دورية أكاديمية
أعرض في EDS

Using Mobile Health to Enhance Outcomes of Noncommunicable Diseases Care in Rural Settings and Refugee Camps: Randomized Controlled Trial.

التفاصيل البيبلوغرافية
العنوان: Using Mobile Health to Enhance Outcomes of Noncommunicable Diseases Care in Rural Settings and Refugee Camps: Randomized Controlled Trial.
المؤلفون: Saleh S; Health Management and Policy, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon.; Global Health Institute, American University of Beirut, Beirut, Lebanon., Farah A; Health Management and Policy, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon., Dimassi H; School of Pharmacy, Lebanese American University, Beirut, Lebanon., El Arnaout N; Global Health Institute, American University of Beirut, Beirut, Lebanon., Constantin J; Health Management and Policy, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon., Osman M; Department of Family Medicine, Faculty of Medicine, American University of Beirut, Beirut, Lebanon., El Morr C; School of Health Policy and Management, Faculty of Health, York University, Toronto, ON, Canada., Alameddine M; Health Management and Policy, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon.; Health Management and Policy, College of Medicine, Mohammed bin Rashid University of Medicine and Health Sciences, Dubai, United Arab Emirates.
المصدر: JMIR mHealth and uHealth [JMIR Mhealth Uhealth] 2018 Jul 13; Vol. 6 (7), pp. e137. Date of Electronic Publication: 2018 Jul 13.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: JMIR Publications Inc Country of Publication: Canada NLM ID: 101624439 Publication Model: Electronic Cited Medium: Print ISSN: 2291-5222 (Print) Linking ISSN: 22915222 NLM ISO Abbreviation: JMIR Mhealth Uhealth Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: Toronto: JMIR Publications Inc., [2013]-
مستخلص: Background: Rural areas and refugee camps are characterized by poor access of patients to needed noncommunicable disease (NCD)-related health services, including diabetes and hypertension. Employing low-cost innovative eHealth interventions, such as mobile health (mHealth), may help improve NCDs prevention and control among disadvantaged populations.
Objective: The aim of this study was to assess the effect of employing low-cost mHealth tools on the accessibility to health services and improvement of health indicators of individuals with NCDs in rural areas and refugee camps in Lebanon.
Methods: This is a randomized controlled trial study in which centers were allocated randomly into control and intervention sites. The effect of an employed mHealth intervention is assessed through selected quality indicators examined in both control and intervention groups. Sixteen primary health care centers (eight controls, eight interventions) located in rural areas and Palestinian refugee camps across Lebanon were included in this study. Data on diabetic and hypertensive patients-1433 in the intervention group and 926 in the control group-was extracted from patient files in the pre and postintervention periods. The intervention entailed weekly short message service messages, including medical information, importance of compliance, and reminders of appointments or regular physician follow-up. Internationally established care indicators were utilized in this study. Descriptive analysis of baseline characteristics of participants, bivariate analysis, logistic and linear regression were conducted using SPSS (IBM Corp).
Results: Bivariate analysis of quality indicators indicated that the intervention group had a significant increase in blood pressure control (P=.03), as well as a significant decrease in the mean systolic blood pressure (P=.02), mean glycated hemoglobin (HbA 1c ; P<.01), and in the proportion of HbA 1c poor control (P=.02). Separate regression models controlling for age, gender, and setting showed a 28% increase in the odds of blood pressure control (P=.05) and a 38% decrease in the odds of HbA 1c poor control (P=.04) among the intervention group in the posttest period. Females were at lower odds of HbA 1c poor control (P=.01), and age was statistically associated with annual HbA 1c testing (P<.01). Regression models for mean systolic blood pressure, mean diastolic blood pressure, and mean HbA 1c showed that a mean decrease in HbA 1c of 0.87% (P<.01) pretest to posttest period was observed among the intervention group. Patients in rural areas belonging to the intervention group had a lower HbA 1c score as compared with those in refugee camps (P<.01).
Conclusions: This study underlines the importance of employing integrative approaches of diseases prevention and control in which existing NCD programs in underserved communities (ie, rural and refugee camps settings) are coupled with innovative, low-cost approaches such as mHealth to provide an effective and amplified effect of traditional NCD-targeted care that can be reflected by improved NCD-related health indicators among the population.
Trial Registration: ClinicalTrials.gov NCT03580330; https://clinicaltrials.gov/ct2/show/NCT03580330 (Archived by WebCite at http://www.webcitation.org/70mhVEUwQ).
(©Shadi Saleh, Angie Farah, Hani Dimassi, Nour El Arnaout, Joanne Constantin, Mona Osman, Christo El Morr, Mohamad Alameddine. Originally published in JMIR Mhealth and Uhealth (http://mhealth.jmir.org), 13.07.2018.)
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فهرسة مساهمة: Keywords: diabetes mellitus; hypertension; mobile health; noncommunicable diseases; refugees; rural health; telemedicine
سلسلة جزيئية: ClinicalTrials.gov NCT03580330
تواريخ الأحداث: Date Created: 20180715 Latest Revision: 20191120
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC6064041
DOI: 10.2196/mhealth.8146
PMID: 30006326
قاعدة البيانات: MEDLINE
الوصف
تدمد:2291-5222
DOI:10.2196/mhealth.8146