Small Screens, Big Changes: Frontiers in Mobile Technology for Nutrition, Health and Wellness
38
Small Screens, Big Changes: Frontiers in Mobile Technology for Nutrition, Health and Wellness Charles Teague, LoseIt!, [email protected] Nick Patel, Wellable, [email protected] Neal Lesh, Dimagi, [email protected] Moderator: Lisa Gualtieri, Tufts University School of Medicine, [email protected] February 26, 2014
-
Upload
lisa-gualtieri -
Category
Health & Medicine
-
view
466 -
download
0
description
Will Masters, Professor and Chair, Department of Food and Nutrition Policy, Friedman School of Nutrition Science and Policy at Tufts University, invited me to moderate a panel on Feb 26, 2014 on mobile health. Panelists Charles Teague, LoseIt!, Nick Patel, Wellable, and Neal Lesh, Dimagi, were fantastic. They gave me permission to post their slides, which end with the questions I prepared: 1.My mother-in-law downloaded LoseIt and wants to know how it takes into consideration your age and physical ability to exercise? The broader question here is: –How are all people accommodated and when is it okay for a specific demographics' needs to be met be in age, location, or health condition? 2.From Twitter: Why does LoseIt treat iPhone users better than Android? Larger question: –What is the impact of the changes in technology: cell phones, smart phones, tablets etc on your products? 3.What would a healthcare provider need to know to "prescribe" your app? Why would someone "adhere" to that prescription? 4.If you had unlimited funds what would you each do in the next year? I wish I had documented all their excellent and insightful answers. Interested in Mobile Health - consider Mobile Health Design course http://publichealth.tufts.edu/Academics/HCOM-Program/Summer-Institute/Mobile-Health-Design
Transcript of Small Screens, Big Changes: Frontiers in Mobile Technology for Nutrition, Health and Wellness
Small Screens, Big Changes: Frontiers in Mobile Technology for Nutrition, Health and Wellness
Charles Teague, LoseIt!, [email protected] Nick Patel, Wellable,
[email protected] Neal Lesh, Dimagi, [email protected]
Moderator: Lisa Gualtieri, Tufts University
School of Medicine, [email protected]
February 26, 2014
Mobile changes everything Top 10 mobile searches
1. Chlamydia 2. Bipolar disorder 3. Depression 4. Smoking/quit smoking 5. Herpes 6. Gout 7. Scabies 8. Multiple Sclerosis 9. Pregnancy 10. Vitamin A
Top 10 web searches
1. Cancer 2. Diabetes 3. Symptom 4. Pain 5. Weight 6. Infection 7. Virus 8. Diet 9. Thyroid 10. Sleep
What fascinates me about mobile health
• Selection and adoption of apps
• Sustained use necessary for behavior change and health benefits
• Making devices and sensors appealing
• More adaptive and personalized
What is Lose It!?
The best weight loss system
available
Connected– connects you to the people,
devices, and food you need to succeed
Personal– customizes a weight loss plan that
fits your life.
Effective– based upon proven principles of
calorie tracking and peer support
Facts and Figures
Available on iOS, Android, and the web
Top 5 Free / Grossing Health and Fitness
application across platforms
iTunes Editor’s choice, Best of 2013
Time Magazine top 50 iPhone apps
Winner, Surgeon General’s Healthy App
Weight loss at scale
18 million registered users
25 billion foods logged
2 billion exercises logged
246 million weigh ins
25,000 interactions each minute
Demographics
Mobile- so what?
Clinically successful approaches to weight loss are
actually well understood in many cases
Tracking + Peer Support = Foundational Approach
But approaches suffer from poor compliance, in
consumer terms, poor engagement
Mobile allows us to make huge strides in
engagement
Recapture lost time throughout the day
Engage users at moments of decision
Mobile = Proximity to choice and action
Reduced cost, increased access
A Few More Trends to Consider
Consumer activation around wellness
Health and Fitness in the App Store is incredibly competitive
Top apps in the category are among the 100 most popular apps on
the platform
Wearables and devices
Activity trackers, scales, and other connected devices exploding
New opportunity to measure user behavior with very low friction for
users
Data at scale
Explosion in scale of data and potential for intelligence
Huge challenge to create actionable insights for users, not just charts
Nick Patel
@GetWellable
[ ]
11
43,700 health care mobile apps available to consumers
[ ]
12
90% scored less than 40 on an scale of 100 for functionality
[ ]
13
5 apps generate
15% of downloads
[ ]
14
1/2 of remaining apps were downloaded less than 500
times
[ ]
15
32% mobile device owners use fitness apps
[ ]
16
50% mobile health app users were fitness app users
[ ]
17
By 2015, more than
500 million consumers will use health apps on their mobile device
WHAT IS WELLABE?
18
HEALTH PLANS
PROVIDERS
EMPLOYERS
Consumer Focused
Health and Wellness
Mobile Apps
Enterprise
Wellness
Programs
IT’S JUST NOT ABOUT CONNECTING APPS…
19
WELLABLE APP PARTNERS
SOCIAL / GAMIFICATION
COMMUNICATION ANALYTICS
WHERE DO YOU FIT IN?
20
Legacy Health Coach Model Wellable Health Coach Model
REAL-TIME DATA
Mobile apps to strengthen community health in low-income countries
Neal Lesh, Dimagi – Feb 2014
• Leader in open source mobile technology for low-income countries
• Create mobile solutions that don’t require developers to deploy
• 10 years experience working on over 150+ projects in 40+ countries
Dimagi
COMMCARE:
MOBILE APPLICATIONS FOR
COMMUNITY HEALTH WORKERS
CommCare in use by a CHW
CommCare: Multimedia for Counseling
CommCare: Case Management
1. Find Case 2. View Case Summary 3. Step-by-Step Guidance
Example: CommCare Workflow
Record Client
information
Question
Select Exit
CommCareHQ Information System
Select Exit
SMS Reminder
Reena is overdue
for his follow-up
treatment
please follow-up
with her.
Follow-up
with clients
Find Existing Clients Provide Multimedia
counseling and
Disseminate information
Build / Modify Application
Manage Your Data and Workforce
Frontline Programs Launched in India in 2013
Maternal & Child Health (16)Nutrition (6)Sexual & Reproductive Health (2)Tuberculosis (2)Malaria (1)HIV (1)Domestic Violence (1)Agriculture (3)Education (2)Tobacco Cessation (1)Disaster Preparedness (1)Affordable Energy (1)Supervision (2)Household Survey (1)
All of these apps will be published on the CommCare Exchange
ADRA’s SALOHI mHealth Nutrition Program
Application Purpose:
• To improve data quality of Growth Monitoring and Promotion (GMP)
• Support health volunteers in providing counseling messages
Application Details:
• Tracks children’s monthly nutritional anthropometric status
• Calculates weight-for-age Z score
• Record MUACs
• Provides appropriate nutritional counseling messages
CommCare for Growth Monitoring
Evidence base
• Dimagi partners with many research
groups to evaluate CommCare
• 16 peer-reviewed publications on
CommCare. Most evidence-based
mobile platform for Frontline Workers
• No Impact studies yet, many gray-lit
Client KAP studies
• Full Evidence Base is available online (http://tinyurl.com/cut6pkt)
Level Study Published?
#Yes #No
1. Conceptual 4
2. Implementation 6
3. FLW Interviews 2 3
4. FLW Activity 4 4
5. Client KAP 4
Total # Studies 16 11
SOME LESSONS HARD LEARNED
Design Under the Mango Tree
33
Data should be Actionable
Frequency of Visis (Work by Brian DeRenzi et. al)
B. DeRenzi, L. Findlater, G. Borriello, J. Jackson, J. Payne, B. Birnbaum, T. Parikh, N. Lesh,
“Improving Community Health Worker Performance Through Automated SMS”, ICTD 2011, to
appear
Thank you!
Contact: Neal Lesh ([email protected])
Additional Videos: CommCare Overview Video: http://youtu.be/ZpfvISKxylE
CommCare Demo Video with multi-lingual support from India: http://youtu.be/30Ftk6STM3U
Recorded Webex of CommCare Presentation given to NetHope: http://bit.ly/tiLaYy
Additional Resources: http://groups.google.com/group/ict4chw
http://www.commcarehq.org
http://www.dimagi.com
Dimagi Global Head-office
585 Massachusetts Ave
Cambridge, MA 02139 USA
T: +1.617.649.2214
F: +1.617.274.8393
For more Information
W: www.dimagi.com
W: www.commcarehq.org
W: www.dimagi.com/category/blog/
Questions 1. My mother-in-law downloaded LoseIt and wants to know
how it takes into consideration your age and physical ability to exercise? The broader question here is:
– How are all people accommodated and when is it okay for a specific demographics' needs to be met be in age, location, or health condition?
2. From Twitter: Why does LoseIt treat iPhone users better than Android? Larger question:
– What is the impact of the changes in technology: cell phones, smart phones, tablets etc on your products?
3. What would a healthcare provider need to know to "prescribe" your app? Why would someone "adhere" to that prescription?
4. If you had unlimited funds what would you each do in the next year?
