edge of insight - connecting with the mhealth consumer · 2016-04-07 · the market for wearable...

28
CONNECTING WITH THE mHEALTH CONSUMER Edge of Insight April 2016

Upload: others

Post on 19-Jun-2020

1 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: Edge of Insight - Connecting with the mHealth Consumer · 2016-04-07 · The market for wearable health devices is exploding, with Statistica projecting that 601 million connected

CONNECTING WITH THE mHEALTH CONSUMER

Edge of InsightApril 2016

Page 2: Edge of Insight - Connecting with the mHealth Consumer · 2016-04-07 · The market for wearable health devices is exploding, with Statistica projecting that 601 million connected

+TABLE OF CONTENTS

01 Executive Summary ................................................page 1

02 Getting to Know mHealth Users ...........................page 5

03 Activity Trackers ....................................................page 9

04 Web-Connected Glucose Monitors ........................page 13

05 Web-Connected Blood Pressure Monitors ............page 17

06 Conclusions .............................................................page 21

Page 3: Edge of Insight - Connecting with the mHealth Consumer · 2016-04-07 · The market for wearable health devices is exploding, with Statistica projecting that 601 million connected

01

EXECUTIVE SUMMARY

Page 4: Edge of Insight - Connecting with the mHealth Consumer · 2016-04-07 · The market for wearable health devices is exploding, with Statistica projecting that 601 million connected

CONNECTING WITH THE mHEALTH CONSUMER EDGE OF INSIGHT: PAGE 2

People worldwide are becoming more educated consumers

of healthcare. While healthcare professionals were once

the last word in health decisions, the sheer volume of

information available has allowed people to become more

engaged in their health, from prevention to treatment; they

are no longer only patients, but consumers. The healthcare

and technology industries have been partnering to focus

and improve on consumers’ health by developing web-

connected mobile health (mHealth) tools to help consumers

track everything from how much sleep they get to how many

steps they take to what their blood pressure or glucose

levels are. These web-connected devices and applications,

which transmit health data to the cloud, also enable a future

in which healthcare professionals will have easy access

to relevant patient health data. This could help an actively

engaged physician adjust medication dosages, suggest

lifestyle changes, or intervene as necessary if any danger

signs are apparent in the incoming biometric data.

Page 5: Edge of Insight - Connecting with the mHealth Consumer · 2016-04-07 · The market for wearable health devices is exploding, with Statistica projecting that 601 million connected

CONNECTING WITH THE mHEALTH CONSUMER EDGE OF INSIGHT: PAGE 3

The general consensus is that web-connected technology

that enables better personal health and wellness will be

widely adopted globally. The World Health Organization in

2009 outlined a plan in which mHealth could be used in

lower- to middle-income countries to facilitate emergency

responses, track and control diseases, train healthcare

workers, and educate the general public. Since then, the

scope of what is possible to accomplish using mHealth

has expanded to cover everything from population health

management to individual health management.

Companies such as Apple, Google, Samsung and Qualcomm

also have entered the space and are building the quantified

self platforms that can serve as central repositories for

individual health and wellness metrics that will enable

consumers to easily and effectively manage and analyze

the data coming from a wide range of mHealth devices and

applications. The market for wearable health devices is

exploding, with Statistica projecting that 601 million

connected wearable devices will be in use by 2020, up from

97 million in 2015.1 Juniper Research projects the space will

generate $53.2 billion in revenue by 2019, with the number

of fitness devices alone tripling from an estimated 19 million

in 2014.2

WEB-CONNECTED DEVICES

AND APPLICATIONS ENABLE A

FUTURE IN WHICH HEALTHCARE

PROFESSIONALS WILL HAVE

EASY ACCESS TO RELEVANT

PATIENT HEALTH DATA.

Page 6: Edge of Insight - Connecting with the mHealth Consumer · 2016-04-07 · The market for wearable health devices is exploding, with Statistica projecting that 601 million connected

CONNECTING WITH THE mHEALTH CONSUMER EDGE OF INSIGHT: PAGE 4

Kantar Health combined its experience with patient

outcomes with its expertise in cutting-edge healthcare

innovations to take a closer look at who is using mHealth

technology, why they are using it, and how it is affecting

their lives. Using our National Health and Wellness Survey

(NHWS), the largest global self-reported general population

survey in the healthcare industry, we are able to provide

a deep look at the mHealth market and opportunities to

expand use of these technologies.

Key findings include:

• Tracking of general wellness: 37% of American adults

use at least one website, app or wearable device to

manage their general health and wellness. Interestingly,

the more platforms a person uses to track their general

wellbeing, the lower their mental quality of life. Beyond

general wellness, 46% of mHealth users are actively trying

to lower their risk of developing certain health conditions.

• Activity trackers: Just 7% are using a wearable activity

tracker such as Fitbit or Garmin. The majority of users

are women, and most of them are actively trying to lose

weight, are dieting, and are exercising regularly.

• Web-connected glucose monitors: Although many

doctors say they recommend them to their patients,

awareness of web-connected glucose monitors is low

among diabetic patients. Only 6% of people with diabetes

use these meters, and they have hypoglycemia episodes

more frequently than patients who are unaware of

the monitors.

• Web-connected blood pressure monitors: Few patients

with hypertension use web-connected blood pressure

monitors, and the vast majority are unaware of their

availability. The patients who do use monitors have a

history of having blood pressure-related complications,

and while they are less likely to treat their condition with

prescription medications they are more likely to use

over-the-counter products than patients who do not

use the monitors.

JUST 7% OF AMERICAN ADULTS

ARE USING A WEARABLE

ACTIVITY TRACKER.

Page 7: Edge of Insight - Connecting with the mHealth Consumer · 2016-04-07 · The market for wearable health devices is exploding, with Statistica projecting that 601 million connected

02

GETTING TO KNOW mHEALTH USERS

Page 8: Edge of Insight - Connecting with the mHealth Consumer · 2016-04-07 · The market for wearable health devices is exploding, with Statistica projecting that 601 million connected

CONNECTING WITH THE mHEALTH CONSUMER EDGE OF INSIGHT: PAGE 6

FIGURE 1

WHAT DO AMERICANS USE TO MANAGE THEIR GENERAL WELLNESS?

Insurance provider website

11%Insurance provider app on smartphone

2%Health and wellness websites

12%Health and wellness app on smartphone

8%Exercise app on smartphone

9%Exercise tips or routines on website

14%Nothing

63%mHealth/wearable technology

7%

FIGURE 2

mHEALTH USERS VERSUS NON-USERS

WHO IS USING mHEALTH?

17% Smoke

72% Drink alcohol

63% Are overweight or obese

58% Are trying to lose weight

54% Are women

Average age43

WHO IS NOT USING mHEALTH?

19% Smoke

61% Drink alcohol

65% Are overweight or obese

36% Are trying to lose weight

50% Are women

Average age49

+WHAT DO AMERICANS USE TO MANAGE THEIR GENERAL WELLNESS?

+mHEALTH USERS VERSUS NON-USERS

Patients have many options when it comes to ways to track

their general health and wellness, including websites, apps

and wearable health devices. According to NHWS, 37% of

American adults use at least one of these platforms to track

their health, and 44% of those using mHealth devices are

using two or more platforms to track their health.

Americans who are tracking their health and wellness are

younger (43 years old) than those not tracking (49 years

old). Women are more likely to track their health than men.

Health trackers are less likely to smoke, more likely to

drink, and less likely to be obese than non-trackers.

However, they are more likely to be trying to lose weight,

and besides tracking their wellness they are also watching

their diet and exercising more often.

Page 9: Edge of Insight - Connecting with the mHealth Consumer · 2016-04-07 · The market for wearable health devices is exploding, with Statistica projecting that 601 million connected

CONNECTING WITH THE mHEALTH CONSUMER EDGE OF INSIGHT: PAGE 7

Beyond managing their wellness, 46% of mHealth users

said they are actively trying to lower their risk of developing

certain health conditions, compared with 32% of non-users.

The most common conditions mHealth users are trying to

prevent are heart attacks or other heart problems (29%),

diabetes (28%) and stroke (17%).

Kantar Health’s NHWS contains several validated scales

to measure health outcomes, such as quality of life3 and

work productivity and activity impairment.4 American adults

who use mHealth technology to track their wellness have

slightly lower mental quality of life than non-trackers but

slightly higher physical quality of life. Interestingly, the more

platforms a person uses to track their general wellbeing,

the lower their mental quality of life and the higher their

physical quality of life. People who use an exercise app on

their smartphone have the highest physical quality of life,

while people who use wearable technology, such as a Fitbit,

Garmin, Vivofit or iFit, have the highest mental quality of life.

Adults who use mHealth devices also experience lower

health-related work productivity and high activity impairment.

Absenteeism (percentage of hours missed from work),

presenteeism (percentage impairment while working) and

overall work productivity impairment are all significantly

higher among people who use mHealth devices, while activity

impairment (the effect of their health on daily activities) is

approximately the same among mHealth users and non-users.

THE MORE PLATFORMS A PERSON

USES TO TRACK THEIR GENERAL

WELLBEING, THE LOWER THEIR

MENTAL QUALITY OF LIFE.

Page 10: Edge of Insight - Connecting with the mHealth Consumer · 2016-04-07 · The market for wearable health devices is exploding, with Statistica projecting that 601 million connected

CONNECTING WITH THE mHEALTH CONSUMER EDGE OF INSIGHT: PAGE 8

Wearable health devices promise to improve patients’

lives by providing them with continuous feedback on their

activities, diet and biometrics. It’s easy to see how they

might become an important tool in health and disease

management. Does that mean physicians are likely to

“prescribe” the use of these devices to their patients?

According to the Kantar Media Physicians’ Sources and

Interactions Study, the majority of physicians have a positive

view of wearable health devices, with 63% agreeing that their

patients with chronic conditions would benefit from using

mHealth/wearable devices to self-manage and self-monitor

their conditions. However, physicians do have reservations

regarding wearable devices. Cost is a significant factor for

why physicians would not recommend wearables; 59%

of physicians said wearables are too expensive for many

patients. Technology issues are also an influence, with 42%

of physicians saying there are too many technology hurdles

to patients using wearable devices correctly or consistently.

A third of physicians said they are concerned that the use of

mHealth devices could mislead their patients into believing

they are healthier or unhealthier than they actually are.

However, if the U.S. Food and Drug Administration (FDA)

were to actively regulate and approve mHealth or wearable

devices 21% of physicians said they would strongly consider

recommending those devices.

Page 11: Edge of Insight - Connecting with the mHealth Consumer · 2016-04-07 · The market for wearable health devices is exploding, with Statistica projecting that 601 million connected

ACTIVITY TRACKERS

03

Page 12: Edge of Insight - Connecting with the mHealth Consumer · 2016-04-07 · The market for wearable health devices is exploding, with Statistica projecting that 601 million connected

CONNECTING WITH THE mHEALTH CONSUMER EDGE OF INSIGHT: PAGE 10

Activity trackers are the leading category of wearable health

devices, and sales in 2015 grew 110% over 2014.5 Activity

trackers are typically available as watches, bracelets, or

clip-ons. Depending on the device, they can track steps

taken, heart rate, sleep, calories consumed and burned,

stress levels, and even caffeine consumption.

According to a recent report from The NPD Group, Fitbit was

the leading brand of activity trackers in 2015, accounting

for 79% of sales. Fitbit said it sold 8.2 million devices in the

fourth quarter of 2015, for full-year sales of 21.4 million

units. The company’s fourth-quarter revenues were $712

million, up 92% year-over-year.6

Garmin is another large player in the activity tracker

market with its Vivofit, Vivosmart and Vivoactive products.

In its 2015 earnings statement, Garmin reported a 16%

increase in sales from its fitness products, to $662 million.7

The company added that it expects another year of growth

from its fitness line in 2016. Beyond Fitbit and Garmin,

other companies that offer wearable activity trackers

include iFit, Jawbone, Withings, Mio and Misfit.

The technology for activity trackers is continually evolving.

New products will be able to correct a user’s form during

exercise, monitor breathing, and measure body fat

percentage, muscle mass and body mass index. When

speaking at the 2015 Code/Mobile conference, Jawbone

CEO Hosain Rahman suggested that the next wave of activity

trackers will be ingestible. “The first thing you have to crack

through is actually getting people to wear [the tracker],”

Rahman said. “If you can keep it on all the time, the amount

of information you get about the user is staggering.”8

While activity trackers seem to be everywhere, use is

actually somewhat low, with only 7% of American adults

saying they use activity trackers. Activity trackers are

most commonly used to track how many steps a user

has taken in a day, followed by tracking calories burned

during exercise and tracking fitness goals.

ACTIVITY TRACKERS ARE MOST

COMMONLY USED TO TRACK

HOW MANY STEPS A USER HAS

TAKEN IN A DAY, FOLLOWED

BY TRACKING CALORIES

BURNED DURING EXERCISE

AND TRACKING FITNESS GOALS.

Page 13: Edge of Insight - Connecting with the mHealth Consumer · 2016-04-07 · The market for wearable health devices is exploding, with Statistica projecting that 601 million connected

CONNECTING WITH THE mHEALTH CONSUMER EDGE OF INSIGHT: PAGE 11

FIGURE 3

WHAT ARE YOU USING YOUR FITNESS TRACKER FOR?

Tracking steps taken during a day

81%Tracking calories burned during exercise

58%Tracking fitness goals

57%Monitoring sleep

44%Monitoring pulse

26%Monitoring heart rate

31%Food diary

11%Monitoring blood pressure

15%

+WHAT ARE YOU USING YOUR ACTIVITY TRACKER FOR?

Users of activity trackers are predominantly women, with

59% of users being women. The average age of users is 43

years old, and Millennials and members of Generation X

combined make up two-thirds of users. Users of activity

trackers are much less likely to smoke, more likely to drink

alcohol, and more likely to be trying to lose weight than the

general population. Nearly two-thirds of activity tracker users

are actively trying to lose weight and are supplementing their

wearable device use by watching their diet and exercising

regularly. In addition, 41% of users are taking steps to lower

their risk of developing certain chronic health problems. The

most common diseases users are trying to prevent are heart

attack, diabetes, stroke and osteoporosis.

Patients with certain chronic diseases use wearable activity

trackers more than the U.S. average. According to NHWS,

9% of adults with migraines are using fitness trackers,

followed by 7.5% of adults with asthma. Usage is lowest

among patients with chronic obstructive pulmonary disease,

emphysema or chronic bronchitis, with only 4% of these

patients using activity trackers.

Health-related outcomes for people who use activity

trackers are generally much better than for the general

U.S. population. Users of activity trackers have higher

mental and physical quality of life than the overall

population. In addition, they have lower work productivity

and activity impairment.

Page 14: Edge of Insight - Connecting with the mHealth Consumer · 2016-04-07 · The market for wearable health devices is exploding, with Statistica projecting that 601 million connected

CONNECTING WITH THE mHEALTH CONSUMER EDGE OF INSIGHT: PAGE 12

Migraine

9%Asthma

7.5%High cholesterol

6%Hypertension

5%COPD, emphysema or chronic bronchitis

9%Type 2 diabetes

5%

FIGURE 5

USAGE OF FITNESS TRACKERS AMONG PATIENTS WITH CHRONIC CONDITIONS+USAGE OF ACTIVITY TRACKERS AMONG PATIENTS WITH CHRONIC CONDITIONS

FIGURE 4

WHO IS USING FITNESS TRACKERS?

11% Smoke

76% Drink alcohol

65% Are overweight or obese

64% Are trying to lose weight

59% Are women

Average age43

+WHO IS USING ACTIVITY TRACKERS?

Page 15: Edge of Insight - Connecting with the mHealth Consumer · 2016-04-07 · The market for wearable health devices is exploding, with Statistica projecting that 601 million connected

WEB-CONNECTED GLUCOSE MONITORS

04

Page 16: Edge of Insight - Connecting with the mHealth Consumer · 2016-04-07 · The market for wearable health devices is exploding, with Statistica projecting that 601 million connected

CONNECTING WITH THE mHEALTH CONSUMER EDGE OF INSIGHT: PAGE 14

Blood glucose monitors are an important tool for diabetics,

allowing them to track patterns of blood sugar changes to

help them plan the timing of activities, meals and treatment.

Lack of blood glucose control can cause dangerous

complications for people with diabetes, including heart

attack, stroke, diabetic retinopathy, kidney disease and

diabetic neuropathy.

Like other aspects of health, diabetic patients can now

track their blood glucose levels through their web-

connected devices. These meters allow users to download

their glucose readings wirelessly to their smartphone

or other device and to see patterns and trends that may

necessitate changing a patient’s treatment. This data can

be shared with the patient’s healthcare provider, family or

caregiver. In addition, the patient can insert milestones,

such as exercise or meals, to better understand how their

glucose levels are affected.

Doctors are well aware of the benefits of mHealth

devices and are recommending them to their diabetic

patients. According to Kantar Media’s Physician Study,

26% of physicians have recommended mHealth to their

patients with diabetes, and another 50% said they haven’t

yet but would in the future. Only 25% said they would not

recommend them.

Consistent with other medical advice, patients aren’t

necessarily listening to their physicians about mHealth

devices. According to NHWS, only 6% of people with diabetes

said they are familiar with and using web-connected

glucose- monitoring systems. The vast majority of patients –

72% – said they are not aware of them. When asked whether

they would be interested in having their glucose readings

securely recorded on the Internet for easy access, 23%

said they were, and 51% said they were not.

WHILE 26% OF PHYSICIANS HAVE

RECOMMENDED MHEALTH DEVICES

TO THEIR PATIENTS, ONLY 6% OF

PEOPLE WITH DIABETES SAID THEY

ARE FAMILIAR WITH AND USING

THESE DEVICES.

FIGURE 6

AWARENESS AND USE OF WEB-CONNECTED GLUCOSE-MONITORING SYSTEMS

Yes, I am familiar and currently using

6%Yes, I am familiar and currently not using, but I intend to in the future

7%Yes, I am familiar and currently not using and I do not intend to in the future

16%No, I am not aware

72%No, I’m not interested in having my glucose readings recorded via a smartphone app for easy access

51%Yes, I’m interested in having my glucose readings recorded via a smartphone app for easy access

23%I’m not sure whether I’m interested in having my glucose readings recorded via a smartphone app for easy access

26%

+AWARENESS AND USE OF WEB-CONNECTED GLUCOSE-MONITORING SYSTEMS

Page 17: Edge of Insight - Connecting with the mHealth Consumer · 2016-04-07 · The market for wearable health devices is exploding, with Statistica projecting that 601 million connected

CONNECTING WITH THE mHEALTH CONSUMER EDGE OF INSIGHT: PAGE 15

Page 18: Edge of Insight - Connecting with the mHealth Consumer · 2016-04-07 · The market for wearable health devices is exploding, with Statistica projecting that 601 million connected

CONNECTING WITH THE mHEALTH CONSUMER EDGE OF INSIGHT: PAGE 16

The majority of patients using a web-connected glucose-

monitoring system are men (64%), and their average

age is 46. They are more likely to smoke or drink alcohol

than non-users, and they are less likely to be overweight

or obese.

Diabetic patients who are using web-connected glucose

meters appear to have less control of their disease than

those who are not aware of these tools. Although both

groups of patients are testing their glucose with the same

frequency, patients who are not aware of web-connected

glucose meters are more likely to have HbA1c ranges of

less than 7 (considered the threshold for diabetes

being controlled) than those using these systems.

Further, patients using these tools are more likely to

say they don’t know their levels than those not using a

web-connected meter. In addition, people with diabetes

using web-connected glucose meters are experiencing

hypoglycemia episodes severe enough to need assistance

much more frequently than those who are not aware of

these meters.

While physical quality of life is about equal across all

diabetics, mental quality of life is much lower among

diabetics who are using web-connected glucose monitors

than those who are not.

Page 19: Edge of Insight - Connecting with the mHealth Consumer · 2016-04-07 · The market for wearable health devices is exploding, with Statistica projecting that 601 million connected

WEB-CONNECTED BLOOD PRESSURE MONITORS

05

Page 20: Edge of Insight - Connecting with the mHealth Consumer · 2016-04-07 · The market for wearable health devices is exploding, with Statistica projecting that 601 million connected

CONNECTING WITH THE mHEALTH CONSUMER EDGE OF INSIGHT: PAGE 18

Hypertension is another chronic condition in which apps

and devices are being developed to help patients more

closely monitor their blood pressure, spot trends, and make

lifestyle adjustments. Many companies are selling blood

pressure cuffs that either upload automatically to an app

on the user’s smartphone or store the data within the

device itself.

Web-connected blood pressure monitors offer a variety of

extras to help patients track their blood pressure and put it

into context. For example, Withings’ product not only allows

a patient’s data to be shared easily with their physician, it

also automatically compares the data with National Institute

of Health’s standards so the patient can better gauge their

health. Omron’s monitor can be used to detect atrial

fibrillation, a common cause of stroke.

As with diabetic patients, physicians are very familiar with

and are recommending mHealth devices to their patients with

hypertension. According to Kantar Media’s Physician Study,

26% of doctors are frequently or occasionally recommending

these devices to their patients with hypertension, while 25%

said they would not recommend them.

Also as is the case with glucose monitors, awareness of

web-connected blood pressure monitors is very low among

people with hypertension. According to NHWS, only 4% of

patients with hypertension said they are familiar with and

using web-connected blood pressure monitoring systems.

Most patients – 74% – said they are not aware of them. When

asked whether they would be interested in having their blood

pressure securely recorded on the Internet for easy access,

24% said they were, and 49% said they were not.

THREE-QUARTERS OF PEOPLE

WITH HYPERTENSION SAID THEY

ARE NOT FAMILIAR WITH WIRELESS

BLOOD PRESSURE MONITORS.

FIGURE 9

AWARENESS AND USE OF WEB-CONNECTED BLOOD PRESSURE MONITORING SYSTEMS

Yes, I am familiar and currently using

4%Yes, I am familiar and currently not using, but I intend to in the future

6%Yes, I am familiar and currently not using and I do not intend to in the future

17%No, I am not aware

74%No, I’m not interested in having my blood pressure recorded via a smartphone app for easy access

49%Yes, I’m interested in having my blood pressure recorded via a smartphone app for easy access

24%I’m not sure whether I’m interested in having my blood pressure recorded via a smartphone app for easy access

27%

+AWARENESS AND USE OF WEB-CONNECTED BLOOD PRESSURE MONITORING SYSTEMS

Page 21: Edge of Insight - Connecting with the mHealth Consumer · 2016-04-07 · The market for wearable health devices is exploding, with Statistica projecting that 601 million connected

CONNECTING WITH THE mHEALTH CONSUMER EDGE OF INSIGHT: PAGE 19

Page 22: Edge of Insight - Connecting with the mHealth Consumer · 2016-04-07 · The market for wearable health devices is exploding, with Statistica projecting that 601 million connected

CONNECTING WITH THE mHEALTH CONSUMER EDGE OF INSIGHT: PAGE 20

The majority of patients using a web-connected blood

pressure monitoring system are men (66%), and their

average age is 44. They are more likely to smoke or drink

alcohol than non-users, and they are less likely to be

overweight or obese.

Perhaps unsurprisingly, patients who are using

web-connected blood pressure monitors are checking their

blood pressure more frequently than those who are not.

One-fourth of users said they check their blood pressure

daily, compared with 10% who are not aware of these monitors.

Despite using these devices, 15% say they only have their blood

pressure checked at the doctor’s office, versus 52% of

hypertension patients who are not aware of these systems.

One reason some patients may be using web-connected

blood pressure monitors is because users are more likely

to have experienced hypertension-related complications.

The most common complication is diabetes, experienced

by 9% of users versus 3% of patients who are unaware of

the monitors. Nine percent also have had cardiovascular

complications, compared with 4% of those who are unaware

of monitors. Eighty-three percent of hypertension patients

who are unaware of blood pressure monitors have never

experienced any complications, compared with 74% of users.

Hypertension can be managed through prescription

medications. However, fewer patients who use web-connected

monitors have ever taken a prescription for their high blood

pressure (41% versus 53% of patients who are not aware of

monitors). However, users are more likely to use an

over-the-counter medication, such as aspirin or vitamin E,

to manage their blood pressure (45% versus 28% of patients

who are unaware of monitors).

Due to the number of hypertension-related complications

experienced by patients who use web-connected blood

pressure monitors, it’s not surprising that their mental and

physical quality of life is lower than patients who do not

use monitors.

Page 23: Edge of Insight - Connecting with the mHealth Consumer · 2016-04-07 · The market for wearable health devices is exploding, with Statistica projecting that 601 million connected

CONCLUSIONS

06

Page 24: Edge of Insight - Connecting with the mHealth Consumer · 2016-04-07 · The market for wearable health devices is exploding, with Statistica projecting that 601 million connected

CONNECTING WITH THE mHEALTH CONSUMER EDGE OF INSIGHT: PAGE 22

mHealth technology and its users can be separated into

two categories: general health and wellness, where

usage is optional, and chronic disease management, where

non-usage can be a matter of life and death. Of course,

there is overlap between connected devices that are used

for general wellness and those for more chronic conditions.

A fitness enthusiast would be as interested in tracking heart

rate via a biosensor as a heart attack survivor would be.

But implications of non-usage are vastly different between

these two groups.

General health and wellness mHealth technology can be

adopted by anyone who is looking to maintain or improve

overall health and fitness. This ranges from someone looking

to lose weight and track simple activity metrics such as daily

steps taken, to fitness enthusiasts who might combine basic

activity tracking with monitoring of heart rate and BMI. Sleep

and diet activity tracking, both passively collected and

self-reported, also would fall under this category.

Chronic disease management mHealth technology such as

web-connected glucose monitors, blood pressure monitors

or asthma inhalers, on the other hand, would be adopted

by or, perhaps in the near future, prescribed to patients with

conditions such as chronic obstructive pulmonary disease

(COPD), heart disease, diabetes or asthma. This is by far

the more important category, with implications that extend

beyond personal health to the future of the healthcare,

insurance and pharmaceutical industries. Much as drug non-

adherence has a devastating impact on health and healthcare

costs, soon we may be calculating the spiraling costs

associated with non-adherence around mHealth technology.

While awareness and usage of mHealth technology other

than activity trackers are low, that should change as

healthcare professionals continue to grow more comfortable

with the technology and start to actively recommend its usage,

as our research indicates they are likely to do. Insurance

companies and employers will also help grow the market.

The diabetes market will see significant increases in

mHealth adoption in the next few years. While awareness

and usage of web-connected glucose monitors are low, that

should change now that Roche and LifeScan, who together

dominate the global diabetes monitoring market, made

great strides in the connected glucometer space in 2015,

Roche with the Accu-Chek Aviva Connect and LifeScan with

a Verio Sync app upgrade that enables integration with

Apple HealthKit. The fact that they utilize the same test

strips as non-web-connected Aviva and Verio models means

physician recommendation and patient adoption should

be high as insurance coverage is ensured and changes in

current prescriptions are not necessary. Diabetes patients

can go wireless with minimal changes to current behaviors.

mHEALTH TECHNOLOGY CAN

BE SEPARATED INTO TWO

CATEGORIES: GENERAL HEALTH

AND WELLNESS, WHERE USE

IS OPTIONAL, AND CHRONIC

DISEASE MANAGEMENT, WHERE

NON-USE CAN BE A MATTER

OF LIFE AND DEATH.

THE DIABETES MARKET WILL

SEE SIGNIFICANT INCREASES

IN mHEALTH ADOPTION IN THE

NEXT FEW YEARS.

Page 25: Edge of Insight - Connecting with the mHealth Consumer · 2016-04-07 · The market for wearable health devices is exploding, with Statistica projecting that 601 million connected

CONNECTING WITH THE mHEALTH CONSUMER EDGE OF INSIGHT: PAGE 23

Traditional mobile health solutions that require manual

entry of blood glucose data are not a reliable way to capture

accurate data and keep users actively involved, resulting

in missing datapoints and inaccurate glucose trends data.

As web-connected blood glucose monitoring becomes more

widespread, healthcare providers and self-medicating

healthcare consumers will have the data they need to make

better treatment decisions, which should lead to better

health outcomes.

NEXT STEPS

While the “wearables” descriptor is often used as a

catch-all term for mHealth technology in general, it is

important to note that the key attribute consistent across

all this technology is not wearability but connectivity.

Specifically, these devices have the ability to automatically

transmit vital biometric and activity data to the Internet,

where the data is stored in the cloud for easy access by

the individual with the option of sharing data with family

members, select groups of friends, doctors and healthcare

provider organizations. We have already seen this in the

general health and wellness space with Nike, Fitbit and

MyFitnessPal providing community extensions for their

devices and mobile apps. But it is in the chronic disease

space where the biggest impact will be realized.

THE KEY ATTRIBUTE CONSISTENT

ACROSS mHEALTH TECHNOLOGY

IS NOT WEARABILITY BUT

CONNECTIVITY.

Page 26: Edge of Insight - Connecting with the mHealth Consumer · 2016-04-07 · The market for wearable health devices is exploding, with Statistica projecting that 601 million connected

CONNECTING WITH THE mHEALTH CONSUMER EDGE OF INSIGHT: PAGE 24

For example, a working mom with elderly parents who have

various health conditions can monitor their vitals throughout

the day. A multiple sclerosis patient’s physician network

can monitor how a new treatment is affecting mobility and

other metrics without the necessity of multiple office visits.

A chronic obesity patient’s close circle of friends, or fellow

patients, can hold him or her accountable for BMI and

required fitness activity in an encouraging, nurturing

manner. All they need is a web connection and the necessary

permissions for data access and they can pull the data

from the cloud onto their smartphones or PCs, giving all

stakeholders peace of mind and an early warning system

for any potential medical mishaps.

Leveraging connectivity, the future of this space lies in the

layering in of a community aspect to these technologies.

Online patient communities, as they currently exist, will

evolve beyond traditional discussion boards to encompass

subcommunities of specific device users, specific disease

sufferers using a variety of different connected devices,

where biometric and other self-tracking data is shared

with fellow patients. In addition to basic discussions around

disease-related issues, these “device community” members

will serve as active supporters and cheerleaders for each

other, supporting and competing with each other around

the metrics specific to a type of patient community.

However, an online community of fellow patients using

connected devices is just one type of community. The

concept can also apply to a family unit, where parents,

siblings, sons, daughters and grandchildren monitor and

support a sick loved one for everything from proper exercise

to medication adherence. It can also apply to a patient’s

network of healthcare professionals if a patient is lucky

enough to have a physician network open to this idea.

In these scenarios, the online communities become direct

extensions of the mHealth devices. Both are inextricably

linked. The device is stimulating community activity.

The community is stimulating device usage. Both work

in conjunction to improve health and save lives.

DEVICE COMMUNITY MEMBERS

WILL SERVE AS ACTIVE

SUPPORTERS AND CHEERLEADERS

FOR EACH OTHER, SUPPORTING

AND COMPETING WITH EACH

OTHER ACROSS THE METRICS

SPECIFIC TO THEIR COMMUNITY.

Page 27: Edge of Insight - Connecting with the mHealth Consumer · 2016-04-07 · The market for wearable health devices is exploding, with Statistica projecting that 601 million connected

CONNECTING WITH THE mHEALTH CONSUMER EDGE OF INSIGHT: PAGE 25

METHODOLOGY AND SOURCESPatient data is drawn from Kantar Health’s National Health and Wellness Survey (NHWS), the largest global self-reported

general population survey in the healthcare industry. The survey was conducted in the United States among 97,700 adults 18

and older from June to October 2015. NHWS provides disease-specific measures that help healthcare clients size market

opportunities, measure direct and indirect costs, gain insight into disease-specific segments to optimize the value proposition

and inform brand strategies.

Physician data is from Kantar Media’s Physician Sources & Interactions study conducted in March 2016. Conducted every six

months and based on input from 3,300 physicians across 22 specialties, this study documents how doctors prefer to learn

and keep up to date on medical developments through media, meetings, sales rep interactions and more; their technology

adoption; and interaction with patients. Sources & Interactions provides critical insight into how to most effectively engage

physicians and reach them with news, educational content and promotional messaging. kantarmedia.com

1 Number of connected wearable devices worldwide from 2015 to 2020. Statistica: The Statistics Portal.

http://www.statista.com/statistics/487291/global-connected-wearable-devices/. Accessed 16 Feb 2016.

2 Smart Wearables Market to Generate $53bn Hardware Revenues by 2019. Juniper Research.

http://www.juniperresearch.com/press/press-releases/smart-wearables-market-to-generate-$53bn-hardware. Accessed 7 Mar 2016.

3 Quality of life is measured by the SF-36, a multi-purpose, short-form health survey. It yields an 8-scale profile of functional health and well-being scores as well as psycho-

metrically based physical and mental health summary measures. The SF-36 has proven useful in surveys of general and specific populations, comparing the relative burden of

diseases, and in differentiating the health benefits produced by a wide range of different treatments.

4 The Work Productivity and Activity Impairment (WPAI) questionnaire was used to assess, among those who were currently employed, the effect of their general health on ab-

senteeism (% hours missed from work), presenteeism (% impairment while working), and overall work productivity impairment in the past 7 days. Among all respondents, WPAI

assessed the effect of their health on daily activities. Higher percentage values indicate greater impairment.

5 Year-over-Year Wearables Spending Doubles, According to NPD. Press Release. 1 Feb 2016.

https://www.npd.com/wps/portal/npd/us/news/press-releases/2016/year-over-year-wearables-spending-doubles-according-to-npd

6 Pramuk J. Fitbit shares plunge 15% of guidance despite beat. CNBC website. 22 Feb 2016. http://www.cnbc.com/2016/02/22/fitbit-q4-earnings-results-.html.

7 Garmin Reports Q4 and Fiscal 2015 Results. Press Release. 17 Feb 2016. http://newsroom.garmin.com/press-release/earnings/garmin-reports-q4-and-fiscal-2015-results.

8 Wilkins K. A Fitness Tracker You Can Swallow? The Rise of “Smart Pills.” Inquisitr. 13 Oct 2015.

http://www.inquisitr.com/2492731/a-fitness-tracker-you-can-swallow-the-rise-of-smart-pills/

Page 28: Edge of Insight - Connecting with the mHealth Consumer · 2016-04-07 · The market for wearable health devices is exploding, with Statistica projecting that 601 million connected

ABOUT KANTAR HEALTH Kantar Health is a leading global healthcare consulting

firm and trusted advisor to many of the world’s leading

pharmaceutical, biotech and medical device and diagnostic

companies. It combines evidence-based research

capabilities with deep scientific, therapeutic and clinical

knowledge, commercial development know-how, and

brand and marketing expertise to help clients evaluate

opportunities, launch products and maintain brand and

market leadership.

Kantar Health deeply understands the influence of patients,

payers and physicians, especially as they relate to the

performance and payment of medicines and the delivery of

healthcare services. Our advisory services, built on a solid

foundation of market research and data, span three areas

critical to bringing new medicines and pharmaceutical

products to market – commercial development, clinical

strategies and marketing effectiveness.

Kantar Health operates in more than 40 countries and

employs more than 600 healthcare industry specialists and

practitioners, including a high number of medical doctors,

epidemiologists, PhDs, PharmDs and pharmacists, and

biologists, biochemists and biophysicists. We work across

the product lifecycle, from preclinical development to launch,

and are experts at bringing multiple stakeholders together to

advance the commercialization of pharmaceutical products.

Our team acts as catalysts to successful decision making in

the life sciences industry, helping our clients prioritize their

product development and portfolio activities, differentiate

their brands and drive product success post-launch. Kantar

Health is part of Kantar, the data investment management

division of WPP.

For more information on Kantar Health’s Edge of Insight

report series, contact us at [email protected].