When Smart Mobile Technology Meets Good Science - InformationWeek
08:10 AM
Paul Cerrato
Paul Cerrato
Connect Directly

When Smart Mobile Technology Meets Good Science

Tablets, smartphones, and mobile apps have the potential to improve patient care--but without quality clinical research to back them up, you may be wasting your IT budget.

12 Innovative Mobile Healthcare Apps
(click image for larger view)
Slideshow: 12 Innovative Mobile Healthcare Apps
A recent New York Times article listed several mobile IT tools worth looking into, including a small blood glucose meter that plugs into an iPhone or iPod Touch, a blood pressure cuff that attaches to a smartphone, and a phone app that reminds patients to take their medication.

But when I was interviewed for this Times story, one point I thought worth mentioning was that the best mobile health tools are supported by strong clinical research.

One example: WellDoc's DiabetesManager. In a year-long study, Charlene Quinn, MD, and colleagues from the University of Maryland school of medicine found that patients who had access to the WellDoc mobile app for treatment and behavioral coaching lowered their glycated hemoglobin (A1c)--a measure of long-term blood glucose control--significantly more than those who received care only during occasional doctor visits and through self management.

During the trial, patients were divided into four groups: A control group received traditional, office-based care; another group was given WellDoc coaching and a secure Web portal so they could communicate with their physicians; a third group used the WellDoc system and their doctors could see data that the patients entered; and a fourth group used WellDoc and worked with physicians who had clinical decision support that linked data to standards of care and evidence-based care guidelines.

All patients in the study used glucose meters. Those in the three experimental groups also received mobile phones with service and data plans, plus the WellDoc mobile diabetes management software that delivered more than 1,000 self-management messages, as specified by an algorithm that considered factors such as blood-glucose levels, medications, and carbohydrate consumption. The Web portal included personal health records for reporting diabetes-related information such as test results.

[ Wearable devices equipped with sensors and Web connections help consumers track health and fitness. Take a look at what's possible now. 10 Wearable Devices To Keep Patients Healthy. ]

The study, which was published in the September 2011 issue of the journal Diabetes Care, found that the group whose doctors had access to clinical decision support saw their A1c levels decline by 1.9 percentage points, while patients in the control group had a median reduction of only 0.7 percentage points. Patients in intermediate groups, who also used the WellDoc system, likewise saw significantly better blood glucose readings, when compared to the control group.

A more recent mobile technology experiment reported in the Archives of Internal Medicine also emphasized the value of good research support.

Bonnie Spring, a researcher at Northwestern University, along with colleagues from several other universities, gave more than 200 adults with poor nutritional habits and a sedentary lifestyle Palm Pilots loaded with nutritional software and tools to monitor food intake.

Using CyberSoft's Nutribase software and accelerometers, which patients wear to track physical activity, subjects monitored their activity level, along with their intake of saturated fat, fruits, and vegetables. They also received coaching via phone and email from trained assistants on how to improve their nutrition and exercise habits.

The "mobile therapy" worked. Patients more than tripled their daily fruits and vegetables, and sedentary leisure activities significantly decreased. Mobile tools like this can have a major impact on patient outcomes because they serve as "physician extenders."

Given the limited amount of time the average physician has to see patients, it's impossible to provide the kind of detailed lifestyle advice so urgently needed by many patients with nutrition- and obesity-related disorders. Prescribing these kinds of research-driven mobile interventions can have a real impact on quality of care and costs.

Get the new, all-digital Healthcare CIO 25 issue of InformationWeek Healthcare. It's our second annual honor roll of the health IT leaders driving healthcare's transformation. (Free registration required.)

Comment  | 
Print  | 
More Insights
Newest First  |  Oldest First  |  Threaded View
User Rank: Apprentice
9/8/2012 | 10:26:48 PM
re: When Smart Mobile Technology Meets Good Science
Anything that helps patients be more compliant with their treatments is always a good thing. Being able to communicate this compliance with treating physicians is even better. People tend to be more compliant with anything when they know someone is watching and/or monitoring. Let's hope this side of technology really takes off so chronic disease management is even easier on patients & physicians.
Jay Simmons
Information Week Contributor
User Rank: Apprentice
6/19/2012 | 5:00:43 PM
re: When Smart Mobile Technology Meets Good Science
I love this! I agree that the science has to be the driving factor behind the application, not just the shiny bells and whistles. It needs to provide some clinical decision making data to truly add any value to quality of care.

I recently saw a medication reminder app, which was all fine and cute. But it would've been 1000x more useful if the person could journal their compliance with the medication and perhaps side effects they felt etc... And then if that app could connect with the physician system somehow, -- it's a win-win for MU medication reconciliation in addition to being a critical piece of clinical information for physician to review with patient.

InformationWeek Contributor
How Enterprises Are Attacking the IT Security Enterprise
How Enterprises Are Attacking the IT Security Enterprise
To learn more about what organizations are doing to tackle attacks and threats we surveyed a group of 300 IT and infosec professionals to find out what their biggest IT security challenges are and what they're doing to defend against today's threats. Download the report to see what they're saying.
Register for InformationWeek Newsletters
White Papers
Current Issue
2017 State of the Cloud Report
As the use of public cloud becomes a given, IT leaders must navigate the transition and advocate for management tools or architectures that allow them to realize the benefits they seek. Download this report to explore the issues and how to best leverage the cloud moving forward.
Twitter Feed
InformationWeek Radio
Archived InformationWeek Radio
Join us for a roundup of the top stories on InformationWeek.com for the week of November 6, 2016. We'll be talking with the InformationWeek.com editors and correspondents who brought you the top stories of the week to get the "story behind the story."
Sponsored Live Streaming Video
Everything You've Been Told About Mobility Is Wrong
Attend this video symposium with Sean Wisdom, Global Director of Mobility Solutions, and learn about how you can harness powerful new products to mobilize your business potential.
Flash Poll