what really works in using sms to improve health outcomes

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What Really Works in Using SMS to Improve Health Outcomes Heather Cole-Lewis, MPH Yale University School of Epidemiology and Public Health Mobile Health 2011: What Really Works? Stanford University May 4, 2011

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Page 1: What Really Works in Using SMS to Improve Health Outcomes

What Really Works in Using SMS to Improve Health OutcomesHeather Cole-Lewis, MPHYale UniversitySchool of Epidemiology and Public Health

Mobile Health 2011: What Really Works?Stanford UniversityMay 4, 2011

Page 2: What Really Works in Using SMS to Improve Health Outcomes

2009 Review of Literature• Text Messaging as a Tool for Behavior Change in Disease

Prevention and Management• Cole-Lewis & Kershaw, Epidemiologic Reviews, 2010• http://epirev.oxfordjournals.org/content/32/1/56.full.pdf

• Conclusion: SMS appears effective, but no clear conclusions on What WORKS because field is new

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2011 informal Review of Literature

• Review Criteria• Randomized Controlled Trial/Quasi-experimental Trial• Health or Behavioral Primary Outcome• Significant findings in SUPPORT of SMS

• Findings• 24 Articles representing 19 Studies• Year of Publication: 2005-2011• Sample Size: 17-1859

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Population Characteristics

Page 5: What Really Works in Using SMS to Improve Health Outcomes

Location

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It’s not just SMS

Page 7: What Really Works in Using SMS to Improve Health Outcomes

Health Conditions of Interest

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Significantly Improved Outcomes

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Basic Characteristics

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Message Frequency

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Message Dose

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Personalized Adjustment Options

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Time Outcomes Observed(months)

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References • Rodgers A, Corbett T, Bramley D, et al. Do u smoke after txt? Results of a randomized trial of smoking cessation using mobile phone text

messaging • Free C, Whittaker R, Knight R, Abramsky T, Rodgers A, Roberts G 2009 Txt2stop: A pilot randomized controlled trial of mobile phone-based

smoking cessation support • Nguyen HQ, Gill DP, Wolpin S, Steel BG, Benditt JO 2009 Pilot study of a cell phone-based exercise persistence intervention post-rehabilitation

for COPD • Haapala I, Barengo NC, Biggs S, Surakka L, Manninen P. 2009 Weight loss by mobile phone: a 1-year effectiveness study • Patrick K, Raab F, Adams M, et al. 2009 A text message-based intervention for weight loss: Randomized controlled trial • Fjeldsoe BS, Miller YD, Marshall AL 2010 MobileMums: A randomized controlled trial of an SMS-based physical activity intervention Leong

KC, Leong KW, Mastura I et al. 2006 The use of text messaging to improve attendance in primary care: a randomized controlled trial • Chen ZW, Fang LZ, Chen LY, Dai HL 2008 Comparison of an SMS text messaging and phone reminder to improve attendance at a health

promotion center: A randomized controlled trial • Franklin VL, Waller A, Pagliari C, Greene SA. 2006 A randomized controlled trial of Sweet Talk, a text messaging system to support young

people with diabetes • Rami B, Popow C, Horn W, Waldhoer T, Schober E 2006 Telemedical support to improve glycemic control in adolescents with type 2 diabetes • Yoon KH, Kim HS. 2008 A short message service by cellular phone in type 2 diabetic patients for 12 months • Hanauer DA, Wentzell K, Laffel N, Laffel L 2009 Computerized automated reminder diabetes system (CARDS): Email and SMS cell phone text

messaging reminders to support diabetes management • Cho JH, Lee HC, Lim DJ, Kwon HS, Yoon KH 2009 Mobile communication using a mobile phone system with a glucometer for glucose control in

type 2 patients with diabetes: As effective as an Internet-based glucose monitoring system • Strandbygaard U, Thomsen SF, Backer V 2010 A daily SMS mreinder increases adherence to asthma treatment: A three-month follow-up

study • Lim MSC, Hocking JS, Aitken CK, Fairley CK, Jordan L, Lewis JA, Hellard ME 2011 Impact of text and email messaging on the sexual health of

young people: a randomised controlled trial • Juzang I, Fortune T, Black S, Wright E, Bull S 2011 A pilot programme using mobile phones for HIV prevention • Pop-Eleches C, Thirumurthy H, Habyarimana JP, Zivin JG, Goldstein MP, de Walque D, Mackeen L, Haberer J, Kimaiyo S, Sidle J, Ngare D,

Bangsberg DR 2011 • Mobile phone technologies improve adherence to antiretroviral treatment in a resource-limited setting: a randomized controlled trial of text

message reminders • Lester RT, Ritvo P, Mills EJ, Kariri A, Karanja S, Chung M, Jack W, Habyarimana, Sadatsafavi M, Najafzadeh M, Marra CA, et al 2010 Effects of a

mobile phone short message service on antiretroviral treatment adherence in Kenya (WelTel Kenya 1): A randomised trial • Armstrong AW, Watson AJ, Makredes M, Frangos JE, Kimball AB, Kvedar JC 2009 Text message reminders to improve sunscreen use: a

randomized controlled trial using electronic modeling

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Thank [email protected]/hcolelewis

mHeath student group meet-up during Fun Reception7pm @fireplace in the lounge