Mobile Rapid Response Tobacco Surveillance

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AmericanLegacyFoundation

Salud y medicina

Mobile Rapid Response Tobacco
Surveillance

Thomas R. Kirchner, PhD

Research Investigator
The Steven A. Schroeder Institute for
Tobacco Research & Policy Studies

Adjunct Assistant Professor
Johns Hopkins Bloomberg School of Public Health

Adjunct Assistant Professor
Georgetown Lombardi Comprehensive Cancer Center
PRESENTED AT:
CDC OSH EXPERT PANEL ON RAPID RESPONSE METHODOLOGY
FOR TOBACCO CONTROL SURVEILLANCE
CDC OFFICE ON SMOKING AND HEALTH, ATLANTA, GA
JUNE 2, 2011

Wireless Penetration: US

CTIA, 2010 Year-end Data

302.9 million active mobile devices

~308.7 million people (+territories)

= ~96% US Market Penetration

Average wireless bill = $47.21
Down 95 cents from 2009

Source:
Wireless
Substitution:
International Assoc. for the Wireless
Telecommunications Industry (CTIA), 2011

Minority Smartphone
Preferences

Nielsen, 2011

Minority Feature
Preferences

Pew Internet & American Life

Mobile Access, 2010

Underserved SMS

PricewaterhouseCoopers

HRI Consumer Survey, 2010

Wireless Substitution

%
Adults
living
in
wireless-‐only
households,
January
2007-‐June
2010

Source:
Wireless
Substitution:
Early
Release
of
Estimates
From
the
National
Health
Interview
Survey,
January
-‐
June
2010

by
Stephen
J.
Blumberg,
Ph.D.,
and
Julian
V.
Luke,
Division
of
Health
Interview
Statistics,
National
Center
for
Health
Statistics

Ecological Momentary
Assessment

•  ~ 2 decades mobile health survey research

EMA 2.0

•  Participant provided device

•  Dynamic Remote Content Management

•  Mixed-mode Integration

•  Ecological (i.e., GIS) Integration

•  Remote Sensing (e.g., accelerometer)

Ecological Momentary
Intervention

Legacy: Become and EX Mobile (iPhone)

Ecological Momentary
“Surveillance”

IVR
MMS
SMS
Email
GPS

Prospective Targets

•  Industry?

•  Policy?

•  Advocacy?

•  Smoker Attitudes / Beliefs?

•  Tobacco Product Use Patterns?

•  Smoking Initiation and/or Cessation Milestones?

Rapid Learning Studies

•  Prospective Cohort

•  Large, Representative Samples

•  Longitudinal (but not “long”)

•  Iterative
•  c.f., Multiphase optimization strategy (MOST)

•  Adaptive
•  c.f., Sequential Multiple Assignment Randomized Trial (SMART)

Opportunities

•  Methodological
–  Reach among Priority Populations
–  Prospective, Longitudinal Research Questions
–  Rapid Learning Studies

•  Logistical
–  Existing systems lower cost
–  Automation lowers staffing overhead
–  Improved retention / follow-up

•  Collaborative
–  Community Outreach
–  Participatory Involvement

Challenges

•  Privacy
•  Platform standards
•  Mobile Usage Fees
•  Mixed-mode effects
•  Reliability / Validity
•  Data Processing
•  Data Analysis

Recommendations

•  National Prospective Cohort

•  Mobile Platform / Device Independent System Development

•  Feature Phone Focus (for now)

•  User Preferences Trump Mode Effects

•  Mobile + GIS Integration

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Mobile Rapid Response Tobacco Surveillance

1. Mobile Rapid Response Tobacco Surveillance Thomas R. Kirchner, PhD Research Investigator The Steven A. Schroeder Institute for Tobacco Research & Policy Studies Adjunct Assistant Professor Johns Hopkins Bloomberg School of Public Health Adjunct Assistant Professor Georgetown Lombardi Comprehensive Cancer Center PRESENTED AT: CDC OSH EXPERT PANEL ON RAPID RESPONSE METHODOLOGY FOR TOBACCO CONTROL SURVEILLANCE CDC OFFICE ON SMOKING AND HEALTH, ATLANTA, GA JUNE 2, 2011

2. Wireless Penetration: US CTIA, 2010 Year-end Data 302.9 million active mobile devices ~308.7 million people (+territories) = ~96% US Market Penetration Average wireless bill = $47.21 Down 95 cents from 2009 Source: Wireless Substitution: International Assoc. for the Wireless Telecommunications Industry (CTIA), 2011

3. Minority Smartphone Preferences Nielsen, 2011

4. Minority Feature Preferences Pew Internet & American Life Mobile Access, 2010

5. Underserved SMS PricewaterhouseCoopers HRI Consumer Survey, 2010

6. Wireless Substitution % Adults living in wireless-‐only households, January 2007-‐June 2010 Source: Wireless Substitution: Early Release of Estimates From the National Health Interview Survey, January -‐ June 2010 by Stephen J. Blumberg, Ph.D., and Julian V. Luke, Division of Health Interview Statistics, National Center for Health Statistics

7. Ecological Momentary Assessment •  ~ 2 decades mobile health survey research EMA 2.0 •  Participant provided device •  Dynamic Remote Content Management •  Mixed-mode Integration •  Ecological (i.e., GIS) Integration •  Remote Sensing (e.g., accelerometer)

9. Ecological Momentary Intervention Legacy: Become and EX Mobile (iPhone)

10. Ecological Momentary “Surveillance” IVR MMS SMS Email GPS

11. Prospective Targets •  Industry? •  Policy? •  Advocacy? •  Smoker Attitudes / Beliefs? •  Tobacco Product Use Patterns? •  Smoking Initiation and/or Cessation Milestones?

12. Rapid Learning Studies •  Prospective Cohort •  Large, Representative Samples •  Longitudinal (but not “long”) •  Iterative •  c.f., Multiphase optimization strategy (MOST) •  Adaptive •  c.f., Sequential Multiple Assignment Randomized Trial (SMART)

13. Gulf Oil Spill

14. Japan

15.

16. Amazon Mechanical Turk

17. Opportunities •  Methodological –  Reach among Priority Populations –  Prospective, Longitudinal Research Questions –  Rapid Learning Studies •  Logistical –  Existing systems lower cost –  Automation lowers staffing overhead –  Improved retention / follow-up •  Collaborative –  Community Outreach –  Participatory Involvement

18. Challenges •  Privacy •  Platform standards •  Mobile Usage Fees •  Mixed-mode effects •  Reliability / Validity •  Data Processing •  Data Analysis

19. Recommendations •  National Prospective Cohort •  Mobile Platform / Device Independent System Development •  Feature Phone Focus (for now) •  User Preferences Trump Mode Effects •  Mobile + GIS Integration

Mobile Rapid Response Tobacco Surveillance

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