ncd challenge ic_2011
DESCRIPTION
Here is the presentation of the DT2 app' for the NCD challenge (IBM/Novartis).Many Thanks,IC_TeamTRANSCRIPT
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9th December 2011
IPhone application for Diabetes Type 2 (DT2) in the UK
Imperial College LondonAnkita ShroffLise RetatMalvika SethManvitha Chennuru Rahul Garhwal
DT2’ APP’
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DT2 app’ focuses on diabetes in the UK. The benefits of this smartphone app’ are in the areas of diabetes prevention, management and ultimately improving healthcare delivery. Diabetes was chosen for the 2 reasons: First, it is expected to be the 6th disease leading to death in 20 years [WHO, 2011] - 80% of which in emerging countries. Second, the current smartphone applications for diabetes are not complete. Finally, the UK was chosen to ease the process of implementation of DT2.
The challenges for the current health and diabetes application:
1) “The CHIC survey stems from a March 2011 consumer survey showing that 26% of apps are downloaded and used only once. Of the people who confirm using their apps, 74% drop out by the 10th use. The same survey, however, also shows that 26% of smartphone applications retain consumer loyalty and are used repeatedly” .
The solutions brought in the current app are the following: i) reward via free text ii) reward via healthy restaurant voucher iii) social reward (via meetings with other user) iv) nice interface of the application taken into account all the behavioural and metabolic risk factors in the same app with all the present and future ways of monitoring. Current diabetes applications are either missing the awareness platform or number of key quantifications.
2) Individual need are different from each other. Some want to know more about disease Other want to control and quantify the level of health. Consequently, DT2 has 2 interfaces: behavioural and metabolic risk factors.
3) Two pilot study needs to be carried out to test the attractiveness of the concept. i) At Imperial College (IC)The feasibility of this app’ will be tested at a very small scale in the vicinity of IC because it will be easy to implement a spirit of appartenance at that scale. The cost will be literally minimal, as the iphone app developer is free and a programme may be easily lauched to create an interface in the computer department. ii) In Chelsea and Westminster hospital, professional developers are needed (40 000 £ in the UK, possible outsourcing in India) The main cost will be linked with the rewards contract with strategic alliances
Executive Summary
Why Diabetes disease?
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- - More than 346 million people worldwide have diabetes.
- - Total deaths from diabetes are projected to rise by more than 50% in the next 10 years
Why Diabetes type 2?Type 2 accounts for around 90% of all diabetes worldwide. Cardiovascular disease is responsible for between 50% and 80% of deaths in people with diabetes.
TYPE 1:
10 %
TYPE 2:90%Why in the UK?
The number of smartphone users in the UK is high. Current NHS revolution/evolution. [5% prevalence in the UK]
Why Diabetes disease Type 2 in the UK?
[WHO, 2011]
[WHO, 2011]
[Global mobile statistics, 2011]
Behavioural
risk factors
Metabolic Risk Factors
Tobacco use
Harmful use of alcohol Unhealthy
diet
Physical Inactivity
Raised blood sugar
Raised blood
pressure
Raised blood lipids
Overweight and obesity
Poverty and low
education status
Advancing age
Gender
Genetic indisposition
Psychological factors
Other Risk Factors
Risk factors of diabetes Type 2
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Why an App?
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For government
For patients
Why an
App’
For Pharma
Company [PwC, 2011] “Pharma 2020: Supplying the future”
[Gainsbury, S, FT, 2011], “Government urged to rethink cost-cutting plans”
Why an App’ for future user?
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Apps are the way forwardAwareness
Disease Management
Health info
**SMS are not encrypted
Huge expected grow in use of smartphone
[McLean, 2011] [McLean, 2011]
(1) Although penetration of smartphone use is increasing health apps have to have sustaining value to patients and be easy to use. This means that more pounds are needed to ensure the apps stay up to date and are available for the variety of smartphone platforms.
(2) Do not lump all disease states with this data. People respond differently to different types of health conditions; some are open to getting tips and helping them manage their health condition while for others a reminder is not welcome because it reminds them they have a health problem.
(3) Marketers need to test applications with patients/target audience before releasing them to the public. This means usability studies with patients.
(4) Application healthcare marketing is a long term commitment thus you need to choose a vendor who can form a strategic alliance with your company and help you develop and update your apps for the long term.
Key Problems linked to any current Health Application?
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What are the current app’ for diabetes?
Easy Diabetes
Log For Life
Diabetes Log
Diabetes
_
Control
Type2 Friendly
Diabetes Diary
Blood Glucose (Sugar) Tracker
Gluco Sentinel
Diabetic Meal
Planner Lite
Carbohydrate Intake
Blood Glucose Level
Bolus Insulin Dose
Basal Insulin Dose
Weight
Healthy Restaurant
Exercice
Food Intake
Medications
In 2006, the daily SMBG (self-monitoring of blood glucose) rate was 63.4% among all adults with diabetes and 86.7% among those treated with insulin. Collaborations to ensure adequate health insurance coverage, diabetes education and counseling to encourage more intensive medical care and self-management practices, and continued surveillance measures to track changes in SMBG rates are needed to improve and monitor SMBG trends. However there is a fine line between informing and being intrusive.
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Solutions
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Easy Diabetes
Log For Life
Diabetes Log
DT2 in the UK!!!
Type2 Friendly
Diabetes Diary
Blood Glucose (Sugar) Tracker
Gluco Sentinel
Diabetic Meal
Planner Lite
Carbohydrate Intake
Carbohydrate Correction
Blood Glucose Level
Bolus Insulin Dose
Basal Insulin Dose
Ketones
Weight
Cigarettes
Healthy Restaurant
Fitness centres
User interface
Medical news for diabetes
Exercice
Quizzes
Celebrity
SMS for remembering the insulin
SMS when glucose level too low
Food Intake
Medications
Social Platform
Link via facebook to (3rd most downoaded
app)
Not fully implemented yet
Not fully implemented yet
Not fully implemented yet in diabetes apps
Not implemented yet in a diabetes app’Games required to attract UK
Required to attract UK- but small feasibility
King of mobile communication
King of mobile communication
Not fully implemented yet in current diabetes apps
Not implemented yet in a diabetes app’
Behavioural
risk factors
Metabolic Risk Factors
Tobacco use
Harmful use of alcohol Unhealthy
diet
Physical Inactivity
Raised blood sugar
Raised blood
pressure
Raised blood lipids
Overweight and obesity
Other Risk Factors
Risk factors taken into account in DT2’app
Behavioural Risk Factors Metabolic Factors
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Tobacco use
Harmful use of alcohol
Unhealthy diet
Physical Inactivity
Disease
Awareness
Behavioural Risk Factors Metabolic Factors
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Disease
Awareness
Celebrity giving
feedbacks Medical news/articles
sent about diabetes
treatments
Daily quizzes
Medical news about behavioural
factors related to Diabetes
Cheryl Fergison – Diabetes UK supporter
Pubmed abstracts
Science abstracts
Forum
Blogs
Pubmed
Science
Forum
Blogs
Reward with free SMS
Disease Awareness
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Tobacco use
Harmful use of alcohol
Unhealthy diet
Physical Inactivity
Disease
Awareness
Behavioural Risk Factors Metabolic Factors
Health Monitoring
Find fitness related centres
Find fitness related centres
Find Health related centres
IMPERIAL COLLEGE LONDON
Ethos. Facilities of the place
1pm, Rock-climbing
6pm: Acqua-gym
2pm: Tai-Chi
Imperial College Dental and Health Centres:
Register
Register
Register
Take an appointment
Today Tomorrow This week-end
Healthy Restaurant:
Take an appointment
Rating from Diab’app
Rating Like
Rating Like
Rating from Diab’app
Find fitness related centres
Find Health related centres
Fitness and Health Centres
I have side effect with my Insuline drug. Does anyone has this? Let’s meet!
Anyone up for a run ?
iCal
iCal
iCal
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Health Monitoring
Non -smoking
Area
Weight Area
Exercice Area
Health Monitoring
• Weekly / Monthly strategies
• Enter date and weight
• Food intake (1000 products)
• See your weight over time
• Reward
• Weekly / Monthly strategies
• Enter date and number of cigarettes or the date since last cigarette/ Award
• See your money saved over time and what it is the equivalent to (ipad,..)
• Monitoring of the miles distance walked/ ran
• Monitoring of the time spend on exercising
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Tobacco use
Harmful use of alcohol
Unhealthy diet
Physical Inactivity
Disease
Awareness
Behavioural Risk Factors Metabolic Factors
Health Monitoring
Find fitness related centres
Find healthy
restaurants
Raised blood sugar
Raised blood
pressure
Raised blood lipids
Overweight and obesity
Behavioural Risk FactorsMetabolic Factors
Find Health related centres
Medication History Bookmarks
and Appoint-ments
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Medication History
Prescriptions
List of branded and
generics drugs taken
Contact GPs/
Pharmacist
SMS and alarms to remind to
take insulin as well as when the
glucose level is too low
A log book that shows:
-Carbohydrate intake
-Carbohydrate correction,
-Displayed blood glucose level
-Bolus insulin dose
-Correction dose
-Basal insulin dose
-Ketones
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Future Platform
US imaging probe
i-steotoscope
Remote sensor for glucose
monitoring
New remote ways of
cigarette/ drugs intake
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Why the solution is innovative?
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Easy Diabetes
Log For Life
Diabetes Log
Diabetes
_
Control
Type2 Friendly
Diabetes Diary
Blood Glucose (Sugar) Tracker
Gluco Sentinel
Diabetic Meal
Planner Lite
Carbohydrate Intake
Carbohydrate Correction
Blood Glucose Level
Bolus Insulin Dose
Basal Insulin Dose
Ketones
Weight
Cigarettes
Healthy Restaurant
Fitness centres
User interface
Medical news for diabetes
Exercice
Quizzes
Celebrity
SMS for remembering the insulin
SMS when glucose level too low
Food Intake
Medications
Social Platform
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Benefits and impact from the solution
Our solution provides easy and small Steps towards Big Rewards.
Improved quality of life (experienced by the patient),
Long term cost savings from avoided complications and reduced health care service use (experienced by the plan, its providers, and potentially employers)
Workplace productivity gains (experienced by patients and their employers).
Saves Patients Time and Money, yet Providing Better Diabetes Care
Lifestyle change tool so people who are at risk can put them to use in their every day lives and have a healthier life
Improve care processes, delay diabetes complications, and save health care million of dollars thanks to the solution
Helps individuals to be fit and avoid future complications
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Challenges and constraints
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(1) Privacy and data security ==> solutions: encryption and Imperial College research projects
(2) Small screens.==> solution: high resolution
(3) Funding and incentives ==> IBM/Novartis
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9th December 2011
IPhone application for Diabetes Type 2 (DT2) in the UK or How the solution may be deployed
DT2’ APP’
DT2
APP
Awareness platform
Future platform
Full platform
Patient platform
IMPERIAL COLLEGE PILOT STUDY
(free/ 6 months)
Waiting for commercialisation
CHELSEA AND WESTMINSTER
HOSPITAL (free/ 9 months)
SUPPORT FROM IBM/NOVARTIS
(40000£ for finishing developing/marketing/ specialist for choosing
relevant articles)
Short term implementation
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40000 £)
Westminster
How the App works ?
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Medical History
Health Monitoring
Find fitness related centres
Disease
Awareness
Challenges tackled
Find Health related centres
Find nearest use/patient/family related
centres
Medication History Bookmarks
and Appoint-ments
Hardware Platform
1) 9 Submenus
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Acknowledgments:Dominic King, Andreas Pamboris,Tayllit Aherdan, Alexis Biller, Navneet K Mahal, Chaturika Jayadewa