Kostas Giokas MONITORING OF COMPLIANCE ON AN INDIVIDUAL TREATMENT THROUGH MOBILE INNOVATIONS AIM RESEARCH TEAM BIOMEDICAL ENGINEERING LABORATORY NATIONAL TECHNICAL UNIVERSITY OF ATHENS
WHAT IS MHEALTH? mhealth stands for mobile-based or mobile-enhanced solutions that deliver health. The ubiquity of mobile devices in the developed or developing world presents the opportunity to improve health outcomes through the delivery of innovative medical and health services with information and communication technologies to the farthest reaches of the globe. Includes any wireless device carried by or on the person that is accepting or transmitting health data/information Sensors (e.g., implantable miniature sensors and nanosensors ) Monitors (e.g., wireless accelerometers, blood pressure & glucose monitors) Mobile phones With mhealth we can have: Low network maintenance Remote monitoring in rural areas Phones are always on, computers are not Carrying a Phone/Tablet is part of a modern lifestyle Using a small portable multi-communication computing device is convenient, economical, practical and personal
M-HEALTH GOALS Develop patient-centered healthcare delivery Increased self-management of illness Alleviate the systemic pressures on the healthcare industry Reduced number of hospital beds occupied Remote monitoring and smart diagnosis Improved disease management Improved compliance with treatment regimes
1. >165,000 consumer mhealth apps in app stores 2. 10% capable of connecting to device or sensor 3. 50% of downloads generated by 36 apps, 40% have fewer than 5K downloads! 4. 65% of top mhealth apps connect to social media 5. February 2012 only 12% of Americans reported have no cell phone 6. 62% of 25-34 year olds own smartphones 7. Half of mobile phones in the US are smartphones 8. Around 100 million people have smartphones in United States 9. Smartphones = Multiple sensors disguised as a phone GPS Accelerometer Compass Gyroscope A Tidal Wave of mhealth Apps
A Formula for Patient-Centric mhealth Apps Quality mhealth App = Satisfy Patients Needs + Transparency + Reliable Health Data Management Satisfy Patients Needs = Useful Functionality + Efficacy Reliable Health Data Management = Good Privacy Practices + Data Security
Mastering mhealth Apps & Wearables to Improve Health Outcomes 33% of patients with chronic diseases don t currently use mobile apps to manage their conditions, but would like to start. 50% of patients believe they should bring information/digital tools to their doctor rather than the other way around. 26% of respondents agree that finding direct means of communicating with health professionals presents the biggest hurdle.*
Most Doctors Not Ready to Recommend Mobile Apps to Patients 41% of doctors agree that health apps could be a game changer... BUT just 36% said they are likely to recommend such an app to their patients. Currently, the main reasons for recommending mobile health apps are: Diet and Weight Loss (70%), General health and fitness activity (65%), Health Monitoring (53%), Smoking Cessation (49%), and Compliance (45%).* Top Reasons for Physicians Adoption of mhealth Timeefficiency Cost Efficiency Improved quality and continuty of care Improved communication withpatients Patient Demend No mobile healthadoptions 0% 5 % 10% 15% 20 % 25 % 30% 35% 40% 45% 50%
Patient s Compliance The degree to which the person s behavior corresponds with the agreed recommendations from a health care provider. World Health Organization
FACTORS THAT AFFECT COMPLIANCE Cognitive factors Interpersonal factors Patient involvement and participatory decision making Patients' attitudes Cultural variations
CO-MORBIDITY Primary disease + One or more diseases = Co-morbidity
Overcoming barriers to Compliance
Blood Pressure Measurement Heart Rate Measurement Glucose Measurement Insulin Measurement Cholesterol Measurement Body Weight Measurement Body Temperature Measurement Height Measurement PT/INR Measurement
Patient s Mobile App
THE BIGGEST IMPACT OF MHEALTH TECHNOLOGY IS YET TO BE FELT Google Contact Lenses: Detects glucose in tears Apple Patent App: It counts accurate steps and distance elimination while walking Withings Aura: Built for people suffering from insomnia. Tracks body movements, Breathing motion, noice pollution & room temperature Apple s ios 8 Healthbook App Could Be HubFor Wearables Kolibree toothbrush: Record every brush stroke. Sends your dental report to your smartphone via Bluetooth.
THE FUTURE OF M-HEALTH
DISCUSSION