Mt. Sinai’s Text In The City Program Educates NYC’s Youth - BDI 1/26/12 Mobile Healthcare Communications 2012: Case Studies and Roundtables
Case Study: Mt. Sinai’s Text In The City Program Educates NYC’s Youth Presented by: Dr. Katherine Malbon, Assistant Professor in Pediatrics, Text in the City, Mount Sinai Adolescent Health Center (MSAHC), New York Text in the City aims to reach patients attending the Mount Sinai Adolescent Health Center, giving them a better connection with their ‘health home’. The program uses text messaging to interact and educate young people from the South Bronx and East Harlem. Teens are able to get answers to confidential questions and sign up for medication reminders as well as weekly “healthbytes” of useful and interesting health-based advice.Dr Malbon will share the barriers and difficulties of starting a text-based program within the healthcare setting. She will explain how the 6 month pilot program helped shape the current up and running ‘Text in the City’ service and what hopes and ambitions she has for educating teens in the future using technology and social media. www.bdionline.com
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Mt. Sinai’s Text In The City Program Educates NYC’s Youth - BDI 1/26/12 Mobile Healthcare Communications 2012: Case Studies and Roundtables
- 1. ‘Text in the City’ A Case Study; Using Text Messaging in Adolescent Health Katie Malbon MD Assistant Professor in Pediatrics Division of Adolescent Medicine Mount Sinai Hospital New York
- 2. Why Are Adolescents Unique?
- 3. High Risk Sexual health Mental health Substance use Preventative health
- 4. A typical American teen sends 1500 text messages per month 88% of teens with cell phones use it for texting 70% of 17yo text daily Pew Internet and American Life Project 2009 Technology Landscape
- 5. In clinic survey 0 20 40 60 80 100 Unlimited text Prefer text Respond quicker to text Concerned re confidentiality Want to ask questions Want healthbytes Want BC reminders Want results %
- 6. Chat Healthbyte Birth Control Reminders ‘Text in the City’
- 9. Questions
- 10. BC Reminders
- 11. The Healthbyte
- 12. The Healthbyte
- 13. 6 month figures January - June 2010 Daily Birth Control reminders 35 Weekly Birth Control reminders 14 Healthbytes 72 Number of questions sent in to ‘Chat’ 493 Unique users 291
- 14. 0 5 10 15 20 25 30 35 Birth Control STDs Gyn/Menstruation Pregnancy Clinic info Sex Fertility General Health Anatomy Relationships % Subject of chat questions
- 16. Text survey • 70% found service extremely useful • 70% found service extremely easy to use • 36% had used the service more than 6 times
- 17. Lessons Learned • They use it! • Patients want more control of ‘functionality’ • Sharing a ‘short code’ is cumbersome • Keep it simple • We need to measure ‘health outcomes’
- 18. What Next?
- 19. MSAHC Texting program • Expansion of pilot • Appointment reminders • Immunization reminders RESEARCH BC 2U RCT assessing the effectiveness of supportive text messages to sustain birth control adherence & use
- 22. Acknowledgements Thanks to Sasha Clifton, a Harvard Medical student who helped me launch the pilot, RipRoad who have and continue to be great to work with and Dr Angela Diaz and Dr Anne Nucci for allowing me to start this in their clinic.
- 23. Thank you