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Mobile My Health Library: Part 1

“There’s a Health App for That”

Session #: 408

January 31, 2013

Presenter: Julia Harrington, MLIS

Photo: Mrlins, Flickr

“...The latest research states that the global mHealth

market was worth $1.2 billion in 2011, but will

jump in value to reach $11.8 billion by 2018...”

~ GlobalData, 2012

From “Telehealth and Telemedicine – Global Opportunity Assessment, Competitive

Landscape and Market Forecasts to 2018”, GlobalData, August, 2012.

http://www.globaldata.com

“There’s a Health App for That”

Session Goals:

1. Introduction to Mobile Health Technologies

2. Tips for selecting Free Mobile Health Resources

Mobile Apps

• Introduction to Mobiles

• Health Professionals and Free Medical Apps

• Consumers and Free Health Apps

• Selection Tips and Tricks

• Conclusion

Agenda

Small, hand-held computing devices with a touch screen or miniature keyboard and an operating system capable of running software applications (i.e. apps).

Ex: Smart phones, Tablets, Touch devices, etc...

What are Mobile Devices?

~ Wikipedia

Mobile Operating Systems (OS)

Android iOS Blackberry Windows

Ex. Samsung Galaxy Phones, Google Nexus Tablets

Ex. iPhone, iPad, iPod Touch

Ex. Blackberry Bold, Blackberry Playbook

Ex. Windows Phones, Windows 8 Tablets

Global Consumer Trends

68%

19%

5% 2% 2% 4%

Global Mobile OS Market Share in 2012

Android

iOS

Blackberry

Windows Phone

Linux

Other

* Source: IDC Worldwide Mobile Phone Tracker, December 3, 2012

Canadian Consumer Trends

37%

34%

29% Android

iOS

Blackberry

* Source: “MobiLens Report”, comScore, June 2012 via Mobilesyrup.com (Canadian Mobile News)

June 2012 comScore Study (21.7M Canadian wireless subscribers)

Of Smartphone Owners (53%):

Mobile Sites Vs. Mobile Apps

Mobile Site:

Websites optimised for mobile devices (ex. Smaller screens, etc).

• Redirects • User Choice (Ex. Link) • Flexible Web Design

Examples of Mobile Health Sites

Health Professionals: Consumers:

Pubmed Trip Database Toxnet

MedlinePlus Centre for Disease Control AIDSInfo

Drug Information Portal

DailyMed

Ex. Pubmed Search for “diabetes obesity elderly”

Mobile Sites Vs. Mobiles Apps

Mobile Apps:

Mobile software programs that reside on your device.

Ex. Epocrates Rx ~ Popular Drug Reference App (Health Professionals)

Mobiles Apps

Requirements:

• OS/Device Specific

• Memory

• Internet

• User account

• Updates

• Cost: Free - $$

Ex. Epocrates Rx

Requirements:

• iOS 4.3+ (iPhone, iPad, iPod Touch) • Memory: 250MB • Internet: Updates (Manual) • Free User Account • Free version

* Android and Blackberry Devices also supported.

• Vendor Site

• OS - Specific App Store:

Apple App Store

Google Play

Blackberry World

Windows Phone/Store

• Happtique

Downloading Mobile Health/Medical Apps

Happtique ~ Helpful Categories

Health Professionals Consumers

Selecting Free Mobile Health/Medical Apps

Vs

2012 Canadian Medical Association Study (2,140)*:

Health Professionals

0

45

60

32

32

53

0 10 20 30 40 50 60 70

Blackberry/Other

iPad

iPhone

Current Use Future Use

Professional Use of Mobile Devices (%):

* “Canadian Doctors Leap on Mobile Bandwagon”, Future Practice, CMA, Nov. 2012

• Quick Reference (Drugs, Conditions, etc)

• Medical Calculators

• Diagnostic Tools

• Viewing Patient Info (Charts, Scans, etc)

• Current Awareness

• Continuing Education

• Patient Education/Management

• Document Management

• Etc, etc, etc

Professional Uses of Apps

• Hospital Policies (Mobile Devices, Internet, etc)

• Patient Privacy

• Infection Control

• Clinical Effectiveness

– Medical Accuracy

– FDA Compliance

Special Considerations

FDA Guidelines

FDA Draft Guidelines, July 2011 (Available on website)

FDA Guidelines are Applied FDA Guidelines are not Applied

Mobile Apps that: • Are Accessories to Medical Devices • Act as a regulated Medical Device

Ex. Blood Glucose Meters, Displaying Patient Medical Data (Ex. Scans, EEG Waveforms, etc)

Mobile Apps that: • Are electronic copies of textbooks, teaching aids, or reference materials. • Log, record, track, evaluate, or are used to make decisions regarding general health or wellness. • Perform office functions • Are not commercially marketed for medical use. • Perform the role of a health record system.

General Medical Suites:

Popular Free Medical Apps

Medscape: Skyscape: Medpage Today:

Popular Free Medical Apps

Drug Information

Ex. Epocrates Rx, Micromedex Drug Information

Medical Calculators

Ex. Qx Calculate

Popular Free Medical Apps

Continuing Education

Ex. Living eMedical Textbooks, inPractice Textbooks

Current Awareness

Ex. The Cochrane Library iPad Edition, The Lancet

Popular Free Medical Apps

Patient Education

Ex. DrawMD Series

Clinical

Ex. Mobile MIM (FDA+)

Document Management/Journal View Tools:

Popular Free General Apps

Ex. DropBox, Evernote, Browzine, etc

Pew Internet Report, Mobile Health 2012

Smart phone owners:

52% gather health info on their phone

19% have at least one health app

Most popular app categories:

Exercise, diet, weight

Consumers

• Clinical Effectiveness

– Medical Accuracy

– Health Outcomes

• Privacy

CBC Radio Program:

Special Considerations

http://www.cbc.ca/thecurrent/episode/2013/01/29/diagnosis-through-medical-apps-should-you-trust-them/

Popular Free Health Apps

Calorie/Weight

Ex. Calorie Counter, MyFitnessPal

Fitness

Ex. Daily Yoga, Workout Trainer

Popular Free Health Apps

General Healthcare

Ex. WebMD, iTriage

Pregnancy/Baby

Ex. WebMD Baby

Popular Free Health Apps

Mental Wellness

Ex. T 2 mood Tracker, Buddhist Meditation Trainer

Chronic Conditions

Ex. Glooko, Diabetes Pal (FDA+)

Photo: Glooko.com

• App Stores

– Popularity (Downloads, Ratings, User Reviews)

– Top Picks Lists

– “Users Also Liked...”

– Approval by major regulators (ex. FDA)

• Top Developers (ex. WebMD)

• Happtique ~ Helpful Categories

Selecting Free Apps ~ Tips and Tricks

• App Reviews / Top Lists

– iMedicalApps, etc

• Library Subject Guides

• Professional Literature

– Reviews of Apps / Clinical Studies

• Test Drive Your Apps

– Practical? User Friendly? Accurate?

Selecting Free Apps ~ Tips and Tricks

Introduction to Mobile Health Technologies

Tips for Selecting Free Mobile Resources

Mobile Health/Medical Apps

Today, we have covered...

Contact:

Julia Harrington

jlharrin@gmail.com

Questions

Photo: "Never leave home without it?" by Mrlins on Flickr. Creative Commons License. Retrieved from: http://www.fotopedia.com/items/flickr-5685995133

Press Release: “mHealth: Healthcare Goes Mobile”, Globaldata, August 3, 2012. Retrieved from: http://www.globaldata.com/PressReleaseDetails.aspx?PRID=294&Type=Industry&Title=Medical+D

evices (Note: This press release summarised data in the following market report: “Telehealth and Telemedicine – Global Opportunity Assessment, Competitive Landscape and Market Forecasts to 2018”, August, 2012. http://www.globaldata.com)

“Mobile Device”, Wikipedia, January 2013. Retrieved from:

http://en.wikipedia.org/wiki/Mobile_device Press Release: “Worldwide Mobile Phone Growth Expected to Drop to 1.4% in 2012 Despite

Continued Growth Of Smartphones, According to IDC”, International Data Corporation (IDC), December 4, 2012. Retrieved from: http://www.idc.com/getdoc.jsp?containerId=prUS23818212

(Note: Press release information on global OS market share (2012) is sourced from “IDC Worldwide Mobile Phone Tracker”, International Data Corporation (IDC), December 3, 2012.)

Hardy, Ian. “comScore: 34% of smartphones in Canada are running Android (June 2012 numbers)”, Mobilesyrup.com, September 14, 2012. Retrieved from:

http://mobilesyrup.com/2012/09/14/comscore-34-of-smartphones-in-canada-are-running-android/ (Note: This news report summarised data from the June 2012 comScore MobiLens Study presented at the Canadian Wireless Trade Show in September 2012.)

Works Cited (by order of appearance)

Canadian Doctors Leap on Mobile Bandwagon”, Future Practice, Canadian Medical Association, Nov. 2012: pp 11-14. Retrieved from: http://www.cma.ca/multimedia/CMA/Content_Images/Inside_cma/Future_Practice/FP_nov2012.pdf

"Draft Guidance for Industry and Food and Drug Administration Staff: Mobile Medical

Applications", Food and Drug Administration, July 21, 2011. Retrieved from: http://www.fda.gov/downloads/MedicalDevices/DeviceRegulationandGuidance/GuidanceDocuments/UCM263366.pdf

Fox, Susannah and Maeve Duggan. "Mobile Health 2012", Pew Internet & American Life Project, November 8, 2012. Retrieved from: http://www.pewinternet.org/Reports/2012/Mobile-

Health.aspx "Diagnosis through medical apps: Should you trust them?" - Episode of "The Current" with Anna

Maria Tremonti. CBC Radio, January 29, 2013. Available at: http://www.cbc.ca/thecurrent/episode/2013/01/29/diagnosis-through-medical-apps-should-you-trust-them/

iMedicalApps [website], 2013. http://www.imedicalapps.com/

Works Cited (by order of appearance)

Resources Cited ~ Mobile Sites

Mobile Health Sites URL

Pubmed http://www.ncbi.nlm.nih.gov/m/pubmed/

Trip Database* http://www.tripdatabase.com/

Toxnet http://toxnet.nlm.nih.gov/pda/

Drug Information Portal http://druginfo.nlm.nih.gov/m.drugportal/m.drugportal.jsp

DailyMed http://dailymed.nlm.nih.gov/dailymed/mobile/index.cfm

MedlinePlus http://m.medlineplus.gov/

Centre for Disease Control http://m.cdc.gov/

AIDSInfo http://m.aidsinfo.nih.gov/

*This site has been designed to flexibly change with screen size. Thus, there is no dedicated mobile site, but the site search interface is appropriate for mobile viewing. **For additional NLM mobile health sites/apps: http://www.nlm.nih.gov/mobile/

Resources Cited ~ Mobile App Stores

Mobile App Stores OS Desktop URL

Apple App Store iOS https://itunes.apple.com/ca/genre/ios/id36?mt=8

Google Play Android https://play.google.com/store/apps

Blackberry World Blackberry http://appworld.blackberry.com/webstore/product/1/

Windows Phone/Store Windows http://www.windowsphone.com/en-ca/store/featured-apps

Happtique n/a http://www.happtique.com/

Note: App Stores are often best viewed on mobile devices via their designated apps. However, app store catalogues are also available online below:

Resources Cited ~ Apps for Health Pros

Mobile Apps Category Available Mobile OS

Skyscape General Medical Suites iOS, Android, Blackberry, Vendor site

Medscape General Medical Suites iOS, Android, Kindle Fire, Vendor site

Medpage Today General Medical Suites iOS, Android, Desktop site

Epocrates Rx Drug Information iOS, Android, Blackberry, Vendor site

Micromedex Drug

Information

Drug Information iOS, Android, Vendor Site

Qx Calculate Medical Calculators iOS, Android, Blackberry, Vendor Site

Living Medical Textbooks Continuing Education iOS, Vendor Site

inPractice Textbooks Continuing Education iOS, Android, Vendor Site

Note: The apps below can be found by searching their respective App Store. At times, vendors will also link to their apps in the app store. Links to the relevant vendor webpage are included where available.

Resources Cited ~ Apps for Health Pros

Mobile Apps Category Available Mobile OS

The Cochrane Library

iPad Edition

Current Awareness iOS (iPad only), Vendor Site

The Lancet Current Awareness iOS (iPad only), Vendor Site

DrawMD Series Patient Education iOS (iPad only), Vendor Site

Mobile MIM* Clinical iOS, Vendor Site

Dropbox Document Management iOS, Android, Blackberry, Kindle Fire,

Vendor Site

Evernote Document Management iOS, Android, Blackberry, Windows Phone,

WebOS, Vendor Site

Browzine Journal Viewing iOS (iPad only), Vendor site

Apps for Health Professionals Continued...

*FDA Approved

Resources Cited ~ Apps for Consumers

Mobile Apps Category Available Mobile OS

Calorie Counter Calorie/Weight iOS, Android, Vendor Site

MyFitnessPal Calorie/Weight iOS, Android, Blackberry, Windows Phone,

Vendor Site

Daily Yoga Fitness iOS, Android, Windows Phone, Vendor Site

Workout Trainer Fitness iOS, Android, Vendor Site

WebMD General Healthcare iOS, Android, Kindle Fire, Vendor Site

iTriage General Healthcare iOS (iPhone), Android, Vendor Site (Mobile site

is available)

Note: The apps below can be found by searching their respective App Store. At times, vendors will also link to their apps in the app store. Links to the relevant vendor webpage are included where available.

Resources Cited ~ Apps for Consumers

Mobile Apps Category Available Mobile OS

WebMD Baby Pregnancy/Childcare iOS (iPhone), Android, Vendor Site

T 2 Mood Tracker Mental Wellness iOS, Android, Vendor Site

Buddhist Meditation

Trainer

Mental Wellness Android (Open Source Developer)

Glooko* (Diabetes) Chronic Condition iOS, Vendor Site

Diabetes Pal* (Diabetes) Chronic Condition iOS, Android, Vendor Site

Apps for Consumers Continued...

*FDA Approved