Published on March 1, 2014
Small Screens, Big Changes: Frontiers in Mobile Technology for Nutrition, Health and Wellness Charles Teague, LoseIt!, firstname.lastname@example.org Nick Patel, Wellable, email@example.com Neal Lesh, Dimagi, firstname.lastname@example.org Moderator: Lisa Gualtieri, Tufts University School of Medicine, email@example.com February 26, 2014
Mobile changes everything Top 10 mobile searches Top 10 web searches 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Chlamydia Bipolar disorder Depression Smoking/quit smoking Herpes Gout Scabies Multiple Sclerosis Pregnancy Vitamin A Cancer Diabetes Symptom Pain Weight Infection Virus Diet Thyroid 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
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
[ ] 43,700 health care mobile apps available to consumers 11
[ ] 90% scored less than 40 on an scale of 100 for functionality 12
[ ] 5 15% apps generate of downloads 13
[ ] 1/2 of remaining apps were downloaded less than 500 times 14
[ ] 32% mobile device owners use fitness apps 15
[ ] 50% mobile health app users were fitness app users 16
[ ] By 2015, more than 500 million consumers will use health apps on their mobile device 17
WHAT IS WELLABE? Consumer Focused Health and Wellness Mobile Apps Enterprise Wellness Programs EMPLOYERS PROVIDERS HEALTH PLANS 18
IT’S JUST NOT ABOUT CONNECTING APPS… ANALYTICS COMMUNICATION WELLABLE APP PARTNERS SOCIAL / GAMIFICATION 19
WHERE DO YOU FIT IN? Legacy Health Coach Model Wellable Health Coach Model REAL-TIME DATA 20
Mobile apps to strengthen community health in low-income countries Neal Lesh, Dimagi – Feb 2014 firstname.lastname@example.org
Dimagi • 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
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 SMS Reminder Question Reena is overdue for his follow-up treatment please follow-up with her. Select Exit Select Find Existing Clients Record Client information Provide Multimedia counseling and Disseminate information Exit Follow-up with clients CommCareHQ Information System 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 Level • 16 peer-reviewed publications on CommCare. Most evidence-based mobile platform for Frontline Workers • No Impact studies yet, many gray-lit Client KAP studies Study Published? #Yes #No 4 2. Implementation • Full Evidence Base is available online (http://tinyurl.com/cut6pkt) 1. Conceptual 6 3. FLW Interviews 2 3 4. FLW Activity 4 4 5. Client KAP Total # Studies 4 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@example.com) 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 E: firstname.lastname@example.org 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?
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