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MyHealthFinder.org TX A&M School of Public Health C-Change

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MyHealthFinder.org TX A&M School of Public Health

C-Change

Problem Statement �  Increasing numbers of Americans with cancer or at

risk of cancer

�  Gaps in information for both providers and survivors for community resources and services that impact health

�  One step is to give patients a cancer survivorship plan—the important next step is to identify resources a patient can access

State of mHealth �  With approximately 2 Billion users worldwide,

smartphones are the most rapidly adopted technology in the history of man

�  Digital health funding in the first three quarters of 2014 surpassed $5 billion, close to double what was invested in all of 2013 ($2.8 billion)

*Dr. Eric Topol. The Patient Will See You Now,(2015)

Creating MyHealthFinder �  First Generation: NaviCanPlan-map based locator

�  In collaboration with Life Beyond Cancer Foundation

�  Formative research with ~ 30 cancer providers (physicans, nurses & navigators and ~25 survivors)

�  Second Generation: MyHealthFinder.org

�  In collaboration with Life Beyond Cancer Foundation and Texas A&M

�  Formative research with approximately 20 Montgomery County United Way, Clinicians, Hospital Administrators, Community Health Workers

MyHealthFinder

Examples of Theory-Based Health Behavior Change Techniques used in mHealth

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Behavior Change Technique Definition/Example

Personalization Create individualized communication; logging in for ratings

Tailoring- macro level Specific to individual needs or requirements

Health Behavior Linkage Links individual behavior and health outcomes

Intention Formation Encourage action or decide on goal

Feedback on Performance Scores, Games, Ratings

Social Influence/Peer (passive or active )

Facilitate users/CHW access to information

Source: Vollmer Dahlke, D, et al (2015) Apps Seeking Theories: Results of a Study on the Use of Human Behavior Change Theories in Cancer Survivorship Mobile Apps. JMIR mHealth and uHealth:

MyHealthFinder Usability Testing

Conducted under an IRB-approved protocol

Observer training and script developed in collaboration with Dr. Camille Peres, PhD- Human Computer Interface and Usability expert

An hour long usability test explored navigating the website and performing set tasks (n=12 testers).

Each task was timed and observed by a tester and also recorded using Camtasia software.

Users were asked to “think aloud” during their navigation of the tool.

Results: Changes in mobile web interface and initial map view

Search by Category

Resource Category Examples

Category Selection by Location and Radius

Mississippi Gulf Coast: Search by Location & Radius

User Ratings & Directions

Directions From Google Maps

Gulf Coast Farmers’ Markets

Resource Listing: Farmers’ Markets

Adding New Resources & Keeping Them Updated

Summary Need for mHealth applications to be health behavior and health communications theory-based.

Input from stakeholders is critical to formative mobile application design

Usability and accessibility testing allow for greater refinement and alignment with user needs

Cultural and geographic tailoring (images, categories, language) needed for community engagement

Community needs to take ownership and keep populated and up to date

Next Steps and Feedback

§  Potential for MyHealthFinder.org to support C-Change project in Mississippi Gulf Coast Cancer Network – examples of partnerships and resources to deploy and extend into community

§  Need for training with community stakeholders, health coaches and community health workers and health care professionals §  Perceived facilitators and barriers?

§  Strategies for populating quickly and keeping up to date?