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mHealth Working Group

mHealth Working Group. April 20, 2011 Held at FHI. Principles of the Working Group. Frame mHealth in global health strategies Apply public health standards & practices Promote appropriate, evidence-based, scalable and interoperable approaches in resource-poor settings

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mHealth Working Group

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  1. mHealth Working Group April 20, 2011 Held at FHI

  2. Principles of the Working Group • Frame mHealth in global health strategies • Apply public health standards & practices • Promote appropriate, evidence-based, scalable and interoperable approaches in resource-poor settings • Build internal capacity in mHealth

  3. Agenda • Introductions/Overview • RCT of SMS for ART in Kenya • TxtAlert for ART in South Africa • SMS for PMTCT in Zambia • Discussion • Upcoming events/closing remarks

  4. Growing Evidence for mHealth • Cole-Lewis H, Kershaw T. (2010). Text messaging as a tool for behavior change in disease prevention and management. Epidemiologic Review. Apr;32(1):56-69. • Fjeldsoe BS, Marshall AL, Miller YD. (2009). Behavior change interventions delivered by mobile telephone short-message service. AJPM. 2009 Feb;36(2):165-73. • Krishna S, Boren SA, Balas EA. (2009). Healthcare via cell phones: a systematic review. Telemedicine Journal and eHealth. 2009 Apr;15(3):231-40. • Wei J, Hollin I, Kachnowski S. (2011). A review of the use of mobile phone text messaging in clinical and healthy behaviour interventions. Journal of Telemedicine and Telecare.17(1):41-8. • Literature emphasis on published studies in developed countries

  5. Addressing the Evidence Gap in Developing Countries • Pop-Eleches C, Thirumurthy H, Habyarimana JP, Zivin JG, Goldstein MP, de Walque D, Mackeen L, Haberer J, Kimaiyo S, Sidle J, Ngare D, Bangsberg DR. (2011). Mobile phone technologies improve adherence to antiretroviral treatment in a resource-limited setting: a randomized controlled trial of text message reminders. AIDS. Mar 27;25(6):825-834. • Lester, Ritvo PhD, Mills, Kariri, Karanja BSc, Chung. (2010) Effects of a mobile phone short message service on antiretroviral treatment adherence in Kenya (WelTel Kenya1): a randomised trial.The Lancet. Vol. 376 No. 9755 pp 1838-1845

  6. From Research to Practice Implementation science (and mHealth) challenges: • Sustainable scale up of evidence-based interventions1 • Adapt to new populations, settings2 and real-world public health and clinical service systems1 • Prevent efficacy loss over time or unintended effects1 • Guide implementation and management2 • Address “disjointed, small-scale efforts with little coordination between those funding the research and those supporting service delivery”2 1 Annual NIH Conference on Implementation and Dissemination, 2010. 2. Report From the Expert Consultation on Implementation Science Research. A Requirement for Effective HIV/AIDS Prevention and Treatment Scale-Up, 2009.

  7. Presentations

  8. GSMA-mHA Mobile Health Summit • Cape Town, South Africa • June 3-7, 2011 • 30% discount off platinum pass • Discount code S30A60CF • http://www.mobilehealthsummit.com/registration/registration_faq_new.shtml# or contact WRudolph@gsm.org • Coordinate with colleagues

  9. Closing Remarks • Comments, suggestions? • Invitation to collaboration on the K4Health mHealth Toolkit • Next meeting: May 23rd, World Bank, Washington, DC, 10-noon, RSVP required

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