Value for patients Value for researchers and industry Opportunities for Mobile Computing
  • 8. Visualizing Health: “It made me more aware of what I need to be doing and the positive things I could do. I have an eating problem you know, and in order to be halfway successful I need to be aware, to think about it before I do it.” -Study participant J. Frost & B. Smith, 2002
  • 9.
  • 10. Core Platform SHARE FIND LEARN Patients sharing detailed Patients find other patients like The information shared creates health data is what makes them. They discover what a new knowledge about the our communities unique. options are available for real-world treatments, This information is the basis treatment and if their experience symptoms, and reality of living of the PatientsLikeMe with their disease is normal. They with illness. Patients learn about network and validates each can reach out to others like them their disease and themselves in individual. for advice and insight. context of the community.
  • 12. Currently over 50,000 Patients, 9 conditions First # Patient PatientsLikeMe Community Patient Members 12% US ALS Nov 2005 4,200 Prevalence MS Mar 2007 13,720 10% US Parkinson’s Mar 2007 3,969 Newly diagnosed HIV/AIDS Sep 2007 2,562 Mood Feb 2008 12,933 PSP Sep 2008 <500 MSA Sep 2008 <500 Devic’s Sep 2008 <500 Fibromyalgia Nov 2008 9,668
  • 13. How are you feeling? Very good Good Ok Bad Very bad
  • 14. Section of Mood Profile
  • 15. Mood Chart for one Member:
  • 16. Mood Chart for Another Member:
  • 18. Value to this individual “I added the symptom Menstrual Cycle and PMS…Then, I could actually print out my charts and show the doctor: My back pain is more severe, that’s about the only time I have depression or anxiety, even my allergies were worse …”
  • 19. Researching a Treatment “I wanted a milder analgesic that did not have the strong side effects as the more powerful narcotics …” See who is taking it Read about the effect Discuss findings with the community Why they take it
  • 20. Value of PatientsLikeMe: Some Results from a User Survey 1,323 Users completed the survey • 71% helpful in learning about the symptoms • 67% getting better care by recording symptoms • 69% feel more comfortable discussing sensitive topics on PatientsLikeMe such as sex, sexuality, religion, or spirituality than in online and offline support groups
  • 21. What does this mean for our clients?
  • 22.
  • 23. Data missing from published trials reported on PatientsLikeMe Drug Name Sexual side effect % reported on % reported in (Patient labels) PatientsLikeMe clinical trial * Prozac Sexual side effects 24% 4% Sexual dysfunction 17% (N=169) (N=2869) Lexapro Decreased sex drive 22% 3% (N=106) (N=715) Zoloft Loss of sex drive 27% 6% (N=99) (N=2799) Cymbalta Decreased sex drive 19% 3% (N=122) (N=1139) * as ‘libido decreased’
  • 24. Better understanding of rare diseases • Primary Lateral Sclerosis (PLS) and Progressive Muscular Atrophy (PMA) are two rare variants of the disease ALS • To date, we now have 182 patients with PLS and 270 with PMA. • Previous studies examined about 40 PLS patients • Can begin to understand PLS progression for the first time
  • 25. Unique data on the impact of experimental and off-label treatments
  • 26.
  • 27. “To listen well is as powerful a means of communication and influence as to talk well.” John Marshall
  • 28. Thank You PatientsLikeMe Team patientslikeme.com jeana.frost@gmail.com