Is assessment still the pending issue of health apps?

22 Mar
Marta Millaret

An article in JAMA has recently been published presenting the first smart watch approved by the FDA to predict epileptic seizures. It is called Embrace, a connected device which detects seizures linked to movement and electric fluctuations in the skin of a person and sends an alert so they can receive medical attention.

Last February, the Mobile World Congress was held in Barcelona. Among the different activities to be highlighted which are organised around this congress there is one called 4 Years From Now (#4YFN18), the part of the Mobile which connects companies, investors and institutions with each other to encourage collaboration in developing different ideas, business models and technological solutions.

The Digital Health & Wellness Summit 2018, organised by 4YFN Connecting Startups, the Mobile World Capital Barcelona and the Mobile World Congress with the collaboration of ECHAlliance, the European Connected Health Alliance, is the meeting point of technological and health issues. This year, among others, Neil Gomes, Maria Salido and Elena Torrente participated.

Neil Gomes from the Thomas Jefferson University of the USA pointed out that one of the challenges in mHealth is facilitating feedback between patients and health professionals.

Maria Salido, co-founder and CEO of the health app, SocialDiabetes, raised key issues for success with health apps: regulation + industry + users. And in particular, she highlighted the importance of the final users. An article published in The Economist was much commented on here with a provocative title:

Elena Torrente, Digital Health Coordinator at DKV, commented on Digital Doctor, a health app that incorporates a detector of symptoms and a tool to request a doctor’s appointment. She pointed out that there were more women than men in the user profile of the app.

In general, there was consensus on the fact that prior to developing an app, an analysis to identify needs must be done. That is, the first step should be to detect the needs of a user and then, based on the mapping of these needs, the moment would come to develop technological solutions.

The content of all these presentations is available and you can also read a compilation of the main ideas that were highlighted here and here.

Despite it not being the main subject of their presentations, in the follow up debate the need and convenience of assessment was brought up. At present, there are already 320,000 health apps on the market. But,… How are they assessed? Who does this? With what criteria? Can we already talk about the safe prescription of health apps?

We close the circle once again with the conceptual framework of mHealth Assessment published in JMIR mHealth and uHealth with which the Agency for Health Quality and Assessment of Catalonia (AQuAS) provides the culture of assessment to the everyday reality in which we find ourselves (in 2016 it was published in the first quartile, in the categories “Health Care Sciences & Services” and “Medical Informatics”, respectively, in the Journal Citation Reports). There are an increasing number of health apps and the debate concerning their assessment remains open.

Post written by Marta Millaret (@MartaMillaret).

Mobile Is Everything

3 Mar

Barcelona Mobile FiraBarcelona is Mobile. The great mobile world exhibition has not gone unnoticed to the city. With a record 100,000 visitors, the Mobile World Congress took place last week in Barcelona, under the theme “Mobile is everything”. Considering the innovations presented in it, it appears that healthcare is also becoming mobile (mhealth).

The massive mobile technology world fair gathered mobile operators, technology manufacturers, providers, distributors, and content providers who presented the industry’s latest innovations. According to Genís Roca (@genisroca), the contents  of this year’s Mobile World Congress has turned around these 6 topics:

1.    Graphene
2.    Virtual reality
3.    eSim
4.    Connected Car
5.    5G
6.    Internet of Things – IoT

Three of these large trends have very clear applications in the field of healthcare.

The first topic is graphene. The Catalan Institute of Nanoscience and Nanotechnology (ICN2), in collaboration with research centres from Barcelona and the Autonomous University of Barcelona, has presented a group of graphene electronic sensors that can be used to detect the electrical activity of the brain. The early detection of an epileptic crisis could be possible in patients suffering from epilepsy and implanted with these sensors. The implanted device on the cortex would alert the patient by, for instance, sending an alarm signal to an external mobile device.

Virtual reality has been the main character in the congress, or at least, the one that caused more anticipation. This was best seen in the long queues to visit Samsung’s roller coaster or SK Telecom’s submarine.

Gear VR Theater with 4DVirtual reality applications are starting to appear in the field of mental healthcare. Thus, startups such as MindWave (with their project HealthVR) or Psious offer treatments to tackle phobias, fears or generalised anxiety by exposing patients to virtual reality images, in some cases as part of a cognitive behavioural therapy.

Finally, the Internet of Things is gaining ground: Internet connected objects are creating new business models and involve more and more sectors. For instance, the monitorisation of vital signs (weight, glucose, blood pressure, physical training, etc.) is increasingly more common with connected wearables (smartwatches, bracelets, etc.) that allow to collect real time data. Connected devices also allow the control and follow-up of chronic diseases, such as diabetes with Insulclok.

The mobile industry will undoubtedly continue to evolve, and its applications in the field of healthcare will grow even more. I was lucky to attend the course Mobile Thinking Days-Digital Health (organised by Mobile World Capital Barcelona, IESE Business School and RocaSalvatella), and one of the key messages that appealed to me is that any product subjected to digital pressure will end up transformed into a service (Genís Roca dixit). Therefore, a big challenge of mhealth will be to offer disruptive, quality services that meet the patients’ needs.

Elena TorrenteEntry written by Elena Torrente (@etorrente), digital health coordinator in DKV Services.