Five reasons that many comparative effectiveness studies fail to change patient care and clinical practice

“Despite widespread enthusiasm about the potential impact of new investments in comparative effectiveness research, recent history suggests that scientific evidence may be slow to change clinical practice.” The authors identify “five causes that underlie the failure of many comparative effectiveness… Read moreFive reasons that many comparative effectiveness studies fail to change patient care and clinical practice

Health app adoption increasing–or not–even the bogus

Last week’s release of the Pew Research Center’s 2012 mobile health survey has generated considerable analysis of trends both in health information lookup and apps. Smartphones now top 50% of mobile phones in the US, and according to the CEA, the major trend in content and apps is health and fitness. Pew’s snapshot of the recent past outlined in FierceMobileHealthcare helps to confirm how the trend developed. Separating information-seeking from apps….

  • Information: 52% of smartphone users have sought information on their phone, with the most frequent users African-Americans, Latinos, those aged 18-49 and college graduates.
  • Apps: increased adoption by women under age 50, higher education, those with annual household incomes $75,000+–and those with a significant health change in the last 12 months.
  • What they are tracking is pretty much as expected though–it’s not vital signs or heavy-duty Quantified Self stuff: 38% track their exercise, 31% monitor diet and 12% manage weight.

Brian Dolan in Mobihealthnews takes a more pessimistic view of the Pew survey data, maintaining that adoption as a whole is flat since 2010; only about 10% of mobile phone users have downloaded apps to track or manage their health. His discussion with Pew’s Associate Director Susannah Fox goes into why she believes that adoption will be trending upwards with smartphones, points out that some respondents may have not included ‘fitness’ as a health app, and the bright lights ahead (or is it an oncoming train?) of media coverage and doctors actually prescribing apps. Speaking of oncoming trains….