mhealth service for hiv prevention and care
TRANSCRIPT
Implementing and Marketing a Mobile Health Service for HIV Prevention and Care:
Outcomes and Lessons Learned
Dano W. Beck, MSW Bhupendra Sheoran, MD Ruth Helsley, RN, BSN
April 6-8, 2014 San Francisco, CA
Annual Conference on Youth + Tech + Health
What is Oregon Reminders?
HIV/STD test reminders every 3-‐6
months
Weekly health <ps Monthly prescrip<on refill reminders
Daily medica<on reminders
HIV/STD test reminders every 3-‐6
months
Weekly health <ps* Monthly prescrip<on refill reminders
Daily medica<on reminders
*Only available via text message
What is Oregon Reminders?
• Increase frequency of HIV testing. – Early diagnosis can help reduce transmission.
• Improve HIV medication adherence. – A suppressed viral load helps optimize health outcomes and
reduce transmission.
Objectives of Oregon Reminders
• Mobile reminder systems for HIV testing1 and medication adherence2 have proven efficacy.
• User choices help empower clients.
• People are using technology to communicate.
Background
1Bourne et al., 2011 2Pop-‐Eleches et al., 2011; Dowshen et al., 2012
631
208
104138
360
100
200
300
400
500
600
700
Test Reminders Med Reminders Refill Reminders Health Tips Health Tips for People w/HIV
Oregon Reminders Usage Through Feb. 2014, N = 1,086
People enrolled
Text, 64% Email, 30%
Voice, 6%
Message Delivery Method
Standard, 78%
Customized, 22%
Reminder Message Customiza<on
• Staff-client conversations • Posters and cards • Peer-to-peer (social) • Radio • Online
Marketing methods
Mobile, 89%
Non-mobile, 11%
Website visits, N=98,154
• Placements – Grindr – Scruff – Manhunt – Facebook – News website
• Impressions: 39,000,000
Online advertising
Yield from online ad placements App or site Impressions needed
for one click Grindr 163 Willamette Week (news site)
1,111
Manhunt 2,000 Scruff 3,125
• Data collection is ongoing – Survey is emailed to users 6 months after enrollment
• Responses to date = 42
Survey
• The majority are white (86%) and MSM (75%). • Most (68%) test reminder users are ages 18-34. • Most (60%) medication/refill reminder users are 35-49.
Respondent characteristics, N=42
• 2/3 (67%) reported sex without a condom.
• 1/5 (22%) reported being drunk or high during sex in the past 30 days.
• 8% reported injecting non-prescription drugs.
Risk behaviors, N=36
Yes, 74%
No, 26%
Does Oregon Reminders help you remember to take your
medicaDon?
Medication and refill reminder outcomes, N=19
Less often, 63%
About the
same as before signing up, 37%
Since you signed up for Oregon Reminders, which of the following opDons best describes how oHen you have missed a dose of your
medicaDon?
Unsure, 0% More frequently, 0%
Yes, 59%
No, 35%
Unsure, 6%
Does Oregon Reminders help you remember to test for HIV/STDs?
Test reminder outcomes, N=17
More often, 24%
About the
same as before signing up, 76%
Since you signed up for Oregon
Reminders, which of the following opDons best describes how oHen
you get tested for HIV?
Less frequently, 0%
• Secondary research and early survey findings suggest Oregon Reminders is effective.
• Text and email are desirable methods of health communication.
• Choices help empower clients.
• A mobile-friendly website is important.
• Adjust your online marketing campaign based on data.
Conclusions
Dano W. Beck, MSW Technology Intervention Specialist
Oregon Health Authority, HIV Prevention Program
[email protected] (971) 673-0170
OregonReminders.org