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For years, her mornings were groggy and involved a \"lot of coffee.\"[contextly_sidebar id=\"SWkBBNCnUWhPf7KOuvUyV7If0Ca3ug47\"]\u003c/p>\n\u003cp>After a year of trying sleep medication prescribed by her doctor, she turned to the internet for alternate solutions. About four months ago, she settled on a mobile phone meditation app called \u003ca href=\"https://www.inscape.life/\" target=\"_blank\" rel=\"noopener\">INSCAPE\u003c/a>.\u003c/p>\n\u003cp>\"It's about a 30-minute soundtrack, and it starts with a woman kind of telling you to relax and instructing your breathing,\" explains Thesing. \"Then it goes into sounds — relaxing noises. There's wind chimes, some atmospheric music playing...\"\u003c/p>\n\u003cp>She uses the app every night and falls asleep within 15 or 20 minutes. \"So, definitely a big improvement from four hours,\" she says.\u003c/p>\n\u003cp>Thesing is not alone. Chronic insomnia affects an estimated \u003ca href=\"https://www.ajmc.com/journals/supplement/2006/2006-05-vol12-n8suppl/may06-2307ps214-s220\" target=\"_blank\" rel=\"noopener\">10-15 percent of adults\u003c/a>, and another 25-35 percent struggle with sleep issues occasionally. And like Thesing, a growing number of insomniacs are turning to mobile phone apps to lull them to sleep.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>On \u003ca href=\"https://twitter.com/NPRHealth/status/1046884648167624711\" target=\"_blank\" rel=\"noopener\">Twitter\u003c/a> and Facebook, NPR asked its audience if they have used a mobile phone app to help manage insomnia. Nearly 100 people wrote back suggesting a range of apps, including podcasts created to put a listener to sleep.\u003c/p>\n\u003cp>\"These are usually relaxation strategies, white noise, meditation,\" \u003ca href=\"https://www.feinberg.northwestern.edu/faculty-profiles/az/profile.html?xid=35378\" target=\"_blank\" rel=\"noopener\">Jason Ong\u003c/a>, an associate professor of neurology specializing in sleep at Northwestern University's Feinberg School of Medicine. He studies non-pharmacological treatments for various sleep disorders and treats patients at the university's Sleep Medicine clinic. \"It's not that there's something wrong with those apps. It's a reasonable first thing to try.\"[contextly_sidebar id=\"ljN7S8LuvqENw8QrvBPFbhASn6EIv1oE\"]\u003c/p>\n\u003cp>But, he adds, these kinds of apps aren't based on scientifically-proven solutions, and they don't really fix the problem of why someone is not sleeping.\u003c/p>\n\u003cp>Ong wanted to do something about that, so a few years ago, he consulted for a team that developed an app that uses a science-based approach to address insomnia called \u003ca href=\"https://www.sleepio.com/cbt-for-insomnia/\" target=\"_blank\" rel=\"noopener\">Sleepio\u003c/a>. (However, he doesn't have any ongoing financial interest in the product, he says.)\u003c/p>\n\u003cp>Sleepio and a few other apps like \u003ca href=\"http://www.myshuti.com/\" target=\"_blank\" rel=\"noopener\">SHUT-i\u003c/a> and a free one developed by the Veterans Administration use the most sustainable and \u003ca href=\"https://www.ncbi.nlm.nih.gov/pubmed/15451764\" target=\"_blank\" rel=\"noopener\">evidence-based\u003c/a> solution for insomnia. It's a kind of therapy called Cognitive Behavioral Therapy for Insomnia — \u003ca href=\"https://www.sleepfoundation.org/sleep-news/cognitive-behavioral-therapy-insomnia\" target=\"_blank\" rel=\"noopener\">CBT-I\u003c/a> for short, he says. It helps the patient understand the biology of sleep and gives them a bag of tools and tricks to change their own thought patterns and behaviors to treat their underlying sleep issues.\u003c/p>\n\u003cp>\"CBT for insomnia is a specific package ... [that] includes different techniques like spending less time in bed [and] what to do if you are in bed and can't sleep,\" says Ong. \"It's teaching you how to change your behavior to better work with your brain to give you confidence that you're going to be able to sleep on a regular basis.\"\u003c/p>\n\u003cp>It may be surprising to us, but our own thought patterns and sleep habits \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3621793/\" target=\"_blank\" rel=\"noopener\">affect our biology\u003c/a>, in this case how our brains regulate sleep. \"If you modify some of your behaviors, you can work better with how your brain regulates sleep and wake,\" he says.\u003c/p>\n\u003cp>The American College of Physicians \u003ca href=\"https://www.acponline.org/acp-newsroom/acp-recommends-cognitive-behavioral-therapy-as-initial-treatment-for-chronic-insomnia\" target=\"_blank\" rel=\"noopener\">first recommended\u003c/a> Cognitive Behavioral Therapy for Insomnia as the first-line treatment for insomnia in 2016. \"The evidence is quite strong to support the effectiveness of CBT-I treatment and there really aren't a lot of side effects,\" says Ong. And, because it changes behavior, \"in the long run CBT-I tends to perform quite well in maintaining the benefits.\"\u003c/p>\n\u003cp>In the past the only way for people to get Cognitive Behavioral Therapy for Insomnia was to see a therapist, now they can access the therapy on their mobile phones.\u003c/p>\n\u003cp>\"In Sleepio, it's like an avatar of a real therapist that's walking the patient through that process,\" explains Ong. Sleepio also allows users to keep a sleep diary so the app can use its algorithm to suggest a better bedtime schedule. It also reminds people to get up when they've spent too much time in bed trying to fall asleep, for example.[contextly_sidebar id=\"wEwpbDeWifEPnKULBpzGtSdpZ0ZUBzcu\"]\u003c/p>\n\u003cp>Like a real therapist, the apps that use Cognitive Behavior Therapy for Insomnia also provide practical tools to help the user worry less about their sleep and over time, be less anxious and more confident about their ability get a good night's rest. \"It's very similar to what we do face-to-face with patients,\" adds Ong.\u003c/p>\n\u003cp>\u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5427093/\" target=\"_blank\" rel=\"noopener\">Studies show\u003c/a> that CBT-I delivered digitally through mobile phone apps is effective in treating insomnia. And a \u003ca href=\"https://jamanetwork.com/journals/jamapsychiatry/fullarticle/2704019\" target=\"_blank\" rel=\"noopener\">recent study\u003c/a> of Sleepio by Ong and the team that developed the product found that participants who used the product reported an improvement in insomnia symptoms and overall wellbeing.\u003c/p>\n\u003cp>\"It's an impressive study in size and scope,\" says \u003ca href=\"http://www.johntorousmd.com/\" target=\"_blank\" rel=\"noopener\">John Torous\u003c/a>, the director of digital psychiatry at Beth Israel Deaconess Medical Center. \"But like any study, we have to interpret it within reason.\"\u003c/p>\n\u003cp>The participants in the study were mostly white and female, he notes, and so it's hard to generalize the findings to the larger population. And, he adds that the study was designed and funded by Big Health, the company that created the app and is now marketing it.\u003c/p>\n\u003cp>Also, Sleepio is only available on a limited basis. You can get it through employers, health insurance and national health systems at the moment, says Mike Radocchia, the marketing and business development lead at Big Health. Although the company does give it to researchers and charities for free.\u003c/p>\n\u003cp>And while apps that use Cognitive Behavior Therapy for Insomnia cost less than in-person therapy, they can be pricey. A 26-week subscription of SHUTi \u003ca href=\"http://www.myshuti.com/shuti-pricing/\" target=\"_blank\" rel=\"noopener\">costs $149\u003c/a>.\u003c/p>\n\u003cp>That's why Torous often directs his patients with insomnia to a free app developed by the Veterans Administration called \u003ca href=\"https://mobile.va.gov/app/cbt-i-coach\" target=\"_blank\" rel=\"noopener\">CBT-I Coach\u003c/a>.\u003c/p>\n\u003cp>\"Anyone can access it. You don't have to be a veteran,\" Torous says.\u003c/p>\n\u003cp>\u003ca href=\"http://www.nextbreathcounseling.com/credentials/\" target=\"_blank\" rel=\"noopener\">Jake Hanks\u003c/a>, a mental health counselor based in Glenwood Springs, Colorado, agrees. \"CBT-I Coach would be my absolute favorite,\" he says. \"It includes a lot of the cognitive restructuring, the true things about sleep that we want patients to keep in mind.\" And so, he too, recommends the free app to his patients.\u003c/p>\n\u003cp>However, Torous notes that these apps don't work for everyone. The recent study by Ong and his colleagues hints at why.\u003c/p>\n\u003cp>\"Even in this clinical study, less than 50 percent [of people who were assigned to use the app in a randomized controlled trial] are able to make it through the entire course of CBT delivered through digital platforms,\" he notes. \"For some people it may be hard to make it through all the sessions of CBT.\"\u003c/p>\n\u003cp>This is true of most health and wellness apps, he says. Torous \u003ca href=\"https://jamanetwork.com/journals/jamapsychiatry/fullarticle/2616170\" target=\"_blank\" rel=\"noopener\">has studied\u003c/a> this and found that of the 10,000 mental health apps out there, very few are actually being used. \"I don't think we really understand how people are using technology towards their health and recovery,\" he notes.[contextly_sidebar id=\"LqkvTN1dfENdC3n50jRUdIl6PSPHOHGb\"]\u003c/p>\n\u003cp>But in some ways, he says, people with insomnia may be ahead of scientists in figuring out what works well for them.\u003c/p>\n\u003cp>\"If you find something that works [for you], I think that's always a good first step,\" he says. \"Quick fixes or simple solutions may get you feeling better right away.\"\u003c/p>\n\u003cp>But, he notes, insomnia is a complex disorder with many underlying causes. Sometimes it can be caused by a medical condition that's easily treatable, like a thyroid problem, he adds.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>So, no matter what app you are considering, always talk to your doctor about your sleep issues, he advises. \"Until you know the diagnosis or what you're working with, you don't want to start treating something that's not what you think it is.\"\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2018 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Some+Apps+May+Help+Curb+Insomnia%2C+Others+Just+Put+You+To+Sleep&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n","blocks":[],"excerpt":"People struggling with insomnia often turn to apps to help them fall asleep. But scientists say only some apps use proven methods that can help address the underlying causes of sleeplessness.","status":"publish","parent":0,"modified":1539016515,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":33,"wordCount":1348},"headData":{"title":"Some Apps May Help Curb Insomnia, Others Just Put You To Sleep | KQED","description":"People struggling with insomnia often turn to apps to help them fall asleep. But scientists say only some apps use proven methods that can help address the underlying causes of sleeplessness.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Some Apps May Help Curb Insomnia, Others Just Put You To Sleep","datePublished":"2018-10-08T19:32:48.000Z","dateModified":"2018-10-08T16:35:15.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"444897 https://ww2.kqed.org/futureofyou/?p=444897","disqusUrl":"https://ww2.kqed.org/futureofyou/2018/10/08/some-apps-may-help-curb-insomnia-others-just-put-you-to-sleep/","disqusTitle":"Some Apps May Help Curb Insomnia, Others Just Put You To Sleep","source":"DIY Health","nprByline":"Rhitu Chatterjee, NPR","nprImageAgency":"Mary Mathis/NPR","nprStoryId":"654883409","nprApiLink":"http://api.npr.org/query?id=654883409&apiKey=MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004","nprHtmlLink":"https://www.npr.org/sections/health-shots/2018/10/08/654883409/some-apps-may-help-curb-insomnia-others-just-put-you-to-sleep?ft=nprml&f=654883409","nprRetrievedStory":"1","nprPubDate":"Mon, 08 Oct 2018 09:02:00 -0400","nprStoryDate":"Mon, 08 Oct 2018 05:00:00 -0400","nprLastModifiedDate":"Mon, 08 Oct 2018 05:43:21 -0400","nprAudio":"https://ondemand.npr.org/anon.npr-mp3/npr/me/2018/10/20181008_me_some_apps_may_help_curb_insomnia_others_just_put_you_to_sleep.mp3?orgId=1&topicId=1128&d=247&p=3&story=654883409&ft=nprml&f=654883409","nprAudioM3u":"http://api.npr.org/m3u/1655529006-c4b480.m3u?orgId=1&topicId=1128&d=247&p=3&story=654883409&ft=nprml&f=654883409","audioTrackLength":247,"path":"/futureofyou/444897/some-apps-may-help-curb-insomnia-others-just-put-you-to-sleep","audioUrl":"https://ondemand.npr.org/anon.npr-mp3/npr/me/2018/10/20181008_me_some_apps_may_help_curb_insomnia_others_just_put_you_to_sleep.mp3?orgId=1&topicId=1128&d=247&p=3&story=654883409&ft=nprml&f=654883409","parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Paige Thesing has struggled with insomnia since high school. \"It takes me a really long time to fall asleep — about four hours,\" she says. For years, her mornings were groggy and involved a \"lot of coffee.\"\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>After a year of trying sleep medication prescribed by her doctor, she turned to the internet for alternate solutions. About four months ago, she settled on a mobile phone meditation app called \u003ca href=\"https://www.inscape.life/\" target=\"_blank\" rel=\"noopener\">INSCAPE\u003c/a>.\u003c/p>\n\u003cp>\"It's about a 30-minute soundtrack, and it starts with a woman kind of telling you to relax and instructing your breathing,\" explains Thesing. \"Then it goes into sounds — relaxing noises. There's wind chimes, some atmospheric music playing...\"\u003c/p>\n\u003cp>She uses the app every night and falls asleep within 15 or 20 minutes. \"So, definitely a big improvement from four hours,\" she says.\u003c/p>\n\u003cp>Thesing is not alone. Chronic insomnia affects an estimated \u003ca href=\"https://www.ajmc.com/journals/supplement/2006/2006-05-vol12-n8suppl/may06-2307ps214-s220\" target=\"_blank\" rel=\"noopener\">10-15 percent of adults\u003c/a>, and another 25-35 percent struggle with sleep issues occasionally. And like Thesing, a growing number of insomniacs are turning to mobile phone apps to lull them to sleep.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>On \u003ca href=\"https://twitter.com/NPRHealth/status/1046884648167624711\" target=\"_blank\" rel=\"noopener\">Twitter\u003c/a> and Facebook, NPR asked its audience if they have used a mobile phone app to help manage insomnia. Nearly 100 people wrote back suggesting a range of apps, including podcasts created to put a listener to sleep.\u003c/p>\n\u003cp>\"These are usually relaxation strategies, white noise, meditation,\" \u003ca href=\"https://www.feinberg.northwestern.edu/faculty-profiles/az/profile.html?xid=35378\" target=\"_blank\" rel=\"noopener\">Jason Ong\u003c/a>, an associate professor of neurology specializing in sleep at Northwestern University's Feinberg School of Medicine. He studies non-pharmacological treatments for various sleep disorders and treats patients at the university's Sleep Medicine clinic. \"It's not that there's something wrong with those apps. It's a reasonable first thing to try.\"\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>But, he adds, these kinds of apps aren't based on scientifically-proven solutions, and they don't really fix the problem of why someone is not sleeping.\u003c/p>\n\u003cp>Ong wanted to do something about that, so a few years ago, he consulted for a team that developed an app that uses a science-based approach to address insomnia called \u003ca href=\"https://www.sleepio.com/cbt-for-insomnia/\" target=\"_blank\" rel=\"noopener\">Sleepio\u003c/a>. (However, he doesn't have any ongoing financial interest in the product, he says.)\u003c/p>\n\u003cp>Sleepio and a few other apps like \u003ca href=\"http://www.myshuti.com/\" target=\"_blank\" rel=\"noopener\">SHUT-i\u003c/a> and a free one developed by the Veterans Administration use the most sustainable and \u003ca href=\"https://www.ncbi.nlm.nih.gov/pubmed/15451764\" target=\"_blank\" rel=\"noopener\">evidence-based\u003c/a> solution for insomnia. It's a kind of therapy called Cognitive Behavioral Therapy for Insomnia — \u003ca href=\"https://www.sleepfoundation.org/sleep-news/cognitive-behavioral-therapy-insomnia\" target=\"_blank\" rel=\"noopener\">CBT-I\u003c/a> for short, he says. It helps the patient understand the biology of sleep and gives them a bag of tools and tricks to change their own thought patterns and behaviors to treat their underlying sleep issues.\u003c/p>\n\u003cp>\"CBT for insomnia is a specific package ... [that] includes different techniques like spending less time in bed [and] what to do if you are in bed and can't sleep,\" says Ong. \"It's teaching you how to change your behavior to better work with your brain to give you confidence that you're going to be able to sleep on a regular basis.\"\u003c/p>\n\u003cp>It may be surprising to us, but our own thought patterns and sleep habits \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3621793/\" target=\"_blank\" rel=\"noopener\">affect our biology\u003c/a>, in this case how our brains regulate sleep. \"If you modify some of your behaviors, you can work better with how your brain regulates sleep and wake,\" he says.\u003c/p>\n\u003cp>The American College of Physicians \u003ca href=\"https://www.acponline.org/acp-newsroom/acp-recommends-cognitive-behavioral-therapy-as-initial-treatment-for-chronic-insomnia\" target=\"_blank\" rel=\"noopener\">first recommended\u003c/a> Cognitive Behavioral Therapy for Insomnia as the first-line treatment for insomnia in 2016. \"The evidence is quite strong to support the effectiveness of CBT-I treatment and there really aren't a lot of side effects,\" says Ong. And, because it changes behavior, \"in the long run CBT-I tends to perform quite well in maintaining the benefits.\"\u003c/p>\n\u003cp>In the past the only way for people to get Cognitive Behavioral Therapy for Insomnia was to see a therapist, now they can access the therapy on their mobile phones.\u003c/p>\n\u003cp>\"In Sleepio, it's like an avatar of a real therapist that's walking the patient through that process,\" explains Ong. Sleepio also allows users to keep a sleep diary so the app can use its algorithm to suggest a better bedtime schedule. It also reminds people to get up when they've spent too much time in bed trying to fall asleep, for example.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Like a real therapist, the apps that use Cognitive Behavior Therapy for Insomnia also provide practical tools to help the user worry less about their sleep and over time, be less anxious and more confident about their ability get a good night's rest. \"It's very similar to what we do face-to-face with patients,\" adds Ong.\u003c/p>\n\u003cp>\u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5427093/\" target=\"_blank\" rel=\"noopener\">Studies show\u003c/a> that CBT-I delivered digitally through mobile phone apps is effective in treating insomnia. And a \u003ca href=\"https://jamanetwork.com/journals/jamapsychiatry/fullarticle/2704019\" target=\"_blank\" rel=\"noopener\">recent study\u003c/a> of Sleepio by Ong and the team that developed the product found that participants who used the product reported an improvement in insomnia symptoms and overall wellbeing.\u003c/p>\n\u003cp>\"It's an impressive study in size and scope,\" says \u003ca href=\"http://www.johntorousmd.com/\" target=\"_blank\" rel=\"noopener\">John Torous\u003c/a>, the director of digital psychiatry at Beth Israel Deaconess Medical Center. \"But like any study, we have to interpret it within reason.\"\u003c/p>\n\u003cp>The participants in the study were mostly white and female, he notes, and so it's hard to generalize the findings to the larger population. And, he adds that the study was designed and funded by Big Health, the company that created the app and is now marketing it.\u003c/p>\n\u003cp>Also, Sleepio is only available on a limited basis. You can get it through employers, health insurance and national health systems at the moment, says Mike Radocchia, the marketing and business development lead at Big Health. Although the company does give it to researchers and charities for free.\u003c/p>\n\u003cp>And while apps that use Cognitive Behavior Therapy for Insomnia cost less than in-person therapy, they can be pricey. A 26-week subscription of SHUTi \u003ca href=\"http://www.myshuti.com/shuti-pricing/\" target=\"_blank\" rel=\"noopener\">costs $149\u003c/a>.\u003c/p>\n\u003cp>That's why Torous often directs his patients with insomnia to a free app developed by the Veterans Administration called \u003ca href=\"https://mobile.va.gov/app/cbt-i-coach\" target=\"_blank\" rel=\"noopener\">CBT-I Coach\u003c/a>.\u003c/p>\n\u003cp>\"Anyone can access it. You don't have to be a veteran,\" Torous says.\u003c/p>\n\u003cp>\u003ca href=\"http://www.nextbreathcounseling.com/credentials/\" target=\"_blank\" rel=\"noopener\">Jake Hanks\u003c/a>, a mental health counselor based in Glenwood Springs, Colorado, agrees. \"CBT-I Coach would be my absolute favorite,\" he says. \"It includes a lot of the cognitive restructuring, the true things about sleep that we want patients to keep in mind.\" And so, he too, recommends the free app to his patients.\u003c/p>\n\u003cp>However, Torous notes that these apps don't work for everyone. The recent study by Ong and his colleagues hints at why.\u003c/p>\n\u003cp>\"Even in this clinical study, less than 50 percent [of people who were assigned to use the app in a randomized controlled trial] are able to make it through the entire course of CBT delivered through digital platforms,\" he notes. \"For some people it may be hard to make it through all the sessions of CBT.\"\u003c/p>\n\u003cp>This is true of most health and wellness apps, he says. Torous \u003ca href=\"https://jamanetwork.com/journals/jamapsychiatry/fullarticle/2616170\" target=\"_blank\" rel=\"noopener\">has studied\u003c/a> this and found that of the 10,000 mental health apps out there, very few are actually being used. \"I don't think we really understand how people are using technology towards their health and recovery,\" he notes.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>But in some ways, he says, people with insomnia may be ahead of scientists in figuring out what works well for them.\u003c/p>\n\u003cp>\"If you find something that works [for you], I think that's always a good first step,\" he says. \"Quick fixes or simple solutions may get you feeling better right away.\"\u003c/p>\n\u003cp>But, he notes, insomnia is a complex disorder with many underlying causes. Sometimes it can be caused by a medical condition that's easily treatable, like a thyroid problem, he adds.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>So, no matter what app you are considering, always talk to your doctor about your sleep issues, he advises. \"Until you know the diagnosis or what you're working with, you don't want to start treating something that's not what you think it is.\"\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2018 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Some+Apps+May+Help+Curb+Insomnia%2C+Others+Just+Put+You+To+Sleep&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/444897/some-apps-may-help-curb-insomnia-others-just-put-you-to-sleep","authors":["byline_futureofyou_444897"],"categories":["futureofyou_1060","futureofyou_1062","futureofyou_1","futureofyou_73","futureofyou_1061"],"tags":["futureofyou_542","futureofyou_26","futureofyou_1593","futureofyou_787"],"collections":["futureofyou_1093","futureofyou_1097","futureofyou_1096"],"featImg":"futureofyou_444898","label":"source_futureofyou_444897"},"futureofyou_443844":{"type":"posts","id":"futureofyou_443844","meta":{"index":"posts_1591205157","site":"futureofyou","id":"443844","score":null,"sort":[1533762016000]},"guestAuthors":[],"slug":"can-an-app-warning-to-avoid-risky-friends-prevent-opioid-relapses","title":"Can an App Warning to Avoid Risky Friends Prevent Opioid Relapses?","publishDate":1533762016,"format":"standard","headTitle":"KQED Future of You | KQED Science","labelTerm":{},"content":"\u003cp>You’re in recovery from opioid addiction, and your walk to work takes you down the same streets where you used to buy heroin. The drug’s calling to you, still. Just then, your phone buzzes, with a message that reads like a text from an old friend:\u003c/p>\n\u003cp>“Hey, I know you’re near a risky area. You can do this.”\u003c/p>\n\u003cp>It’s from Hey,Charlie, an app — conceived at a 2016 Massachusetts Institute of Technology health hackathon — that aims to help people avoid environmental triggers that might threaten their recovery from an opioid addiction. The app, now being piloted by several treatment centers in Boston and Framingham, Mass., monitors a user’s contacts and location, and sends pop-up notifications to caution them about risky acquaintances or neighborhoods.[contextly_sidebar id=\"B6m1pmj1KurktxXVtJVATPZuSNjGkhGD\"]\u003c/p>\n\u003cp>“People and places can remind you of using drugs and stress you out,” leading people to relapse, said Emily Lindemer, co-founder of Hey,Charlie.\u003c/p>\n\u003cp>The app chimes in with a different reminder: recovery. “It helps them keep their sobriety at the front of their mind,” she said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>There are a sea of addiction apps, many connecting people to treatment or augmenting their outpatient therapy, by counting the number of days in recovery, for example, or recording fluctuations in mood or cravings. Some simply encourage users with inspirational quotes or hypnosis guides. Social apps are increasingly a focus, as well.\u003c/p>\n\u003cp>“Social outlets are critically important,” said Wilson Washington Jr., a senior public health adviser at the federal Substance Abuse and Mental Health Services Administration (SAMHSA). “You need family support, you need community support, you need system support.”\u003c/p>\n\u003cp>One such app, \u003ca href=\"http://www.sobertool.com/about/\" target=\"_blank\" rel=\"noopener\">SoberTool\u003c/a>, offers an anonymous forum for discussion. \u003ca href=\"https://www.sobergrid.com/\" target=\"_blank\" rel=\"noopener\">Sober Grid \u003c/a>is a social network — purported to be the largest for people with a chemical dependency — with a news feed reminiscent of Instagram.\u003c/p>\n\u003cp>But when Lindemer attended the MIT hackathon, she saw a gaping hole among the existing apps — not only could an app foster positive social connections, but it could also help people sever the negative ones.\u003c/p>\n\u003cp>Michael Kidorf, a psychiatrist and associate director of addiction treatment services at Johns Hopkins School of Medicine, told STAT that the social networks of urban drug users tend to include a mix of people who use substances and people who are drug-free.[contextly_sidebar id=\"cwsZEwnwKgEBeLVOmPCSFLGkj8YqHqD4\"]\u003c/p>\n\u003cp>“As you would expect, people who have more network members who use illicit drugs use more drugs [themselves] and engage in more risky behaviors,” he said by email.\u003c/p>\n\u003cp>Opioid users also rely heavily on their contacts to secure heroin and other drugs, Kidorf added. Studies consistently show that regular interaction with other users predicts poorer treatment outcomes.\u003c/p>\n\u003cp>The hard part, he said, is getting people to dismantle and rebuild their social network. “It is relatively easy to tell substance users to ‘change people, places, and things.’ It is much harder to provide a strategy to help them achieve this important goal.”\u003c/p>\n\u003cp>Hey,Charlie is piloting one such strategy.\u003c/p>\n\u003cp>Having watched someone close to her — the namesake for Hey,Charlie — struggle with opioid addiction, Lindemer noticed the obstacles people in recovery face. Even for those who receive \u003ca href=\"https://www.statnews.com/2018/08/06/fda-expands-medication-assisted-treatment/\">medication-assisted treatment\u003c/a>, “you go live your life and in the day-to-day 24/7 doing normal things, you still are in recovery and you still have to battle these constant environmental triggers,” she said.\u003c/p>\n\u003cp>As a then-Ph.D. student in the joint Harvard-MIT Health Sciences and Technology program, Lindemer thought an app could help mediate those urges.\u003c/p>\n\u003cp>Following the hackathon, Lindemer with her co-founder, Vincent Valant, and head developer, Benjamin Pyser, created a company that initially was funded through MIT grants. Now that she has graduated — she has a day job as a scientist at Watson Health in Cambridge, Mass. – the startup is running mostly on funding from the Robert Wood Johnson Foundation and the National Institute on Drug Abuse.\u003c/p>\n\u003cp>Hey,Charlie’s business model is their “Achilles’ heel,” Lindemer said.\u003c/p>\n\u003cp>She wants to ensure that Hey,Charlie is accessible to everybody. “Our goal is that, if we are charging for it, we are not charging the patient. We want it to fit into a treatment program,” which is why the company hopes to eventually demonstrate the app’s clinical efficacy in controlled trials.[contextly_sidebar id=\"dahwcW9QuGAKTVxO8aXeHP8Uk5bpWbni\"]\u003c/p>\n\u003cp>The app is still being refined, but the basics are in place. When sending a text to a “risky” contact, or receiving one, a message from Hey,Charlie will pop up: “Wait a minute, are you sure you want to speak to John Smith right now?” If the user decides against communicating, Hey,Charlie can send an automatic response. The app also shares a handful of affirmative messages with the user throughout the day.\u003c/p>\n\u003cp>For now, Hey,Charlie’s location services simply create a pause (you’re near a risky area). “The idea is that if you are aware of a potentially triggering situation before it arises, you are more mentally primed to handle it effectively,” said Lindemer.\u003c/p>\n\u003cp>But in the future, Lindemer hopes the app can go one step further. She envisions it not only warning people that they’re approaching a risky location, but suggesting an entirely different path as well. Lindemer wants to partner with local businesses so that Hey,Charlie can say, “Hey, there’s a coffee shop with a discount a couple of blocks away if you’re willing to switch up your route!”\u003c/p>\n\u003cp>The app relies on a combination of data actively input by users — a one-time occurrence — and data passively collected as they continue to use their cellphones. The onboarding process asks users a series of questions about their contacts, ranked by frequency of communication, and then calculates the risk each contact poses.\u003c/p>\n\u003cp>Lindemer said that she and her team don’t expect users to be completely upfront and that, especially at the beginning of recovery, relationships can be confusing as they rapidly evolve. Hey,Charlie continues to check in periodically, asking, “Is there anything you want to tell me about this person?”[contextly_sidebar id=\"m4GxEhhH8zjyZ8polANWuf0odOZy5mLJ\"]\u003c/p>\n\u003cp>While the initial version of the app focused on sheltering users from risky contacts, Lindemer and her team are now working to incorporate positive support features as well — letting supportive contacts know when their friend or family member is in a risky place.\u003c/p>\n\u003cp>“One of the things we know really well is that many people in recovery do have somebody — like a really close family member or friend — who wants to help them, and they often just don’t have the tools, and they don’t know when is the right time to reach out, so we’re trying to address that,” Lindemer said.\u003c/p>\n\u003cp>Kidorf stressed the importance of supportive, drug-free contacts. His research focuses on how treatment providers can mobilize drug-free individuals to be active participants in their loved one’s recovery.\u003c/p>\n\u003cp>Hey,Charlie is being piloted at local clinics in and around Boston. Dr. Christopher Shanahan, an internist and professor at Boston University School of Medicine, is leading the effort.\u003c/p>\n\u003cp>Shanahan, who has been studying substance use for nearly 20 years, loved the idea that Hey,Charlie could be there for his patients when he can’t. He said Lindemer pitched it to him and his colleagues during their journal club hour — when researchers typically discuss new papers published in their field.\u003c/p>\n\u003cp>“We have, what, 15 to 20 minutes with a patient in a clinic?” Shanahan said. “We give them some advice, a little bit of coaching, and send them out with some buprenorphine — and then it’s a crapshoot.”\u003c/p>\n\u003cp>The app, he said, is “a very innovative way of addressing the other 23 hours and 15 minutes of the day where doctors aren’t seeing patients.”\u003c/p>\n\u003cp>But he won’t hang his hat on it. An app can help patients cope with triggers and temptations, but it’s far from the perfect solution, he said.\u003c/p>\n\u003cp>Kidorf expressed a similar level-headed optimism, noting that apps can bring users closer to people and organizations that can support their recovery. “Overall, I think it is fair to say that these apps can be helpful for people motivated to use them.”\u003c/p>\n\u003cp>But still, he added, “We have to do better at thinking of opioid use disorder as a severe and often chronic disorder. The best apps in the world will have a hard time competing with it.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>This \u003ca href=\"https://www.statnews.com/2018/08/07/can-phone-app-prevent-opioid-addiction-relapses/\" target=\"_blank\" rel=\"noopener\">story\u003c/a> was originally published by STAT, an online publication of Boston Globe Media that covers health, medicine, and scientific discovery.\u003c/em>\u003c/p>\n\n","blocks":[],"excerpt":"A new app aims to help people avoid environmental triggers that might threaten their recovery from an opioid addiction. But will it work?","status":"publish","parent":0,"modified":1533714565,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":37,"wordCount":1512},"headData":{"title":"Can an App Warning to Avoid Risky Friends Prevent Opioid Relapses? | KQED","description":"A new app aims to help people avoid environmental triggers that might threaten their recovery from an opioid addiction. But will it work?","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Can an App Warning to Avoid Risky Friends Prevent Opioid Relapses?","datePublished":"2018-08-08T21:00:16.000Z","dateModified":"2018-08-08T07:49:25.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"443844 https://ww2.kqed.org/futureofyou/?p=443844","disqusUrl":"https://ww2.kqed.org/futureofyou/2018/08/08/can-an-app-warning-to-avoid-risky-friends-prevent-opioid-relapses/","disqusTitle":"Can an App Warning to Avoid Risky Friends Prevent Opioid Relapses?","source":"Health","nprByline":"Orly Nadell Farber\u003cbr />STAT","path":"/futureofyou/443844/can-an-app-warning-to-avoid-risky-friends-prevent-opioid-relapses","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>You’re in recovery from opioid addiction, and your walk to work takes you down the same streets where you used to buy heroin. The drug’s calling to you, still. Just then, your phone buzzes, with a message that reads like a text from an old friend:\u003c/p>\n\u003cp>“Hey, I know you’re near a risky area. You can do this.”\u003c/p>\n\u003cp>It’s from Hey,Charlie, an app — conceived at a 2016 Massachusetts Institute of Technology health hackathon — that aims to help people avoid environmental triggers that might threaten their recovery from an opioid addiction. The app, now being piloted by several treatment centers in Boston and Framingham, Mass., monitors a user’s contacts and location, and sends pop-up notifications to caution them about risky acquaintances or neighborhoods.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>“People and places can remind you of using drugs and stress you out,” leading people to relapse, said Emily Lindemer, co-founder of Hey,Charlie.\u003c/p>\n\u003cp>The app chimes in with a different reminder: recovery. “It helps them keep their sobriety at the front of their mind,” she said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>There are a sea of addiction apps, many connecting people to treatment or augmenting their outpatient therapy, by counting the number of days in recovery, for example, or recording fluctuations in mood or cravings. Some simply encourage users with inspirational quotes or hypnosis guides. Social apps are increasingly a focus, as well.\u003c/p>\n\u003cp>“Social outlets are critically important,” said Wilson Washington Jr., a senior public health adviser at the federal Substance Abuse and Mental Health Services Administration (SAMHSA). “You need family support, you need community support, you need system support.”\u003c/p>\n\u003cp>One such app, \u003ca href=\"http://www.sobertool.com/about/\" target=\"_blank\" rel=\"noopener\">SoberTool\u003c/a>, offers an anonymous forum for discussion. \u003ca href=\"https://www.sobergrid.com/\" target=\"_blank\" rel=\"noopener\">Sober Grid \u003c/a>is a social network — purported to be the largest for people with a chemical dependency — with a news feed reminiscent of Instagram.\u003c/p>\n\u003cp>But when Lindemer attended the MIT hackathon, she saw a gaping hole among the existing apps — not only could an app foster positive social connections, but it could also help people sever the negative ones.\u003c/p>\n\u003cp>Michael Kidorf, a psychiatrist and associate director of addiction treatment services at Johns Hopkins School of Medicine, told STAT that the social networks of urban drug users tend to include a mix of people who use substances and people who are drug-free.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>“As you would expect, people who have more network members who use illicit drugs use more drugs [themselves] and engage in more risky behaviors,” he said by email.\u003c/p>\n\u003cp>Opioid users also rely heavily on their contacts to secure heroin and other drugs, Kidorf added. Studies consistently show that regular interaction with other users predicts poorer treatment outcomes.\u003c/p>\n\u003cp>The hard part, he said, is getting people to dismantle and rebuild their social network. “It is relatively easy to tell substance users to ‘change people, places, and things.’ It is much harder to provide a strategy to help them achieve this important goal.”\u003c/p>\n\u003cp>Hey,Charlie is piloting one such strategy.\u003c/p>\n\u003cp>Having watched someone close to her — the namesake for Hey,Charlie — struggle with opioid addiction, Lindemer noticed the obstacles people in recovery face. Even for those who receive \u003ca href=\"https://www.statnews.com/2018/08/06/fda-expands-medication-assisted-treatment/\">medication-assisted treatment\u003c/a>, “you go live your life and in the day-to-day 24/7 doing normal things, you still are in recovery and you still have to battle these constant environmental triggers,” she said.\u003c/p>\n\u003cp>As a then-Ph.D. student in the joint Harvard-MIT Health Sciences and Technology program, Lindemer thought an app could help mediate those urges.\u003c/p>\n\u003cp>Following the hackathon, Lindemer with her co-founder, Vincent Valant, and head developer, Benjamin Pyser, created a company that initially was funded through MIT grants. Now that she has graduated — she has a day job as a scientist at Watson Health in Cambridge, Mass. – the startup is running mostly on funding from the Robert Wood Johnson Foundation and the National Institute on Drug Abuse.\u003c/p>\n\u003cp>Hey,Charlie’s business model is their “Achilles’ heel,” Lindemer said.\u003c/p>\n\u003cp>She wants to ensure that Hey,Charlie is accessible to everybody. “Our goal is that, if we are charging for it, we are not charging the patient. We want it to fit into a treatment program,” which is why the company hopes to eventually demonstrate the app’s clinical efficacy in controlled trials.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>The app is still being refined, but the basics are in place. When sending a text to a “risky” contact, or receiving one, a message from Hey,Charlie will pop up: “Wait a minute, are you sure you want to speak to John Smith right now?” If the user decides against communicating, Hey,Charlie can send an automatic response. The app also shares a handful of affirmative messages with the user throughout the day.\u003c/p>\n\u003cp>For now, Hey,Charlie’s location services simply create a pause (you’re near a risky area). “The idea is that if you are aware of a potentially triggering situation before it arises, you are more mentally primed to handle it effectively,” said Lindemer.\u003c/p>\n\u003cp>But in the future, Lindemer hopes the app can go one step further. She envisions it not only warning people that they’re approaching a risky location, but suggesting an entirely different path as well. Lindemer wants to partner with local businesses so that Hey,Charlie can say, “Hey, there’s a coffee shop with a discount a couple of blocks away if you’re willing to switch up your route!”\u003c/p>\n\u003cp>The app relies on a combination of data actively input by users — a one-time occurrence — and data passively collected as they continue to use their cellphones. The onboarding process asks users a series of questions about their contacts, ranked by frequency of communication, and then calculates the risk each contact poses.\u003c/p>\n\u003cp>Lindemer said that she and her team don’t expect users to be completely upfront and that, especially at the beginning of recovery, relationships can be confusing as they rapidly evolve. Hey,Charlie continues to check in periodically, asking, “Is there anything you want to tell me about this person?”\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>While the initial version of the app focused on sheltering users from risky contacts, Lindemer and her team are now working to incorporate positive support features as well — letting supportive contacts know when their friend or family member is in a risky place.\u003c/p>\n\u003cp>“One of the things we know really well is that many people in recovery do have somebody — like a really close family member or friend — who wants to help them, and they often just don’t have the tools, and they don’t know when is the right time to reach out, so we’re trying to address that,” Lindemer said.\u003c/p>\n\u003cp>Kidorf stressed the importance of supportive, drug-free contacts. His research focuses on how treatment providers can mobilize drug-free individuals to be active participants in their loved one’s recovery.\u003c/p>\n\u003cp>Hey,Charlie is being piloted at local clinics in and around Boston. Dr. Christopher Shanahan, an internist and professor at Boston University School of Medicine, is leading the effort.\u003c/p>\n\u003cp>Shanahan, who has been studying substance use for nearly 20 years, loved the idea that Hey,Charlie could be there for his patients when he can’t. He said Lindemer pitched it to him and his colleagues during their journal club hour — when researchers typically discuss new papers published in their field.\u003c/p>\n\u003cp>“We have, what, 15 to 20 minutes with a patient in a clinic?” Shanahan said. “We give them some advice, a little bit of coaching, and send them out with some buprenorphine — and then it’s a crapshoot.”\u003c/p>\n\u003cp>The app, he said, is “a very innovative way of addressing the other 23 hours and 15 minutes of the day where doctors aren’t seeing patients.”\u003c/p>\n\u003cp>But he won’t hang his hat on it. An app can help patients cope with triggers and temptations, but it’s far from the perfect solution, he said.\u003c/p>\n\u003cp>Kidorf expressed a similar level-headed optimism, noting that apps can bring users closer to people and organizations that can support their recovery. “Overall, I think it is fair to say that these apps can be helpful for people motivated to use them.”\u003c/p>\n\u003cp>But still, he added, “We have to do better at thinking of opioid use disorder as a severe and often chronic disorder. The best apps in the world will have a hard time competing with it.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>This \u003ca href=\"https://www.statnews.com/2018/08/07/can-phone-app-prevent-opioid-addiction-relapses/\" target=\"_blank\" rel=\"noopener\">story\u003c/a> was originally published by STAT, an online publication of Boston Globe Media that covers health, medicine, and scientific discovery.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/443844/can-an-app-warning-to-avoid-risky-friends-prevent-opioid-relapses","authors":["byline_futureofyou_443844"],"categories":["futureofyou_1060","futureofyou_1062","futureofyou_1","futureofyou_73","futureofyou_1061"],"tags":["futureofyou_828","futureofyou_542","futureofyou_1593","futureofyou_61","futureofyou_938"],"collections":["futureofyou_1093"],"featImg":"futureofyou_443846","label":"source_futureofyou_443844"},"futureofyou_440444":{"type":"posts","id":"futureofyou_440444","meta":{"index":"posts_1591205157","site":"futureofyou","id":"440444","score":null,"sort":[1522073024000]},"guestAuthors":[],"slug":"birth-control-apps-find-a-big-market-in-contraception-deserts","title":"Birth Control Apps Find a Big Market in 'Contraception Deserts'","publishDate":1522073024,"format":"audio","headTitle":"Women’s Health | Future of You | KQED Future of You | KQED Science","labelTerm":{},"content":"\u003cp>[audio mp3=\"https://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2018/03/20180326_me_birth_control_apps_find_a_big_market_in_contraception_deserts_.mp3\" autoplay=\"true\" preload=\"auto\"][/audio]\u003c/p>\n\u003cp>Rachel Ralph works long hours at an accounting firm in Oakland, Calif., and coordinates much of her life via the apps on her phone.\u003c/p>\n\u003cp>So when she first heard several months ago that she could order her usual brand of birth control pills \u003ca href=\"https://www.kqed.org/futureofyou/425267/mobile-app-designed-to-prevent-pregnancy-gets-eu-approval\" target=\"_blank\" rel=\"noopener\">via an app\u003c/a>, and have them delivered to her doorstep in a day or two, it seemed perfect. She was working 12-hour days.[contextly_sidebar id=\"BZOrcpBR3skDDUzwXqFtMkYivLh8tU2K\"]\u003c/p>\n\u003cp>\"Food was delivered, dinner was often delivered,\" Ralph says. \"Anything I could get sent to my house with little effort — the better.\"\u003c/p>\n\u003cp>Ralph ordered a three-month supply of pills via the app of a San Francisco-based company called \u003ca href=\"https://www.nurx.com/\" target=\"_blank\" rel=\"noopener\">NURX\u003c/a>. It's one of several digital ventures, including \u003ca href=\"https://www.mavenclinic.com/\" target=\"_blank\" rel=\"noopener\">Maven\u003c/a> and \u003ca href=\"https://www.lemonaidhealth.com/\" target=\"_blank\" rel=\"noopener\">Lemonaid Health\u003c/a>, that now provide several types of hormonal contraception without requiring a live visit to a doctor or other health care provider.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Women using these services in cities say they like the speed and no-hassle privacy they get by making a purchase through the app. And in some rural areas where women's health clinics are few and far between, being able \u003ca href=\"https://www.newsdeeply.com/water/articles/2018/03/26/report-how-los-angeles-could-source-its-water-locally%20https://www.apnews.com/870b745abdfe41dfa3bb79b49d60f117/Self-taught-rocket-scientist-blasts-off-into-California-sky%20https://www.apnews.com/870b745abdfe41dfa3bb79b49d60f117/Self-taught-rocket-scientist-blasts-off-into-California-sky%20https://www.npr.org/sections/goatsandsoda/2018/03/23/596435463/how-fast-can-an-outbreak-be-detected%20https://khn.org/news/trump-immigration-policies-put-immigrant-caregivers-and-elderly-patients-at-risk/\" target=\"_blank\" rel=\"noopener\">to buy prescription\u003c/a> contraceptives online — starting at around $15 for a month's supply — can be not only much more private, but much more affordable and less time-consuming than driving an hour or more to the closest clinic, or paying for a doctor's appointment.[contextly_sidebar id=\"8UyELd0sdLCUnKJd2rRKJEDknWqS1wDA\"]\u003c/p>\n\u003cp>NURX is now available in 18 states. It's popular in Texas, where many women live in what some health policy analysts call \"\u003ca href=\"https://www.washingtonpost.com/news/monkey-cage/wp/2016/09/26/contraception-deserts-are-what-you-get-when-you-cut-off-this-little-known-federal-program/?utm_term=.2c000aedfece\" target=\"_blank\" rel=\"noopener\">contraception deserts\u003c/a>\" — places that lack easy access to women's health services.\u003c/p>\n\u003cp>The company's process is pretty simple. After users log in to the NURX app, they fill out a questionnaire.\u003c/p>\n\u003cp>\"They tell us about their medical history,\" says Jessica Horowitz, a nurse practitioner with NURX who consults with patients via online chats. \"They give us a blood-pressure check.\"\u003c/p>\n\u003cp>A clinician like Horowitz then reviews the answers and, based on that, makes a suggestion about what type of hormonal contraception might be best for that individual — a pill, a ring or a patch are available, as well as emergency contraception\u003cstrong>.\u003c/strong> If the patient has a question about the product they're considering, they can send an instant message or call to chat with a provider.\u003c/p>\n\u003cp>\"It doesn't matter what time of day it is,\" Horowitz says. \"Someone responds.\"\u003c/p>\n\u003cp>Then NURX sends a prescription to a pharmacy and the drugs are mailed out via priority mail, or faster for emergency contraception. The cost of a month's supply of prescription birth control is often free to the patient, if they have health insurance, Horowitz says, and otherwise starts at $15 out-of-pocket for a month's supply, depending on the brand.[contextly_sidebar id=\"GekufaWZutErmbxmWrMVqC5SIpjD8lih\"]\u003c/p>\n\u003cp>For Claire Hammons, who lives and works in Llano, Texas, about 90 minutes outside of Austin, the low cost of the pills was as important as the convenience.\u003c/p>\n\u003cp>Hammons loves many aspects of life in her small town. \"There is a population of 3,000 people,\" she says. \"But we have a lot going on. We are a huge art town. We have the Llano River. We are surrounded by state parks.\"\u003c/p>\n\u003cp>Still, living there has its drawbacks, she says. There's only one doctor in town and there are no clinics nearby. This means getting health care isn't easy. And for Hammons, the main medicine she needs are birth control pills.\u003c/p>\n\u003cp>\"I've been taking birth control since I was 16 because of endometriosis,\" she explains.\u003c/p>\n\u003cp>If she can't get the pills, Hammons is in a lot of pain every month. A while back, she had a particularly hard time getting a prescription, because she lost her health insurance, and her out-of-pocket cost for a doctor's visit in Llano would have been $140.\u003c/p>\n\u003cp>\"I really did not have — literally — have the money to go to the doctor. Period,\" she says.\u003c/p>\n\u003cp>Hammons says she also couldn't afford to pay out of pocket to pick up the pills every month at a pharmacy.\u003c/p>\n\u003cp>Then, about six months ago, she went online and found NURX. The cost-savings, she says, was \"really amazing and ... saved me a lot.\"[contextly_sidebar id=\"93eYfIv1ZOkr9FnHiToO84fR8I08e0No\"]\u003c/p>\n\u003cp>Texas has become a big market for the app. Dr. Brook Randal, an emergency medicine physician in Austin who works as a provider for NURX, says her patients come from different backgrounds and use the app for different reasons.\u003c/p>\n\u003cp>\"A lot of them are low-income women who may not have a low-cost clinic available to them in the communities where they live,\" she says. \"And so we provide an important service for those women.\"\u003c/p>\n\u003cp>In 2013, the state \u003ca href=\"https://www.kqed.org/futureofyou/440262/landmark-report-concludes-abortion-in-u-s-is-safe\" target=\"_blank\" rel=\"noopener\">passed an abortion\u003c/a> bill that led half of all Texas clinics that performed abortions to close – clinics that often also provided birth control and other medical services to low-income women.\u003c/p>\n\u003cp>\"Many of those women will tell us that they would have had to drive a really long distance in order to get to a clinic where they can get birth control economically,\" Randal says.\u003c/p>\n\u003cp>And their access to birth control got even worse when Texas lawmakers cut funding for the state's family planning program, says \u003ca href=\"https://forabettertexas.org/meetourstaff.html\" target=\"_blank\" rel=\"noopener\">Stacey Pogue\u003c/a>, a health policy analyst with the \u003ca href=\"https://forabettertexas.org/whatwedoandwhy.html\" target=\"_blank\" rel=\"noopener\">Center for Public Policy Priorities\u003c/a> in Austin. The cuts came at a time when the state's population was growing and more women were seeking services, Pogue notes.\u003c/p>\n\u003cp>\"The ability of our safety net system to meet those needs and deliver health care — to actually get health care to women who are looking for contraceptives and well-woman exams — that has certainly been diminished,\" she says.\u003c/p>\n\u003cp>Apps like NURX that give women access to at least some types of contraceptives are definitely helpful, she says. But they aren't a comprehensive solution.\u003c/p>\n\u003cp>Some of the most effective types of birth control — IUDs and implants — aren't available through the apps, Pogue notes, because they require a visit to a health provider. And apps will never substitute for the missing medical clinics — places where, beyond contraception, women could also get life-saving services, such as pap smears, breast exams and cervical cancer screenings.\u003c/p>\n\u003cp>Texas is one of two states (Indiana is the other) where minors can't buy prescription birth control through NURX because of laws restricting minors' access to contraception.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003ca href=\"https://www.kqed.org/author/lesleymcclurg\" target=\"_blank\" rel=\"noopener\">\u003cem>Lesley McClurg\u003c/em>\u003c/a>\u003cem> covers mental health and consumer health stories for \u003c/em>\u003ca href=\"https://www.kqed.org/\" target=\"_blank\" rel=\"noopener\">KQED\u003c/a>\u003cem> in San Francisco, Calif. \u003c/em>\u003ca href=\"http://kut.org/people/ashley-lopez\" target=\"_blank\" rel=\"noopener\">\u003cem>Ashley Lopez\u003c/em>\u003c/a>\u003cem> reports on health care and politics for \u003ca href=\"http://kut.org/people/ashley-lopez\" target=\"_blank\" rel=\"noopener\">KUT\u003c/a>\u003c/em>\u003cem>, in Austin, Texas.\u003c/em>\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2018 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Birth+Control+Apps+Find+A+Big+Market+In+%27Contraception+Deserts%27+&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n","blocks":[],"excerpt":"Women all over the country are trapped in places with no access to birth control. Now they can get it over the counter with an app. ","status":"publish","parent":0,"modified":1522088827,"stats":{"hasAudio":true,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":31,"wordCount":1141},"headData":{"title":"Birth Control Apps Find a Big Market in 'Contraception Deserts' | KQED","description":"Women all over the country are trapped in places with no access to birth control. Now they can get it over the counter with an app. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Birth Control Apps Find a Big Market in 'Contraception Deserts'","datePublished":"2018-03-26T14:03:44.000Z","dateModified":"2018-03-26T18:27:07.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"440444 https://ww2.kqed.org/futureofyou/?p=440444","disqusUrl":"https://ww2.kqed.org/futureofyou/2018/03/26/birth-control-apps-find-a-big-market-in-contraception-deserts/","disqusTitle":"Birth Control Apps Find a Big Market in 'Contraception Deserts'","source":"Health","audioUrl":"https://www.kqed.org/.stream/anon/radio/RDnews/2018/03/McClurgFullBSegBirthControl.mp3","nprByline":"Ashley Lopez, NPR\u003cbr />Lesley McClurg, KQED","nprImageAgency":"Paige Vickers for NPR","nprStoryId":"595387963","nprApiLink":"http://api.npr.org/query?id=595387963&apiKey=MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004","nprHtmlLink":"https://www.npr.org/sections/health-shots/2018/03/26/595387963/birth-control-apps-find-a-big-market-in-contraception-deserts?ft=nprml&f=595387963","nprRetrievedStory":"1","nprPubDate":"Mon, 26 Mar 2018 08:53:00 -0400","nprStoryDate":"Mon, 26 Mar 2018 05:00:00 -0400","nprLastModifiedDate":"Mon, 26 Mar 2018 08:53:24 -0400","nprAudio":"https://ondemand.npr.org/anon.npr-mp3/npr/me/2018/03/20180326_me_birth_control_apps_find_a_big_market_in_contraception_deserts_.mp3?orgId=1&topicId=1128&d=398&p=3&story=595387963&ft=nprml&f=595387963","nprAudioM3u":"http://api.npr.org/m3u/1596942419-bd1f05.m3u?orgId=1&topicId=1128&d=398&p=3&story=595387963&ft=nprml&f=595387963","path":"/futureofyou/440444/birth-control-apps-find-a-big-market-in-contraception-deserts","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"audio","attributes":{"named":{"mp3":"https://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2018/03/20180326_me_birth_control_apps_find_a_big_market_in_contraception_deserts_.mp3","autoplay":"true","preload":"auto","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Rachel Ralph works long hours at an accounting firm in Oakland, Calif., and coordinates much of her life via the apps on her phone.\u003c/p>\n\u003cp>So when she first heard several months ago that she could order her usual brand of birth control pills \u003ca href=\"https://www.kqed.org/futureofyou/425267/mobile-app-designed-to-prevent-pregnancy-gets-eu-approval\" target=\"_blank\" rel=\"noopener\">via an app\u003c/a>, and have them delivered to her doorstep in a day or two, it seemed perfect. She was working 12-hour days.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>\"Food was delivered, dinner was often delivered,\" Ralph says. \"Anything I could get sent to my house with little effort — the better.\"\u003c/p>\n\u003cp>Ralph ordered a three-month supply of pills via the app of a San Francisco-based company called \u003ca href=\"https://www.nurx.com/\" target=\"_blank\" rel=\"noopener\">NURX\u003c/a>. It's one of several digital ventures, including \u003ca href=\"https://www.mavenclinic.com/\" target=\"_blank\" rel=\"noopener\">Maven\u003c/a> and \u003ca href=\"https://www.lemonaidhealth.com/\" target=\"_blank\" rel=\"noopener\">Lemonaid Health\u003c/a>, that now provide several types of hormonal contraception without requiring a live visit to a doctor or other health care provider.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Women using these services in cities say they like the speed and no-hassle privacy they get by making a purchase through the app. And in some rural areas where women's health clinics are few and far between, being able \u003ca href=\"https://www.newsdeeply.com/water/articles/2018/03/26/report-how-los-angeles-could-source-its-water-locally%20https://www.apnews.com/870b745abdfe41dfa3bb79b49d60f117/Self-taught-rocket-scientist-blasts-off-into-California-sky%20https://www.apnews.com/870b745abdfe41dfa3bb79b49d60f117/Self-taught-rocket-scientist-blasts-off-into-California-sky%20https://www.npr.org/sections/goatsandsoda/2018/03/23/596435463/how-fast-can-an-outbreak-be-detected%20https://khn.org/news/trump-immigration-policies-put-immigrant-caregivers-and-elderly-patients-at-risk/\" target=\"_blank\" rel=\"noopener\">to buy prescription\u003c/a> contraceptives online — starting at around $15 for a month's supply — can be not only much more private, but much more affordable and less time-consuming than driving an hour or more to the closest clinic, or paying for a doctor's appointment.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>NURX is now available in 18 states. It's popular in Texas, where many women live in what some health policy analysts call \"\u003ca href=\"https://www.washingtonpost.com/news/monkey-cage/wp/2016/09/26/contraception-deserts-are-what-you-get-when-you-cut-off-this-little-known-federal-program/?utm_term=.2c000aedfece\" target=\"_blank\" rel=\"noopener\">contraception deserts\u003c/a>\" — places that lack easy access to women's health services.\u003c/p>\n\u003cp>The company's process is pretty simple. After users log in to the NURX app, they fill out a questionnaire.\u003c/p>\n\u003cp>\"They tell us about their medical history,\" says Jessica Horowitz, a nurse practitioner with NURX who consults with patients via online chats. \"They give us a blood-pressure check.\"\u003c/p>\n\u003cp>A clinician like Horowitz then reviews the answers and, based on that, makes a suggestion about what type of hormonal contraception might be best for that individual — a pill, a ring or a patch are available, as well as emergency contraception\u003cstrong>.\u003c/strong> If the patient has a question about the product they're considering, they can send an instant message or call to chat with a provider.\u003c/p>\n\u003cp>\"It doesn't matter what time of day it is,\" Horowitz says. \"Someone responds.\"\u003c/p>\n\u003cp>Then NURX sends a prescription to a pharmacy and the drugs are mailed out via priority mail, or faster for emergency contraception. The cost of a month's supply of prescription birth control is often free to the patient, if they have health insurance, Horowitz says, and otherwise starts at $15 out-of-pocket for a month's supply, depending on the brand.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>For Claire Hammons, who lives and works in Llano, Texas, about 90 minutes outside of Austin, the low cost of the pills was as important as the convenience.\u003c/p>\n\u003cp>Hammons loves many aspects of life in her small town. \"There is a population of 3,000 people,\" she says. \"But we have a lot going on. We are a huge art town. We have the Llano River. We are surrounded by state parks.\"\u003c/p>\n\u003cp>Still, living there has its drawbacks, she says. There's only one doctor in town and there are no clinics nearby. This means getting health care isn't easy. And for Hammons, the main medicine she needs are birth control pills.\u003c/p>\n\u003cp>\"I've been taking birth control since I was 16 because of endometriosis,\" she explains.\u003c/p>\n\u003cp>If she can't get the pills, Hammons is in a lot of pain every month. A while back, she had a particularly hard time getting a prescription, because she lost her health insurance, and her out-of-pocket cost for a doctor's visit in Llano would have been $140.\u003c/p>\n\u003cp>\"I really did not have — literally — have the money to go to the doctor. Period,\" she says.\u003c/p>\n\u003cp>Hammons says she also couldn't afford to pay out of pocket to pick up the pills every month at a pharmacy.\u003c/p>\n\u003cp>Then, about six months ago, she went online and found NURX. The cost-savings, she says, was \"really amazing and ... saved me a lot.\"\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Texas has become a big market for the app. Dr. Brook Randal, an emergency medicine physician in Austin who works as a provider for NURX, says her patients come from different backgrounds and use the app for different reasons.\u003c/p>\n\u003cp>\"A lot of them are low-income women who may not have a low-cost clinic available to them in the communities where they live,\" she says. \"And so we provide an important service for those women.\"\u003c/p>\n\u003cp>In 2013, the state \u003ca href=\"https://www.kqed.org/futureofyou/440262/landmark-report-concludes-abortion-in-u-s-is-safe\" target=\"_blank\" rel=\"noopener\">passed an abortion\u003c/a> bill that led half of all Texas clinics that performed abortions to close – clinics that often also provided birth control and other medical services to low-income women.\u003c/p>\n\u003cp>\"Many of those women will tell us that they would have had to drive a really long distance in order to get to a clinic where they can get birth control economically,\" Randal says.\u003c/p>\n\u003cp>And their access to birth control got even worse when Texas lawmakers cut funding for the state's family planning program, says \u003ca href=\"https://forabettertexas.org/meetourstaff.html\" target=\"_blank\" rel=\"noopener\">Stacey Pogue\u003c/a>, a health policy analyst with the \u003ca href=\"https://forabettertexas.org/whatwedoandwhy.html\" target=\"_blank\" rel=\"noopener\">Center for Public Policy Priorities\u003c/a> in Austin. The cuts came at a time when the state's population was growing and more women were seeking services, Pogue notes.\u003c/p>\n\u003cp>\"The ability of our safety net system to meet those needs and deliver health care — to actually get health care to women who are looking for contraceptives and well-woman exams — that has certainly been diminished,\" she says.\u003c/p>\n\u003cp>Apps like NURX that give women access to at least some types of contraceptives are definitely helpful, she says. But they aren't a comprehensive solution.\u003c/p>\n\u003cp>Some of the most effective types of birth control — IUDs and implants — aren't available through the apps, Pogue notes, because they require a visit to a health provider. And apps will never substitute for the missing medical clinics — places where, beyond contraception, women could also get life-saving services, such as pap smears, breast exams and cervical cancer screenings.\u003c/p>\n\u003cp>Texas is one of two states (Indiana is the other) where minors can't buy prescription birth control through NURX because of laws restricting minors' access to contraception.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003ca href=\"https://www.kqed.org/author/lesleymcclurg\" target=\"_blank\" rel=\"noopener\">\u003cem>Lesley McClurg\u003c/em>\u003c/a>\u003cem> covers mental health and consumer health stories for \u003c/em>\u003ca href=\"https://www.kqed.org/\" target=\"_blank\" rel=\"noopener\">KQED\u003c/a>\u003cem> in San Francisco, Calif. \u003c/em>\u003ca href=\"http://kut.org/people/ashley-lopez\" target=\"_blank\" rel=\"noopener\">\u003cem>Ashley Lopez\u003c/em>\u003c/a>\u003cem> reports on health care and politics for \u003ca href=\"http://kut.org/people/ashley-lopez\" target=\"_blank\" rel=\"noopener\">KUT\u003c/a>\u003c/em>\u003cem>, in Austin, Texas.\u003c/em>\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2018 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Birth+Control+Apps+Find+A+Big+Market+In+%27Contraception+Deserts%27+&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/440444/birth-control-apps-find-a-big-market-in-contraception-deserts","authors":["byline_futureofyou_440444"],"programs":["futureofyou_54"],"series":["futureofyou_219"],"categories":["futureofyou_1060","futureofyou_1","futureofyou_73"],"tags":["futureofyou_542","futureofyou_1102","futureofyou_1275","futureofyou_80","futureofyou_347","futureofyou_35","futureofyou_275"],"collections":["futureofyou_1093"],"featImg":"futureofyou_440445","label":"source_futureofyou_440444"},"futureofyou_437968":{"type":"posts","id":"futureofyou_437968","meta":{"index":"posts_1591205157","site":"futureofyou","id":"437968","score":null,"sort":[1514019678000]},"guestAuthors":[],"slug":"feel-in-danger-on-a-date-these-apps-could-help-you-stay-safe","title":"Feel In Danger On A Date? These Apps Could Help You Stay Safe","publishDate":1514019678,"format":"standard","headTitle":"KQED Future of You | KQED Science","labelTerm":{"site":"futureofyou"},"content":"\u003cp>Say you're on a Tinder date and the situation turns weird.\u003c/p>\n\u003cp>\"You're thinking, I need to get out, I no longer feel safe,\" says Celine Guedj, a senior at the University of New Hampshire in Durham. She's role-playing the use of a new app, \u003ca href=\"https://usafeus.org/\">uSafeUS\u003c/a>.\u003c/p>\n\u003cp>\"That's when you open the app,\" Guedj explains. One feature called Time to Leave is designed to give you a quick out. \"You get a fake call\" or text, Guedj says. It sounds like it's your mom or your roommate interrupting you with an urgent request.\u003c/p>\n\u003cp>There are several preprogrammed \"interruption messages\" such as, \"Hey, I'm locked out, can you come let me in.\"\u003c/p>\n\u003caside class=\"pullquote alignright\">'What the students have told us over and over is that they really want a discreet way to take themselves out of a situation, or help a friend.'\u003ccite>Sharyn Potter, sociology professor, University of New Hampshire\u003c/cite>\u003c/aside>\n\u003cp>\"It seems real,\" Guedj says.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Another feature, called Expect Me, will alert a friend if you don't show up to a destination when you're expected. And, one more, called Angel Drink, is a quick way to signal to a bartender or server that you want help to exit a situation or separate yourself from a person who is making you feel uncomfortable.\u003c/p>\n\u003cp>So why the ruse? Why wouldn't you just bolt or walk out of a situation at the first instinct of potential trouble or bad vibe?\u003c/p>\n\u003cp>\"What the students have told us over and over is that they really want a discreet way to take themselves out of a situation, or help a friend,\" says \u003ca href=\"https://cola.unh.edu/faculty-member/sharyn-potter\">Sharyn Potter\u003c/a>, a sociology professor at University of New Hampshire who directs research on sexual violence prevention. She helped develop the app with a team of students, designers and a retired state trooper.\u003c/p>\n\u003cp>Potter says students often don't want to make a scene or they may feel intimidated. \"They're not ready to ... directly call somebody out. They want to do it subtly.\"\u003c/p>\n\u003cp>[contextly_sidebar id=\"jlo1DGhfkrSnsjmvcJh75cg88gwAdLQY\"]The uSafeUS app is free for everyone to download. However, only colleges and institutions that license the app can customize the content to connect users to local resources and support, such as counseling and local law enforcement. The customized app is available for students, faculty, staff, parents/guardians, community members and alumni of universities to use. In addition, the app includes step-by-step information and guidance about what to do in the aftermath of a sexual assault.\u003c/p>\n\u003cp>The app was piloted on New Hampshire campuses last year and was launched nationally this fall., and beginning in January the team behind the uSafeUS app will be reaching out to campus leaders and high schools around the country to spread the word about the platform. The effort is being funded by a grant from the National Science Foundation.\u003c/p>\n\u003cp>Still, advocates say that even the best app can't replace human interaction – or help from a person.\u003c/p>\n\u003cp>\"In theory, apps like this sound like a good idea,\" says Sabrina Sugano, a student at Cornell University who is co-president of \u003ca href=\"http://cornellconsented.strikingly.com/i/construction\">Consent Ed\u003c/a>, a peer-to-peer education program. She's never used safety apps like this one, but says she can see how they could be useful.\u003c/p>\n\u003cp>[contextly_sidebar id=\"5suwNTnCjxXNU76jd48N4F1wTb8oTYo0\"]\"We have a big emphasis on bystander intervention,\" Sugano says. \"We talk a lot about ways [students] can intervene, say, in a party situation\" to help someone who appears to be in an uncomfortable situation. If the app can help aid this bystander approach, Sugano says this could be beneficial.\u003c/p>\n\u003cp>But she has hesitations, too. Safety apps are just one tool.\u003c/p>\n\u003cp>\"We shouldn't rely completely on them, because we should be able to have our peers acting as a community to help us.\" Sugano says. She says human interactions are important, especially since someone who's been drinking at a campus party and becomes incapacitated might not have the clarity of mind or the ability to launch an app if they're in an unsafe situation.\u003c/p>\n\u003cp>This isn't the first effort to create tools to help people protect themselves against sexual aggression or assault. Existing safety apps such as \u003ca href=\"https://getbsafe.com/\">bSafe\u003c/a> and \u003ca href=\"https://www.circleof6app.com/\">Circleof6\u003c/a> are getting a second look in workplaces, communities and on military bases.\u003c/p>\n\u003cp>Circleof6, which won the Obama administration's \"\u003ca href=\"https://obamawhitehouse.archives.gov/blog/2011/11/01/announcing-winners-apps-against-abuse-technology-challenge\">Apps Against Abuse\u003c/a>\" technology challenge back in 2011, was originally designed for college students. Now, it's marketed as a safety app \"for everyone.\"\u003c/p>\n\u003cp>\"Circleof6 was designed, really mirroring what friends, especially women, have always done for each other,\" says \u003ca href=\"https://www.circleof6app.com/about/#member1\">Nancy Schwartzman\u003c/a>, chief executive officer of Tech 4 Good, LLC the company behind the app. \" 'Where are you going to be, check in with me later, call me if you need me,' we say to our friends. We just brought this to the mobile context,\" Schwartzman says.\u003c/p>\n\u003cp>Users pick up to six friends to join their circle. Features include Come Get Me, which sends a text to your circle of friends with your exact location using GPS coordinates. Another option, Call Me, sends a text to your circle that says. \"Call and pretend you need me. I need an interruption.\" The app also connects users to national hotlines and has helpful links to information about sexuality, relationships and safety.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Schwartzman acknowledges that sexual assault is a complex problem. \"Apps can't solve it,\" she says. But her hope is that the technology can help.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2017 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Feel+In+Danger+On+A+Date%3F+These+Apps+Could+Help+You+Stay+Safe&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n","blocks":[],"excerpt":"Safety apps are designed to help women ease out of a dating situation that seems uncomfortable or dangerous. But experts say it's also important to help friends in real life.","status":"publish","parent":0,"modified":1514352344,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":23,"wordCount":917},"headData":{"title":"Feel In Danger On A Date? These Apps Could Help You Stay Safe | KQED","description":"Safety apps are designed to help women ease out of a dating situation that seems uncomfortable or dangerous. But experts say it's also important to help friends in real life.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Feel In Danger On A Date? These Apps Could Help You Stay Safe","datePublished":"2017-12-23T09:01:18.000Z","dateModified":"2017-12-27T05:25:44.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"437968 https://ww2.kqed.org/futureofyou/?p=437968","disqusUrl":"https://ww2.kqed.org/futureofyou/2017/12/23/feel-in-danger-on-a-date-these-apps-could-help-you-stay-safe/","disqusTitle":"Feel In Danger On A Date? These Apps Could Help You Stay Safe","nprByline":"Allison Aubrey\u003cbr />NPR Shots","nprImageAgency":"Maria Fabrizio for NPR","nprStoryId":"571086219","nprApiLink":"http://api.npr.org/query?id=571086219&apiKey=MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004","nprHtmlLink":"https://www.npr.org/sections/health-shots/2017/12/18/571086219/on-a-bad-date-these-apps-could-help-you-stay-safe?ft=nprml&f=571086219","nprRetrievedStory":"1","nprPubDate":"Tue, 19 Dec 2017 11:40:00 -0500","nprStoryDate":"Mon, 18 Dec 2017 04:48:00 -0500","nprLastModifiedDate":"Wed, 20 Dec 2017 13:39:10 -0500","nprAudio":"https://ondemand.npr.org/anon.npr-mp3/npr/me/2017/12/20171218_me_on_a_bad_date_these_apps_could_help_you_stay_safe.mp3?orgId=1&topicId=1128&d=272&p=3&story=571086219&ft=nprml&f=571086219","nprAudioM3u":"http://api.npr.org/m3u/1571579703-acd426.m3u?orgId=1&topicId=1128&d=272&p=3&story=571086219&ft=nprml&f=571086219","path":"/futureofyou/437968/feel-in-danger-on-a-date-these-apps-could-help-you-stay-safe","audioUrl":"https://ondemand.npr.org/anon.npr-mp3/npr/me/2017/12/20171218_me_on_a_bad_date_these_apps_could_help_you_stay_safe.mp3?orgId=1&topicId=1128&d=272&p=3&story=571086219&ft=nprml&f=571086219","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Say you're on a Tinder date and the situation turns weird.\u003c/p>\n\u003cp>\"You're thinking, I need to get out, I no longer feel safe,\" says Celine Guedj, a senior at the University of New Hampshire in Durham. She's role-playing the use of a new app, \u003ca href=\"https://usafeus.org/\">uSafeUS\u003c/a>.\u003c/p>\n\u003cp>\"That's when you open the app,\" Guedj explains. One feature called Time to Leave is designed to give you a quick out. \"You get a fake call\" or text, Guedj says. It sounds like it's your mom or your roommate interrupting you with an urgent request.\u003c/p>\n\u003cp>There are several preprogrammed \"interruption messages\" such as, \"Hey, I'm locked out, can you come let me in.\"\u003c/p>\n\u003caside class=\"pullquote alignright\">'What the students have told us over and over is that they really want a discreet way to take themselves out of a situation, or help a friend.'\u003ccite>Sharyn Potter, sociology professor, University of New Hampshire\u003c/cite>\u003c/aside>\n\u003cp>\"It seems real,\" Guedj says.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Another feature, called Expect Me, will alert a friend if you don't show up to a destination when you're expected. And, one more, called Angel Drink, is a quick way to signal to a bartender or server that you want help to exit a situation or separate yourself from a person who is making you feel uncomfortable.\u003c/p>\n\u003cp>So why the ruse? Why wouldn't you just bolt or walk out of a situation at the first instinct of potential trouble or bad vibe?\u003c/p>\n\u003cp>\"What the students have told us over and over is that they really want a discreet way to take themselves out of a situation, or help a friend,\" says \u003ca href=\"https://cola.unh.edu/faculty-member/sharyn-potter\">Sharyn Potter\u003c/a>, a sociology professor at University of New Hampshire who directs research on sexual violence prevention. She helped develop the app with a team of students, designers and a retired state trooper.\u003c/p>\n\u003cp>Potter says students often don't want to make a scene or they may feel intimidated. \"They're not ready to ... directly call somebody out. They want to do it subtly.\"\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>The uSafeUS app is free for everyone to download. However, only colleges and institutions that license the app can customize the content to connect users to local resources and support, such as counseling and local law enforcement. The customized app is available for students, faculty, staff, parents/guardians, community members and alumni of universities to use. In addition, the app includes step-by-step information and guidance about what to do in the aftermath of a sexual assault.\u003c/p>\n\u003cp>The app was piloted on New Hampshire campuses last year and was launched nationally this fall., and beginning in January the team behind the uSafeUS app will be reaching out to campus leaders and high schools around the country to spread the word about the platform. The effort is being funded by a grant from the National Science Foundation.\u003c/p>\n\u003cp>Still, advocates say that even the best app can't replace human interaction – or help from a person.\u003c/p>\n\u003cp>\"In theory, apps like this sound like a good idea,\" says Sabrina Sugano, a student at Cornell University who is co-president of \u003ca href=\"http://cornellconsented.strikingly.com/i/construction\">Consent Ed\u003c/a>, a peer-to-peer education program. She's never used safety apps like this one, but says she can see how they could be useful.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>\"We have a big emphasis on bystander intervention,\" Sugano says. \"We talk a lot about ways [students] can intervene, say, in a party situation\" to help someone who appears to be in an uncomfortable situation. If the app can help aid this bystander approach, Sugano says this could be beneficial.\u003c/p>\n\u003cp>But she has hesitations, too. Safety apps are just one tool.\u003c/p>\n\u003cp>\"We shouldn't rely completely on them, because we should be able to have our peers acting as a community to help us.\" Sugano says. She says human interactions are important, especially since someone who's been drinking at a campus party and becomes incapacitated might not have the clarity of mind or the ability to launch an app if they're in an unsafe situation.\u003c/p>\n\u003cp>This isn't the first effort to create tools to help people protect themselves against sexual aggression or assault. Existing safety apps such as \u003ca href=\"https://getbsafe.com/\">bSafe\u003c/a> and \u003ca href=\"https://www.circleof6app.com/\">Circleof6\u003c/a> are getting a second look in workplaces, communities and on military bases.\u003c/p>\n\u003cp>Circleof6, which won the Obama administration's \"\u003ca href=\"https://obamawhitehouse.archives.gov/blog/2011/11/01/announcing-winners-apps-against-abuse-technology-challenge\">Apps Against Abuse\u003c/a>\" technology challenge back in 2011, was originally designed for college students. Now, it's marketed as a safety app \"for everyone.\"\u003c/p>\n\u003cp>\"Circleof6 was designed, really mirroring what friends, especially women, have always done for each other,\" says \u003ca href=\"https://www.circleof6app.com/about/#member1\">Nancy Schwartzman\u003c/a>, chief executive officer of Tech 4 Good, LLC the company behind the app. \" 'Where are you going to be, check in with me later, call me if you need me,' we say to our friends. We just brought this to the mobile context,\" Schwartzman says.\u003c/p>\n\u003cp>Users pick up to six friends to join their circle. Features include Come Get Me, which sends a text to your circle of friends with your exact location using GPS coordinates. Another option, Call Me, sends a text to your circle that says. \"Call and pretend you need me. I need an interruption.\" The app also connects users to national hotlines and has helpful links to information about sexuality, relationships and safety.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Schwartzman acknowledges that sexual assault is a complex problem. \"Apps can't solve it,\" she says. But her hope is that the technology can help.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2017 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Feel+In+Danger+On+A+Date%3F+These+Apps+Could+Help+You+Stay+Safe&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/437968/feel-in-danger-on-a-date-these-apps-could-help-you-stay-safe","authors":["byline_futureofyou_437968"],"categories":["futureofyou_1"],"tags":["futureofyou_542","futureofyou_450","futureofyou_1275","futureofyou_1312"],"featImg":"futureofyou_437969","label":"futureofyou"},"futureofyou_359397":{"type":"posts","id":"futureofyou_359397","meta":{"index":"posts_1591205157","site":"futureofyou","id":"359397","score":null,"sort":[1490970624000]},"guestAuthors":[],"slug":"its-true-a-smartphone-that-can-accurately-test-sperm-count","title":"It's True. A Smartphone That Can Accurately Test Sperm Count","publishDate":1490970624,"format":"standard","headTitle":"KQED Future of You | KQED Science","labelTerm":{"site":"futureofyou"},"content":"\u003cp>Men may soon be able to take their own sperm count — at home. With a smartphone. Yes, there's an app for that.\u003c/p>\n\u003cp>You may be asking yourself, why?\u003c/p>\n\u003cp>Low sperm count is a marker for male infertility, a condition that is actually a \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3987469/\">neglected\u003c/a> health issue worldwide, according to the World Health Organization.\u003c/p>\n\u003caside class=\"pullquote alignright\">The smartphone system was able to identify abnormal sperm samples with 98 percent accuracy.\u003c/aside>\n\u003cp>Current methods to diagnose male infertility require laboratory equipment that can cost up to $100,000. On top of that, standard methods often require a specially trained technician.\u003c/p>\n\u003cp>A team of researchers at Harvard is trying to change that.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Led by \u003ca href=\"http://shafieelab.bwh.harvard.edu/people/\">Hadi Shafiee\u003c/a>, an assistant professor at Harvard Medical School who works on developing new tools for patient care, researchers have developed a rapid infertility diagnostic tool that attaches to a smartphone.\u003c/p>\n\u003cp>The phone attachment works with a smartphone app the researchers created to count the number of sperm and measure motility, which are markers for infertility.\u003c/p>\n\u003cp>The process is fairly simple. First, you load a small amount of a semen sample onto a disposable microchip. Then you put the microchip into the cell phone attachment through a slot. The attachment turns the phone's camera into a microscope.\u003c/p>\n\u003cp>After the sample is loaded, you run the app, which allows the user to see a video of the sample. Then hit record, and the app analyzes the video to identify sperm cells and track their movements.\u003c/p>\n\u003cp>At no point does semen touch the smartphone.\u003c/p>\n\u003cp>[contextly_sidebar id=\"QG3dCho1sDcXALCEtUv1BkeMxMQt0DX4\"]The Harvard team \u003ca href=\"http://www.spermcheck.com/\">isn't the first\u003c/a> to develop an at-home fertility test for men, but they are the first to be able to determine sperm concentration as well as motility.\u003c/p>\n\u003cp>The scientists compared the smartphone sperm tracker to current lab equipment by analyzing the same semen samples side by side. They analyzed over 350 semen samples of both infertile and fertile men. The smartphone system was able to identify abnormal sperm samples with 98 percent accuracy. The results of the study were \u003ca href=\"http://stm.sciencemag.org/lookup/doi/10.1126/scitranslmed.aai7863\">published \u003c/a>in the journal \u003cem>Science Translational Medicine\u003c/em> last week.\u003c/p>\n\u003cp>But could the average Joe really do this at home?\u003c/p>\n\u003cp>Shafiee's group looked at exactly that.\u003c/p>\n\u003cp>\"We wanted to see what happens when this is operated by an untrained user with no scientific background.\" he says. Turns out you don't need any special training to measure your own swimmers. Both untrained and trained users were able to operate the at-home test without any difficulty.\u003c/p>\n\u003cp>The cell phone attachment is currently designed for use with Android devices, but Shafiee is busy at work designing a version that would work with iPhones. The device costs about $5 to make in the lab. This low cost could help provide much-need infertility care in developing nations, which often lack the resources for currently available diagnostics.\u003c/p>\n\u003cp>Although the device is designed to test for male infertility, Shafiee thinks it could also help men who have recently undergone a vasectomy. After a vasectomy, men are supposed to have their sperm count tested to tell whether the procedure worked. Unfortunately, many men do not take the time to come back to a clinic and have their sample tested.\u003c/p>\n\u003cp>\"Urologists will love something like this,\" says Shafiee. \"They can hand it to the patients and ask them to perform the analysis by themselves.\" Ideally, the results would be sent through the app directly to the doctor.\u003c/p>\n\u003cp>Shafiee says the next steps are getting FDA approval, starting a company, and beginning mass production of the devices. \"I am confident that this can go to customers at below 50.00 dollars when it is ready\" says Shafiee.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Shafiee says he hopes that in the future, fertility tests for men will be as easy and common as at-home pregnancy tests for women.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2017 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=A+Smartphone+Can+Accurately+Test+Sperm+Count&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n","blocks":[],"excerpt":"Measuring the quality of those little swimmers usually requires a trip to the doctor. Researchers have come up with a smartphone accessory that would let men do that at home in less than five seconds.","status":"publish","parent":0,"modified":1491321069,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":22,"wordCount":649},"headData":{"title":"It's True. A Smartphone That Can Accurately Test Sperm Count | KQED","description":"Measuring the quality of those little swimmers usually requires a trip to the doctor. Researchers have come up with a smartphone accessory that would let men do that at home in less than five seconds.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"It's True. A Smartphone That Can Accurately Test Sperm Count","datePublished":"2017-03-31T14:30:24.000Z","dateModified":"2017-04-04T15:51:09.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"359397 https://ww2.kqed.org/futureofyou/?p=359397","disqusUrl":"https://ww2.kqed.org/futureofyou/2017/03/31/its-true-a-smartphone-that-can-accurately-test-sperm-count/","disqusTitle":"It's True. A Smartphone That Can Accurately Test Sperm Count","nprImageCredit":"Hadi Shafiee","nprByline":"Madeline K. Sofia\u003cbr />NPR Shots","nprImageAgency":"Brigham and Women's Hospital, Harvard Medical School","nprStoryId":"520837557","nprApiLink":"http://api.npr.org/query?id=520837557&apiKey=MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004","nprHtmlLink":"http://www.npr.org/sections/health-shots/2017/03/22/520837557/a-smartphone-can-accurately-test-sperm-count?ft=nprml&f=520837557","nprRetrievedStory":"1","nprPubDate":"Wed, 22 Mar 2017 14:03:00 -0400","nprStoryDate":"Wed, 22 Mar 2017 14:01:00 -0400","nprLastModifiedDate":"Wed, 22 Mar 2017 14:03:25 -0400","path":"/futureofyou/359397/its-true-a-smartphone-that-can-accurately-test-sperm-count","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Men may soon be able to take their own sperm count — at home. With a smartphone. Yes, there's an app for that.\u003c/p>\n\u003cp>You may be asking yourself, why?\u003c/p>\n\u003cp>Low sperm count is a marker for male infertility, a condition that is actually a \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3987469/\">neglected\u003c/a> health issue worldwide, according to the World Health Organization.\u003c/p>\n\u003caside class=\"pullquote alignright\">The smartphone system was able to identify abnormal sperm samples with 98 percent accuracy.\u003c/aside>\n\u003cp>Current methods to diagnose male infertility require laboratory equipment that can cost up to $100,000. On top of that, standard methods often require a specially trained technician.\u003c/p>\n\u003cp>A team of researchers at Harvard is trying to change that.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Led by \u003ca href=\"http://shafieelab.bwh.harvard.edu/people/\">Hadi Shafiee\u003c/a>, an assistant professor at Harvard Medical School who works on developing new tools for patient care, researchers have developed a rapid infertility diagnostic tool that attaches to a smartphone.\u003c/p>\n\u003cp>The phone attachment works with a smartphone app the researchers created to count the number of sperm and measure motility, which are markers for infertility.\u003c/p>\n\u003cp>The process is fairly simple. First, you load a small amount of a semen sample onto a disposable microchip. Then you put the microchip into the cell phone attachment through a slot. The attachment turns the phone's camera into a microscope.\u003c/p>\n\u003cp>After the sample is loaded, you run the app, which allows the user to see a video of the sample. Then hit record, and the app analyzes the video to identify sperm cells and track their movements.\u003c/p>\n\u003cp>At no point does semen touch the smartphone.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>The Harvard team \u003ca href=\"http://www.spermcheck.com/\">isn't the first\u003c/a> to develop an at-home fertility test for men, but they are the first to be able to determine sperm concentration as well as motility.\u003c/p>\n\u003cp>The scientists compared the smartphone sperm tracker to current lab equipment by analyzing the same semen samples side by side. They analyzed over 350 semen samples of both infertile and fertile men. The smartphone system was able to identify abnormal sperm samples with 98 percent accuracy. The results of the study were \u003ca href=\"http://stm.sciencemag.org/lookup/doi/10.1126/scitranslmed.aai7863\">published \u003c/a>in the journal \u003cem>Science Translational Medicine\u003c/em> last week.\u003c/p>\n\u003cp>But could the average Joe really do this at home?\u003c/p>\n\u003cp>Shafiee's group looked at exactly that.\u003c/p>\n\u003cp>\"We wanted to see what happens when this is operated by an untrained user with no scientific background.\" he says. Turns out you don't need any special training to measure your own swimmers. Both untrained and trained users were able to operate the at-home test without any difficulty.\u003c/p>\n\u003cp>The cell phone attachment is currently designed for use with Android devices, but Shafiee is busy at work designing a version that would work with iPhones. The device costs about $5 to make in the lab. This low cost could help provide much-need infertility care in developing nations, which often lack the resources for currently available diagnostics.\u003c/p>\n\u003cp>Although the device is designed to test for male infertility, Shafiee thinks it could also help men who have recently undergone a vasectomy. After a vasectomy, men are supposed to have their sperm count tested to tell whether the procedure worked. Unfortunately, many men do not take the time to come back to a clinic and have their sample tested.\u003c/p>\n\u003cp>\"Urologists will love something like this,\" says Shafiee. \"They can hand it to the patients and ask them to perform the analysis by themselves.\" Ideally, the results would be sent through the app directly to the doctor.\u003c/p>\n\u003cp>Shafiee says the next steps are getting FDA approval, starting a company, and beginning mass production of the devices. \"I am confident that this can go to customers at below 50.00 dollars when it is ready\" says Shafiee.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Shafiee says he hopes that in the future, fertility tests for men will be as easy and common as at-home pregnancy tests for women.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2017 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=A+Smartphone+Can+Accurately+Test+Sperm+Count&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/359397/its-true-a-smartphone-that-can-accurately-test-sperm-count","authors":["byline_futureofyou_359397"],"categories":["futureofyou_1060"],"tags":["futureofyou_542","futureofyou_1227"],"featImg":"futureofyou_359398","label":"futureofyou"},"futureofyou_66347":{"type":"posts","id":"futureofyou_66347","meta":{"index":"posts_1591205157","site":"futureofyou","id":"66347","score":null,"sort":[1447434036000]},"guestAuthors":[],"slug":"beyond-fitbits-chronically-ill-use-apps-for-health","title":"Beyond Fitbits: Chronically Ill Use Apps For Health","publishDate":1447434036,"format":"standard","headTitle":"KQED Future of You | KQED Science","labelTerm":{"site":"futureofyou"},"content":"\u003cp>James Metcalf is \u003ca href=\"http://www.cdc.gov/bloodpressure/facts.htm\">one of about 70 million Americans \u003c/a>who lives with high blood pressure, otherwise known as hypertension.\u003c/p>\n\u003cp>But six months ago, Metcalf started using a mobile app called \u003ca href=\"https://helloheartapp.com/\">Hello Heart \u003c/a>to monitor his blood pressure and remind him to take his meds. Six months after he started using the app, his blood pressure stabilized.\u003c/p>\n\u003cp>“I needed something that reminded me everyday to track my blood pressure and give me immediate feedback,\" says Metcalf, who lives in Missouri. \"The difference in how I feel now is night and day.”\u003c/p>\n\u003cp>The press has fixated on the apps and services that serve the healthiest segment of the population. But a new study has found that the most prevalent application of digital health technology is towards a humbler and more necessary goal: To help sick people live healthier lives.\u003c/p>\n\u003cp>The San Francisco-based venture fund \u003ca href=\"https://rockhealth.com/\">Rock Health\u003c/a> recently published its first \u003ca href=\"https://rockhealth.com/reports/digital-health-consumer-adoption-2015/\">survey on trends in digital health\u003c/a> based on responses from 4,000 American adults. One of the most striking results is that the so-called \"super adopters\" of digital health technology tend to be “younger, sicker, and significantly more likely to own a smartphone.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“Adoption of digital health services skews towards sick people,\" says Malay Gandhi, managing director at Rock Health. \"If you use technology for other things in your life, why wouldn’t you also turn to technology for your health?”\u003c/p>\n\u003cp>\u003cstrong>The Myth of the 'Worried Well'\u003c/strong>\u003c/p>\n\u003cp>Digital health is one of the\u003ca href=\"https://rockhealth.com/reports/digital-health-2015-midyear/\"> fastest-growing\u003c/a> areas of technology, with new products and services increasingly serving as a means for people to engage with their health.\u003c/p>\n\u003cfigure id=\"attachment_66370\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-66370\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/11/Unknown-800x600.jpeg\" alt=\"James Metcalf uses mobile health apps to help keep his blood pressure under control. \" width=\"800\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/11/Unknown-800x600.jpeg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/Unknown-400x300.jpeg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/Unknown-1180x885.jpeg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/Unknown-960x720.jpeg 960w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/Unknown.jpeg 1280w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">James Metcalf uses mobile health apps to help keep his blood pressure under control. \u003ccite>(Hello Heart )\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Beyond gathering information, more and more people are using mobile devices to track everything from sleeping habits to menstrual cycles. Want a quick at-home workout? There’s an app for that. Want to monitor your baby’s vitals? \u003ca href=\"http://www.fastcodesign.com/3017180/the-owlet-baby-monitor-wearable-tech-for-infants\">There’s a sock for that. \u003c/a>\u003c/p>\n\u003cp>Certainly, there are digital health products out there that cater to those who are already at peak health and fitness. But doctors and digital health entrepreneurs say that this is not the norm.\u003c/p>\n\u003cp>“People who have multiple chronic conditions, who may be from places that are medically under-served, feel helpless and don’t know where to turn -- so they turn to the internet and mobile apps,\" said Dr. Connie Chen, the cofounder and Chief Medical Officer at \u003ca href=\"http://www.vida.com\">Vida\u003c/a>, a mobile app for personal health coaching.\u003c/p>\n\u003cfigure id=\"attachment_66371\" class=\"wp-caption alignleft\" style=\"max-width: 312px\">\u003cimg class=\" wp-image-66371\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/11/Unknown-3-337x600.jpeg\" alt=\"An app called Hello Heart is used by 40,000 people to manage heart disease. \" width=\"312\" height=\"555\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/11/Unknown-3-337x600.jpeg 337w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/Unknown-3.jpeg 375w\" sizes=\"(max-width: 312px) 100vw, 312px\">\u003cfigcaption class=\"wp-caption-text\">An app called Hello Heart is used by 40,000 people to manage heart disease. \u003ccite>(Hello Heart )\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Helping the Chronically Ill \u003c/strong>\u003c/p>\n\u003cp>The majority of people who use the Vida app are struggling with a chronic condition, like diabetes and high blood pressure, Chen explained. The goal of the app is to help people change their behavior and maintain healthy habits.\u003c/p>\n\u003cp>For Omaha, Nebraska-based JC Hammond, health apps have transformed the way she manages her severe asthma. Despite having asthma her whole life, or perhaps because of it, she often struggled to remember whether or not she had taken her medication.\u003c/p>\n\u003cp>“People think if you can’t breathe, you will remember to take your medicine,\" Hammond said. \"But if remembering to take your medicine becomes routine, you do it mindlessly or you don’t remember.\"\u003c/p>\n\u003cp>Hammond is currently using six different health apps, including \u003ca href=\"https://www.mangohealth.com/\">Mango Health\u003c/a>, which helps her take her medication on time, and a Walgreens app to manage her prescriptions. These digital health products have also enabled her to gain more insight into her disease.\u003c/p>\n\u003cp>“These apps help me identify patterns,” Hammond said. “I knew what triggered my asthma, but until recently, I had not really thought about what kinds of things in my daily routine could predispose me to having an attack or make it harder to manage my asthma.”\u003c/p>\n\u003caside class=\"pullquote alignleft\">'People who have multiple chronic conditions, who may be from places that are medically under-served, feel helpless and don’t know where to turn -- so they turn to the internet and mobile apps.'\u003cbr>\n\u003ccite>Connie Chen, Chief Medical Officer at Vida \u003c/cite>\u003c/aside>\n\u003cp>Bill McCain, who is based in New York, has diabetes and uses a Dexcom continuous glucose monitoring system, which attaches via a patch and reads the glucose value of the fluid just under the skin. It sends the value to his phone every three minutes. His wife also has the app on her phone, so she can check McCain’s blood sugar and receive notifications if it gets outside of specific ranges.\u003c/p>\n\u003cp>“Most people with diabetes check their blood sugar values 4 to 8 times per day,” McCain said. “I get 480 readings per day that aren't just a freeze-frame in time, but can show me whether my sugar levels are rising or falling and the slope of the change.\"\u003c/p>\n\u003cp>\u003cstrong>Gaining Legitimacy\u003cbr>\n\u003c/strong>\u003c/p>\n\u003cp>Earlier this year, \u003ca href=\"http://medcitynews.com/2015/03/omada/\">the CDC acknowledged for the first time the benefits of\u003c/a> three digital health apps that aim to support healthy eating habits and counter the onset of Type 2 diabetes. It recognized three mobile health technologies -- \u003ca href=\"https://omadahealth.com/\">Omada Health\u003c/a>,\u003ca href=\"https://www.noom.com/\"> Noom Health\u003c/a>, and \u003ca href=\"http://www.dpshealth.com/\">DPS Health\u003c/a> -- that meet the \u003ca href=\"http://www.cdc.gov/diabetes/prevention/pdf/dprp_standards_09-02-2011.pdf\">National Diabetes Prevention Program’s evidence-based standards\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>This was a major step for digital health technology, especially for the apps that address chronic conditions. It paves the way for a not-so-distant future where doctors could prescribe apps to their patients, along with more traditional treatments. That might boost adherence, but also give doctors access to a greater collection of patient data.\u003c/p>\n\n","blocks":[],"excerpt":"A new study has found that the most prevalent application of digital health technology is to help sick people live healthier lives.","status":"publish","parent":0,"modified":1477273292,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":24,"wordCount":940},"headData":{"title":"Beyond Fitbits: Chronically Ill Use Apps For Health | KQED","description":"A new study has found that the most prevalent application of digital health technology is to help sick people live healthier lives.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Beyond Fitbits: Chronically Ill Use Apps For Health","datePublished":"2015-11-13T17:00:36.000Z","dateModified":"2016-10-24T01:41:32.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"66347 http://ww2.kqed.org/futureofyou/?p=66347","disqusUrl":"https://ww2.kqed.org/futureofyou/2015/11/13/beyond-fitbits-chronically-ill-use-apps-for-health/","disqusTitle":"Beyond Fitbits: Chronically Ill Use Apps For Health","path":"/futureofyou/66347/beyond-fitbits-chronically-ill-use-apps-for-health","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>James Metcalf is \u003ca href=\"http://www.cdc.gov/bloodpressure/facts.htm\">one of about 70 million Americans \u003c/a>who lives with high blood pressure, otherwise known as hypertension.\u003c/p>\n\u003cp>But six months ago, Metcalf started using a mobile app called \u003ca href=\"https://helloheartapp.com/\">Hello Heart \u003c/a>to monitor his blood pressure and remind him to take his meds. Six months after he started using the app, his blood pressure stabilized.\u003c/p>\n\u003cp>“I needed something that reminded me everyday to track my blood pressure and give me immediate feedback,\" says Metcalf, who lives in Missouri. \"The difference in how I feel now is night and day.”\u003c/p>\n\u003cp>The press has fixated on the apps and services that serve the healthiest segment of the population. But a new study has found that the most prevalent application of digital health technology is towards a humbler and more necessary goal: To help sick people live healthier lives.\u003c/p>\n\u003cp>The San Francisco-based venture fund \u003ca href=\"https://rockhealth.com/\">Rock Health\u003c/a> recently published its first \u003ca href=\"https://rockhealth.com/reports/digital-health-consumer-adoption-2015/\">survey on trends in digital health\u003c/a> based on responses from 4,000 American adults. One of the most striking results is that the so-called \"super adopters\" of digital health technology tend to be “younger, sicker, and significantly more likely to own a smartphone.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“Adoption of digital health services skews towards sick people,\" says Malay Gandhi, managing director at Rock Health. \"If you use technology for other things in your life, why wouldn’t you also turn to technology for your health?”\u003c/p>\n\u003cp>\u003cstrong>The Myth of the 'Worried Well'\u003c/strong>\u003c/p>\n\u003cp>Digital health is one of the\u003ca href=\"https://rockhealth.com/reports/digital-health-2015-midyear/\"> fastest-growing\u003c/a> areas of technology, with new products and services increasingly serving as a means for people to engage with their health.\u003c/p>\n\u003cfigure id=\"attachment_66370\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-66370\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/11/Unknown-800x600.jpeg\" alt=\"James Metcalf uses mobile health apps to help keep his blood pressure under control. \" width=\"800\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/11/Unknown-800x600.jpeg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/Unknown-400x300.jpeg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/Unknown-1180x885.jpeg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/Unknown-960x720.jpeg 960w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/Unknown.jpeg 1280w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">James Metcalf uses mobile health apps to help keep his blood pressure under control. \u003ccite>(Hello Heart )\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Beyond gathering information, more and more people are using mobile devices to track everything from sleeping habits to menstrual cycles. Want a quick at-home workout? There’s an app for that. Want to monitor your baby’s vitals? \u003ca href=\"http://www.fastcodesign.com/3017180/the-owlet-baby-monitor-wearable-tech-for-infants\">There’s a sock for that. \u003c/a>\u003c/p>\n\u003cp>Certainly, there are digital health products out there that cater to those who are already at peak health and fitness. But doctors and digital health entrepreneurs say that this is not the norm.\u003c/p>\n\u003cp>“People who have multiple chronic conditions, who may be from places that are medically under-served, feel helpless and don’t know where to turn -- so they turn to the internet and mobile apps,\" said Dr. Connie Chen, the cofounder and Chief Medical Officer at \u003ca href=\"http://www.vida.com\">Vida\u003c/a>, a mobile app for personal health coaching.\u003c/p>\n\u003cfigure id=\"attachment_66371\" class=\"wp-caption alignleft\" style=\"max-width: 312px\">\u003cimg class=\" wp-image-66371\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/11/Unknown-3-337x600.jpeg\" alt=\"An app called Hello Heart is used by 40,000 people to manage heart disease. \" width=\"312\" height=\"555\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/11/Unknown-3-337x600.jpeg 337w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/Unknown-3.jpeg 375w\" sizes=\"(max-width: 312px) 100vw, 312px\">\u003cfigcaption class=\"wp-caption-text\">An app called Hello Heart is used by 40,000 people to manage heart disease. \u003ccite>(Hello Heart )\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Helping the Chronically Ill \u003c/strong>\u003c/p>\n\u003cp>The majority of people who use the Vida app are struggling with a chronic condition, like diabetes and high blood pressure, Chen explained. The goal of the app is to help people change their behavior and maintain healthy habits.\u003c/p>\n\u003cp>For Omaha, Nebraska-based JC Hammond, health apps have transformed the way she manages her severe asthma. Despite having asthma her whole life, or perhaps because of it, she often struggled to remember whether or not she had taken her medication.\u003c/p>\n\u003cp>“People think if you can’t breathe, you will remember to take your medicine,\" Hammond said. \"But if remembering to take your medicine becomes routine, you do it mindlessly or you don’t remember.\"\u003c/p>\n\u003cp>Hammond is currently using six different health apps, including \u003ca href=\"https://www.mangohealth.com/\">Mango Health\u003c/a>, which helps her take her medication on time, and a Walgreens app to manage her prescriptions. These digital health products have also enabled her to gain more insight into her disease.\u003c/p>\n\u003cp>“These apps help me identify patterns,” Hammond said. “I knew what triggered my asthma, but until recently, I had not really thought about what kinds of things in my daily routine could predispose me to having an attack or make it harder to manage my asthma.”\u003c/p>\n\u003caside class=\"pullquote alignleft\">'People who have multiple chronic conditions, who may be from places that are medically under-served, feel helpless and don’t know where to turn -- so they turn to the internet and mobile apps.'\u003cbr>\n\u003ccite>Connie Chen, Chief Medical Officer at Vida \u003c/cite>\u003c/aside>\n\u003cp>Bill McCain, who is based in New York, has diabetes and uses a Dexcom continuous glucose monitoring system, which attaches via a patch and reads the glucose value of the fluid just under the skin. It sends the value to his phone every three minutes. His wife also has the app on her phone, so she can check McCain’s blood sugar and receive notifications if it gets outside of specific ranges.\u003c/p>\n\u003cp>“Most people with diabetes check their blood sugar values 4 to 8 times per day,” McCain said. “I get 480 readings per day that aren't just a freeze-frame in time, but can show me whether my sugar levels are rising or falling and the slope of the change.\"\u003c/p>\n\u003cp>\u003cstrong>Gaining Legitimacy\u003cbr>\n\u003c/strong>\u003c/p>\n\u003cp>Earlier this year, \u003ca href=\"http://medcitynews.com/2015/03/omada/\">the CDC acknowledged for the first time the benefits of\u003c/a> three digital health apps that aim to support healthy eating habits and counter the onset of Type 2 diabetes. It recognized three mobile health technologies -- \u003ca href=\"https://omadahealth.com/\">Omada Health\u003c/a>,\u003ca href=\"https://www.noom.com/\"> Noom Health\u003c/a>, and \u003ca href=\"http://www.dpshealth.com/\">DPS Health\u003c/a> -- that meet the \u003ca href=\"http://www.cdc.gov/diabetes/prevention/pdf/dprp_standards_09-02-2011.pdf\">National Diabetes Prevention Program’s evidence-based standards\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>This was a major step for digital health technology, especially for the apps that address chronic conditions. It paves the way for a not-so-distant future where doctors could prescribe apps to their patients, along with more traditional treatments. That might boost adherence, but also give doctors access to a greater collection of patient data.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/66347/beyond-fitbits-chronically-ill-use-apps-for-health","authors":["6620"],"categories":["futureofyou_1060"],"tags":["futureofyou_542","futureofyou_80","futureofyou_655"],"featImg":"futureofyou_66369","label":"futureofyou"},"futureofyou_18178":{"type":"posts","id":"futureofyou_18178","meta":{"index":"posts_1591205157","site":"futureofyou","id":"18178","score":null,"sort":[1438184507000]},"guestAuthors":[],"slug":"your-smartphone-as-dermatologist-fast-cheap-and-often-wrong","title":"Your Smartphone as Dermatologist: Fast, Cheap...and Often Wrong","publishDate":1438184507,"format":"standard","headTitle":"KQED Future of You | KQED Science","labelTerm":{"site":"futureofyou"},"content":"\u003cp>We are often told that the best protection against melanoma skin cancer is staying out of the sun. But the other defense is detection. Spotted early, melanoma is easily treated. Found too late and it's potentially fatal.\u003c/p>\n\u003cp>This year, \u003ca href=\"http://www.cancer.org/cancer/skincancer-melanoma/detailedguide/melanoma-skin-cancer-key-statistics\">some seventy-three thousand\u003c/a> Americans will be diagnosed with melanoma. The disease kills almost ten thousand of these people.\u003c/p>\n\u003cp>That's why doctors recommend that patients undergo frequent skin checks, especially for those who are prone to developing worrisome moles. Bryce Zaffarano, a 23 year-old physical therapy student in Denver, is one of these people. His first encounter with melanoma was when he was just 16-years-old, when he noticed a dark spot on his chest.\u003c/p>\n\u003cp>“It was concerning,” he says, “but I was like, okay, I’m destined,” — both his mother and uncle had been diagnosed with melanomas, and Zaffarano, like them, had spent most of his childhood in the sun.\u003c/p>\n\u003cfigure id=\"attachment_18234\" class=\"wp-caption alignright\" style=\"max-width: 399px\">\u003cimg class=\" wp-image-18234\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/07/bryce-750x600.jpg\" alt=\"ryce Zaffarano, a high-risk melanoma patient, still enjoys outdoor activities, like triathlons.\" width=\"399\" height=\"319\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/07/bryce-750x600.jpg 750w, https://ww2.kqed.org/app/uploads/sites/13/2015/07/bryce-400x320.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/07/bryce-960x768.jpg 960w, https://ww2.kqed.org/app/uploads/sites/13/2015/07/bryce.jpg 1000w\" sizes=\"(max-width: 399px) 100vw, 399px\">\u003cfigcaption class=\"wp-caption-text\">Bryce Zaffarano, a high-risk melanoma patient, still enjoys outdoor activities like triathlons. \u003ccite>(Jorts Photography/Craig Ricke)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The doctors removed his mole right away, catching it early enough. Now, Zaffarano visits the dermatologist every three months for an all-over body check, an appointment he has kept faithfully for the past seven years. He’s already had one more scare he was glad the doctors spotted right away: another melanoma, this time on his lower back.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>But those who don't have an existing relationship with a dermatologist may face challenges booking an appointment. The average wait-time for a dermatologist across the country is over four weeks, up from just three weeks in 2009. \u003ca href=\"http://www.merritthawkins.com/uploadedFiles/MerrittHawkings/Surveys/mha2014waitsurvPDF.pdf\">In some cities, like Boston, the average wait is three months. \u003c/a>\u003c/p>\n\u003cp>Now, some companies are trying to capitalize on impatient patients, offering a fast-paced alternative to old-fashioned doctors: smartphones. Why wait months for an hour-long dermatologist appointment, if an app can do the job?\u003c/p>\n\u003cp>\u003cstrong>Missing the Obvious \u003c/strong>\u003c/p>\n\u003cp>There are 39 mobile applications for Apple and Android platforms currently on the market that claim to diagnose or screen for melanoma using images of moles you take with your phone. Some use automated analysis of the photos, similar to popular apps like LeafSnap or MealSnap that use computer vision to identify plant species or food calories. Others claim photos are analyzed by licensed dermatologists.\u003c/p>\n\u003cp>Snapping photos of concerning spots and getting instant feedback may sound convenient but doctors warn about over-reliance on these apps. Laura Ferris, a dermatologist at the University of Pittsburgh, said she had heard of these dermatologist-impersonating apps, but didn’t think many people were actually using them -- until patients starting asking questions.\u003c/p>\n\u003cp>Ferris and two of her students decided to see if the apps worked. They tested four of the most popular apps on the market for accuracy using 188 images of skin lesions, of which 60 were melanomas, and asked the apps to diagnose them as benign or malignant. The results were troubling: three out of four of the apps misclassified 30 percent or more of melanomas as benign. The fourth app, which relied on a dermatologist analyzing the photos, was more accurate, but it cost $5 per lesion evaluated.\u003c/p>\n\u003cp>These photos were “very obvious melanomas,” Ferris says, but the team found that the computer couldn't recognize them.\u003c/p>\n\u003cp>Ferris says the inaccuracy of these apps is especially dangerous for people who feel they can’t afford the time and money to visit to the dermatologist. An incorrect diagnosis via an app would be dangerous for patients who need to get in to the doctor quickly.\u003c/p>\n\u003cp>In more recent years, other studies have questioned the legitimacy of mobile dermatology apps. A review \u003ca href=\"http://onlinelibrary.wiley.com/doi/10.1111/bjd.13665/full\">published last month in the British Journal of Dermatology\u003c/a> found that melanoma detection apps have potential but are largely inaccurate. The majority not been vetted by dermatologists, and make false promises.\u003c/p>\n\u003cp>“No tool is perfect [and] no drug is perfect. But people need to be able to make informed decisions,” Ferris says. “[These apps] need to have data to backup the claims that they’re making.” Right now, there's no watchdog organization that can prove to both doctors and patients that this data is accurate.\u003c/p>\n\u003cp>\u003cb>Wanted: A Mobile Health Watchdog \u003c/b>\u003c/p>\n\u003cp>This lack of clinical evidence is not unique to the so-called melanoma-detection apps. \u003ca href=\"http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3875901/\">A 2013 paper in the Journal of Medical Internet Research\u003c/a> found that of the approximately 295 cancer-focused (prevention, education, or diagnostic) apps on the market, very few had been evaluated by medical professionals. Likewise, a \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/22646729\">2012 paper on colorectal smartphone apps\u003c/a> found that nearly all the available apps lacked scientific or medical input.\u003c/p>\n\u003cp>The problem is that many health apps don’t have any more restrictions than dating or gaming apps. The FDA only regulates mobile apps that attach to a medical device, or that transform a mobile phone into a medical device.\u003c/p>\n\u003cp>The Federal Trade Commission has taken a more active role than the FDA in policing melanoma-finding smartphone apps. \u003ca href=\"https://www.ftc.gov/system/files/documents/cases/complaint.pdf\">In February of this year, it challenged two companies,\u003c/a> MelApp and Mole Detective, for making false advertising that they could diagnose melanoma accurately. The claim with MelApp was just settled in April, and and the company was fined over $17,000.\u003c/p>\n\u003cp>\u003ca href=\"http://www.reuters.com/article/2014/06/10/mobilephone-healthcare-idUSL1N0OG2JO20140610\">For now, it's largely up to consumers\u003c/a> to decide whether an app developer can be trusted. Ferris warns that it's not enough to give these apps a stamp of approval just because they appear in the App Store.\u003c/p>\n\u003cp>\u003cstrong>A Tool for the Future?\u003c/strong>\u003c/p>\n\u003cp>The skeptical reception from dermatologists and researchers like Ferris doesn’t seem to have deterred app developers.\u003c/p>\n\u003caside class=\"pullquote alignright\">“[These apps] have to have data to backup the claims that they’re making.\"\u003cbr>\n\u003ccite>Laura Ferris, a dermatologist at the University of Pittsburgh\u003c/cite>\u003c/aside>\n\u003cp>Professor Xiaojing Yuan, who studies computer vision in the engineering department at the University of Houston, is in the process of commercializing a fully-automated smartphone tool she’s developed to detect melanoma.\u003c/p>\n\u003cp>Yuan stresses that the app is a screening tool that informs patients whether or not they should worry about a mole -- and isn't intended to replace a doctor. “Diagnosis is a strong word,” she says.\u003c/p>\n\u003cp>But the tool is intended to help patients decide whether or not to visit the dermatologist, which is exactly the decision Ferris is worried about.\u003c/p>\n\u003cp>Yuan admits there are several challenges to using computer vision technology to screen for skin conditions: Melanomas can vary a lot, and the difference between healthy skin and cancerous tissue can be hard even for dermatologists to determine. Moreover, Yuan has to contend with the relative poor quality of smartphone photos as compared to those taken in a doctor’s office.\u003c/p>\n\u003cp>Challenges aside, Yuan claims her tool performs much better than those currently on the market — but she would never recommend that it replace dermatologists altogether. Not yet, at least.\u003c/p>\n\u003cp>\u003cstrong>Establishing a Connection\u003c/strong>\u003c/p>\n\u003cp>And although she’s skeptical of many of the apps she’s tested, Ferris is still excited about the potential of using technology in her practice.\u003c/p>\n\u003cp>She’s especially interested in the emerging field of \"telemedicine\" companies that use smartphones to connect dermatologists to patients in remote areas. Some of the other doctors in her practice are currently testing out telemedicine products.\u003c/p>\n\u003cp>What's most important for Ferris is establishing a real connection between a human doctor and patient -- both in the diagnosis and in the follow-up. This rings true for Zaffarano.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>“When there have been problems, they [dermatologists] have taken immediate action,” he said. It’s inconvenient to spend 45 minutes naked in the doctor’s office every three months, but he’s too skeptical of these smartphone apps to trust them with his life.\u003c/p>\n\n","blocks":[],"excerpt":"Mobile health apps that claim to diagnose diseases like melanoma may seem convenient. But they are largely unregulated, often inaccurate, and doctors warn that reliance on them could be dangerous.","status":"publish","parent":0,"modified":1477280252,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":34,"wordCount":1350},"headData":{"title":"Your Smartphone as Dermatologist: Fast, Cheap...and Often Wrong | KQED","description":"Mobile health apps that claim to diagnose diseases like melanoma may seem convenient. But they are largely unregulated, often inaccurate, and doctors warn that reliance on them could be dangerous.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Your Smartphone as Dermatologist: Fast, Cheap...and Often Wrong","datePublished":"2015-07-29T15:41:47.000Z","dateModified":"2016-10-24T03:37:32.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"18178 http://ww2.kqed.org/futureofyou/?p=18178","disqusUrl":"https://ww2.kqed.org/futureofyou/2015/07/29/your-smartphone-as-dermatologist-fast-cheap-and-often-wrong/","disqusTitle":"Your Smartphone as Dermatologist: Fast, Cheap...and Often Wrong","path":"/futureofyou/18178/your-smartphone-as-dermatologist-fast-cheap-and-often-wrong","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>We are often told that the best protection against melanoma skin cancer is staying out of the sun. But the other defense is detection. Spotted early, melanoma is easily treated. Found too late and it's potentially fatal.\u003c/p>\n\u003cp>This year, \u003ca href=\"http://www.cancer.org/cancer/skincancer-melanoma/detailedguide/melanoma-skin-cancer-key-statistics\">some seventy-three thousand\u003c/a> Americans will be diagnosed with melanoma. The disease kills almost ten thousand of these people.\u003c/p>\n\u003cp>That's why doctors recommend that patients undergo frequent skin checks, especially for those who are prone to developing worrisome moles. Bryce Zaffarano, a 23 year-old physical therapy student in Denver, is one of these people. His first encounter with melanoma was when he was just 16-years-old, when he noticed a dark spot on his chest.\u003c/p>\n\u003cp>“It was concerning,” he says, “but I was like, okay, I’m destined,” — both his mother and uncle had been diagnosed with melanomas, and Zaffarano, like them, had spent most of his childhood in the sun.\u003c/p>\n\u003cfigure id=\"attachment_18234\" class=\"wp-caption alignright\" style=\"max-width: 399px\">\u003cimg class=\" wp-image-18234\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/07/bryce-750x600.jpg\" alt=\"ryce Zaffarano, a high-risk melanoma patient, still enjoys outdoor activities, like triathlons.\" width=\"399\" height=\"319\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/07/bryce-750x600.jpg 750w, https://ww2.kqed.org/app/uploads/sites/13/2015/07/bryce-400x320.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/07/bryce-960x768.jpg 960w, https://ww2.kqed.org/app/uploads/sites/13/2015/07/bryce.jpg 1000w\" sizes=\"(max-width: 399px) 100vw, 399px\">\u003cfigcaption class=\"wp-caption-text\">Bryce Zaffarano, a high-risk melanoma patient, still enjoys outdoor activities like triathlons. \u003ccite>(Jorts Photography/Craig Ricke)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The doctors removed his mole right away, catching it early enough. Now, Zaffarano visits the dermatologist every three months for an all-over body check, an appointment he has kept faithfully for the past seven years. He’s already had one more scare he was glad the doctors spotted right away: another melanoma, this time on his lower back.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>But those who don't have an existing relationship with a dermatologist may face challenges booking an appointment. The average wait-time for a dermatologist across the country is over four weeks, up from just three weeks in 2009. \u003ca href=\"http://www.merritthawkins.com/uploadedFiles/MerrittHawkings/Surveys/mha2014waitsurvPDF.pdf\">In some cities, like Boston, the average wait is three months. \u003c/a>\u003c/p>\n\u003cp>Now, some companies are trying to capitalize on impatient patients, offering a fast-paced alternative to old-fashioned doctors: smartphones. Why wait months for an hour-long dermatologist appointment, if an app can do the job?\u003c/p>\n\u003cp>\u003cstrong>Missing the Obvious \u003c/strong>\u003c/p>\n\u003cp>There are 39 mobile applications for Apple and Android platforms currently on the market that claim to diagnose or screen for melanoma using images of moles you take with your phone. Some use automated analysis of the photos, similar to popular apps like LeafSnap or MealSnap that use computer vision to identify plant species or food calories. Others claim photos are analyzed by licensed dermatologists.\u003c/p>\n\u003cp>Snapping photos of concerning spots and getting instant feedback may sound convenient but doctors warn about over-reliance on these apps. Laura Ferris, a dermatologist at the University of Pittsburgh, said she had heard of these dermatologist-impersonating apps, but didn’t think many people were actually using them -- until patients starting asking questions.\u003c/p>\n\u003cp>Ferris and two of her students decided to see if the apps worked. They tested four of the most popular apps on the market for accuracy using 188 images of skin lesions, of which 60 were melanomas, and asked the apps to diagnose them as benign or malignant. The results were troubling: three out of four of the apps misclassified 30 percent or more of melanomas as benign. The fourth app, which relied on a dermatologist analyzing the photos, was more accurate, but it cost $5 per lesion evaluated.\u003c/p>\n\u003cp>These photos were “very obvious melanomas,” Ferris says, but the team found that the computer couldn't recognize them.\u003c/p>\n\u003cp>Ferris says the inaccuracy of these apps is especially dangerous for people who feel they can’t afford the time and money to visit to the dermatologist. An incorrect diagnosis via an app would be dangerous for patients who need to get in to the doctor quickly.\u003c/p>\n\u003cp>In more recent years, other studies have questioned the legitimacy of mobile dermatology apps. A review \u003ca href=\"http://onlinelibrary.wiley.com/doi/10.1111/bjd.13665/full\">published last month in the British Journal of Dermatology\u003c/a> found that melanoma detection apps have potential but are largely inaccurate. The majority not been vetted by dermatologists, and make false promises.\u003c/p>\n\u003cp>“No tool is perfect [and] no drug is perfect. But people need to be able to make informed decisions,” Ferris says. “[These apps] need to have data to backup the claims that they’re making.” Right now, there's no watchdog organization that can prove to both doctors and patients that this data is accurate.\u003c/p>\n\u003cp>\u003cb>Wanted: A Mobile Health Watchdog \u003c/b>\u003c/p>\n\u003cp>This lack of clinical evidence is not unique to the so-called melanoma-detection apps. \u003ca href=\"http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3875901/\">A 2013 paper in the Journal of Medical Internet Research\u003c/a> found that of the approximately 295 cancer-focused (prevention, education, or diagnostic) apps on the market, very few had been evaluated by medical professionals. Likewise, a \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/22646729\">2012 paper on colorectal smartphone apps\u003c/a> found that nearly all the available apps lacked scientific or medical input.\u003c/p>\n\u003cp>The problem is that many health apps don’t have any more restrictions than dating or gaming apps. The FDA only regulates mobile apps that attach to a medical device, or that transform a mobile phone into a medical device.\u003c/p>\n\u003cp>The Federal Trade Commission has taken a more active role than the FDA in policing melanoma-finding smartphone apps. \u003ca href=\"https://www.ftc.gov/system/files/documents/cases/complaint.pdf\">In February of this year, it challenged two companies,\u003c/a> MelApp and Mole Detective, for making false advertising that they could diagnose melanoma accurately. The claim with MelApp was just settled in April, and and the company was fined over $17,000.\u003c/p>\n\u003cp>\u003ca href=\"http://www.reuters.com/article/2014/06/10/mobilephone-healthcare-idUSL1N0OG2JO20140610\">For now, it's largely up to consumers\u003c/a> to decide whether an app developer can be trusted. Ferris warns that it's not enough to give these apps a stamp of approval just because they appear in the App Store.\u003c/p>\n\u003cp>\u003cstrong>A Tool for the Future?\u003c/strong>\u003c/p>\n\u003cp>The skeptical reception from dermatologists and researchers like Ferris doesn’t seem to have deterred app developers.\u003c/p>\n\u003caside class=\"pullquote alignright\">“[These apps] have to have data to backup the claims that they’re making.\"\u003cbr>\n\u003ccite>Laura Ferris, a dermatologist at the University of Pittsburgh\u003c/cite>\u003c/aside>\n\u003cp>Professor Xiaojing Yuan, who studies computer vision in the engineering department at the University of Houston, is in the process of commercializing a fully-automated smartphone tool she’s developed to detect melanoma.\u003c/p>\n\u003cp>Yuan stresses that the app is a screening tool that informs patients whether or not they should worry about a mole -- and isn't intended to replace a doctor. “Diagnosis is a strong word,” she says.\u003c/p>\n\u003cp>But the tool is intended to help patients decide whether or not to visit the dermatologist, which is exactly the decision Ferris is worried about.\u003c/p>\n\u003cp>Yuan admits there are several challenges to using computer vision technology to screen for skin conditions: Melanomas can vary a lot, and the difference between healthy skin and cancerous tissue can be hard even for dermatologists to determine. Moreover, Yuan has to contend with the relative poor quality of smartphone photos as compared to those taken in a doctor’s office.\u003c/p>\n\u003cp>Challenges aside, Yuan claims her tool performs much better than those currently on the market — but she would never recommend that it replace dermatologists altogether. Not yet, at least.\u003c/p>\n\u003cp>\u003cstrong>Establishing a Connection\u003c/strong>\u003c/p>\n\u003cp>And although she’s skeptical of many of the apps she’s tested, Ferris is still excited about the potential of using technology in her practice.\u003c/p>\n\u003cp>She’s especially interested in the emerging field of \"telemedicine\" companies that use smartphones to connect dermatologists to patients in remote areas. Some of the other doctors in her practice are currently testing out telemedicine products.\u003c/p>\n\u003cp>What's most important for Ferris is establishing a real connection between a human doctor and patient -- both in the diagnosis and in the follow-up. This rings true for Zaffarano.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“When there have been problems, they [dermatologists] have taken immediate action,” he said. It’s inconvenient to spend 45 minutes naked in the doctor’s office every three months, but he’s too skeptical of these smartphone apps to trust them with his life.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/18178/your-smartphone-as-dermatologist-fast-cheap-and-often-wrong","authors":["6616"],"categories":["futureofyou_1060"],"tags":["futureofyou_542","futureofyou_138","futureofyou_80","futureofyou_541"],"featImg":"futureofyou_18197","label":"futureofyou"},"futureofyou_7105":{"type":"posts","id":"futureofyou_7105","meta":{"index":"posts_1591205157","site":"futureofyou","id":"7105","score":null,"sort":[1435595363000]},"guestAuthors":[],"slug":"these-apps-bring-doctors-and-nurses-to-your-door","title":"These Apps Bring Doctors and Nurses to Your Door","publishDate":1435595363,"format":"standard","headTitle":"Contributor | KQED Future of You | KQED Science","labelTerm":{"term":172,"site":"futureofyou"},"content":"\u003cp>Each day, emergency room physician Kim Henderson travels by foot, cab or subway throughout New York City’s five boroughs to tend to her patients. Sometimes she treats sore throats or minor lacerations. She recently journeyed to uptown Manhattan to remove stitches from the forehead of an elderly person who’d injured herself in a fall.\u003c/p>\n\u003cp>“I literally did it at her bedside,” Henderson says.\u003c/p>\n\u003cp>Henderson was an emergency medicine physician for 12 years, and now works full-time for \u003ca href=\"https://pager.com/\">Pager\u003c/a>—the company produces a smartphone app that dispatches physicians right to your doorstep for a fee of $50 per visit.\u003c/p>\n\u003caside class=\"pullquote alignright\">\"Why disrupt their entire day or pull them out in the cold when you can go to their bedside?\"\u003ccite>Kim Henderson, physician\u003c/cite>\u003c/aside>\n\u003cp>She says the app keeps people from going to the emergency room for minor treatments. And that saves money for patients who don’t need to be paying for the extra services and facility fees of emergency care.\u003c/p>\n\u003cp>“There are definitely certain patients that belong in the hospital emergency room,” Henderson says. “But someone with a sore throat or minor laceration can just as easily be treated in the comfort of their own home. So why disrupt their entire day or pull them out in the cold when you can go to their bedside? It’s a better model.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The era of physician house calls may be returning. Several smartphone apps have emerged in the past 18 months that bring doctors and other medical professionals directly to your home.\u003c/p>\n\u003cp>Pager is currently available in New York City, but officials say it will expand to two unnamed West Coast cities this summer. \u003ca href=\"http://getheal.com/\">Heal\u003c/a>, which began in Los Angeles and has spread to San Francisco, charges a flat fee of $99 to bring doctors or pediatricians to your doorstep, for consultations of 20 to 60 minutes. \u003ca href=\"https://www.curbsidecare.co/\">Curbside Care\u003c/a> offers house calls from doctors and nurse practitioners in the Philadelphia area. And \u003ca href=\"http://www.go2nurse.com/\">Go2Nurse\u003c/a>, which operates in Chicago and Milwaukee, offers a range of services that include in-home pregnancy care.\u003c/p>\n\u003cfigure id=\"attachment_7199\" class=\"wp-caption alignright\" style=\"max-width: 445px\">\u003ca href=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/06/Mom_and_Daughter_USE-THIS.jpg\">\u003cimg class=\" wp-image-7199\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/06/Mom_and_Daughter_USE-THIS.jpg\" alt=\"A Pager nurse makes a home visit. (Pager)\" width=\"445\" height=\"429\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/06/Mom_and_Daughter_USE-THIS.jpg 797w, https://ww2.kqed.org/app/uploads/sites/13/2015/06/Mom_and_Daughter_USE-THIS-400x386.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/06/Mom_and_Daughter_USE-THIS-622x600.jpg 622w, https://ww2.kqed.org/app/uploads/sites/13/2015/06/Mom_and_Daughter_USE-THIS-32x32.jpg 32w\" sizes=\"(max-width: 445px) 100vw, 445px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A Pager nurse makes a home visit. (Pager)\u003c/figcaption>\u003c/figure>\n\u003cp>Pager’s team of medical professionals currently includes 20 physicians and 15 nurses. Toby Hervey, general manager and part of the founding team at Pager, says when the company launched a year ago, the initial goal was to serve patients on evenings and weekends in Manhattan. It didn’t take long before Pager expanded to cover all five boroughs.\u003c/p>\n\u003cp>Hervey says he and his founding partners conceived of Pager to help fix what they see as a broken healthcare system.\u003c/p>\n\u003cp>“As a country, we spend \u003ca href=\"http://stats.oecd.org/index.aspx?DataSetCode=HEALTH_STAT\">more per capita on health care\u003c/a> than any other developed country,” Hervey says. “People are using emergency care as their health system.”\u003c/p>\n\u003cp>Hervey says one of Pager’s founders, Oscar Salazar, was a founder of Uber, and influenced the company’s approach.\u003c/p>\n\u003cp>“We have some of that Uber DNA, where we are technology driven and there’s a direct connection between doctors and patients,” he says. “We saw a really bad experience for the consumer and decided to use technology to fix and create a better delivery of care.”\u003c/p>\n\u003cp>Edward Ben-Alec, chief technical officer and a founder of Go2Nurse, says he and his founding partners were similarly motivated by a desire to improve the healthcare system. Go2Nurse started serving customers in September 2014, and currently operates in the Chicago and Milwaukee metro areas.\u003c/p>\n\u003caside class=\"pullquote alignleft\">The benefit of telemedicine is a ten-fold increase in efficiency. House calls do not have the same magnitude of efficiency.\u003ccite>Pat Basu, Doctors on Demand\u003c/cite>\u003c/aside>\n\u003cp>Although the original intent of Go2Nurse was to be an on-demand smartphone service for nurses, it has since evolved into a business focused primarily on case management: tasks like follow up, education and compliance. As a result of this shift in strategy, Go2Nurse usually gets paid by insurance companies and seldom needs to collect payments directly from patients.\u003c/p>\n\u003cp>“Mostly our nurses get involved in making sure patients get everything they need and that money is not wasted in the process,” says Ben-Alec.\u003c/p>\n\u003cp>Case management is a huge industry in the U.S., with \u003ca href=\"https://www.ibisworld.com/industry/medical-case-management-services.html\">$6 billion in annual revenue\u003c/a>, according to market researcher IBISWorld.\u003c/p>\n\u003cp>But not all tech-driven medicine is moving into house calls. Pat Basu is chief medical officer of \u003ca href=\"http://www.doctorondemand.com/\">Doctor on Demand\u003c/a>, the world’s largest video provider of medical doctors and assorted medical professionals. He says his company has no plans for expanding into that arena\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“The benefit of telemedicine at the patient level and national level is a ten-fold increase in operational efficiency,” Basu says. “House calls—even if it is the best example of in-patient care—does not have the same magnitude of efficiency. If a patient calls from Sacramento, my doctor can take care of them. House calls are really hard to operationalize. In telemedicine, with some common ailments like urinary tract infections and pink eye, meeting the doctor (in person) is not really necessary.”\u003c/p>\n\n","blocks":[],"excerpt":"New apps aim to cut emergency room visits and improve care by bringing doctors and nurses to your home.","status":"publish","parent":0,"modified":1477281234,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":20,"wordCount":863},"headData":{"title":"These Apps Bring Doctors and Nurses to Your Door | KQED","description":"New apps aim to cut emergency room visits and improve care by bringing doctors and nurses to your home.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"These Apps Bring Doctors and Nurses to Your Door","datePublished":"2015-06-29T16:29:23.000Z","dateModified":"2016-10-24T03:53:54.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"7105 http://ww2.kqed.org/futureofyou/?p=7105","disqusUrl":"https://ww2.kqed.org/futureofyou/2015/06/29/these-apps-bring-doctors-and-nurses-to-your-door/","disqusTitle":"These Apps Bring Doctors and Nurses to Your Door","path":"/futureofyou/7105/these-apps-bring-doctors-and-nurses-to-your-door","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Each day, emergency room physician Kim Henderson travels by foot, cab or subway throughout New York City’s five boroughs to tend to her patients. Sometimes she treats sore throats or minor lacerations. She recently journeyed to uptown Manhattan to remove stitches from the forehead of an elderly person who’d injured herself in a fall.\u003c/p>\n\u003cp>“I literally did it at her bedside,” Henderson says.\u003c/p>\n\u003cp>Henderson was an emergency medicine physician for 12 years, and now works full-time for \u003ca href=\"https://pager.com/\">Pager\u003c/a>—the company produces a smartphone app that dispatches physicians right to your doorstep for a fee of $50 per visit.\u003c/p>\n\u003caside class=\"pullquote alignright\">\"Why disrupt their entire day or pull them out in the cold when you can go to their bedside?\"\u003ccite>Kim Henderson, physician\u003c/cite>\u003c/aside>\n\u003cp>She says the app keeps people from going to the emergency room for minor treatments. And that saves money for patients who don’t need to be paying for the extra services and facility fees of emergency care.\u003c/p>\n\u003cp>“There are definitely certain patients that belong in the hospital emergency room,” Henderson says. “But someone with a sore throat or minor laceration can just as easily be treated in the comfort of their own home. So why disrupt their entire day or pull them out in the cold when you can go to their bedside? It’s a better model.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The era of physician house calls may be returning. Several smartphone apps have emerged in the past 18 months that bring doctors and other medical professionals directly to your home.\u003c/p>\n\u003cp>Pager is currently available in New York City, but officials say it will expand to two unnamed West Coast cities this summer. \u003ca href=\"http://getheal.com/\">Heal\u003c/a>, which began in Los Angeles and has spread to San Francisco, charges a flat fee of $99 to bring doctors or pediatricians to your doorstep, for consultations of 20 to 60 minutes. \u003ca href=\"https://www.curbsidecare.co/\">Curbside Care\u003c/a> offers house calls from doctors and nurse practitioners in the Philadelphia area. And \u003ca href=\"http://www.go2nurse.com/\">Go2Nurse\u003c/a>, which operates in Chicago and Milwaukee, offers a range of services that include in-home pregnancy care.\u003c/p>\n\u003cfigure id=\"attachment_7199\" class=\"wp-caption alignright\" style=\"max-width: 445px\">\u003ca href=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/06/Mom_and_Daughter_USE-THIS.jpg\">\u003cimg class=\" wp-image-7199\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/06/Mom_and_Daughter_USE-THIS.jpg\" alt=\"A Pager nurse makes a home visit. (Pager)\" width=\"445\" height=\"429\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/06/Mom_and_Daughter_USE-THIS.jpg 797w, https://ww2.kqed.org/app/uploads/sites/13/2015/06/Mom_and_Daughter_USE-THIS-400x386.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/06/Mom_and_Daughter_USE-THIS-622x600.jpg 622w, https://ww2.kqed.org/app/uploads/sites/13/2015/06/Mom_and_Daughter_USE-THIS-32x32.jpg 32w\" sizes=\"(max-width: 445px) 100vw, 445px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A Pager nurse makes a home visit. (Pager)\u003c/figcaption>\u003c/figure>\n\u003cp>Pager’s team of medical professionals currently includes 20 physicians and 15 nurses. Toby Hervey, general manager and part of the founding team at Pager, says when the company launched a year ago, the initial goal was to serve patients on evenings and weekends in Manhattan. It didn’t take long before Pager expanded to cover all five boroughs.\u003c/p>\n\u003cp>Hervey says he and his founding partners conceived of Pager to help fix what they see as a broken healthcare system.\u003c/p>\n\u003cp>“As a country, we spend \u003ca href=\"http://stats.oecd.org/index.aspx?DataSetCode=HEALTH_STAT\">more per capita on health care\u003c/a> than any other developed country,” Hervey says. “People are using emergency care as their health system.”\u003c/p>\n\u003cp>Hervey says one of Pager’s founders, Oscar Salazar, was a founder of Uber, and influenced the company’s approach.\u003c/p>\n\u003cp>“We have some of that Uber DNA, where we are technology driven and there’s a direct connection between doctors and patients,” he says. “We saw a really bad experience for the consumer and decided to use technology to fix and create a better delivery of care.”\u003c/p>\n\u003cp>Edward Ben-Alec, chief technical officer and a founder of Go2Nurse, says he and his founding partners were similarly motivated by a desire to improve the healthcare system. Go2Nurse started serving customers in September 2014, and currently operates in the Chicago and Milwaukee metro areas.\u003c/p>\n\u003caside class=\"pullquote alignleft\">The benefit of telemedicine is a ten-fold increase in efficiency. House calls do not have the same magnitude of efficiency.\u003ccite>Pat Basu, Doctors on Demand\u003c/cite>\u003c/aside>\n\u003cp>Although the original intent of Go2Nurse was to be an on-demand smartphone service for nurses, it has since evolved into a business focused primarily on case management: tasks like follow up, education and compliance. As a result of this shift in strategy, Go2Nurse usually gets paid by insurance companies and seldom needs to collect payments directly from patients.\u003c/p>\n\u003cp>“Mostly our nurses get involved in making sure patients get everything they need and that money is not wasted in the process,” says Ben-Alec.\u003c/p>\n\u003cp>Case management is a huge industry in the U.S., with \u003ca href=\"https://www.ibisworld.com/industry/medical-case-management-services.html\">$6 billion in annual revenue\u003c/a>, according to market researcher IBISWorld.\u003c/p>\n\u003cp>But not all tech-driven medicine is moving into house calls. Pat Basu is chief medical officer of \u003ca href=\"http://www.doctorondemand.com/\">Doctor on Demand\u003c/a>, the world’s largest video provider of medical doctors and assorted medical professionals. He says his company has no plans for expanding into that arena\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“The benefit of telemedicine at the patient level and national level is a ten-fold increase in operational efficiency,” Basu says. “House calls—even if it is the best example of in-patient care—does not have the same magnitude of efficiency. If a patient calls from Sacramento, my doctor can take care of them. House calls are really hard to operationalize. In telemedicine, with some common ailments like urinary tract infections and pink eye, meeting the doctor (in person) is not really necessary.”\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/7105/these-apps-bring-doctors-and-nurses-to-your-door","authors":["8629"],"series":["futureofyou_172"],"categories":["futureofyou_1060"],"tags":["futureofyou_542","futureofyou_481","futureofyou_80"],"featImg":"futureofyou_7182","label":"futureofyou_172"},"futureofyou_6467":{"type":"posts","id":"futureofyou_6467","meta":{"index":"posts_1591205157","site":"futureofyou","id":"6467","score":null,"sort":[1435258893000]},"guestAuthors":[],"slug":"ucsf-to-use-apples-research-kit-for-lgbt-health-study","title":"UCSF to Use Apple's ResearchKit for LGBT Health Study","publishDate":1435258893,"format":"standard","headTitle":"KQED Future of You | KQED Science","labelTerm":{"site":"futureofyou"},"content":"\u003cp>Mitchell Lunn and Juno Obedin-Maliver, both clinical fellows at the University of California, San Francisco, have spent the past decade studying the health problems that many lesbian, gay, bisexual, transgender and queer identified people face.\u003c/p>\n\u003cp>Their biggest challenge is the lack of population health data about LGBTQ people.\u003c/p>\n\u003cp>The researchers hope that an iPhone app can change that.\u003c/p>\n\u003cp>The new app for iOS, called PRIDE, will ask LQBTQ participants about their health history and concerns. Their answers will inform a longer-term study, which kicks off in January of 2016.\u003c/p>\n\u003cp>The app debuts in the App Store, today, just ahead of a much anticipated \u003ca href=\"http://www.npr.org/sections/itsallpolitics/2015/06/25/417112332/heres-how-the-supreme-court-could-rule-today-on-same-sex-marriage\">Supreme Court ruling\u003c/a> which could decide the fate of millions of same-sex couples in the U.S. June is also Pride month, with celebrations taking place all over the country.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"We know that there are health disparities, but we don't have the data to drive clinical practice and public health priorities,\" said Obedin-Maliver, who also practices as a resident physician in Obstetrics and Gynecology.\u003c/p>\n\u003cp>For example, about \u003ca href=\"http://www.buzzfeed.com/tonymerevick/lgbt-communities-spend-an-estimated-79-billion-per-year-on-c#.jqVyw32YeV\">one in three people from the LGBTQ community\u003c/a> smokes, which is a far higher rate than the average U.S. adult population. Therefore, scientists assume that a higher number of LGBTQ people die from cancer and other diseases that are linked to smoking -- but they do not have a way to prove it.\u003c/p>\n\u003cp>Progress has been slow on that front. \u003ca href=\"http://thefenwayinstitute.org/documents/lgbthealthreportbriefembargoed.pdf\">The Institute of Medicine\u003c/a> in 2011 issued a report finding that LGBT people “have unique health experiences and needs, but as a nation, we do not know exactly what these experiences and needs are.” It wasn't until 2013 that the Centers for Disease Control and Prevention’s annual \u003ca href=\"http://www.cdc.gov/nchs/data/nhsr/nhsr077.pdf\">National Health Interview Survey\u003c/a> included a question about sexual orientation.\u003c/p>\n\u003cp>\u003cstrong>Privacy and Security Concerns\u003c/strong>\u003c/p>\n\u003cp>The researchers found support for their app from Apple employees, who helped connect the team with a mobile design firm.\u003c/p>\n\u003cp>Apple's company's chief executive Tim Cook has emerged in recent years as an outspoken advocate of LGBTQ rights. In a \u003ca href=\"http://www.bloomberg.com/news/articles/2014-10-30/tim-cook-speaks-up\">\u003cem>Bloomberg BusinessWeek\u003c/em> op-ed\u003c/a> published last October, Cook said he doesn't consider himself an activist but is \"proud to be gay.\"\u003c/p>\n\u003cp>The app integrates with Apple's new service, \u003ca href=\"http://www.apple.com/researchkit/?sr=hotnews.rss\">ResearchKit,\u003c/a> which makes it easier for clinical researchers and developers to develop mobile apps that gather data from participants -- with their consent.\u003c/p>\n\u003caside class=\"pullquote alignright\">\"In order for the community to thrive -- not just survive -- we need to incorporate LGBTQ people into all facets of life, including health and research.\"\u003cbr>\n\u003ccite>Juno Obedin-Maliver, clinical fellow at UCSF \u003c/cite>\u003c/aside>\n\u003cp>The first five ResearchKit apps focused on Parkinson's Disease, breast cancer, diabetes, asthma and heart disease. This is the first ResearchKit-powered app targeted to gathering data about population health, rather than a specific disease.\u003c/p>\n\u003cp>\"When Apple launched ResearchKit [last month], we reached out to the team at Apple to ask whether we could think about modifying it to make it more of a tool to engage the community,\" Lunn explained. \"They were very excited.\"\u003c/p>\n\u003cp>Some potential participants may be concerned about sharing their sexual orientation and gender identity with an app. Lunn said they built the app with security and privacy in mind -- it is HIPAA-compliant and includes \"military grade encryption,\" he said.\u003c/p>\n\u003cp>The data will only be available to researchers from UCSF for now. But it may later be shared with researchers in an \"aggregate and de-identified way,\" meaning first name, social security number and contact information will not be visible.\u003c/p>\n\u003cp>\u003cstrong>Thrive, Not Just Survive\u003c/strong>\u003c/p>\n\u003cp>Lunn and Obedin-Maliver say this is the first national public health study focused on LGBTQ people.\u003c/p>\n\u003cp>Other researchers say this kind of data is desperately needed. National cancer registries, \u003ca href=\"http://seer.cancer.gov/registries/\">like SEER\u003c/a>, do not include questions about sexual orientation and gender identity.\u003c/p>\n\u003cp>\"I really need this data,\" said Liz Margolies, founder and executive director of the National LGBT Cancer Network.\u003c/p>\n\u003cp>\"The federal government should be making sure this data is collected, but it takes years. In the meantime, it is very difficult to get funding.\"\u003c/p>\n\u003cp>The study will also highlight some of the discrimination that LGBTQ people face during their treatment. Recent research found that 55 percent of lesbian and gay patients and 70 percent of transgender patients \u003ca href=\"http://www.lambdalegal.org/publications/when-health-care-isnt-caring\">felt they had experienced\u003c/a> discrimination or substandard care.\u003c/p>\n\u003cp>\"In order for the community to thrive -- not just survive -- we need to incorporate LGBTQ people into all facets of life, including health and research,\" said Obedin-Maliver.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"We need to understand their needs in their own words and voices.\"\u003c/p>\n\n","blocks":[],"excerpt":"The research team behind PRIDE, a new iPhone app, say this is the first national public health study focused on the gay and lesbian community.","status":"publish","parent":0,"modified":1477281370,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":26,"wordCount":798},"headData":{"title":"UCSF to Use Apple's ResearchKit for LGBT Health Study | KQED","description":"The research team behind PRIDE, a new iPhone app, say this is the first national public health study focused on the gay and lesbian community.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"UCSF to Use Apple's ResearchKit for LGBT Health Study","datePublished":"2015-06-25T19:01:33.000Z","dateModified":"2016-10-24T03:56:10.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"6467 http://ww2.kqed.org/futureofyou/?p=6467","disqusUrl":"https://ww2.kqed.org/futureofyou/2015/06/25/ucsf-to-use-apples-research-kit-for-lgbt-health-study/","disqusTitle":"UCSF to Use Apple's ResearchKit for LGBT Health Study","path":"/futureofyou/6467/ucsf-to-use-apples-research-kit-for-lgbt-health-study","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Mitchell Lunn and Juno Obedin-Maliver, both clinical fellows at the University of California, San Francisco, have spent the past decade studying the health problems that many lesbian, gay, bisexual, transgender and queer identified people face.\u003c/p>\n\u003cp>Their biggest challenge is the lack of population health data about LGBTQ people.\u003c/p>\n\u003cp>The researchers hope that an iPhone app can change that.\u003c/p>\n\u003cp>The new app for iOS, called PRIDE, will ask LQBTQ participants about their health history and concerns. Their answers will inform a longer-term study, which kicks off in January of 2016.\u003c/p>\n\u003cp>The app debuts in the App Store, today, just ahead of a much anticipated \u003ca href=\"http://www.npr.org/sections/itsallpolitics/2015/06/25/417112332/heres-how-the-supreme-court-could-rule-today-on-same-sex-marriage\">Supreme Court ruling\u003c/a> which could decide the fate of millions of same-sex couples in the U.S. June is also Pride month, with celebrations taking place all over the country.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"We know that there are health disparities, but we don't have the data to drive clinical practice and public health priorities,\" said Obedin-Maliver, who also practices as a resident physician in Obstetrics and Gynecology.\u003c/p>\n\u003cp>For example, about \u003ca href=\"http://www.buzzfeed.com/tonymerevick/lgbt-communities-spend-an-estimated-79-billion-per-year-on-c#.jqVyw32YeV\">one in three people from the LGBTQ community\u003c/a> smokes, which is a far higher rate than the average U.S. adult population. Therefore, scientists assume that a higher number of LGBTQ people die from cancer and other diseases that are linked to smoking -- but they do not have a way to prove it.\u003c/p>\n\u003cp>Progress has been slow on that front. \u003ca href=\"http://thefenwayinstitute.org/documents/lgbthealthreportbriefembargoed.pdf\">The Institute of Medicine\u003c/a> in 2011 issued a report finding that LGBT people “have unique health experiences and needs, but as a nation, we do not know exactly what these experiences and needs are.” It wasn't until 2013 that the Centers for Disease Control and Prevention’s annual \u003ca href=\"http://www.cdc.gov/nchs/data/nhsr/nhsr077.pdf\">National Health Interview Survey\u003c/a> included a question about sexual orientation.\u003c/p>\n\u003cp>\u003cstrong>Privacy and Security Concerns\u003c/strong>\u003c/p>\n\u003cp>The researchers found support for their app from Apple employees, who helped connect the team with a mobile design firm.\u003c/p>\n\u003cp>Apple's company's chief executive Tim Cook has emerged in recent years as an outspoken advocate of LGBTQ rights. In a \u003ca href=\"http://www.bloomberg.com/news/articles/2014-10-30/tim-cook-speaks-up\">\u003cem>Bloomberg BusinessWeek\u003c/em> op-ed\u003c/a> published last October, Cook said he doesn't consider himself an activist but is \"proud to be gay.\"\u003c/p>\n\u003cp>The app integrates with Apple's new service, \u003ca href=\"http://www.apple.com/researchkit/?sr=hotnews.rss\">ResearchKit,\u003c/a> which makes it easier for clinical researchers and developers to develop mobile apps that gather data from participants -- with their consent.\u003c/p>\n\u003caside class=\"pullquote alignright\">\"In order for the community to thrive -- not just survive -- we need to incorporate LGBTQ people into all facets of life, including health and research.\"\u003cbr>\n\u003ccite>Juno Obedin-Maliver, clinical fellow at UCSF \u003c/cite>\u003c/aside>\n\u003cp>The first five ResearchKit apps focused on Parkinson's Disease, breast cancer, diabetes, asthma and heart disease. This is the first ResearchKit-powered app targeted to gathering data about population health, rather than a specific disease.\u003c/p>\n\u003cp>\"When Apple launched ResearchKit [last month], we reached out to the team at Apple to ask whether we could think about modifying it to make it more of a tool to engage the community,\" Lunn explained. \"They were very excited.\"\u003c/p>\n\u003cp>Some potential participants may be concerned about sharing their sexual orientation and gender identity with an app. Lunn said they built the app with security and privacy in mind -- it is HIPAA-compliant and includes \"military grade encryption,\" he said.\u003c/p>\n\u003cp>The data will only be available to researchers from UCSF for now. But it may later be shared with researchers in an \"aggregate and de-identified way,\" meaning first name, social security number and contact information will not be visible.\u003c/p>\n\u003cp>\u003cstrong>Thrive, Not Just Survive\u003c/strong>\u003c/p>\n\u003cp>Lunn and Obedin-Maliver say this is the first national public health study focused on LGBTQ people.\u003c/p>\n\u003cp>Other researchers say this kind of data is desperately needed. National cancer registries, \u003ca href=\"http://seer.cancer.gov/registries/\">like SEER\u003c/a>, do not include questions about sexual orientation and gender identity.\u003c/p>\n\u003cp>\"I really need this data,\" said Liz Margolies, founder and executive director of the National LGBT Cancer Network.\u003c/p>\n\u003cp>\"The federal government should be making sure this data is collected, but it takes years. In the meantime, it is very difficult to get funding.\"\u003c/p>\n\u003cp>The study will also highlight some of the discrimination that LGBTQ people face during their treatment. Recent research found that 55 percent of lesbian and gay patients and 70 percent of transgender patients \u003ca href=\"http://www.lambdalegal.org/publications/when-health-care-isnt-caring\">felt they had experienced\u003c/a> discrimination or substandard care.\u003c/p>\n\u003cp>\"In order for the community to thrive -- not just survive -- we need to incorporate LGBTQ people into all facets of life, including health and research,\" said Obedin-Maliver.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"We need to understand their needs in their own words and voices.\"\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/6467/ucsf-to-use-apples-research-kit-for-lgbt-health-study","authors":["3252"],"categories":["futureofyou_1060"],"tags":["futureofyou_235","futureofyou_542","futureofyou_474","futureofyou_469","futureofyou_470","futureofyou_473","futureofyou_472","futureofyou_294"],"featImg":"futureofyou_6719","label":"futureofyou"}},"programsReducer":{"possible":{"id":"possible","title":"Possible","info":"Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. 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