I'll mention a few examples very quickly.
Gateway was involved in a study called Artemis. The other name for it is basically “10,000 steps a day”. It looks at using the BlackBerry as the hand-held device that connects into a hub of your weight scale, blood pressure monitoring, blood glucose monitoring, and a pedometer. It uses that app to feed all that information into the user's hand-held device to see if that helps with motivation. We talked about patient engagement earlier on. It's very important.
That was shown to have pretty positive results in terms of increasing the number of steps taken daily and also over time. They tracked this for a year and they were able to show a decrease in blood sugar and blood pressure. There is some positive data on that.
We talked about how to get people engaged. There is documentation that rural residents have a bit of a stronger cultural influence, in that they tend to be more independent-minded and less likely to actively seek out preventive health services on their own. We looked at who they trust and where they usually go to have a regular chat. We targeted community-based pharmacists as that group in almost every smaller community who know each other and know the patients intimately well. They have usually been there for decades and they see the patients on a regular basis, even though it may be for something completely unrelated.
We're looking, for example, at whether we can embed cognitive impairment screening, which is a short three-to-five minute test, into a visit like that, which could spot signals that could be an issue down the road. We know early detection leads to earlier diagnosis, which leads to better outcomes when it comes to management of the condition as well.
Those are some examples.