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Using Targeted mHealth Messages to Address Hypertension and Diabetes Self-Management in Cambodia: Protocol for a
Annette L Fitzpatrick1,2,3, Maurits van Pelt4, Hen Heang4
1Department of Family Medicine, University of Washington, Seattle, WA, United States.
This study tests a mobile health (mHealth) intervention using tablets and voice messages to improve hypertension and diabetes self-management in Cambodia. Results will inform health policy for chronic disease control.
Area of Science:
- Global Health
- Digital Health
- Chronic Disease Management
Background:
- Hypertension and diabetes are leading causes of global disability.
- Mobile health (mHealth) programs are expanding in low- and middle-income countries (LMICs).
- Tailoring mHealth to individual patient needs is an emerging strategy for chronic condition management.
Purpose of the Study:
- To develop and evaluate an mHealth intervention using electronic data capture and voice messaging for hypertension and diabetes self-management in Cambodia.
- To inform Cambodian health policy and strategies for chronic disease control by sharing study findings.
Main Methods:
- Cluster randomized controlled trial involving 75 community peer educators (PEs) and approximately 1500 patients in Cambodia.
- Intervention groups received tablet-based data capture with or without tailored voice messages; control group received usual care.
- Messages focused on medication adherence, lifestyle, and other self-management themes based on monthly PE data.
Main Results:
- Peer educators were randomized in July 2017, with intervention implementation from September 2017 to June 2018.
- Data analysis is currently in progress.
- Clinical and process outcomes will be compared to baseline metrics post-intervention.
Conclusions:
- The study uniquely combines immediate electronic data transfer with personalized voice messaging for patient self-management.
- Positive outcomes would demonstrate the effectiveness of targeted mHealth messaging for improving hypertension and diabetes control.
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