Public mHealth: mobile applications for use in

Public Health

Sheila Snow-Croft, MA, MLISPublic Health Coordinator

National Network of Libraries of Medicine (NN/LM) Southeastern Atlantic Region (SE/A)

http://nnlm.gov/seassnowcro@hshsl.umaryland.edu

mHealth

“mHealth” has the potential to be a transformative force. It has the potential to change when, where, and how healthcare is provided; to ensure that important social, behavioral, and environmental data are used to understand the determinants of health; and to improve health outcomes.

eHealth & mHealth

• eHealth: Using information and communication technology (ICT) for health services and information.

• mHealth: Using mobile communications for health services and information.

Information vs Action

• Information apps focus on providing facts

• Action apps help bring about change

Mobile Technologies

Revolutionizing:

• health education

• patient care and management

• point-of-care support for health workers

• diagnostics

• data and evidence collection

Mobile Statistics

Healthcare Professionals’ Mobile Use

• >4 in 5 physicians, nurse practitioners, and physician assistants use smartphones daily

• >50% of physicians and 40% of nurse practitioners and physician assistants use tablets daily

• 47% of US clinicians use smartphones and tablets during the day

• Tablet and smartphone usage accounts for 40% of clinicians’ screen time

App Evaluation

• Category/Task• Currency • Version• Size• Language• Seller • Price• Rating

App Challenges

• Privacy

• Confidentiality

• Regulatory control

• Human subjects’ protection

• Logistics

National Library of Medicine

• PubMed for Handhelds• BabelMeSH

• AIDSinfo

• Health Hotlines

• LactMed

• Emergency Response:• REMM• WISER• Reunite

http://www.nlm.nih.gov/mobile/

Guide to NLM Mobile (App): http://www.nlm.nih.gov/mobile-app/

NLM: PubMed for Handhelds

• Designed for iPhone & iPad

• Compatible with iPod touch

• Email feature for retrieved citations

• For iOS 6.0 or later

NLM: BabelMeSH and PICO Linguist

• Search PubMed using 13 languages

• PICO: fill in the blank and menu format

• For iOS 6.0 or later

• iPhone, iPad, iPod touch

NLM: AIDSinfo HIV/AIDS Glossary

• >850 HIV/AIDS-related term definitions

• Plain language, English and Spanish

• Audio and Randomizer features

• For Android, iOS 4.3 or later

• iPhone, iPad, iPod touch

NLM: Health Hotlines

• Directory of organizations with toll-free phone numbers

• Descriptions of almost 9k biomedical organizations and resources

• For iOS 4.3 or later

• Compatible with iPhone, iPad, iPod touch

NLM: LactMed

• Drugs and supplements that may affect breastfeeding

• Information on: • levels of such substances in breast milk/infant

blood • possible adverse effects in nursing infants • therapeutic alternatives

• Android• iOS 4.3 or later• iPhone, iPad, iPod touch

NLM: DIMRCDisaster Information Management Research

Center

disasterinfo.nlm.nih.gov

• Psychological Health Tools: mobile websites and apps

• Hurricane, Tornado, Wildfire apps from American Red Cross

• National Weather Service & National Hurricane Center apps

NLM: REMM Radiation Emergency Medical Management

• For healthcare providers: • Clinical diagnosis and treatment of radiation injury

• For those without experience: • Just-in-time, evidence-based, usable information • Background & context to make complex issues

understandable

• Downloadable Web-based information

• For iOS 4.3 or later, Android, Blackberry

NLM: WISERWireless Information System for Emergency Responders

• For first responders in hazardous material incidents

• For iOS 4.3 or later, Android, Blackberry

• Downloadable

NLM: Reunite

• Post-disaster family

reunification aid

• Report to and search for

missing or found person

information

• Uses PEOPLE LOCATOR site http

://pl.nlm.nih.gov

• For iOS 7.0 or later

• iPad, iPhone, iPod Touch

CDC Apps (part 1)

ALS Service Locator

Blast Injury

Can I Eat This?

CDC Mobile

Fetal Alcohol Spectrum Disorders (FASD)

FluView

Health-e-Cards

Healthy Swimming

Influenza for Clinicians and Health Care Professionals

Ladder Safety

CDC Apps (part 2)

Latent TB Infection (LTBI)

MMWR, MMWR Express

Prevent Group B Strep

Preventing Chronic Disease (PCD) Journal

PTT Advisor Support

Solve the Outbreak

STD Treatment (Tx) Guide

US Medical Eligibility Criteria for Contraceptive Use

Vaccine Schedules

WISQ

2011 Guidelines for Field Triage of Injured Patients

Office of Dietary Supplements (ODS)

https://myds.nih.govMy Dietary Supplements

• Keep track of vitamins, minerals, herbs usage

• Science-based, reliable supplement information

• Available in Spanish at https://myds.nih.gov/espanol

American Heart Association

Spot a Stroke F.A.S.T.• Stroke information and how to recognize

one

• Symptoms video

• Requires iOS 7.0 or later

• Compatible with iPhone, iPad, iPod touch

• Available in Spanish

American Heart Association

Pocket First Aid & CPR• 2010 AHA Guidelines for CPR & ECC

• 34 videos, 46 illustrations

• Android version

• iPhone, iPad, iPod touch

• Requires iOS 3.1 or later

AHRQ

ePSS: Electronic Preventive Services Selector

• Helps primary care clinicians identify appropriate clinical preventive services

• Search and browse U.S. Preventive Services Task Force (USPSTF) recommendations

• Online and for a variety of mobile devices

HealthMap: Outbreaks Near Me

• Real-time intelligence on a broad range of emerging infectious diseases

• Search and browse with interactive map

• Outbreak alerts

• for iOS 4.3 or later

• iPhone, iPad, iPod touch

National Cancer Institute (NCI)

• Smokefree TXT

• QuitSTART www.teen.smokefree.gov

• Smokefree QuitGuide

• M.cancer.gov

Linking the public to clinical services

• HRSA Find a Health Center www.hrsa.gov/about/mobile

• Centers for Medicare & Medicaid Services (CMS) is working with states to develop mobile-facing initiatives, such as the mobile version of InsureKidsNow.gov

• SAMHSA Behavioral Health Disaster Response App

• MedlinePlus Mobile Topic page: Choosing a Doctor or Health Care Service

Action mHealth

• Can produce continuous streams of data on an individual's biology, psychology, behavior, and daily environment• Increasing data for longitudinal studies• Can be used in real-time

• Allows targeting of particular communities with tailored health information

Text4Baby

• Promotes maternal & child health through text messaging

• Partnership of >950 health departments, academic institutions, health plans, businesses, and the federal government

• Has reached over 530,000 moms since 2010 launch

Worldwide Success

• TERA (Trilogy Emergency Relief Application) helped save many lives during Haiti crisis, is helping raise awareness of health issues in Sierra Leone, is showing promise in slowing down malaria worldwide

• Pregnant women in countries such as India and South Africa who can't visit doctors regularly can register their due dates and receive info regarding their babies' development

• In Bangladesh, parents can receive alerts telling them when to bring their children into clinics for vaccinations

• Text messaging in Kenyan trials show a clear increase in adherence to treatment guidelines

Emergency Preparedness

• Market monitoring

• Healthy early warning messages

• Community early warning

• Speeding up delivery

• Geo-hazard mapping

• Monitoring payments to indicate vulnerability

Mobile Messaging Tips

• Remind people of their goals

• Become a personal "health coach”

• Build healthful habits using social influence

• Show people what they could lose

• Put the message where it really counts

• Raise emotional awareness

• Reframe challenges

mHealth Summit

http://www.mhealthsummit.org

Explore, examine, and debate the ways mobile technology is transforming health care delivery, research, business, and policy for the 21st century

Keeping up

mHealth Training listserv

mHealth-Training@list.nih.gov

• Lectures • training opportunities• funding announcements

Thank You

Sheila Snow-Croft, MA, MLISPublic Health Coordinator

National Network of Libraries of Medicine (NN/LM) Southeastern Atlantic Region (SE/A)

http://nnlm.gov/seassnowcro@hshsl.umaryland.edu

Facebook: National Network of Libraries of Medicine Southeastern Atlantic Regi

onTwitter: nnlmsea

Blog: http://nnlm.gov/sea/newsletter