The Value of Patient-Facing Apps in Engagement

Transcription

1 The Value of Patient-Facing Apps in Engagement February 29, 2016 Jennifer Shine Dyer, MD, MPH & Lygeia Ricciardi, EdM

2 Conflict of Interest Jennifer Shine Dyer, MD, MPH Salary: up to $25,000/year for academic contracted research Receipt of Intellectual Property Rights/Patent Holder: EndoGoal App Consulting Fees (e.g., advisory boards): $100/hour Fees for Non-CME Services Received Directly from a Commercial Interest or their Agents (e.g., speakers bureau): in past, none currently Contracted Research: Stanford University Ownership Interest (stocks, stock options or other ownership interest excluding diversified mutual funds): none Other: own COPEDS pediatric endocrine private practice

3 Conflict of Interest Lygeia Ricciardi, EdM Salary: Clear Voice Consulting, LLC Royalty: NA Receipt of Intellectual Property Rights/Patent Holder: NA Consulting Fees (e.g., advisory boards): Clients include Altarum Institute, Amida Technology Solutions, Gerson Lehrman Group, HIMSS New Jersey Chapter, Humetrix, Millbank Memorial Fund, PriceWaterhouse Coopers, Yodlee Fees for Non-CME Services Received Directly from a Commercial Interest or their Agents (e.g., speakers bureau): NA Contracted Research: NA Ownership Interest (stocks, stock options or other ownership interest excluding diversified mutual funds): Amida Technology Solutions

4 Agenda Digital Health from a 30K Foot Perspective The digital health landscape Snapshot: mhealth app use today In-Depth Perspective on Diabetes Apps Apps currently available (diabetes-specific) Dyer diabetes app development story and lessons Strategies for Boosting App Success Engage providers Use gamification Test for evidence Focus on the patient s needs Questions/Discussion

5 Learning Objectives 1. Explain the rapidly changing landscape of digital health tools, where apps fit within that context, and how the app market overall is developing 2. Discuss app design successes and pitfalls, and analyze the feasibility and challenges of developing one s own apps 3. Describe how to design and incorporation of health apps into your life and /or practice

6 The Digital Health Landscape

7 80% of Consumers Use One or More Forms of Source: RockHealth 2015

8 Search Rates Source: RockHealth 2015

9 40% Overall Act on Info Source: RockHealth 2015

10 How People Track Source: RockHealth 2015

11 Areas of Anticipated Growth Source: RockHealth 2015

12 Snapshot: mhealth App Use Today

13 > 165K Consumer mhealth Apps on ios & Data: IMS Institute for Healthcare Informatics, 2015 Image: Freecodesource.com

14 Growth in # of ios mhealth Apps Source: IMS 2015

15 mhealth Apps Source: IMS 2015

16 What mhealth Source: IMS 2015

17 Capability of mhealth Apps to Connect to Source: IMS 2015

18 10% of Apps Have Capacity to Link to a Sensor or Device Source: IMS, 2015

19 Location of Wearable Source: IMS 2015

20 Consumer Cost for mhealth Apps Source: IMS 2015

21 In-Depth Perspective on Diabetes Apps & Development

22 What Apps Do Patients Want? 42%: An app to see their test results. 33%: Remote monitoring devices. 30%: Access to patient health records via mobile device. 13%: Didn t think apps would help improve care Source: Ruder Finn mhealth Report

23 @EndoGoddess

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25 Patient Reasons For Not Using Apps: 27%: Didn t have a need to. 26% Preferred in-person communication with doctor. 11%: Privacy concerns. 9%: Didn t find them useful. 7%: didn t know they were available. Source: Ruder Finn mhealth Report

26 5 Pitfalls In Designing A Medical App The motivation for the app development is misguided Lack of clinician involvement Poor attention to usability Not knowing the healthcare landscape Not building to regulatory specifications

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29 Hypothesis: Personalized interactive engagement via weekly texting between teen and his/her physician: Improve meal bolus mindfulness Reduce hgba1c % within 3 months

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32 Bolus Adherence Decreased Over Time Needed motivation Needed more reminders Needed more support

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36 This is Paige.

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38 Paige has insulin-dependent diabetes.

39 and loves her smart phone. A SMS texting pilot study that Paige was a part of helped her to remember to check her blood sugars and to take her insulin.

40 However, texting stopped helping Paige after 3 months

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45 First, Paige downloads EndoGoal on her smartphone

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47 To activate the rewards, Paige sends link to her friends and family!

48 Friends and family make $ donations.

49 Paige redeems points once a week!

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53 Strategies for Boosting App Success

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55 Apps Prescribed Source: IMS 2015

56 Top Apps Average Fill & Source: IMS 2015

57 2.

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59 LEVEL 1:What is gamification? The integration of the mechanics that make games fun and absorbing into non-game platforms and experiences in order to improve engagement and participation Source: Findlay & Alberts, 2011

60 LEVEL 2: What it s not Badgification or Pointsification

61 LEVEL 2: What it s not Badgification or Pointsification

62 Rewards for effort If your idea is to create a bribery system to get [users] to try something, it can backfire. When the bribes go away, people are less inclined naturally to do the thing you want, even if it's fun. Jesse Schell, Researcher & CEO of Schell Games Source: Findlay & Alberts, 2011

63 LEVEL 3: Hacking the brain Rewards for effort Other people (social) Experience systems Overlapping goals Rapid, frequent feedback A lot of overlap in the way that these mechanics tap into our brain s reward centers Source: Findlay & Alberts, 2011

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65 3. Test

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67 @EndoGoddess

68 mhealth Evidence for Source: IMS 2015

69 4. Focus on the Patient

70 Patient Reasons For Not Using Apps 27%: Didn t have a need (or want) to. 26% Preferred in-person communication with doctor. 11%: Privacy concerns. 9%: Didn t find them useful. 7%: didn t know they were available. Source: Ruder Finn mhealth Report

71 5 Pitfalls In Designing A Medical App The motivation for the app development is misguided Lack of clinician involvement Poor attention to usability Not knowing the healthcare landscape Not building to regulatory specifications

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73 Questions? Medical private practice website: LinkedIn: Jennifer Shine Dyer, MD, MPH Website: LinkedIn: ardi