The document summarizes a discussion on mobile technologies for nutrition, health and wellness. It includes presentations from representatives of LoseIt!, Wellable, and Dimagi on their mobile apps and how mobile is changing health. Key points include: LoseIt! has over 18 million users tracking food and exercise to lose weight at scale; Wellable creates consumer-focused health apps and tools for employers and providers; Dimagi builds mobile apps for community health workers in low-income countries to strengthen primary care. The potential of mobile to improve access, engagement and empower individuals was discussed.
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Mobile Apps Transform Nutrition, Health and Wellness Globally
1. Small Screens, Big Changes: Frontiers in Mobile
Technology for Nutrition, Health and Wellness
Charles Teague, LoseIt!,
charles@loseit.com
Nick Patel, Wellable,
nick@wellable.co
Neal Lesh, Dimagi,
nlesh@dimagi.com
Moderator:
Lisa Gualtieri, Tufts University
School of Medicine,
lisa.gualtieri@tufts.edu
February 26, 2014
2. 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.
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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
3. 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
4.
5. 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
6. 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
8. 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
9. 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
17. [ ]
By 2015, more than
500 million
consumers will use health apps on their mobile device
17
18. WHAT IS WELLABE?
Consumer Focused
Health and Wellness
Mobile Apps
Enterprise
Wellness
Programs
EMPLOYERS
PROVIDERS
HEALTH PLANS
18
19. IT’S JUST NOT ABOUT CONNECTING APPS…
ANALYTICS
COMMUNICATION
WELLABLE APP PARTNERS
SOCIAL / GAMIFICATION
19
20. WHERE DO YOU FIT IN?
Legacy Health Coach Model
Wellable Health Coach Model
REAL-TIME DATA
20
21. Mobile apps to strengthen community
health in low-income countries
Neal Lesh, Dimagi – Feb 2014
nlesh@dimagi.com
22. 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
27. 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
28. 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
29. 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
31. 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
35. 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
36. Thank you!
Contact: Neal Lesh (nlesh@dimagi.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
37. 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: information@dimagi.com
W: www.dimagi.com
W: www.commcarehq.org
W: www.dimagi.com/category/blog/
38. 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?