MONITORING OF COMPLIANCE ON AN INDIVIDUAL TREATMENT

THROUGH MOBILE INNOVATIONSAIM RESEARCH TEAM

BIOMEDICAL ENGINEERING LABORATORY – NATIONAL TECHNICAL UNIVERSITY OF ATHENS

Kostas Giokas

WHAT IS MHEALTH?

mHealth stands for mobile-based or mobile-enhanced solutions that deliver health. The ubiquity of mobile devices in

the developed or developing world presents the opportunity to improve health outcomes through the delivery of

innovative medical and health services with information and communication technologies to the farthest reaches of the

globe.

Includes any wireless device carried by or on the person that is accepting or transmitting health data/information

• Sensors (e.g., implantable miniature sensors and “nanosensors”)

• Monitors (e.g., wireless accelerometers, blood pressure & glucose monitors)

• Mobile phones

With mHealth we can have:

• Low network maintenance

• Remote monitoring in rural areas

• Phones are always on, computers are not

• Carrying a Phone/Tablet is part of a modern lifestyle

• Using a small portable multi-communication computing device is convenient, economical, practical and personal

M-HEALTH GOALS

Develop patient-centered healthcare delivery

Increased self-management of illness

Alleviate the systemic pressures on the healthcare industry

Reduced number of hospital beds occupied

Remote monitoring and smart diagnosis

Improved disease management

Improved compliance with treatment regimes

1. >165,000 consumer mHealth apps in app stores

2. 10% capable of connecting to device or sensor

3. 50% of downloads generated by 36 apps, 40% have fewer than 5K downloads!

4. 65% of top mHealth apps connect to social media

5. February 2012 only 12% of Americans reported have no cell phone

6. 62% of 25-34 year olds own smartphones

7. Half of mobile phones in the US are smartphones

8. Around 100 million people have smartphones in United States

9. Smartphones = Multiple sensors disguised as a phone

GPS

Accelerometer

Compass

Gyroscope

A Tidal Wave of mHealth Apps

A Formula for Patient-Centric mHealth Apps

Quality mHealth App = Satisfy Patients’ Needs + Transparency +

Reliable Health Data Management

Satisfy Patients’ Needs = Useful Functionality + Efficacy

Reliable Health Data Management = Good Privacy Practices +

Data Security

• 33% of patients with chronic diseases don’t

currently use mobile apps to manage their

conditions, but would like to start.

• 50% of patients believe they should bring

information/digital tools to their doctor – rather

than the other way around.

• 26% of respondents agree that finding direct

means of communicating with health

professionals presents the biggest hurdle.*

Mastering mHealth Apps & Wearables to Improve Health Outcomes

• 41% of doctors agree

that health apps could

be a “game changer”...

BUT just 36% said they are

likely to recommend

such an app to their

patients.

• Currently, the main

reasons for

recommending mobile

health apps are: Diet

and Weight Loss (70%),

General health and

fitness activity (65%), Health Monitoring (53%),

Smoking Cessation (49%),

and Compliance (45%).*

Most Doctors Not Ready to Recommend Mobile Apps to Patients

No mobile healthadoptions

PatientDemend

Improved communication withpatients

Improved quality and continuty of care

Cost Efficiency

Timeefficiency

0% 5 % 10% 15% 20% 25 % 30% 35% 40% 45% 50%

Top Reasons for Physicians Adoption of mHealth

Patient’s Compliance

“The degree to which the person’s

behavior corresponds with the agreed

recommendations from a health care

provider.”

– World Health Organization

FACTORS THAT AFFECT COMPLIANCE

• Cognitive factors

• Interpersonal factors

• Patient involvement and participatory

decision making

• Patients' attitudes

• Cultural variations

CO-MORBIDITY

Primary disease

+

One or more diseases

=

Co-morbidity

Overcoming barriers to Compliance

Blood Pressure Measurement

Heart Rate Measurement

Glucose Measurement

Insulin Measurement

Cholesterol Measurement

Body Weight Measurement

Body Temperature Measurement

Height Measurement

PT/INR Measurement

Patient’s Mobile App

THE BIGGEST IMPACT OF MHEALTH TECHNOLOGY IS YET TO BE FELT

Apple’s iOS 8 Healthbook App

Could Be HubFor Wearables

Apple Patent App: It counts

accurate steps and distance

elimination whilewalking

Google

Lenses:

Contact

Detects

glucose intears

Withings

people

insomnia.

Aura: Built for

suffering from

Tracks bodymovements, Breathing

motion, noice pollution &

room temperature

Kolibree toothbrush: Record

every brush stroke. Sends your

dental report to your smartphone

via Bluetooth.

THE FUTURE OF M-HEALTH

DISCUSSION