Public mHealth : mobile a pplications for use in Public Health

1. 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 ssnowcro@hshsl.umaryland.edu

2. 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.

3. eHealth & mHealth • eHealth: Using information and communication technology (ICT) for health services and information. • mHealth: Using mobile communications for health services and information.

4. Information vs Action • Information apps focus on providing facts • Action apps help bring about change

5. Mobile Technologies Revolutionizing: • health education • patient care and management • point-of-care support for health workers • diagnostics • data and evidence collection

6. Mobile Statistics

7. Healthcare Professionals’ Mobile Use • >4 in 5 physicians, nurse practitioners, and physician assistantsuse 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

9. App Evaluation • Category/Task • Currency • Version • Size • Language • Seller • Price • Rating

10. App Challenges • Privacy • Confidentiality • Regulatory control • Human subjects’ protection • Logistics

11. 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 • BabelMeSH • AIDSinfo • Health Hotlines • LactMed • Emergency Response: • REMM • WISER • Reunite

12. NLM: PubMed for Handhelds • Designed for iPhone & iPad • Compatible with iPod touch • Email feature for retrieved citations • For iOS 6.0 or later

13. 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

14. 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

15. 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

17. 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

18. 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

19. 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

21. NLM: WISERWireless Information System for Emergency Responders • For first responders in hazardous material incidents • For iOS 4.3 or later, Android, Blackberry • Downloadable 


23. 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

24. 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

25. 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

26. Office of Dietary Supplements (ODS) https://myds.nih.gov My Dietary Supplements • Keep track of vitamins, minerals, herbsusage • Science-based, reliable supplement information • Available in Spanish at https://myds.nih.gov/espanol

27. 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

28. 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

29. 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

30. 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

31. National Cancer Institute (NCI) • Smokefree TXT • QuitSTART www.teen.smokefree.gov • SmokefreeQuitGuide • M.cancer.gov

32. 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

33. 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

34. 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

35. 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

36. Emergency Preparedness • Market monitoring • Healthyearlywarningmessages • Communityearlywarning • Speedingupdelivery • Geo-hazard mapping • Monitoring payments to indicatevulnerability

37. 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

38. 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

39. Keeping up mHealthTraining listserv mHealth-Training@list.nih.gov • Lectures • training opportunities • funding announcements

40. 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 ssnowcro@hshsl.umaryland.edu Facebook: National Network of Libraries of Medicine Southeastern Atlantic Region Twitter: nnlmsea Blog: http://nnlm.gov/sea/newsletter