mHealth App for Managing Eosinophilic Esophagitis (EoE) Joel E. Williams, MPH, Ph.D. Associate Professor, Public Health Sciences Faculty Fellow, Institute for Advancement of Healthcare

EoE Chronic eosinophilic (white blood cell) infiltration of the esophagus Common symptoms: vomiting, chest pain, difficulty in swallowing, food impaction, failure to thrive period prevalence: 56.7/100,000 persons ~152,152 cases in the U.S. Treatment: Steroid, Diet (elimination or restriction), Monoclonal Antibodies, PPI

EoE

mHealth for Chronic Dz Management Equip patients and/or families to capture real time data related to symptoms and quality of life indicators. EoE episodes linked to dietary triggers, thus we would like to capture meals, snacks and context via food diary Objective and subjective data documented between clinical encounters (vs. “usual” patient recall) –Patient-provider communication enhancement –Individual patient care will be improved Link data to electronic health record (EHR) –Immediate impact: enhanced patient surveillance –Long term plan: add mHealth intervention components over time –Long term plan: multi-site collaboration (e.g., UNC-CH, Cincinnati)

Symptoms

Quality of Life

Food Diary

Thank you for your time! Joel Williams, MPH, Ph.D., Associate Professor Clemson University Dept. of Public Health Sciences Jonathan Markowitz, MD, MSCE, Division Chief Greenville Health System Pediatric Gastroenterology Ransome Eke, MD, Ph.D, IAHC Postdoctoral Fellow Clemson University Dept. of Public Health Sciences