Developing and assessing the "MultiLife" intervention: a mobile health-based lifestyle toolkit for cardiometabolic multimorbidity in diabetes and hypertension management - a type 1 hybrid effectiveness-implementation trial protocol
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View abstract on PubMed
Summary
This summary is machine-generated.This study evaluates the MultiLife mobile health intervention to improve cardiometabolic multimorbidity management in rural India. The intervention aims to enhance patient adherence and reduce cardiovascular risk factors through digital tools and primary care support.
Area Of Science
- Digital Health
- Public Health
- Cardiology
Background
- Cardiometabolic multimorbidity (diabetes, hypertension, cardiovascular disease) is a significant health issue in India, especially in rural areas.
- Limited healthcare resources and suboptimal adherence to lifestyle interventions challenge CMM management.
- Mobile health (mHealth) offers a scalable solution for CMM management by promoting behavior change and medication adherence.
Purpose Of The Study
- To develop and evaluate the MultiLife intervention, an mHealth-based lifestyle toolkit.
- To improve cardiometabolic multimorbidity management in individuals receiving primary care in Eastern India.
- To assess the effectiveness of mHealth in enhancing patient engagement and adherence in resource-constrained settings.
Main Methods
- A two-arm, cluster-randomized controlled trial involving 840 participants across 18 primary health centers in Odisha and Jharkhand.
- The MultiLife intervention arm receives daily digital reminders and weekly health education, alongside standard primary care.
- Primary outcomes include changes in HbA1c; secondary outcomes include blood pressure, BMI, physical activity, and diet. Qualitative assessments and RE-AIM QuEST framework will be used.
Main Results
- This section is not available in the provided abstract.
Conclusions
- The MultiLife trial may offer insights into mHealth-enabled primary care for improving patient engagement and cardiovascular risk reduction in underserved areas.
- Findings could inform scalable digital health strategies for comprehensive CMM management.
- The study aims to provide a model for future interventions in similar resource-limited contexts.
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