Awareness Development and Usage of Mobile Health Technology Among Individuals With Hypertension in a Rural Community of Bangladesh: Randomized Controlled Trial
| Autor: | Abu Syed Golam Faruque, Moshiur Rahman, Ryota Matsuyama, Kana Kazawa, Mohammod Jobayer Chisti, Yasmin Jahan, Michiko Moriyama |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Rural Population lifestyle hypertension Health Informatics 030204 cardiovascular system & hematology lcsh:Computer applications to medicine. Medical informatics Care provision awareness development law.invention behavior changes 03 medical and health sciences 0302 clinical medicine Randomized controlled trial Quality of life law Humans Medicine Prospective Studies 030212 general & internal medicine Salt intake Risk factor mobile health mHealth Original Paper Bangladesh business.industry lcsh:Public aspects of medicine Behavior change lcsh:RA1-1270 Telemedicine Quality of Life lcsh:R858-859.7 Female Health education business Demography |
| Zdroj: | Journal of Medical Internet Research, Vol 22, Iss 12, p e19137 (2020) Journal of Medical Internet Research |
| ISSN: | 1438-8871 0602-5072 |
| Popis: | Background Hypertension (HTN) is a major modifiable risk factor and the leading cause of premature deaths globally. The lack of awareness and knowledge have been identified as risk factors in low- and middle-income countries including Bangladesh. Recently, the use of mobile phone SMS text messaging is found to have an important positive impact on HTN management. Objective The study aimed to develop awareness and knowledge in order to enhance lifestyle behavior changes among individuals with HTN in a rural community of Bangladesh by using health education and mobile health (mHealth) technology (SMS text messaging). Methods A prospective randomized 5-month intervention, open-label (1:1), parallel-group trial was implemented among the individuals with HTN aged 35 years or older. Both men and women were included. Between August 2018 and July 2019, we enrolled 420 participants, selected from a tertiary level health facility and through door-to-door visits by community health workers. After block randomization, they were assigned to either the intervention group (received SMS text messaging and health education; n=209) or the control group (received only health education; n=211). The primary outcome was the evaluation of self-reported behavior changes (salt intake, fruits and vegetables intake, physical activity, and blood pressure [BP], and body weight monitoring behaviors). The secondary outcomes were measurements of actual salt intake and dietary salt excretion, blood glucose level, BP values, and quality of life (QOL). Results During the study period, a total of 8 participants were dropped, and the completion rate was 98.0% (412/420). The adherence rates were significantly higher (9%) among the control group regarding salt intake (P=.04) and physical activity behaviors (P Conclusions Based on these results, we suggest that face-to-face health education requires integration of home health care provision and more relevant and timely interactive SMS text messages to increase the effectiveness of the intervention. Besides, community awareness can be created to encourage “low-salt culture” and educate family members. Trial Registration Bangladesh Medical Research Council (BMRC) 06025072017; ClinicalTrials.gov NCT03614104; https://clinicaltrials.gov/ct2/show/NCT03614104 and UMIN-CTR R000033736; https://tinyurl.com/y48yfcoo International Registered Report Identifier (IRRID) RR2-10.2196/15523 |
| Databáze: | OpenAIRE |
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