Public mHealth: mobile applications for use in Public Health Sheila Snow-Croft, MA, MLIS Public Health Coordinator National Network of Libraries of Medicine (NN/LM) Southeastern Atlantic Region (SE/A) http://nnlm.gov/sea [email protected] 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 http://www.nlm.nih.gov/mobile/ Guide to NLM Mobile (App): http://www.nlm.nih.gov/mobile-app/ • PubMed for Handhelds • LactMed • BabelMeSH • AIDSinfo • Health Hotlines • Emergency Response: • REMM • WISER • Reunite 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: DIMRC Disaster 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: WISER Wireless 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 FluView Blast Injury Health-e-Cards Can I Eat This? Healthy Swimming CDC Mobile Influenza for Clinicians and Health Care Professionals Fetal Alcohol Spectrum Disorders (FASD) Ladder Safety CDC Apps (part 2) Latent TB Infection (LTBI) STD Treatment (Tx) Guide MMWR, MMWR Express US Medical Eligibility Criteria for Contraceptive Use Prevent Group B Strep Preventing Chronic Disease (PCD) Journal PTT Advisor Support Solve the Outbreak Vaccine Schedules WISQ 2011 Guidelines for Field Triage of Injured Patients Office of Dietary Supplements (ODS) https://myds.nih.gov My 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 [email protected] • Lectures • training opportunities • funding announcements Thank You Sheila Snow-Croft, MA, MLIS Public Health Coordinator National Network of Libraries of Medicine (NN/LM) Southeastern Atlantic Region (SE/A) http://nnlm.gov/sea [email protected] Facebook: National Network of Libraries of Medicine Southeastern Atlantic Region Twitter: nnlmsea Blog: http://nnlm.gov/sea/newsletter