Interagency Working Group for mHealth Integration

September 9, 2009Kelly Keisling, MPH

1

August 6 Planning Session

•Importance of integration & implementing partners

•Define needs

•Frame and synthesize information

•Issues: research, sustainability, interoperability

2

September 9 Agenda•Synthesize & frame mHealth information

•Online knowledge management & collaboration

•Presentation on CommCare by Dr. Neil Lesh

•Prioritize issues, program categories, subgroups

•Preparation for the mHealth Summit

3

Synthesizing and Framing Available Information Sources

   

Health

Public HealthStandards

Technology Standards

Development

Open Mobile Consortium

mDirectorymHealth Alliance

Global Health Information Network

CommInit

e-agriculture.orgKiwanja

APC.org

*An incomplete and illustrative list and description. Many other ICT sites are not specific to mobility.

Numerous sources are available.* Avoid redundancy, identify gaps, reach out.

4

Synthesizing and Framing mHealth•Deliver information

▫Make the best information accessible.•Synthesize information

▫Add clarity instead of simply adding information.

•Frame information▫Make information meaningful in public health

terms to define questions and best practices.•Collaborate around information

▫Better defined information = better defined opportunities for collaboration.

5

Synthesize & Frame by Categories & IssuesProgram Type

Organization

Project: CycleTel™Initial Country: India

Basic mobiles that are capable of SMS FrontlineSMS for manual testing phaseVoxiva platform for software

HR For proof of concept: working with research organization, Project ManagerRequirements For implementation: human resources needs unknown

Proof of concept: includes focus groups, cognitive interviews, intercept interviews, and enrolling 30 women in the “wizard of oz” testing of CycleTelFurther development process will be determined after proof of concept, completed in November 2009.

Costs and Sustainability

Cost of sending texts for CycleTel at scale (in India) not yet determined.

M&E Technology software will collect and aggregate data in real time.Confidentiality and Ethics

Proof of concept research follows the ethics principles of Georgetown’s Institutional Review Board. To partake in the proof of concept research, all study participants will sign informed consent forms.

Precedent Reference mHealth Alliance report, MobileActive.org, GKPnet updatesFollowed Completed 2-day consultancy with Ken Banks, developer of FrontlineSMS

       Use of FrontlineSMS for “wizard of oz” testing is feasible       Delayed IRB approval has affected research progress       Constraints caused by using Hindi v. English characters during texting needs to be dealt with       Exploring combining voice and SMS to support correct use of CycleTel       Value of proof of concept testing before technology development

For proof of concept protocol, project management:Katherine Lavoie, kls24@georgetown.eduMeredith Puleio, mp447@georgetown.edu

Challenges and Lessons Learned

Contact Information

Users Women of reproductive age, more specifically young, urban women. Also assessing if partners (men) would want to receive messages. Users will need to be familiar with SMS and literate.

Technology and Interoperability

Development Process

Partners CART (Research Organization in Lucknow, India), Voxiva, other TBD

Health Communication/BCC Institute for Reproductive Health, Georgetown University

Project Country

Strategy Developed a concept for a SMS application called CycleTel. Women who opt into CycleTel will receive tailored messages (via SMS) that assist her in using the Standard Days Method (SDM) of family planning. The objective of CycleTel is to increase access to the SDM and reproductive health information direct to consumer.

Program Design

Currently conducting proof of concept research in Lucknow, India. After proof of concept is complete, IRH has partnered with Voxiva for software/program design. The program will be an opt-in system. 2 way communication (between user and CycleTel and visa versa) will be required.

6

Online CollaborationVirtual Communities and Forums and Forums

7

Example Toolkit(Imagine mHealth instead of injectiables)

8

K4Health KM Model1. Engage Networks: Work with existing

networks and nurture communities of practice to collaborate on common topic of interest

2. Manage Content: Train networks and communities of practice to use collaborative publishing solutions to capture, organize, adapt and create knowledge

3. Deliver Knowledge: Use all appropriate channels including Web-based, mobile, radio, face-to-face, digital and print

4. Exchange Knowledge: Facilitate eForums and support eLearning programs on the Web and CD-ROM

9

Dr. Neal LeshPresentation on CommCare D-tree International, Dimagi Inc.

10

Prioritize topics, program categories and subgroups for Working Group

•Defined starting point

•Structure for mHealth strategy

•Focus of knowledge sharing

•Critical mass for collaboration

11

Vote on Program Categories

•Data Collection•Management Information Systems•Program Coordination•Health Communication•Telemedicine•mLearning•(Combined)

12

Vote on Issues/Topics

•Development Process•User needs•Technology and Interoperability•Human Resource Requirements•Costs and Sustainability•ITC Partnerships•M&E Methods/Evidence Base•Confidentiality and Ethics

13

Looking Ahead to mHealth Summit October 29-30, Ronald Reagan BuildingSummit Goals:•Assess current policies regarding mobile

health technologies.•Build a bridge between biomedical

researchers and mobile technology experts.•Foster integration of mobile and medical

technology to improve delivery of health care to underserved populations.

•Discuss and craft a vision for mHealth technologies moving forward.

14

Interagency Working Group for mHealth Integration

Thanks for playing a part.

kkeislin@jhuccp.org

15