Updated on September 10, 2020

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Created on September 16, 2018

emocha

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eMocha is an online platform for video Directly Observed Therapy.

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Author

Product Description

eMocha is a video Directly Observed Therapy tool.

It is a HIPAA-compliant mobile app that lets patients record a video of themselves taking their meds and send it to their care provider. It aims to help people comply with their medication regimens and reduce the risks that are associated with failing to take the prescribed medication.

Using the apps, patients report side effects or symptoms and record every dose of medication using the emocha smartphone app. Care providers are also able to communicate with patients and review their progress from the eMocha web platform.

Distributors / Implementing Organizations

Implementing organizations and partners:

  • Maryland Innovation Initiative
  • BioHealth Innovation
  • Kapor Capital
  • NIH - National Institute of Drug Abuse
  • NIH - National Institute on Minority Health and Health Disparities
  • SBIR - STTR
Other implementing organizations: Baltimore City Health DepartmentHarris County Public HealthFresno, Merced and Contra Costa counties.

Manufacturing/Building Method

N/A

Intellectural Property Type

Patent Protected

User Provision Model

Users can download the app for free in Google Play.

Distributions to Date Status

10,000+ app installs according to Google Play as of 2020.

Design Specifications

eMocha is a smartphone application that allows patients to indicate symptoms and record themselves taking their medication. The patient can then securely submit this information to the eMocha server, where a clinician can then observe and confirm medication adherence using the eMocha web interface. The system also includes a notifications feature to remind patients to take their medication and inform providers about important patient-reported events. The app can be accessed from the Play Store for users while implementing organization have access to a web interface where they can monitor patient data. The app allows for:

  • Dose-by-dose tracking using video Directly Observed Therapy (DOT).
  • Patient-doctor communication.
The application of the app is majorly where Directly Observed Therapy is needed in order to enforce adherence to medication regimen.

Technical Support

Provided by the manufacturer.

Replacement Components

N/A

Lifecycle

N/A

Manufacturer Specified Performance Parameters

eMocha seeks to enforce dose by dose adherence, amplify the patient engagement, focus resources, reduce costs, and improve outcomes.

Vetted Performance Status

eMocha has been implemented in Harris County (TX) and Baltimore (MD). Data is actively being gathered on usability, patient adherence, and cost savings at four Maryland health departments with support from an NIH grant. miDOT is also being used in an adherence-related study of Hepatitis C Virus in Denver, CO. miDOT will soon be tested in Pune and Bangalore, India. In a National Institute of Minority Health and Health Disparities Small Business Innovation Research grant across 3 Maryland public health departments, 100% of patients successfully completed tuberculosis treatment.

Safety

No known safety hazards are related to this product.

Complementary Technical Systems

N/A

Academic Research and References

Hatef, E., Sharfstein, J., Labrique, A., 2018, Innovation and Entrepreneurship: Harnessing the Public Health Skill Set in a New Era of Health Reforms and Investment. Journal of Public Health Management and Practice, 2, 99-101.

Bollinger, R., et al., 2011,  Building a Global Health Education Network for Clinical Care and Research. The Benefits and Challenges of Distance Learning Tools. Lessons Learned from the Hopkins Center for Clinical Global Health Education. Infectious Disease Clinics , Volume 25 , Issue 2 , 385 – 398.

Veronica N., Kalengé, S., Kelley, J., Wilson, A., Muliira, J., Nabirye, R., Glass, N., Bollinger, R., Stella, A.,  Chang, L., 2021, Research Capacity–Building Program for Clinicians and Staff at a Community-Based HIV Clinic in Uganda: A Pre/Post Evaluation. Journal of the Association of Nurses in AIDS Care, Volume 23, Issue 5, 2012, Pages 431-441, ISSN 1055-3290

Hoffman, J. A., Cunningham, J.R., Suleh, A.J., Sundsmo, A., Dekker, D., Vago, F., Munly, K., Igonya, E. K., Hunt-Glassman, J., 2010, Mobile direct observation treatment for tuberculosis patients: a technical feasibility pilot using mobile phones in Nairobi, Kenya. Am J Prev Med. 2010 Jul; 39(1):78-80.

Compliance with regulations

HIPAA-compliant mobile app. emocha also integrates with existing Electronic Medical Record (EMR) systems using XML medical data format.

Other Information

Case studies. Emocha was awarded the Small Business Innovation Research (SBIR) award by NIH.

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