interagency working group for mhealth may 12, 2010

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Interagency Working Group for mHealth May 12, 2010

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Page 1: Interagency Working Group for mHealth May 12, 2010

Interagency Working Group for mHealth

May 12, 2010

Page 2: Interagency Working Group for mHealth May 12, 2010

May 12th Agenda

•Gates – Low-Cost Cell Phone-Based Apps

•Text4Health immunization reminders

•mLearning

•The mHealth Toolkit

Page 3: Interagency Working Group for mHealth May 12, 2010

Gates Grand Challenges Explorations “Create Low-Cost Cell Phone-Based

Applications for Priority Global Health Conditions”

-At Risk Populations-Delivery to Underserved-Support HCW-Literacy-Unreliable Service-Scalability and sustainability-Not modest/incremental improvements

Page 4: Interagency Working Group for mHealth May 12, 2010

Guest Presentation

Text4Health Dr. Melissa Stockwell Columbia University 

Page 5: Interagency Working Group for mHealth May 12, 2010

Next Topic- mLearning

What kind of problem it addresses:

Lack of adequately-trained health care providers

Training health care providers is complicated by busy workflows, geographical separation and movement.

Page 6: Interagency Working Group for mHealth May 12, 2010

What Does mLearning begin/end?

mLearning Job Aids Telemedicine

Page 7: Interagency Working Group for mHealth May 12, 2010

Where is the Capacity (Built)?

mLearning Job Aids Telemedicine

Provider Technology Expert

-Definition for our purposes

Page 8: Interagency Working Group for mHealth May 12, 2010

Where mLearning Can Complement•Pre-requisite to in-person trainings.

Achieve level of knowledge before face-to-face training.

•Targeted aspects of in-person trainings. Activities to test and reinforce concepts presented at in-person.

•Follow-up to in-person trainings. Demonstrate improved knowledge, provide mentorship, communities of practice.

Page 9: Interagency Working Group for mHealth May 12, 2010

eLearning Precedent

(Adapted from Michael Allen’s Guide to eLearning)

Page 10: Interagency Working Group for mHealth May 12, 2010

(+) Advantages and (x) LimitationsMeasured OR mentioned in developed AND developing country lit.Grey Sources1. Enhancing Nurses Access for Care Quality and Knowledge through Technology (ENACQKT)2. Guide: Getting Medical Information into the Hands of Community Health Workers3. Mobile Phones’ Potential to Address Information and Communication needs of Healthcare

Workers in Isolated Rural Areas in Peru4. Mobile Learning for Health Care Workers in Peru5. Satellife, UHIN Project6. CellPhone GuideView

PubMed Sources7. M-Support: Keeping in touch on placement in primary healthcare settings8. Use of handheld computers in medical education: A systematic review9. The use of the Personal Digital Assistant (PDA) among personnel and students in healthcare10. The PDA as a portal to knowledge sources in a wireless settings11. Physician adoption of personal digital assistants (PDA): testing its determinants12 The usefulness of personal digital assistants (Palm and Pocket PC) in the medical field

Page 11: Interagency Working Group for mHealth May 12, 2010

Education: Advantages/Limitations(+) Improved access to information (1) (9)

(+) Peer-to-peer discussion/dissemination (2)

(+) Allows for self-directed learning (8)

(x) Revise pedagogical approach for interface(4) (6)

(x) Could rely on “peripheral brain”, not retain (8)

(x) Could reduce interpersonal educational (8)

Page 12: Interagency Working Group for mHealth May 12, 2010

Time and Quality of Care

Time(+) Speed of retrieve information on the

spot (9) (10)

(+) Time-savings (1) (9)

Quality of Care(+) Improved diagnosis/treatment (5) (9) (10)

Page 13: Interagency Working Group for mHealth May 12, 2010

mLearning Dimensions and Issues•Formal vs. informal learning•Synchronous vs. asynchronous•Pre-service education vs. in-service

training•Time, location•Don’t “cut & paste” content•Technology availability, accessibility,

affordability, reliability etc.

Page 14: Interagency Working Group for mHealth May 12, 2010

Online Knowledge Management

The mHealth Toolkit

Page 15: Interagency Working Group for mHealth May 12, 2010

Next Steps

•Begin technical group on mLearning

•Provide feedback on mHealth Toolkit architecture, content and resources by June 8▫Provide comments on Toolkit itself or email

[email protected]

•Next meeting- June 9, 2010

Page 16: Interagency Working Group for mHealth May 12, 2010

Interagency Working Group for mHealth

Kelly [email protected]

Page 17: Interagency Working Group for mHealth May 12, 2010

Principles of the Working Group•Frame mHealth within global health strategy

•Apply public health standards and practices

•Emphasize appropriate, evidence-based, and scalable approaches in resource-poor settings

•Build capacity of implementing agencies