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The mHealth Triad

          Ernesto Ramirez, Gregory J Norman,
             Richard Garfein& Kevin Patrick

      Department of Family & Preventive Medicine
Center for Wireless and Population Health Systems, Calit2


             mHealth Summit | December 6, 2011
The Players
                   Healthcare
                  Organizations




      mHealth
                                  Research
     Technology
mHealth Technology




Text Message Systems      User-friendly Sensors   Multi-component Systems




                       Health data that is:
        •PersonalLongitudinalPortable
Research
 mHealth Technologies are opening up exciting new areas for behavioral research.

    One Size Fits All

 • Simple strategies that give all users the same non-modifiable information.
 • Usually rely solely upon “push” methods

        Tailored
 • Understands some baseline characteristics.
 • Level of intervention remains constant across all characteristics
 • Push > Pull

  Adaptive & Dynamic
 • N of 1 methodology: Each person is unique.
 • Multiple periods of sequential data gathering.
 • Intervention strength dependent on outcome/effectiveness measured repeatedly.
The System

 Persuasive Systems that support real-time context-aware behavior change interventions




                Integrated Machine          Behavior Change
                      Learning                  Theory



                Behavior Detection             Persuasive
                 (intensity & type)            Feedback


                     Behavioral            Successful Behavior
                   Understanding                Change
                (context & patterns)

  Wireless                                                            Personally Tailored &
 Body API
 Body Sensor                                                       Pervasive Persuasion
                                                                      Persuasive Messages
Healthcare Organizations

       Administrators                     Providers                        Patients

                                • Improved patient outcomes.    • An active role in their
 • Reduced financial burden.                                    healthcare.
                                • A better understanding of
 • Provide meaningful impact.   patient behavior.               • A better understanding of
                                                                their health.
 • Incorporate “state of the    • Data driven, scientifically
 art” tools and methods.        vetted care strategies.         • Preventive measure to
                                                                protect health.

                                                                • Immediate Feedback
The Give & Take

   mHealth            Improved access to data
                                                            Research
  Technology   Appropriate study design & analysis




   mHealth     Tools for persuasive preventive medicine    Healthcare
  Technology        Real world user feedback              Organizations


                   Efficacy of tools and methods
                                                           Healthcare
  Research       Access to research participants
                                                          Organizations
WHERE IS THEMONEY?

AT EVERY LEVEL
WE NEED TO
FIND A WAY TO
FUND INNOVATION.
WHERE IS THEMONEY?

AT EVERY LEVEL
WE NEED TO
FIND A WAY TO
FUNDFAILURE
Make believe is the first step to believe.
                          -Theo Hiemstra




                                 flicker.com/frinky
Thank You




            erramirez@ucsd.edu
                    @e_ramirez
                cwphs.ucsd.edu

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The mHealth Triad + Fund Failure

  • 1. The mHealth Triad Ernesto Ramirez, Gregory J Norman, Richard Garfein& Kevin Patrick Department of Family & Preventive Medicine Center for Wireless and Population Health Systems, Calit2 mHealth Summit | December 6, 2011
  • 2. The Players Healthcare Organizations mHealth Research Technology
  • 3. mHealth Technology Text Message Systems User-friendly Sensors Multi-component Systems Health data that is: •PersonalLongitudinalPortable
  • 4. Research mHealth Technologies are opening up exciting new areas for behavioral research. One Size Fits All • Simple strategies that give all users the same non-modifiable information. • Usually rely solely upon “push” methods Tailored • Understands some baseline characteristics. • Level of intervention remains constant across all characteristics • Push > Pull Adaptive & Dynamic • N of 1 methodology: Each person is unique. • Multiple periods of sequential data gathering. • Intervention strength dependent on outcome/effectiveness measured repeatedly.
  • 5. The System Persuasive Systems that support real-time context-aware behavior change interventions Integrated Machine Behavior Change Learning Theory Behavior Detection Persuasive (intensity & type) Feedback Behavioral Successful Behavior Understanding Change (context & patterns) Wireless Personally Tailored & Body API Body Sensor Pervasive Persuasion Persuasive Messages
  • 6. Healthcare Organizations Administrators Providers Patients • Improved patient outcomes. • An active role in their • Reduced financial burden. healthcare. • A better understanding of • Provide meaningful impact. patient behavior. • A better understanding of their health. • Incorporate “state of the • Data driven, scientifically art” tools and methods. vetted care strategies. • Preventive measure to protect health. • Immediate Feedback
  • 7. The Give & Take mHealth Improved access to data Research Technology Appropriate study design & analysis mHealth Tools for persuasive preventive medicine Healthcare Technology Real world user feedback Organizations Efficacy of tools and methods Healthcare Research Access to research participants Organizations
  • 8. WHERE IS THEMONEY? AT EVERY LEVEL WE NEED TO FIND A WAY TO FUND INNOVATION.
  • 9. WHERE IS THEMONEY? AT EVERY LEVEL WE NEED TO FIND A WAY TO FUNDFAILURE
  • 10. Make believe is the first step to believe. -Theo Hiemstra flicker.com/frinky
  • 11. Thank You erramirez@ucsd.edu @e_ramirez cwphs.ucsd.edu

Notas del editor

  1. ThemHealth arena is composed of three major players, the companies producing mhealth tools, thealthcareorgnizations who are using or want to use them, and the researchers who evaluate their utility