The mHealth Triad

Ernesto Ramirez, Gregory J Norman, Richard Garfein & Kevin Patrick

Department of Family & Preventive MedicineCenter for Wireless and Population Health Systems, Calit2

mHealth Summit | December 6, 2011

The Players

mHealth Technology Research

Healthcare Organizations

mHealth Technology

Multi-component Systems

Health data that is:• Personal Longitudinal Portable

User-friendly SensorsText Message Systems

Research

mHealth Technologies are opening up exciting new areas for behavioral research.

One Size Fits All

• Simple strategies that give all users the same non-modifiable information.• Usually rely solely upon “push” methods

Tailored

• Understands some baseline characteristics.• Level of intervention remains constant across all characteristics• Push > Pull

Adaptive & Dynamic

• N of 1 methodology: Each person is unique.• Multiple periods of sequential data gathering.• Intervention strength dependent on outcome/effectiveness measured repeatedly.

The System

Wireless Body Sensor

Personally Tailored & Persuasive Messages

Behavior Change Theory

Persuasive Feedback

Successful Behavior Change

Body API

Integrated Machine Learning

Behavior Detection(intensity & type)

Behavioral Understanding

(context & patterns)

Pervasive Persuasion

Persuasive Systems that support real-time context-aware behavior change interventions

Healthcare Organizations

Patients

• An active role in their healthcare.

• A better understanding of their health.

• Preventive measure to protect health.

• Immediate Feedback

Providers

• Improved patient outcomes.

• A better understanding of patient behavior.

• Data driven, scientifically vetted care strategies.

Administrators

• Reduced financial burden.

• Provide meaningful impact.

• Incorporate “state of the art” tools and methods.

The Give & Take

Healthcare Organizations

mHealth Technology Real world user feedback

Tools for persuasive preventive medicine

ResearchmHealth Technology Appropriate study design & analysis

Improved access to data

Healthcare OrganizationsResearch Access to research participants

Efficacy of tools and methods

WHERE IS THE MONEY?

AT EVERY LEVELWE NEED TO

FIND A WAY TO

FUND INNOVATION.

WHERE IS THE MONEY?

AT EVERY LEVELWE NEED TO

FIND A WAY TO

FUND INNOVATIONFAILURE.

Make believe is the first step to believe.-Theo Hiemstra

flicker.com/frinky

Thank You

erramirez@ucsd.edu@e_ramirez

cwphs.ucsd.edu