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Scaling Up mHealth: Where Is the Evidence?

Scaling Up mHealth: Where Is the Evidence? | #DigitalHealth | Scoop.it
Summary Points

Despite hundreds of mHealth pilot studies, there has been insufficient programmatic evidence to inform implementation and scale-up of mHealth.We discuss what constitutes appropriate research evidence to inform scale up.Potential innovative research designs such as multi-factorial strategies, randomized controlled trials, and data farming may provide this evidence base.We make a number of recommendations about evidence, interoperability, and the role of governments, private enterprise, and researchers in relation to the scale up of mHealth.

 

 

Citation: Tomlinson M, Rotheram-Borus MJ, Swartz L, Tsai AC (2013) Scaling Up mHealth: Where Is the Evidence? PLoS Med 10(2): e1001382. doi:10.1371/journal.pmed.1001382

Published: February 12, 2013

Copyright: © 2013 Tomlinson et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Funding: No specific funding was received for writing this article. MT acknowledges the support of the National Research Foundation (South Africa) and the Department for International Development (DfID-UK). ACT acknowledges salary support from U.S. National Institutes of Health K23 MH-096620.

Competing interests: MT is a member of the PLOS Medicine Editorial Board. AT receives salary support from NIH K23 MH-096620.

Abbreviations: EBI, evidence-based intervention; LAMIC, low- and middle-income country; mHealth, mobile health; MOST, Multiphase Optimization Strategy

Provenance: Not commissioned; externally peer reviewed.

 
Via Chatu Jayadewa
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Don't forget that it's almost impossible to scale up sufficiently for research purposes..

 
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diagnostics.ai Win Digital Health 2017 Award for 'Best Data-Driven Innovation' #digitalhealth

Aug. 21, 2017 -- The Digital Health 2017 awards, presented in collaboration with the UK's Digital Catapult, are awarded based on hel

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#Oculus Video Shows Advanced Hand Tracking Gloves #VR

#Oculus Video Shows Advanced Hand Tracking Gloves #VR | #DigitalHealth | Scoop.it
An unlisted Oculus video showcases the hand tracking gloves that Mark Zuckerberg teased earlier in the year, suggesting they may be revealed soon.
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A step further toward humanization of #VirtualReality ?
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Opinion | Artificial Intelligence Is Stuck. Here’s How to Move It Forward.

Opinion | Artificial Intelligence Is Stuck. Here’s How to Move It Forward. | #DigitalHealth | Scoop.it
Real progress will require an international scientific collaboration, like the one that discovered the Higgs boson.
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WebMD to be bought by KKR's Internet Brands for $2.8 billion (wow) #digitalhealth

WebMD to be bought by KKR's Internet Brands for $2.8 billion (wow) #digitalhealth | #DigitalHealth | Scoop.it
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WebMd was itself the result of a merger with Healtheon, company started by Jim Clark co-founder of Netscape, who got out of healthcare when he saw how long it wd take. Steven Satz, current CEO of WebMd, had been CEO of Physicians Online POL, if anyone remembers that brand.
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Analysis of Israel's opportunities in eHealth

'This is a best prospect industry sector for this country.'

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Israel is indeed a place where eHealth start-ups can both find a market and a learning experience.
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Israel #clinicaltrial online database to make research more efficient  #digitalhealth

Israel #clinicaltrial online database to make research more efficient  #digitalhealth | #DigitalHealth | Scoop.it
The web site will make it easier for patients to seek out trials on new medications, procedures and devices, as well as allowing researchers to find participants more easily.
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There are more and more attempts to match patients and trials more efficiently. Let's see how this one works out!
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BK Digital's curator insight, June 28, 11:51 PM
There are more and more attempts to match patients and trials more efficiently. Let's see how this one works out!
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June 28 is #SustainableHealth Innovation Day in Bordeaux #InnoDayBdx #Week26

University of Bordeaux's Week 26 on Innovation will feature "Sustainability in Healthcare" on June 28th. International speakers, simultaneous translation

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Original and international program on Sustainable Health, thanks to University of Bordeaux.
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Exclusive: How #DigitalHealth Could Save 30 Million Lives by 2030

Exclusive: How #DigitalHealth Could Save 30 Million Lives by 2030 | #DigitalHealth | Scoop.it

Exclusive first look at Dr. Raj Panjabi's new TED Talk. He wants to train community health workers through technology.

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Recruiting community health workers seems great idea. Vanessa Carter has been suggesting same for Africa.
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Patient as Entrepreneur – Interview with Patient Advocate and CEO of HealthTech company @11Health #digitalhealth

Patient as Entrepreneur – Interview with Patient Advocate and CEO of HealthTech company @11Health #digitalhealth | #DigitalHealth | Scoop.it

Irish Tech News talks to Michael Seres, keynote speaker at Barcelona Health 2.0 Conference. Michael talked about where he sees health care going, and how patients will play a critical part in building the future of healthcare.

Denise Silber's insight:
I've had the great fortune to know Michael Seres for 6 years, since the early days of his advocacy and well before becoming an entrepreneur. Seeing what he has achieved is so humbling. He is a model for people everywhere, in turning life's challenges into opportunities.
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When Does An #ArtificialIntelligence Become A Person?

When Does An #ArtificialIntelligence Become A Person? | #DigitalHealth | Scoop.it

On artificial intelligence, animal rights, and the frontiers of legal personhood. The things that define something as someone— as a person — are complex, contested, and mutable. Thinking about the moral, legal, and philosophical arguments around who does and does not get to be a person is a crucial step as we move ever closer toward the birth of the first truly sentient machines, and the destruction of the most highly sentient, endangered animals.

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Fascinating and painful to see how the definition of human evolves depending on the context
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Google Tracker 2017—All that Google is doing in healthcare with Alphabet, Verily...

Google Tracker 2017—All that Google is doing in healthcare with Alphabet, Verily... | #DigitalHealth | Scoop.it

Calico, DeepMind, Google (Alphabet, Verily) and more

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Share your insight
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If Virtual Reality is really therapeutic, pharma beware! - Pharmaphorum

If Virtual Reality is really therapeutic, pharma beware! - Pharmaphorum | #DigitalHealth | Scoop.it
How far can the potential of Virtual Reality extend and which healthcare stakeholders will take the lead?
Denise Silber's insight:
Who will take therapeutic applications of #VirtualReality forward? Hospitals and Clinics, Pharmacies or Pharma?
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“The benefits of sharing data outweigh the risks of not doing so” #ehealthweek

“The benefits of sharing data outweigh the risks of not doing so” #ehealthweek | #DigitalHealth | Scoop.it
Interview with Christina Roosen, HIMSS Europe
Denise Silber's insight:
Interesting interview from Christina Roosen on both #HealthData sharing and the #ehealthweek program
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Questions About The FDA’s New Framework For #DigitalHealth

Questions About The FDA’s New Framework For #DigitalHealth | #DigitalHealth | Scoop.it
Questions About The FDA’s New Framework For Digital Health | At the intersection of health, health care, and policy.
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Certification of digital products once again comes in short.
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Barcelona #DigitalHealth Start-ups

The Barcelona digital health scene is booming. Read this article to find out more about how Catalan startups are disrupting Barcelona's health care sector.
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Nice mention of some main startups in Barcelona
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#Kidneydisease risk score built into patients' electronic health records #ehr #emr

#Kidneydisease risk score built into patients' electronic health records #ehr #emr | #DigitalHealth | Scoop.it
More than 26 million Americans have chronic kidney disease (CKD). Primary care physicians who take care of these patients can help reduce the risk of complications and death if they recognize the progressio
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One of many preventive measures our health systems are not penalized for not doing
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Why the *Beep* Do Doctors Still Use Pagers? - Telemedicine Magazine

Why the *Beep* Do Doctors Still Use Pagers? - Telemedicine Magazine | #DigitalHealth | Scoop.it

The anachronistic pager still lives on in healthcare. Here’s why, and what it will take to leave them behind.   For decades, the way we reach out to doctors has remained the same: paging them. 

Denise Silber's insight:
If we haven't invented anything more convincing for those doctors, we have it wrong ourselves.
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Maria Hägglund: Electronic health records in Sweden—how can we go from transparency to collaboration? – The BMJ

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50 years after the invention of the concept of an electronic medical record, even Sweden is still struggling with providing access for patients to all of their date in one place.
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Russian #DigitalHealth Startup DOC+ Lands $5M for On-Demand Doctor Visits

Russian #DigitalHealth Startup DOC+ Lands $5M for On-Demand Doctor Visits | #DigitalHealth | Scoop.it
DOC+, a Russian digital health startup has raised $5 million in funding from existing investors - Yandex Internet Company and Baring Vostok venture fund.
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Russia is in great need of more consultation time/
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From KOL Marketing to Digital Opinion Influencers #hcsmeufr #digital #pharma

"Pharma has long recognized the power of key opinion leaders, but with HCPs and patients now acquiring information about disease and treatment online, there is a new opportunity for "digital opinion influencers"

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Where should you invite clinicians and non clinicians who are digital opinion influencers? Interesting list included.
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#Sweden struggles to achieve ambitious #ehealth dreams

#Sweden struggles to achieve ambitious #ehealth dreams | #DigitalHealth | Scoop.it
Think a world-class public healthcare system, a stable of leading tech firms, and an impressive track-record of digital innovation make Sweden a shoe-in for the top spot globally in digital healthcare? Think again.

Denise Silber's insight:
Progress is relative. What may seem like a bit of a failure in  eHealth in Sweden, is success for others
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8 business case elements to consider in choosing #EHR for Veterans Affairs #VHA

8 business case elements to consider in choosing #EHR for Veterans Affairs #VHA | #DigitalHealth | Scoop.it
VA Secretary David Shulkin is currently in the process of deciding among electronic health record alternatives for the future. Here are the main aspects VA should take into account when making its pick.
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Article in favor of open source Vista for many good reasons.
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Denise Silber, Basil Strategies: “We would reinvent healthcare, if we built it from scratch through the eyes and experience of patients and caregivers, working side by side with the professionals”

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Thank you to IceeFest Health, Lorena MacNaughtan for this new interview
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GSK asthma app wins healthcare technology award 

GSK asthma app wins healthcare technology award  | #DigitalHealth | Scoop.it

GlaxoSmithKline mobile app that helps asthma patients better understand their condition and how to manage it was one of six winners at the AXA PPP Health Tech & You Awards.
MyAsthma, which was developed with UK agency The Earthworks, can track medicine usage and asthma attacks, and use location, weather and air quality data to learn what trigger’s a patient’s asthma.


An industry first, GSK’s app is the first from pharma has been approved as a Class 1 medical device and CE marked.


Via Alex Butler
Denise Silber's insight:
Key insight here is that the app is CE marked as a device.
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eHealth Adoption Awards 2017 to choose from three valuable programmes | HIMSS Europe

eHealth Adoption Awards 2017 to choose from three valuable programmes | HIMSS Europe | #DigitalHealth | Scoop.it
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Implementation is key to future of #digitalhealth Let's hope that these valuable programs scale up.
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