This project has received funding from the European Union’s Horizon 2020 research and innovation programme under grant agreement No 643736

Upotreba mobilne aplikacije u unapređenju skrbi i osnaživanju osoba koje žive s HIV-om -

Projekt platforma mZdravlja

Sanja Belak Škugor, prof.psiholog Klinika za infektivne bolesti "Dr.Fran Mihaljević"

Zagreb, 26.1.2017.

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This project has received funding from the European Union’s Horizon 2020 research and innovation programme under grant agreement No 643736

EmERGE – engl. Evaluating mHealth technology in HIV to improve Empowerment and healthcare utilisation: Research and innovation to Generate Evidence for personalised care

Evaluacija upotrebe tehnologija mZdravlja na polju HIV-a u svrhu osnaživanja i poboljšanja zdravstvene skrbi: Istraživanja i inovacije u svrhu generiranja podataka za personalizaciju skrbi

Petogodišnji projekt: svibanj 2015 – travanj 2020

• Suradnja s drugih 12 partnera, uključujući:

• Udruženja pacijenata (EATG) • Klinike • Sveučilišta • Informatički programeri (IT)

• U 5 različitih zemalja: • Ujedinjeno Kraljevstvo, Belgija, Španjolska, Portugal,

Hrvatska

• Cilj projekta je razviti mobilnu aplikaciju – ili “App” – za korištenje u skrbi osoba zaraženih HIV-om.

This project has received funding from the European Union’s Horizon 2020 research and innovation programme under grant agreement No 643736 3

This project has received funding from the European Union’s Horizon 2020 research and innovation programme under grant agreement No 643736

Nazivi organizacija sudionika Države 1 University of Sussex (UOS) UK 2 European Aids Treatment Group (EATG) DE 3 University of Brighton (UOB) UK 4 Institute of Tropical Medicine Antwerp (ITM) BE 5 Podmedics (POD) UK 6 Fundacio Privida Clinic per a la Recerca Biomedica (FCRB) ES 7 Brighton and Sussex University Hospitals NHS Trust (BSUHT) UK 8 Centro Hospitalar Lisboa (CHLN) PT 9 Klinika za Infektivne Bolesti (KIB) HR 10 National Prospective Monitoring System (NPMH) UK 11 Universidad Politecnica de Madrid (UPM) ES 12 mHealth Futures SME (mHF) UK 13 KITE Innovation Europe (KITE) UK

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Partneri u konzorciju

This project has received funding from the European Union’s Horizon 2020 research and innovation programme under grant agreement No 643736

Sastanak konzorcija

This project has received funding from the European Union’s Horizon 2020 research and innovation programme under grant agreement No 643736

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Klinički centri

Site cohort sample

Antwerp 2547 637

Barcelona 4757 1189

Brighton 2241 560

Lisbon 4846 1211

Zagreb 843 211

HIV cohort size (end 2014)

This project has received funding from the European Union’s Horizon 2020 research and innovation programme under grant agreement No 643736

Work stream 1 - Development and integration of the mHealth platform WP1 – Situational Analysis and Background Assessment WP2 - Co-Design and Sociotechnical Evaluation WP4 – Platform Development, Testing and Deployment

Work stream 2 – Validation Study WP3 – Health Economics WP5 - Implementation and validation study WP6 – Quantitative Patient Outcomes

Work stream 3 – Innovation, Exploitation and Dissemination WP7 – Innovation and Exploitation WP8 – Dissemination WP9 – Project Management

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3 parallel and integrated work-streams

This project has received funding from the European Union’s Horizon 2020 research and innovation programme under grant agreement No 643736

WP = work package structure

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This project has received funding from the European Union’s Horizon 2020 research and innovation programme under grant agreement No 643736

i. To develop a novel mHealth platform for use by 3,900 patients with stable HIV infection in five different European settings – platform developed, integrated and piloted by M18

ii. To validate acceptability, usability and effectiveness of the mHealth platform in routine HIV patient clinical management – validation study completed by M54

iii. To assess the impact of the mHealth platform on patient self management and empowerment – study powered to demonstrate improvement in patient empowerment

iv. To analyse cost, cost effectiveness or cost saving associated with installing the mHealth platform in participating health systems – health economic analysis integral part of work plan, completed by M54

v. To valorise the outputs of the work via a consortium centred value chain and business plan to promote and implement the mHealth platform in various European healthcare settings as a sustainable, effective, safe and economic modality for HIV care

This project has received funding from the European Union’s Horizon 2020 research and innovation programme under grant agreement No 643736

Development of the EmERGE project

Brighton – email service since 2008

Review 2013: 25% (n=532) of cohort using Connect 97% of 212 survey respondents would recommend to a friend

• Connect email service 2008 - current: reduced visits; popular with stable patients • Connect App pilot 2013/14: educational

fellowship to fund pilot project developing and evaluating Connect App – joint working with Podmedics (IT) and University of Brighton (sociotechnical evaluation); SME mHealth Futures conceived

• H2020 - EmERGE partners: EACS session on Connect presentation 2013 sparked contact from ITM; H2020 call - FCRB approached re Virtual Hospital; Zagreb and Lisbon on the recommendation of EATG; NPMS due to expertise; KITE asked to assist

• H2020: Successful H2020 application 2015!

This project has received funding from the European Union’s Horizon 2020 research and innovation programme under grant agreement No 643736

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Evolucija projekta

Prva prijava na natječaj Horizon 2020 u travnju 2014.

Projekt odobren u svibnju 2015.

Inovativni projekt znanstvene i praktične primjene:

- uključuje razvoj, evaluaciju i primjenu nove tehnologije s mogućnostima uštede u zdravstvenom sustavu

- uspjeh ovog projekta bi omogućio primjenu i u ostalim centrima koji liječe HIV bolesnike diljem EU kao i za praćenje drugih kroničnih bolesti

Trenutno je u tijeku Validacijska studija WP5, u Zagrebu je uključivanje korisnika započelo 28.4.2017.

- do danas 259 osoba koristi aplikaciju, zbog velikog interesa nadmašena su očekivanja (predviđeni N=211)

This project has received funding from the European Union’s Horizon 2020 research and innovation programme under grant agreement No 643736

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Mogućnosti mobilne tehnologije u EmERGE-u

mHealth omogućava suvremeni nadzor nad zdravstvenim stanjem pacijenata

aplikacija ubrzava, olakšava i poboljšava komunikaciju između pacijenta, liječnika i medicinske sestre

smanjuje potrebu za dolascima pacijenata u ustanovu i tako olakšava kontrolne preglede i rasterećuje rad liječnika

zadovoljava najsuvremenije standarde zaštite osobnih podataka

This project has received funding from the European Union’s Horizon 2020 research and innovation programme under grant agreement No 643736

Concept

CORE FUNCTIONS

RESULTS

MEDICATION

APPOINTMENTS

ADDITIONAL FUNCTIONS

REMINDERS?

DRUG INTERACTIONS?

TWO-WAY NOTIFICATIONS?

OTHER ENHANCED MODULES?

This project has received funding from the European Union’s Horizon 2020 research and innovation programme under grant agreement No 643736

Izgled mobilne aplikacije (preuzeto s Apple stora)

This project has received funding from the European Union’s Horizon 2020 research and innovation programme under grant agreement No 643736

Što dobivaju korisnici?

Sve laboratorijske nalaze na mobilni uređaj (biokemijske pretrage, viremija, limfociti CD4…)

Dobivaju sve laboratorijske nalaze koje su pohranjeni u bazi podataka Klinike (od 1997.g.)

Dobivaju grafički prikaz kretanje limfocita CD4 i viremije tijekom vremena

Dobivaju komentar liječnika o najnovijim nalazima

This project has received funding from the European Union’s Horizon 2020 research and innovation programme under grant agreement No 643736

Što je novo u odnosu na niz aplikacija koje su danas dostupne?

Jednostavna integracija u postojeći bolnički informatički sustav Ista aplikacija se sada ispituje 5 različitih Klinika u Europi (različitim zdravstvenim sustavima) Validacija/evaluacija aplikacije

EmERGE mobile app EmERGE messaging service

EmERGE

Web app

Hospital database

EmERGE adapter

Hospital data

format

Standardized data

Registration

status

Anonymous

data

Anonymus data

Mobile device

registration

In the hospital network

Out of hospital network

IT story

This project has received funding from the European Union’s Horizon 2020 research and innovation programme under grant agreement No 643736

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Uključivanje u projekt/konzorcij

Poziv za uključenje u konzorcij smo dobili 4 tjedna prije roka za apliciranje

Kratak rok za pripremu projektne aplikacije

Suradnja ostvarena zbog:

ugleda i međunarodne suradnje na projektima koje naš Centar ostvaruje dugi niz godina u Europi

dobre suradnja s nevladinim udrugama (Europska udruga bolesnika)

This project has received funding from the European Union’s Horizon 2020 research and innovation programme under grant agreement No 643736

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Suradnja s partnerima unutar konzorcija

WP i uključivanje u WP-ove određeni prije našeg uključivanja u konzorcij

Ravnopravna suradnja s partnerima u pripremi i provedbi WP-a

Najviše prijedloga za pripremu i dizajn dali smo za WP5(validacijska studija) i WP3(ekonomska analiza)

This project has received funding from the European Union’s Horizon 2020 research and innovation programme under grant agreement No 643736

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Kapacitet za pripremu i provedbu projekta

Već postojeći tim u Klinici s iskustvom u provedbi projekata te kvalitetna i dobro organizirana skrb za HIV bolesnike

Kliničari i drugo medicinsko osoblje s istraživačkim iskustvom

Psihosocijalna služba

Informatička podrška

Administrativna projektna podrška

Dobra suradnja s organizacijama civilnog društva

This project has received funding from the European Union’s Horizon 2020 research and innovation programme under grant agreement No 643736

EmERGE tim Zagreb

This project has received funding from the European Union’s Horizon 2020 research and innovation programme under grant agreement No 643736