The Evidence Base for Adherence and mHealth

Posted on April 3, 2013 by Miki Peer

As discussed previously, the ‘adherence problem’ is complex and inherently interdisciplinary, that is, it requires experts from many different disciplines to solve it: healthcare-related clinicians (doctors, nurses, pharmacists, psychologists, psychiatrists), social workers, epidemiologists, health-related researchers, and policy makers (among others). In fact, a more appropriate term for how adherence should be approached is ‘transdiciplinary’. This term is a better fit because it suggests that adherence requires a holistic approach, one that integrates knowledge from all related disciplines into a coherent whole.

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Tablets as mHealth Tools

Posted on March 25, 2013 by Miki Peer

In a previous blog post, we focused on the use of cell phones and smartphones in healthcare, however we cannot ignore the fact that interest in and use of tablets has seen tremendous growth over the last year and continues to gain momentum. The tablet appeared to be one of the hottest ‘tech’ gifts this past holiday season1, but it is also gaining in popularity within the healthcare industry. The 2nd Annual HIMSS Mobile Technology Survey, released in early December 2012, reported that 80% of physicians use a mobile device to directly shape and improve patient care and while laptops and workstations on wheels were the most popular devices, a preference for tablets is on the rise2

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Health Technology Assessment (HTA)

Posted on March 4, 2013 by Miki Peer

PATH Workshop Summary

I recently had the pleasure of attending a two-day workshop entitled Introduction to Health Technology Assessment (HTA)1, put on by the Programs for Assessment of Technology in Health (PATH) Research Institute2. I was pleasantly surprised by the breadth of knowledge of the speakers at this workshop, and by the scope of information covered in a relatively short amount of time (this was the first time that the workshop was cut down from its usual 3-4 day length to 2 days). In this week’s blog I will share some things I learned about HTA, a highly-active and growing field with a substantial impact on healthcare.

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Working with Self Care Catalysts for Informed, Sustainable Behaviour Change

Posted on February 21, 2013 by Miki Peer

Over the past few months we’ve had the pleasure of meeting with Grace Soyao and Bob Waite of Self Care Catalysts to learn about each other’s products and services. The overall goal of these meetings is to establish linkages that can benefit each of our companies, but also to provide advantages for future clients and partnerships.

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Medication Non Compliance in the Workplace

Posted on October 26, 2012 by Elisha Zavier

So we know that non-compliance has enormous impacts on healthcare in both patient quality of life and unnecessary costs to an already overburdened healthcare system. There are direct and indirect ramifications of patient non-compliance that seep into various facets of everyday life – including the ability of patients, especially those affected by chronic diseases, to perform at their jobs. If you think about it, it makes sense – a person who isn’t compliant with their Diabetes treatment and lifestyle won’t be able to work in the same manner as someone who is. This affects both job performance as well as job attendance.

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Social Support: Exercises and Tips

Posted on October 30, 2012 by Miki Peer

There are four different kinds of social support: i) emotional support, ii) instrumental (or practical) support, iii) informational support, and iv) appraisal. This week’s blog will focus on an exercise you can use to improve your level of social support. This exercise is particularly useful to increase practical support and, with some practice, can also be applied to other forms of support. It can be helpful for anyone, but especially for those struggling to manage their health.

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Factors that Affect Patient Adherence

Posted on November 7, 2012 by Miki Peer

This week’s focus is on presenting an overview of the factors that commonly affect adherence to treatment. The examples given are not an exhaustive list, but rather an introduction to the topic.

The World Health Organization identifies five interacting dimensions of adherence1: 1) Patient-related factors, 2) Social/economic factors, 3) Condition-related factors, 4) Therapy-related factors, and 5) Health system/healthcare team.

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How Technology Facilitates Social Support – Part 1: The Internet

Posted on November 14, 2012 by Miki Peer

Previously we introduced the concept of social support and presented an exercise and tips on how to improve the level of social support you receive from those closest to you. Another important way of maximizing the social support in your life is by seeking out new forms of social support. There are several ways to meet new people and make new connections, but this week we will focus on a medium that allows you to do this from the comfort of your own home – that medium is technology. Specifically today’s blog focuses on internet usage; in a future blog we will turn our attention to the use of mobile phones.

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Patients Helping Patients – The Importance of Shared Experience

Posted on November 20, 2012 by Miki Peer

We were delighted to come across a short article in the Journal for Patient Compliance that touched on the very reasons why patient-to-patient dialogues are important. The article, titled “Choosing Not to Take Medication: How patients can help other patients get better”1, highlights two key benefits arising from interactions between patients. First, patients offer each other valuable insights into living with an illness, and strategies for managing self-care that are drawn from lived experiences. For example, a patient may share with another patient a tip that worked for them in managing a medication side effect. The second benefit relates to the person that is sharing information; namely, the feeling of being useful and/or needed.

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#Results 2013

Posted on January 9, 2013 by Amos Adler

Happy New Year to you and yours!

Looking Back to Look Forward

2012 has been another watershed year for us here at MEMOTEXT and we are honored to call ourselves contributors in the mHealth space. It has been yet another year of innovations across the industry as well as within MEMOTEXT itself. Overall mHealth adoption continues to increase, gain in legitimacy, momentum and efficacy.

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How Technology Facilitates Social Support Part II: Mobile Phones

Posted on January 15, 2013 by Miki Peer

A recent survey of over 3,000 individuals in the U.S. found that 85% of adult Americans currently own a cellular phone1, and similar rates have been reported in Canada (in 2010 78% of Canadian household owned a cellular phone)2. Originally, mobile phones were used only for calls and text messaging however the advent of the ‘smartphone’ (a mobile phone with greater computing capability and connectivity than the original ‘feature phone’) has changed all that – internet usage is now mobile.

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What Exactly is mHealth?

Posted on January 21, 2013 by Miki Peer

In previous blog entries we discussed ways that the internet and cell phones can improve health, topics that fall under the broad terms of ‘eHealth’ (electronic health) and ‘mHealth’(mobile health) respectively. We covered these topics for two major reasons: 1) they are important and rapidly- growing industries and 2) they are central to MEMOTEXT’s delivery of medication and treatment compliance interventions. Although the exact definition of the terms are often disputed, eHealth tends to refer to healthcare practice and delivery supported by electronic processes while mHealth is defined as “the delivery of healthcare services via mobile communication devices”1. Examples of eHealth include electronic patient records, telemedicine and, of course, mHealth.

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