Mhealth

Caktus is proud to announce that we endorse the Principles for Digital Development or “Digital Principles”, a set of best practices that support technology creation for international development. We feel strongly that they help technology companies like us improve our contributions to the Information and Communications Tool for Development (ICT4D) community. In offering technical design and software development services, we often work alongside our clients to help shape the tools they need. Because of our influence in this process, having established principles are helpful to use as a guide in our conversations and design of the tools we build.

The Journal of Medical Internet Research recently published “Epic Allies: Development of a Gaming App to Improve Antiretroviral Therapy Adherence Among Young HIV-Positive Men Who Have Sex With Men”. Epic Allies, initially funded by a federal Small Business Innovation Research (SBIR) grant, represents a partnership between Caktus, UNC’s Institute of Global Health and Infection Diseases, and Duke Global Health Institute.

At this year’s mHealth at Duke 2015 Conference, Dr. Lisa Hightow-Weidman discussed her current mHealth projects for HIV prevention. Chief among these projects is her work with Caktus Group on Epic Allies, a mobile gaming app that utilizes social media and mini-games to increase adherence to prescribed medication amongst HIV-positive men who have sex with men (MSM).

The Art of Cool festival is a staple of spring happenings in the Triangle. A three-day festival to present, promote, and preserve jazz and jazz-influenced music, The Art of Cool always promises to be a great time for those interested in music, art, and delicious food from Durham’s many food trucks. But what does music have to do with programming and app development? This year, Caktus Group is helping to sponsor a new portion of the festival called Innovate Your Cool. Innovate Your Cool celebrates the power of cool ideas, advancing innovative thinking by bringing together intelligent people with radically new ideas.

Caktus has always pursued projects that make a difference in the world, particularly around HIV/AIDs. Now we’re hoping to provide a technology solution to a population that’s notoriously difficult to treat: teens and young adults living with HIV. They’re disproportionately impacted by new infections and, in the South in particular, those with HIV/AIDs have the lowest survival rates of any group living with the disease.

I have had the good fortune of working internationally on mobile health applications due to Caktus’ focus on public health. Our public health work often uses RapidSMS, a free and open-source Django powered framework for dynamic data collection, logistics coordination and communication, leveraging basic short message service (SMS) mobile phone technology. I was able to work on two separate projects tracking data related to the 1000 days between a woman’s pregnancy and the child’s second birthday. Monitoring mothers and children during this time frame is critical as there are many factors that, when monitored properly, can decrease the mortality rates for both mother and child. Both of these projects presented interesting challenges and resulted in a number of takeaways worth further discussion.

Last week Tobias and I had a great time attending our first Youth+Tech+Health Live conference. I went to present along with our partners Sara LeGrand and Emily Pike from Duke and UNC respectively on our NIH/SBIR funded game focused on encouraging HIV medication adherence. The panel we spoke on “Stick to it: Tech for Medical Adherence + Health Interventions” was rounded out by Dano Beck from the Oregon Health Authority speaking about how they have used SMS message reminders successfully to increase HIV medication adherence in Oregon.

We’re pleased to announce that Caktus will be presenting Epic Allies, an mHealth Gamification App to improve ART drug adherence for HIV patients, at this year’s YTH Live in San Francisco.

Colin Copeland, Managing Member at Caktus, has wrapped up work, supported by UNICEF, as the Community Coordinator for the open source RapidSMS project. RapidSMS is a text messaging application development library built on top of the Django web framework. It creates a SMS provider agnostic way of sending and receiving text messages. RapidSMS has been used widely in the mobile health field, in particular in areas where internet access cannot be taken for granted and cell phones are the best communication tool available. This has included projects initiated by UNICEF country offices in Ethiopia, Madagascar, Malawi, Rwanda, Uganda, Zambia, and Zimbabwe.

The following is a press release posted in partnership with our team at UNC  and Duke.

The web application development company Caktus Group has teamed up with researchers at the UNC Institute for Global Health & Infectious Diseases and the Duke Global Health Institute to develop a mobile phone app that may help patients better adhere to their medication regimens.