2019 CUGH Conference    I    March 8 - 10, 2019   I   Satellite Sessions  March 7, 2019   |   Hilton  Chicago Hotel    I   Chicago, IL​​

Satellite Session | HALF DAY Workshop

Assessing the Impact of mHealth in Low Resource Settings


Thursday March 7, 2019
Time: 8am to12pm
Room:  Joliet / 3rd Level

Hilton Chicago Hotel
Chicago, Ilinois

  • Registration is free but required.
  • Registration for the satellite session is separate from registration for the CUGH conference.

University of Auckland

Dr. Robyn Whittaker
Dr. Alain Labrique
Dr. Judith McCool
Dr. Chris Paton
Dr. Pratima Murthy
Dr. Claudia Pagliari
Dr. Caroline Free
Dr. Rosie Dobson

mHeath interventions designed and delivered in low resourced settings are gaining popularity. The rationale for mHealth is well accepted, the mechanisms for design, adaptation and delivery are improving, yet the methods for evaluating the impact are under-developed. We will present a series of case studies where mHealth programs have been implemented to support shifts in risk factors for health. In the workshop,
we will address the following issues - how can we extend the reach and impact of mHealth programs across populations, and how can we determine whether these interventions are effective. Case studies from the US, New Zealand, Pacific Islands (Samoa), India and the UK will be condensed into working case studies to enable discussion on the potential for equitable, measurable positive impacts from mHealth initiatives. The outputs of the facilitated discussion will include recommendations on the options for assessing the impact of mHealth programs in low resourced settings.

Speakers will present brief, condensed case studies focused on implementation and measurement of impact. This will be followed by an open
panel discussion on the common themes and issues associated with measuring impact of mHealth interventions in low resourced settings. A facilitated discussion will lead the group to agreement on the various options for
assessing impact and identify opportunities for the future.

Dr Robyn Whittaker (New Zealand)
is a Public Health Physician currently leading the innovation stream within a newly established Institute for Innovation and Improvement at Waitemata District Health Board. She leads the Leapfrog Program of enterprise wide strategic projects, partnerships with industry and academic institutions (such as the Precision Driven Health research partnership), and a Centre for Health IT & Creative Design that works with DHB staff to develop and trial new things. Robyn is also an Associate Professor at the National Institute for Health Innovation, University of Auckland, where she co-leads the Health Informatics and Technology research team. Her research interests are in mHealth,
particularly designing and trialing interventions delivered to people via their mobile phones. These include behavior change interventions, such as TextMATCH health information for pregnant women and families with young children to encourage healthy diet and physical activity, and self-management programs for long-term conditions, such as SMS4BG self-management support for people with poorly controlled diabetes. Robyn contributes to several national and international groups including the World Health Organization/International Telecommunications Union’s Informal Expert Groups for the ‘Be Healthy Be Mobile’ global initiative, the NZ Telehealth Forum Leadership Group, the board of the NZ Health Innovation Hub, the management team of the MedTech Centre of Research Excellence, the editorial board for JMIR mHealth & uHealth. She was a NZ Harkness Fellow in 2010/11 during which time she was an invited expert on the Secretary of Health & Human Services’ Text4Health Advisory Committee.

Dr. Alain Labrique (USA)
is an infectious disease epidemiologist, community trialist and a globally recognized leader in the application of information and communication technologies (ICTs) to strengthen health systems in resource-limited settings. Currently serving on the faculty of the Global Disease Epidemiology and Control Program of the Department of International Health, Labrique holds joint appointments in Epidemiology, Community-Public Health (Nursing), Health Sciences Informatics (Medicine), Bioengineering Innovation and Design (Engineering). Labrique has a Master’s in Molecular Biology from the University of North Carolina at Chapel Hill, a Master’s in Epidemiology and a PhD in Infectious Disease Epidemiology from Johns Hopkins University. He completed his fieldwork as a research fellow at the International Centre for Diarrheal Disease Research in Bangladesh. Labrique leads one of JHU's largest field research sites in
Bangladesh, heading a team of 850+ field staff to study ways to reduce infant and maternal mortality in Bangladesh. Labrique is the inventor of a number of appropriate technologies (3 patents pending), including the Portable Field Dark Adaptometer–a novel device currently being validated as a non-invasive method for vitamin A assessment. (https://www.jhsph.edu/faculty/directory/profile/1022/alain-bernard-labrique).

Dr. Judith McCool (New Zealand)
Global Health Group lead, School of Population Health, University of Auckland. Judith’s work focuses on understanding how different population groups use media for social and behavioral change. This work has focused on the process of adapting mobile technology based interventions to support behavior change and the value added by mobile technologies for supporting people to quit smoking, particularly in low resourced settings. Judith’s interests in mHealth gravitate towards understanding the issues associated with translation and
access to ensure equitable access to the benefits of mHealth. Recent work examines the potential for using social network sites (SNS) to disseminate health messages and the potential for this approach for more sustainable outcomes, including supporting social change.

Dr. Chris Paton (UK)
Group Head of the Global Health Informatics Group in the Centre for Tropical Medicine and Global Health at the University of Oxford. Following his training in clinical medicine, Chris specialized in Health Informatics and has led the development of a range of health informatics projects over the last 10 years in the UK and New Zealand. He became a Fellow of the Australasian College of Health Informatics in 2010 and received his Executive MBA in 2011. His research draws on cognitive psychology and information science to investigate how new digital technologies are being adopted for improving clinical practice in low and middle income countries (https://www.ndm.ox.ac.uk/principal-investigators/researcher/chris-paton).

Dr. Pratima Murthy (India)
is Professor of Psychiatry and heads the Centre for Addiction at the National Institute of Mental Health and Neuro Sciences, Bangalore, India. She was involved in the development of the mCessation package for tobacco cessation in India and is one of the international experts for the WHO Geneva Be Healthy Be Mobile initiative on tobacco. She has been one of the pioneers for setting up tobacco service clinics in India and in training health professionals in the southeast Asia region on tobacco cessation. She has authored manuals on tobacco cessation for doctors, dentists and community health workers. She is presently the lead for the regional tobacco quit line, which provides cessation services in five different Indian languages.

Dr. Claudia Pagliari (UK)
is a senior lecturer and researcher within the Usher Institute, where she leads a research program on eHealth and directs the MSc in GlobaleHealth. With a background in social science and health technology assessment, her research is highly interdisciplinary and covers many areas of eHealth and the digital society. This includes the study and evaluation of emerging innovations (for example: direct-to-consumer genetic testing, therapeutic robots, apps), large-scale health IT programs (for example: human resource information management systems, administrative data research, e-Government), new forms of data for science (for example: social media and crowdsourcing), technologies for global health system strengthening and ethical and responsible research and innovation. She collaborates with colleagues from across the university, including Edinburgh Medical School, the Business School and the Schools of Informatics and Health in Social Sciences, as well as a network of international researchers, NGOs and others. She is a member of the Global Health Academy, the Institute for Science, Technology and Innovation, the Social Informatics Cluster, and the Edinburgh Crowdsourcing and Citizen Science Group and convenes the interdisciplinary research groups in eHealth and digital disease surveillance. Claudia is a member of the UK College of Experts in Health Informatics, the British Computer Society, the UK Council for Health Informatics Professionals (level 3), and has held advisory roles with the American Health Information Management Association, the European Commission (scientific expert) (https://www.ed.ac.uk/profile/claudia-pagliari).

Dr. Caroline Free (UK)
is interested in the design, evaluation and subsequent implementation of effective primary care interventions, with a major focus on sexual and reproductive health interventions. All interventions are developed in collaboration with potential users and are based on evidence, theory, needs assessment and evidence based behavior change approaches. She was the principal investigator for the txt2stop trial, which was the first trial to demonstrate that smoking cessation support delivered by text message more than doubled biochemically verified smoking cessation at 6 months. Following the trial publication, she worked with the Department of Health England to develop a national service for smoking cessation support delivered by text message. She has also worked as an advisor to the WHO m-cessation working group. Smoking cessation support delivered by text message has now been implemented in the USA, New Zealand and India, with over a million subscribers in India. Currently she is the principal investigator for a NIHR funded trial of a safer sex intervention delivered by mobile phone with 6250 participants in the UK-http://safetxt.lshtm.ac.uk/. She is also working on an NIHR funded project for the development and pilot trial of a weight management after pregnancy intervention delivered by mobile phone. Other current work focuses on adherence to medication,
developing and evaluating interventions to increase use of contraception and the evaluation of a web based sexual and reproductive health service. She is an advisor to WHO M-health working groups for non-communicable disease and maternal, reproductive, neonatal, and child health. (https://www.lshtm.ac.uk/aboutus/people/free.caroline).

Dr. Rosie Dobson (New Zealand)
looks at the use of mobile technology to deliver health and support to people in their everyday lives. A background in health psychology has led her to investigate ways in which patients can be supported outside the clinic environment to increase the reach of supportive care, behavioral interventions and psycho-education. She has been involved in the development and trial of a text-message based diabetes self-management programme for people with poorly controlled diabetes. Other work includes the development and implementation of a maternal health text-message information and support programme.