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iMHere

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IMHERE

PLATFORM TO SUPPORT

SELF-MANAGEMENT FOR CHRONIC

AND COMPLEX CONDITIONS

Contact Us



NOVEL MOBILE HEALTH SYSTEM



iMHere is a novel mobile health system that supports people with disabilities
(clients) to live independently. Three components work together to support
self-management routines and symptom tracking:


A MOBILE APP FOR CLIENTS


A MOBILE APP FOR CAREGIVERS


A WEB-BASED PORTAL FOR HEALTHCARE PROFESSIONALS.

Clients download the iMHere mobile app, which prompts them to carry out
activities to manage their chronic conditions. Clients can perform tasks such as
setting reminders to take medications and carry out self-care routines,
recording their symptoms, and tracking nutritional intake and physical activity.
They can also read educational materials about their conditions and record
information in a personal health record.

A supplementary mobile app is available for the client’s caregivers to help them
support the client’s self-management needs. This mobile app allows them to track
tasks for which the client needs assistance and provide feedback or
encouragement. Additionally, this app contains educational materials to support
the caregivers’ own health and to help them better understand the client’s
conditions.

Clinicians and case managers can also use the web-based portal to review client
progress and triage issues. The system’s secure messaging system allows users to
communicate securely about the issues being managed.

iMHere is now also available in the UPMC Adult Spina Bifida Clinic due to a
collaboration with Xealth. iMHere can be prescribed to the client via the
electronic health record, and clinicians can view data from iMHere on a
dashboard within the medical record.

Contact Us


RESULTS FROM IMHERE 2.0


RANDOMIZED CONTROLLED TRIALS (RCTS)



Dr. Dicianno and Dr. Parmanto conducted two pilot RCTs in users with spina
bifida and
spinal cord injuries. These studies yielded the following results in clients who
consistently
engaged with iMHere during the 1-year period:

Savings of $25,000 on average per user per year in emergency room and
hospitalization costs
Improvements in patient self-management skills and reductions in the need for
caregiver assistance
Reductions in secondary conditions such as urinary tract infections and
depressive symptoms


USES OF


IMHERE 2.0



Our research demonstrates that iMHere can support many different models of care
delivery involving a range of stakeholders. It is currently supporting the
following community programs:


WE PARTNERED WITH COMMUNITY LIVING AND SUPPORT SERVICES (CLASS) TO DEVELOP
IMHERE SUPPORT FOR THEIR COMMUNITY PARTNERS AND ADULT DAY CARE PROGRAMS, WHICH
SUPPORT THE INDEPENDENT LIVING OF PEOPLE WITH DISABILITIES


WE ALSO PARTNERED WITH SERVICE COORDINATION UNLIMITED (SCU) TO USE IMHERE TO
SUPPORT THE COORDINATION OF ATTENDANT CARE SERVICES FOR PEOPLE WITH DISABILITIES
LIVING IN THEIR HOMES.

Our work has been user-centered and engaged real clients in the product design
and development so that our technology reflects the needs of individuals with
disabilities who want to independently manage their health.


SPINA BIFIDA


USE CASE



A 35-year-old female with Spina Bifida was prescribed the iMHere app as part of
her routine care at the UPMC Adult Spina Bifida Clinic. She has ongoing dietary
issues with a secondary diagnosis of mild to moderate gastroparesis after
gallbladder surgery. The patient used the following iMHere app features:


SHE USES THE NUTRITION MODULE TO TRACK WATER INTAKE AND THE NUMBER OF SERVINGS
OF EACH FOOD GROUP SHE CONSUMES EACH DAY. THIS INFORMATION IS USED TO DISCUSS
THE FLUCTUATIONS IN HER NUTRITION AND DIET WITH THE REGISTERED DIETICIAN IN THE
CLINIC.


THE EXERCISE MODULE IS USED TO TRACK THE TYPE AND DURATION OF EACH OF HER
EXERCISE SESSIONS, WHICH SHE TRIES TO COMPLETE AT LEAST 2 TO 3 TIMES PER WEEK AT
HER LOCAL YMCA.


SHE ALSO USES THE MEDICATION MODULE TO REMIND HER TO TAKE THE DAILY DOSAGES OF
HER MULTIPLE MEDICATIONS IN THE MORNING AND BEFORE BEDTIME.


SHE USES THE PERSONAL HEALTH RECORD MODULE TO MAINTAIN ACCURATE DOCUMENTATION OF
HER MEDICAL HISTORY, ALLERGIES, AND NOTES OF ISSUES SHE WISHES TO DISCUSS WITH
HER HEALTHCARE PROVIDER.


THE MOOD MODULE IS USED TO TRACK AND MONITOR HER EMOTIONAL AND MENTAL
WELL-BEING, GIVEN A HISTORY OF DEPRESSION AND ANXIETY WHICH ARE WELL-MANAGED
WITH MEDICATION AND BI-WEEKLY COGNITIVE BEHAVIORAL THERAPY SESSIONS WITH A
LICENSED MENTAL HEALTH PROFESSIONAL.


SHE HAS BEEN USING THE BLADDER MANAGEMENT MODULE FOR TRACKING THE NUMBER OF
TIMES PER DAY THAT SHE SELF-CATHETERIZES TO PROACTIVELY PREVENT RECURRING
URINARY TRACT INFECTIONS.


SHE HAS BEEN USING THE BOWEL MANAGEMENT MODULE TO MONITOR THE FREQUENCY OF HER
BOWEL MOVEMENTS TO BE ABLE TO REPORT THAT INFORMATION TO HER
NEURO-GASTROENTEROLOGIST AND PHYSICAL MEDICINE AND REHABILITATION PHYSICIAN AT
THE ADULT SPINA BIFIDA CLINIC, WHO ARE WORKING TOGETHER TO TREAT HER RECURRENT
DIGESTIVE DISORDER SYMPTOMATIC EPISODES.


SHE WAS ALSO PRESCRIBED THE EDUCATION MODULE, WHICH PROVIDES INFORMATION ABOUT
SPINA BIFIDA AND RELATED ISSUES LIKE BOWEL AND BLADDER MANAGEMENT, EXERCISE,
MANAGING STRESS AND ANXIETY, SKIN INTEGRITY, AND NUTRITION.

Her physicians and dietician can monitor her progress through the Xealth
dashboard in EpicCare. They can see that she occasionally misses some of her
medications, that on average she walks for exercise on average 2 times per week
for 20 minutes, and that she is eating too few servings of many food groups and
not drinking enough water. This information is discussed with her during her
visit, and she has adjusted her self-management routine to improve her diet,
physical activity, and medication adherence.


TESTIMONIALS


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CONTACT US




PHONE

(412) 383-6649


EMAIL

parmanto@pitt.edu


ADDRESS

Bambang Parmanto, PhD
6026 Forbes Tower, University of Pittsburgh,

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