Mobile Health Technology

mHealth Aims

The mHealth Shared Resource (mHealth SR) developed the InsightTM mHealth Platform to offer incredible opportunities to design, evaluate, rapidly implement and disseminate studies. The InsightTM Platform enables researchers to create innovative mobile applications that: 1) identify proximal and distal antecedents to imminent health risk behaviors using self-report surveys (i.e., ecological momentary assessments [EMAs]), wearable sensors and geolocation data; and 2) conduct Just-in-Time Adaptive Interventions (JITAI) that tailor intervention content in real-time based upon location, survey responses, and sensor data. InsightTM is customizable for each research project, utilizes a web-based content management system (CMS) for easy access across multiple browsers, and uses architecture that enables the incorporation of new features. Users of this service log into a web-based CMS and follow step-by-step guidance to create and manage research studies, enroll and monitor study participants, create EMA items, create different types of EMAs (e.g., random, daily, participant-initiated, sensor-initiated) and create specific assessment rules (e.g., two vs. four random assessments per day). Once study parameters and content have been created in the CMS, researchers transfer their study materials into the smartphone application shell. The customized smartphone application can be made available on the Android app store, and will soon be available on the Apple app store. Data are encrypted within the smartphone application and automatically and securely uploaded into mHealth servers. Encrypted data can be downloaded from the server by users at any time. Given that 81% of Americans now own smartphones, smartphone-based interventions are highly scalable and disseminable. 

App Examples

Insight Platform

The Insight mHealth platform empowers researchers to build, test, and launch technology-based mobile health assessments and intervention tools. The versatile Insight platform enables researchers to track momentary changes in key variables from multiple data sources (i.e. phone-based surveys, sensor data, geolocation data) in near real-time and use this information to intitiate interventions.

 

Main Feature List

EMA Types (Note: specific EMAs can be delivered based upon day of the week)

Fixed App will prompt this assessment type at a specific time (e.g., 12:00 p.m., 30 minutes after the participant's usual waking time on specific days of the week).
Random App will prompt this assessment type at random times within the participant's selected waking hours on specific days of the week.
Participant Initiated Participant will click a button on the app home screen to initiate this assessment type.

EMA Reschedule Options

Snooze Enables participant to delay prompted EMAs for a specific amount of time and a specific number of times (researcher sets snooze period and number of permitted delays).
Automatic Reschedule Enables the EMA to be automatically prompted again after a set period of time (e.g., reschedule the EMA every 30 minutes, up to 8 times until it is completed).

 

EMA Question Types

Checkbox Response choices are shown in a list; multiple answers can be chosen
Date Participants use a calendar to choose a date
Dropdown Participants click a box to select from a long list of potential answer responses
Radio Response choices are shown in a list; only 1 answer can be chosen
Rich Text A block of text that can be used to provide messages or instructions in the app; enables bold, italics, underline, etc
Slider (categorical) Participants slide their finger from left to right to choose a categorical response
Slider (continous) Participants slide their finger from left to right to choose a continuous response (e.g., 1-10 visual analog scale)
Text Only A block of text that can be used to provide messages or instructions in the app
Text Field Participant uses the keyboard to type a short answer (e.g., number or letter)
Text Area Participant uses the keyboard to type a longer response than is possible with the text field option (e.g., sentences / paragraphs)
Time Participants use a clock to choose a time
Timer Participants see a configurable countdown timer

 

EMA Additional Features

App Branding Allows the study name of the app to be displayed on the top of the app home screen
App Language App content (e.g., questions, messages) can be displayed in most languages
Appointment Reminder Configurable appointment date/time/message that appears on the app home screen
Notifications Messages delivered to participants on specific study dates/times
Payment Log Configurable feature that automatically tracks EMA compliance; Enables participants to view the amount of credit they have earned for completing EMAs
Permissions Enables Principal Investigator (PI) to assign CMS view/edit roles to study team members (e.g., PI has admin rights to create/edit all app components, research assistant can be granted specific roles. For example, only view/create participants)
PHI Data Collection Enables collection of Protected Health Information (e.g., name). Note: Requires additional contract components
Skip Logic Enables items to be skipped if established criteria are met (e.g., if question #1 > 4, then skip question #2)

 

JITAI Features

Calculated Field Enables researchers to create formulas by adding / subtracting / multiplying / etc. participant answers to EMA questions (e.g., question 1 + question 2).
Email An encrypted email is generated when an established criterion is met (e.g., if question 1 > 3, then automatically email a study staff member that a participant has requested a medication refill). Note: this feature requires an active data plan or Wifi connection
Message Bin Enables delivery of unique content when specific criteria are met. One message is delivered from the bin to the participant on each occasion.
Message Bin Repeating Enables delivery of unique content when specific criteria are met. One message is delivered from the bin to the participant on each occasion. This type of bin resets to the first message after the last message in the bin is delivered.
Random Number Generator Generates a random number within a specified range and decimal precision; used for randomizing calculations.
Response Summary Summarizes data that have been collected in the app; also allows the delivery of badges based on participant data (e.g., 7 days smoke free badge).
Sensor Log Will present data from a sensor at specified intervals. For example, if steps are to be collected every 2 minutes the log will display number of steps every 2 minutes. This is raw data.
Web View Enables the integration of webpages into Insight. When Insight is used to open a webpage, the platform quantifies the amount of time spent on each webpage. Note: this feature requires an active data plan or Wifi connection
Video Link Bin Enables delivery of unique video content when specific criteria are met (e.g., depression > 5). One video is delivered from the bin to the participant on each occasion.
YouTube Video Links YouTube URLs to play video content in the app. Note: this feature requires an active data plan or Wifi connection
One Click Call Preprogrammed phone call is placed when this button is pressed. Note: this feature requires an active data plan or Wifi connection
Delivery of Intervention Content Video, audio, text, webpage, automated phone calls based upon formula, date/time, on-demand, sensor data.
Breadcrumb Geolocation Data collection (latitude, longitude, accuracy). Frequency of collection is configurable. Note: that this feature may not be available on all smartphones and this feature requires an active data plan or Wifi connection
Bedfront iCO Data Collection Pairs with the Bedfont iCO device to collect carbon monoxide samples. Requires purchase of specific third party devices.

 

Previous Client List

  • American Cancer Society
  • Battelle
  • Georgia State University
  • Louisiana State University
  • MD Anderson Cancer Center
  • Moffitt Cancer Center
  • Oklahoma Tobacco Research Center
  • Optum Center for Wellbeing
  • Rice University
  • Stephenson Cancer Center
  • University of Alabama Birmingham-School of Public Health
  • University of Houston
  • University of North Texas Health Science Center
  • University of Oklahoma Health Sciences Center
  • University of Texas Health Science Center-School of Public Health
  • University of Texas - School of Nursing
  • University of Wisconsin
  • US Department of Veterans Affairs
  • Veterans Administration Medical Center
  • Yale School of Medicine
  • Hudson College of Public Health
  • Ohio State University

FY21 Cost Table

Product or Service Descriptions FY20/21 Unit Price Year 1 Year 2+

EMA Tier

$7,500 $5,000
Just-In-Time Adaptive Intervention (JITAI) Tier $20,000 $10,000
Programmer/hr $175  
Research Asst. / hr $80    

 
*Note: OUHSC faculty and SCC members may receive discounted pricing.
**Note: Studies that enroll >300 participants per year may incur additional charges.