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of 18/18 TX A&M School of Public Health C-Change

Post on 17-Aug-2015



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  1. 1. TX A&M School of Public Health C-Change
  2. 2. 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 planthe important next step is to identify resources a patient can access
  3. 3. 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)
  4. 4. 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: 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
  5. 5. MyHealthFinder
  6. 6. Examples of Theory-Based Health Behavior Change Techniques used in mHealth 6 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:
  7. 7. 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
  8. 8. Search by Category
  9. 9. Resource Category Examples
  10. 10. Category Selection by Location and Radius
  11. 11. Mississippi Gulf Coast: Search by Location & Radius
  12. 12. User Ratings & Directions
  13. 13. Directions From Google Maps
  14. 14. Gulf Coast Farmers Markets
  15. 15. Resource Listing: Farmers Markets
  16. 16. Adding New Resources & Keeping Them Updated
  17. 17. 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
  18. 18. Next Steps and Feedback Potential for 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?