1. mHealth App for Managing Eosinophilic Esophagitis (EoE)
Joel E. Williams, MPH, Ph.D.
Department of Public Health Sciences

2. 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

3. EoE

4. EoE

5. 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)

6. Symptoms

11. Quality of Life

16. Food Diary

23. Additional Features

30. Thank you for your time!
Joel Williams, MPH, Ph.D., Associate Professor Director of Graduate Studies & Ph.D. Program Coordinator, Dept. of Public Health Sciences, Clemson University
Jonathan Markowitz, MD, MSCE, Division Chief Greenville Health System Pediatric Gastroenterology