mHealth Working GroupmHealth Working Group

April 20, 2011April 20, 2011

Held at FHIHeld at FHI

Principles of the Working GroupPrinciples of the Working Group

Frame mHealth in global health strategiesFrame mHealth in global health strategies

Apply public health standards & practicesApply public health standards & practices

Promote appropriate, evidence-based, Promote appropriate, evidence-based, scalable and interoperable approaches in scalable and interoperable approaches in resource-poor settingsresource-poor settings

Build internal capacity in mHealthBuild internal capacity in mHealth

AgendaAgenda

Introductions/OverviewIntroductions/Overview RCT of SMS for ART in KenyaRCT of SMS for ART in Kenya TxtAlert for ART in South AfricaTxtAlert for ART in South Africa SMS for PMTCT in ZambiaSMS for PMTCT in Zambia DiscussionDiscussion Upcoming events/closing remarksUpcoming events/closing remarks

Growing Evidence for mHealthGrowing Evidence for mHealth Cole-Lewis H, , Kershaw T. (2010). Text messaging as a tool . (2010). Text messaging as a tool

for behavior change in disease prevention and for behavior change in disease prevention and management. Epidemiologic Review. Apr;32(1):56-69. management. Epidemiologic Review. Apr;32(1):56-69.

Fjeldsoe BS, , Marshall AL, , Miller YD. (2009). Behavior change . (2009). Behavior change interventions delivered by mobile telephone short-message interventions delivered by mobile telephone short-message service. AJPM. 2009 Feb;36(2):165-73.service. AJPM. 2009 Feb;36(2):165-73.

Krishna S, , Boren SA, , Balas EA. (2009). Healthcare via cell . (2009). Healthcare via cell phones: a systematic review. Telemedicine Journal and phones: a systematic review. Telemedicine Journal and eHealth. 2009 Apr;15(3):231-40.eHealth. 2009 Apr;15(3):231-40.

Wei J, , Hollin I, , Kachnowski S. (2011). A review of the use of . (2011). A review of the use of mobile phone text messaging in clinical and healthy mobile phone text messaging in clinical and healthy behaviour interventions. Journal of Telemedicine and behaviour interventions. Journal of Telemedicine and Telecare.17(1):41-8.Telecare.17(1):41-8.

Literature emphasis on published studies in developed countriesLiterature emphasis on published studies in developed countries

Addressing the Evidence Gap in Addressing the Evidence Gap in Developing CountriesDeveloping Countries

Pop-Eleches C, , Thirumurthy H, , Habyarimana JP, , Zivin JG, , Goldstein MP, , de Walque D, , Mackeen L, , Haberer J, , Kimaiyo S, Sidle J, Ngare D, Bangsberg DR. (2011). Mobile , Sidle J, Ngare D, Bangsberg DR. (2011). Mobile phone technologies improve adherence to antiretroviral phone technologies improve adherence to antiretroviral treatment in a resource-limited setting: a randomized treatment in a resource-limited setting: a randomized controlled trial of text message reminderscontrolled trial of text message reminders.. AIDS. Mar AIDS. Mar 27;25(6):825-834.27;25(6):825-834.

Lester, Ritvo PhD, Mills, Kariri, Karanja BSc, Chung. (2010) Lester, Ritvo PhD, Mills, Kariri, Karanja BSc, Chung. (2010) Effects of a mobile phone short message service on Effects of a mobile phone short message service on antiretroviral treatment adherence in Kenya (WelTel antiretroviral treatment adherence in Kenya (WelTel Kenya1): a randomised trial.Kenya1): a randomised trial. The LancetThe Lancet. . Vol. 376 No. 9755 Vol. 376 No. 9755 pp 1838-1845 pp 1838-1845

From Research to PracticeFrom Research to Practice

Implementation science (and mHealth) challenges:Implementation science (and mHealth) challenges: Sustainable scale up of evidence-based Sustainable scale up of evidence-based

interventionsinterventions11

Adapt to new populations, settingsAdapt to new populations, settings22 and real-world and real-world public health and clinical service systemspublic health and clinical service systems11

Prevent efficacy loss over time or unintended Prevent efficacy loss over time or unintended effectseffects11

Guide implementation and managementGuide implementation and management22

Address “disjointed, small-scale efforts with little Address “disjointed, small-scale efforts with little coordination between those funding the research coordination between those funding the research and those supporting service delivery”and those supporting service delivery”22

1 Annual NIH Conference on Implementation and Dissemination, 2010. 2. Report From the Expert Consultation on Implementation Science Research. A Requirement for Effective HIV/AIDS Prevention and Treatment Scale-Up, 2009.

PresentationsPresentations

GSMA-mHA Mobile Health SummitGSMA-mHA Mobile Health Summit

Cape Town, South AfricaCape Town, South Africa June 3-7, 2011June 3-7, 2011 30% discount off platinum pass30% discount off platinum pass Discount code S30A60CFDiscount code S30A60CF http://www.mobilehealthsummit.com/http://www.mobilehealthsummit.com/

registration/registration/registration_faq_new.shtml# or contact registration_faq_new.shtml# or contact WRudolph@gsm.org WRudolph@gsm.org

Coordinate with colleaguesCoordinate with colleagues

Closing RemarksClosing Remarks

Comments, suggestions?Comments, suggestions?

Invitation to collaboration on the Invitation to collaboration on the K4Health mHealth ToolkitK4Health mHealth Toolkit

Next meeting: May 23Next meeting: May 23rdrd, World Bank, , World Bank, Washington, DC, 10-noon, RSVP Washington, DC, 10-noon, RSVP requiredrequired