Using precision medicine to address health disparities > How a mobile health solution could help improve adherence

How a mobile health solution could help improve adherence

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The conversation

In a new study, doctors and scientists from NYU’s Grossman School of Medicine and Georgetown University have published a novel mobile health solution that is steeped in precision and personalized population health, as well as a pantheoretical approach that increases the likelihood of adherence. The study describes the stages of a pantheoretical approach utilizing tailoring, clustering/profiling, personalizing, and optimizing interventions/strategies to obtain adherence. The study also highlights the minimal engineering needed to build such a mobile health solution.

A novel mobile health solution based on precision and personalized population health could help patients with chronic illness better adhere to medications and a healthy lifestyle.

Our perspective

Why this matters for sleep and respiratory patients

 

Patient nonadherence to healthy lifestyle behaviors and medical treatments accounts for a significant portion of chronic disease burden, including in sleep and respiratory health. This can  leads to poor outcomes, and also create healthcare expenditures. A plethora of behavioral interventions have been developed to help overcome key barriers and improve adherence, yet short- and long-term adherence to healthy lifestyle behaviors and medical treatments is still poor. Using a mobile health solution could help arm patients and their care team with more data and faster feedback to help improve adherence.  

Addressing barriers to care with a mobile health solution

The burgeoning use of mobile technologies to deliver health, lifestyle and wellness interventions has shown initial signs of improving adherence to primary prevention and management of chronic health conditions. The novel approach presented in this publication shows the potential of achieving optimized levels of adherence by providing insights about the etiology of disease and promoting customized, adaptive and just-in-time interventions based on biological/individual factors, lifestyle/behavioral factors, and environmental factors. Extending medical care beyond the hospital walls and into the patient’s home is an area of increased focus in medicine, and this study shows another way that this trend could apply to optimizing sleep and respiratory care.

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