Category Archives: mHealth Services

Clinical Trial Recruitment Success Via Text Messaging

Recruitment: the perpetually challenging aspect of clinical trials.

Image courtesy of adamr / FreeDigitalPhotos.net.

Image courtesy of adamr / FreeDigitalPhotos.net.

As one of the most important parts of running a clinical trial (no patients, no trial, right?), recruitment is a large focus for those involved in clinical research.  However, even with numerous proposed strategies for effective recruitment, it seems as though it is still a major challenge that cannot be overcome.

What is the major problem with recruitment?

It takes time. A lot of time. A patient population for a study has to be created, contacted, and convinced that the clinical trial is worthwhile. While some sites have a database listing past trial patients, sometimes it is not large enough to create a significant patient population for a new study. Then, call centers are used, referrals occur, and advertising takes place, adding more time to the recruitment process.

What is wrong with recruitment taking a lot of time?

There is nothing innately wrong with recruitment taking time. In any scenario, it is a lengthy process. However, to meet screening and randomization deadlines, a quicker recruitment period is helpful.

Additionally, as reported by Nariman A. Nasser, Director of the UCSF Participant Recruitment Service, almost 2/3 of potential patients are lost to follow-up because they do not hear back about their study eligibility quickly enough. This can happen when sites focus on making all of the recruitment calls first before making any follow-up calls, when pre-screening or screening appointments aren’t scheduled in a timely fashion, or when there are not enough staff at a site to effectively recruit while performing other job responsibilities.

What is the solution?

The solution lies in the back pocket of future patients: the mobile phone. Text messaging has proven itself as an effective means of communication across age groups, genders, ethnicities, locations, religions, and more. It works for everyone.

Whether or not these future patients have smart phones, text messaging is a possible means of communication. Furthermore, Nasser also reports that 5.5 billion people worldwide are mobile subscribers; in the U.S., this is 91% of the population. Read: 91% of the population can be reached via text message for clinical trial recruitment!

Text messaging is fast – and significantly faster than the traditional recruitment phone call. Texting makes it possible to reach a larger number of potential patients by text and perform immediate follow-up with less staff. Screening visits can be scheduled and eligibility questions can be answered via text. Really, text messaging can aid in all aspects of recruitment! If you are looking for a recruitment strategy that has proven positive results, consider texting; you never know who you might be able to reach.

 

Interested in seeing how text messaging would affect your recruiting strategy? Visit http://www.mosio.com/research for more information and a free consultation/quote.

Author: Emily Waller holds an Honors B.S. in Biomedical Engineering, has worked on numerous clinical trials, and as a medical & technical writer.  She writes to promote innovative ideas in healthcare, technology, and research within the online community.  She also loves photography, neuroscience, and household DIY projects.

Integrating Mobile Technology Into Healthcare: A Clinical Trial Success Story

The effect of using mobile technology during a clinical trial weight loss study was explored in a Journal of the American Medical Association (JAMA) Internal Medicine article.

The study, titled “Integrating Technology into Standard Weight Loss Treatment: A Randomized Controlled Trial”, was 12 months long with 70 participants (mean age 57.7 years, 85.5% male) with a BMI > 25.  There were two groups of participants: those who received standard physician care (Standard treatment), and those who received standard treatment supplemented with mobile technology (+Mobile treatment).

Patients in the +Mobile group remotely monitored diet, exercise, and weight on PDAs. This data was submitted daily by participants at the start of the clinical trial, and tapered out to once a month by the end of the study. A status thermometer on the screen of the PDA was then updated automatically based on the patient’s entered data. This allowed patients to remain up to date with their total intake and energy levels for each day.

Results were in favor of mobile technology use. Data showed that the +Mobile group lost 8.6 pounds more, on average, than the Standard group. Additionally, 36% of participants in the +Mobile group lost at least 5% of their initial body weight, as compared with 0% of the Standard group, at the three-month time point. These results occurred due to an intensive multicomponent behavioral treatment consisting of physician care alongside supplemental mobile technology use. Thus, two components were implemented to aid in weight loss, with only one (direct care) requiring extensive time and training by physicians. This addition of mobile technology is an easy adjustment that can be made in many clinical trial settings without additional effort by primary investigator physicians!

Photo used with permission of author, Bonnie Spring.

Photo used with permission of author, Bonnie Spring.

This study shows the promise of mHealth technology in patient care and clinical trials. Not only is mobile technology successful in engaging participants, it also requires less intensive time and instruction by physicians and more remote commitment of the patients. The power and potential of mHealth technology in creating healthy change is evident in these results. Mobile technology is truly a building block to the next level of successful patient care in clinical trials!

To learn more about implementing mobile technology in research, visit http://www.mosio.com/research.

Author: Emily Waller holds an Honors B.S. in Biomedical Engineering, has worked on numerous clinical trials, and as a medical & technical writer.  She writes to promote innovative ideas in healthcare, technology, and research within the online community.  She also loves photography, neuroscience, and household DIY projects.

Clinical Trial Promotion and Subscription via SMS

Image courtesy of adamr / FreeDigitalPhotos.net.

Image courtesy of adamr / FreeDigitalPhotos.net.

SMS and Email Subscriptions: A Case Study

SMS has the ability to considerably increase email signups.  At least, that’s what a Zettasphere case study reviewed by Tim Watson, independent email marketing consultant, showed late last month.

In the study run in the United Kingdom, Deal Monster created an ad for £5 off of a first purchase.  This ad was placed in a local newspaper for a few weeks, and either stated that the deal could be claimed via web signup link or by texting an email address to the number ‘84101’. By the end of the study, SMS created 3.3 times more signups than the web link.

Watson believes that the reason for the shining SMS performance is clear: “Time and time again I see that making processes simpler, faster, and more immediate improves conversion.” SMS does just that.

SMS Promotion and Subscription in Clinical Trials

SMS provides a direct, concise, and easy way to relate to another person.  It is always available, trustworthy, and convenient.  This is why SMS is so vital in clinical trials: SMS allows patients to easily access trial information, including sign-ups and prescreening questions.  Imagine if your sign-ups for a trial increased more than threefold… Your recruitment would be outstanding!

There is a clear benefit to having SMS as an available option for potential research patients. In his article, Watson provides suggestions for using this “SMS-2-subscribe” approach by using offline touch points. These points provide exposure so that potential patients are able to ‘subscribe’, or sign up, to receive trial information.  Watson’s suggestions include printing on receipts, posters in waiting areas, exhibitions, auditoriums, live screens, and print materials. The idea is to provide as many avenues as possible to get future patients connected with your site via SMS, a mobile technology that is used at least daily.

Increasing offline touch points to drive home subscriptions via SMS can only benefit a research site.  With the simplicity and immediate connection that SMS provides, trial recruitment could be increased significantly! How do you think that your recruitment numbers could change?

 

Want to know more about using SMS in clinical trials? Head over to http://www.mosio.com/research for more information and a free consultation/quote.

Author: Emily Waller holds an Honors B.S. in Biomedical Engineering, has worked on numerous clinical trials, and as a medical & technical writer.  She writes to promote innovative ideas in healthcare, technology, and research within the online community.  She also loves photography, neuroscience, and household DIY projects. 

8 Reasons to Research Client Feedback With Mobile Phone Surveys

Before you next seek client satisfaction feedback at your agency or private practice, take a look at these eight reasons to consider using mobile phone surveys.

Have you considered utilizing the power of SMS surveys to collect client feedback?

  1. Wide Availability – With an estimated 6.8 billion mobile subscriptions at the end of 2012 at an equivalent to 96% of the world population, there is no denying that conducting research with mobile phone surveys would be accessible to most clients.
  2. Cost Effective – Each IM, SMS, and other web-based interaction costs 1/10th that of Interactive Voice Response (IVR) and 1/100th that of a live agent transaction.
  3. Keep Confidentiality – Given their personal and mobile nature, the average mobile phone rarely leaves the sight of the owner. It has been reported that over 99% of all text messages are read by the recipient themselves. More expensive smartphones are even more likely to be guarded and come with security measures to lock the device or increase the chance of recovery should it be lost or stolen.
  4. SMS is Popular – SMS traffic was estimated to reach 9.6 trillion messages in 2012.
  5. Great Response Rate – SMS Surveys in particular have boasted an average response rate of 25% to 45%.
  6. Prompt Responses – About 90% of all text messages are read within 3 minutes of their delivery, increasing the chances that users will respond to your survey. In fact, 98% of completed SMS surveys are collected within 24 hours.
  7. Organized Data – In addition to a good response rate, collecting survey answers via mobile phone provides an immediate entry of data into a centralized database for analysis and fewer errors in data entry. This is an improvement over the interpretation of barely legible handwritten responses and far less time-consuming.
  8. Proven Success – In the business sector, many businesses have turned to utilizing mobile devices more readily in the interest of competitive advantage. SMS surveys have been used to research customer satisfaction with good results. For instance, 90-94% of customers who answer the first question answer all questions asked and 60-70% of customers provide comments.

4 Studies in Favor of Using Mobile Phones in Cognitive-Behavioral Therapy

Cognitive-Behavioral Therapy, or CBT, is a highly effective therapy used to treat or alleviate everything from smoking cessation to anxiety disorders. Recent research has investigated how mobile phones could be utilized in CBT with some very promising observations.

  1. A community health center incorporated mobile phones as part of a 12 week anti-obesity weight loss program by sending weekly SMS messages about diet, exercise, and behavior modification. About half the participants completed the program and of those, over two-thirds had a reduction in waist circumference.
  2. One study set out to use a mobile app to deliver a computerized CBT program for depression without accompanying therapy and minimal instruction. The researchers had success with almost 2 out of 3 participants completing the program and experiencing significant benefits with their depression both at completion and 3-months following the end of the program.

    Mobile phones can be an important integral part of your next cognitive-behavioral therapy program.

  3. Still yet another study including SMS messages as part of a CBT program confirmed that the use of mobile phones is practical for low-income individuals. Furthermore, the study also received optimistic feedback about the SMS messages that suggested an improvement in self-efficacy. The text portion was so successful that some patients specifically requested to not be removed from the messages and after completion of the program, a few patients asked to keep receiving the SMS messages.
  4. A review of multiple studies using mobile phones described them as “an ideal treatment augmentation/delivery device” due to their numerous benefits like familiarity, ease of use, and widespread popularity. Other benefits include delivering coping statements, sending recommendations for care, near real-time monitoring, prompting homework completion, and even increasing therapeutic alliance through the perception that the practitioner is more supportive by being easily contacted.

Given the broad utility of both CBT and mobile phones, it is very encouraging to see that research is finding many advantages in using mobile texting and applications to enhance CBT to both the benefit of both patients and practitioners.

5 Reasons Texting With Counselors Could Reduce Anxiety

Those suffering from anxiety, including anxiety attacks, panic disorder, social anxiety, generalized anxiety disorder, or even just an especially stressful period, could often use help in managing the anxiety more promptly. Here are 5 reasons that being able to text counselors could be an answer to improving the anxiety.

1. Immediate Help – Texting could be an effective means of short-term, immediate help for people suffering an anxiety attack, be it in the moment or just after. This would enable the client to receive the help they needed when they needed it.

2. A Little Extra Help – There are hundreds of self-help anxiety apps already available, such as SAM, which help users to manage their own anxiety. When a client needs a a little more guidance than what their trusty self-help app offers, however, being able to simply close the app and text a counselor would be tremendously helpful and increase the chances that they client is addressing their anxiety. distressed teenager

3. Easy Access to Help – Even without a smartphone or special app, 91% of adults in the U.S. have a cell phone. For many people, that cell phone rarely leaves their sight and goes with them everywhere. Being able to seek help anywhere at a moment’s notice – literally at your fingertips – is invaluable.

4. Improved Anxiety Monitoring – The flexible, fast, and easy use of texting would allow a client to notify their counselor of an anxiety attack. From there, they could move up their appointment if they need urgent counseling, make a new appointment, or simply make a note of needing to address the anxiety attack in the next appointment.

5. Texting is CBT-Friendly – Internet-based Cognitive-Behavioral Therapy has proven effective for treating social anxiety disorder, treating panic disorder, reducing the number of doctor visits required, and generally improving physical health. It is not a far cry to think that texting, with its ease of use and accessibility, could be effective as a supplemental means to treat anxiety.

This article is provided by Mosio Mobile Messaging Software.

Text Messaging News: Beginning today, just text for train ticket, Aid Workers Turn to Text Messaging to Improve Food Aid Delivery to Refugees in the Western Sahara, Text Messaging Remains Vital to Businesses: Survey

Text messaging is always something many believe to be a private matter, and with a new system put in place by Watsonville police, crime-stoppers have managed to take advantage of that line of privacy. Text messages will go through a third party system and then arrive to any police officers on patrol. This new line can be quickly used to give tips to police about new crime they may miss out on, or just to notify the police that something isn’t quite right. We believe that thanks to the high speed nature of texting, this could become a very handy tool.

Text messages help Watsonville police gather anonymous tips

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We all need to call the cab from time to time, but this article is the first to make us realize that there really isn’t any other form of public transport that offers this quick ‘order of service.’ A business in India hopes to change this by allowing train passengers to book for tickets before the train’s arrival. It’s easy to imagine that this could make travel by train a whole lot smoother and more convenient for both those working for the train and the passengers. We really hope we see a similar service being adopted worldwide.

Beginning today, just text for train ticket

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Marriott hotels expand mobile check-in

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Aid Workers Turn to Text Messaging to Improve Food Aid Delivery to Refugees in the Western Sahara

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Text Messaging Remains Vital to Businesses: Survey

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Compiled by Mosio mobile messaging software. All copyright belongs to original owners.

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Mobile Health News: Patients open to app prescriptions, The new age of cardiology: Heartbeats turn digital at country’s first paperless hospital, Mobile broadband revolutionizing how doctors save lives

This is certainly exciting news. Dr Sajid Hakim, head of the cardiology department at Indus hospital has described what many are starting to call the first “paperless hospital” The Karachi-based hospital has integrated mobile right into the heart of the doctors’ daily work routines, and doctors will now be able to see important information about patients even if they’re not in the hospital at the time. It’s always nice to see technology being used to help save lives, and this hospital, that is primarily run on donations, has created a very heart warming story for itself.

The new age of cardiology: Heartbeats turn digital at country’s first paperless hospital

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If you’ve ever wondered how important a role smartphones and wearable fitness gear could play in the world of health, this article certainly explains it well. A lot of patients are using gear like FitBrit or smartphone apps to keep healthy, and doctors would be smart to integrate their own advice and reach out to patients through these devices. Smartphones in particular now play a huge part in our lives, and if you are like many other smartphone owners, it’d be rare to see you without your smartphone close to you or on your person.

mHealth: patients open to app prescriptions

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Mobility helps our docs provide faster, better care

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Emerging mobile health in Bangladesh

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Mobile broadband revolutionizing how doctors save lives

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Compiled by Mosio mobile messaging software. All copyright belongs to original owners.

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Text Messaging News: How to Improve Post-Sales Support through Mobile, Healthy heart a smartphone away, How smartphones are making customer care hi-tech

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Smartphone apps automating customer care work with analytics, reducing workload on staff

Because of the connectedness of smartphone technology, it becomes extremely easy to send, share and view files across large groups of people when everybody has a smartphone in their hand. Enterprises in India are taking advantage of this by offering statistics and information straight to staff smartphones, allowing members of a company to quickly check information whilst doing other tasks. This is helpful for many different areas of business, but this article seems to highlight the potential benefits for jobs in customer service and support.

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California goes mobile to educate farm workers on pesticide safety

A system in California has been put in place to help farmers ensure they are safely tending to their crops by providing educational videos readily available on smartphones to teach them about the dangers of mistreating pesticide and the plants they are growing. This system first started by offering farmers with text messages to help them do farming the right way, but this new video approach will help those who prefer to watch instead of read, and is also available in multiple languages to help with farmers who do not speak decent English.

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How to Improve Post-Sales Support through Mobile

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Healthy heart a smartphone away

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How smartphones are making customer care hi-tech

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Compiled by Mosio mobile messaging software. All copyright belongs to original owners.

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mHealth News: Us smartphone users eager for more mobile health technology: poll, Canadian Hospital Launches Mobile Health App for Veterans with OSIs, Carolinas HealthCare adds mobile app for employees

A new poll finds that the demand for mobile health technology in the US outpaces the supply.

Us smartphone users eager for more mobile health technology: poll

You may think that mhealth is a tech fad that will soon become a dying trend, but many people think that there is a lot of potential lying within mobile health technologies. In fact, the majority of Americans quizzed in a poll are extremely eager to be able to use their smartphones and smart devices to keep track of their own health. We certainly think mhealth could help improve our general well being and keep us as fit and healthy as we all aspire to be and it should help build bridges between general help from doctors and safe self-medication.

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Telemedicine, Telehealth, and now mHealth: The Technological Benefits of Mobile Health in Minority Communities

The article above points out that we are all ready for mhealth, but what exactly does mhealth mean? This article provides some very good information on what mhealth is about and how it could help the everyday smartphone owner with his or her health and fitness. It particularly focuses on the United States, but the overall idea of mhealth can easily be adopted worldwide and was actually first used in third world developing countries, and it’s only recently that doctors have seen the benefits of using mhealth in developed countries as well.

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Canadian Hospital Launches Mobile Health App for Veterans with OSIs

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Carolinas HealthCare adds mobile app for employees

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Smartphone thermometer, concussion detector among finalists in NYC medtech innovation contest

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Compiled by Mosio mobile messaging software. All copyright belongs to original owners.

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Text Messaging News: Health reminders by text, Emergency text messages a click away after city implements system, Hospital offers parents digital updates on their preemies

Emergency text messages a click away after city implements system

Health reminders by text

mHealth doesn’t have to be all about radical new technology and brand new shiny smartphones. Something as simple as a text message that can be sent to a cheap mobile phone could be considered mHealth, and a text messaging mHealth campaign in Southland and Otago is already on a roll. Those using the service can receive text messages about appointments with general practitioners and can also receive other important information about any medicine or health routines they may need to follow.

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Hospital offers parents digital updates on their preemies

Being a first-time parent can be a very demanding experience, and many parents of new born babies often take the leverage of their shoulders by discussing their baby’s health with a doctor. This can be helpful for a parent but it is sometimes inconvenient for doctors and any other patients they may have. A new technology has been made to ensure that parents can get the information they need about their baby’s healthy digitally to help ease the pressure on both the new mother and father and the doctor.

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Tech can help urban pediatric clinics better connect with caregivers

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Emergency text messages a click away after city implements system

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Timeline: Smartphone-enabled health devices

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Compiled by Mosio mobile messaging software. All copyright belongs to original owners.

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Benefits to Clinical Research Sites and Patients in Using Mobile Text Messaging Software

Clinical research sites become more successful and earn more studies by effectively completing clinical trials.  This means that as a site stays open, more clinical research trials are (hopefully) awarded to the site, and the site grows in the number of Principal Investigators, Sub-Investigators, and Clinical Research Coordinators.

Clinical-Research-Sites-and-Text-Messaging-Mosio

For sites that have a plethora of clinical trials and are short on time, mobile text messaging software is a perfect way to easily ensure patient retention and compliance.  This software is an effective form of communication between patients and researchers.

Text messaging software benefits research sites…

Interactive text messaging software saves time from phone call and in-person visits, as it allows PIs and Coordinators to quickly respond to patient texts either in real time or at a convenient time throughout the day.  Sites can save time and money by minimizing the number of unexpected patient visits and providing support through texting software instead.  This is especially important for PIs, who often see patients at their clinics throughout the day and do not have an abundance of time to spend with patients face-to-face.

…and patients alike.

Patients benefit because they are able to get support at any time during a study.  Text messaging software provides a way for patients to ask questions and get clarification about their condition, medication, dosing, compliance, and appointments.  Patients are also able to message the research site any time a question comes up instead of writing these questions down and remembering to bring them up at a future appointment.  If a PI or Coordinator is not available right away, an automatic response can be set up so that the patient will know that the message was received and a research staff member will respond once available.

Text messaging software provides a vital mHealth technology for clinical research.  Helpful to both researchers and patients, it is the perfect platform for support in clinical trials of any phase, and increases retention and compliance, boosting overall success in clinical trial management.

Mosio’s TextChat Messaging provides all of these services, and more. Take a tour of TextChat at http://www.mosio.com/biz/tour.

 

Author: Emily Waller holds an Honors B.S. in Biomedical Engineering, has worked on numerous clinical trials, and as a medical & technical writer.  She writes to promote innovative ideas in healthcare, technology, and research within the online community.  She also loves photography, neuroscience, and household DIY projects.

Mobile Health News: Making It Easier For Patients and Physicians, ECG into your mobile, Health App Lets Doctors Offer Advice Via Mobile

Health App Lets Doctors Offer Advice Via Mobile

As mhealth emerges, there is no doubt that we’ll hit a few snags that may cause issues and problems along the way, but there is also no doubt that mhealth could prove to be a very handy tool for our every day lives. A group of doctors have developed a free mobile app called iTriage that helps patients to keep an eye on their own health conditions and check in with doctors for any help they may need. Doctors can offer advice on a patients health via the app, giving communication between both a patient and a doctor even when neither are in a medical facility.

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Mobile Healthcare Technology Making It Easier For Patients and Physicians

A new app allows you to monitor your own blood pressure with a piece of equipment that can be bought for just $89. You’ll be able to make a report of your health with your blood pressure included and then send it straight to your physician who can then check for any signs of health issues and then send another report straight back to you. This allows for a quick method of communication between a patient and a physician and will help to make sure everybody can keep track of their health with ease.

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New mobile technology could revolutionise health care in the country

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Mobile phones effective in collecting data from HIV-positive pregnant women

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ECG into your mobile

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How Text Messaging and the Mobile Web Improve Academic Research – Public Health, Clinical Trials, etc.

In an economy where grants and funding are few and far between, success in research trials is vital.  As blogger Mike the Mad Biologist points out, it is almost as hard to get an NIH grant, as it is to get into Harvard (6% acceptance rate for the class of 2016).  Paylines for 2013 R01 grants are currently set at 8 percentile for non-new PIs and 12 percentile for new PIs.

When academic researchers are expected to teach classes, hold office hours, and apply for funding, all while completing research, what can be done to increase the rate of overall success?

Mobile healthcare technologies now enable researchers to expedite enrollment for studies, provide automated reminders to patients, and remotely complete surveys, forms, and diaries.

mobile-software-for-academic-research-clinical-trials-public-health

Pre-Qualification Surveys

Flyers for studies can include a phone number for potential research subjects to text to complete a short pre-qualification survey.  Based on their responses, follow-up can be performed to recruit patients onto studies.  Academic researchers can then save time in the recruitment process for studies, and focus more on enrollment, study visits, and obtaining data.

Automated Patient Reminders

Text message reminders can be sent out to patients on an automated schedule, allowing researchers to increase compliance and retention effectively and nearly effortlessly.  These reminders are helpful for medication compliance, appointment attendance, diary completion, and more, especially on college campuses where, as Sprint studied, more than 98.8% of students have a cell phone, and 97% of students use texting as their main form of communication.

Text Message and Mobile Web ePRO

To minimize time-consuming, additional patient visits, both text messaging and the mobile web enable ePRO to be completed remotely and at any time of day.  Text message surveys are available with various types of formatting, such as multiple choice answers.  Mobile web surveys are also available for longer diary entries, patient satisfaction surveys, and study forms.

Mosio for Research provides mHealth support for academic research studies. To learn more, visit http://www.mosio.com/research.

 

 

Author: Emily Waller holds an Honors B.S. in Biomedical Engineering, has worked on numerous clinical trials, and as a medical & technical writer.  She writes to promote innovative ideas in healthcare, technology, and research within the online community.  She also loves photography, neuroscience, and household DIY projects.

Text Messaging News: Texting program targets new moms, Health messages to be sent via cellphone, LAUSD Students Share HIV/STD Statuses Via Text Message

Texting program targets new moms

A new texting program gives tips and information for new upcoming mothers to ensure that they have the best start they need to looking after their first baby. It can be a daunting process, and any help that a mother can get is often needed. The new texting program aims to provide three text messages a week to mothers in New Mexico in the attempt to help mothers keep an eye on the health of themselves and their babies. The texts are also sent out for free, which is always a great thing.

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Social Media, Texting Best Ways to Talk to Young People About Mental Illness

Mental health is an issue that in our opinion needs to be discussed with young people more often so that they understand why they may be feeling a certain way when growing up and why they should be considerate of others that may be feeling a certain way as well. It is not often easy to teach young people about certain topics when their minds are often elsewhere, but it seems the best way to communicate about topics such as mental health is  through what young people know best- texting and social media platforms.

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Health messages to be sent via cellphone

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LAUSD Students Share HIV/STD Statuses Via Text Message

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Customer Service Seen as Top Benefit of Mobility

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