在尼泊尔开发和测试一个管理妊娠期糖尿病的移动应用程序:以用户为中心的设计研究和探索性随机对照试验的协议
Lauren T Berube1, Archana Shrestha2,3,4, Abha Shrestha5
1Public Health Nutrition Program, Department of Epidemiology, New York University School of Global Public Health, New York, NY, United States.
JMIR research protocols
|October 21, 2024
概括
这项研究开发并测试了一个移动健康应用程序,用于尼泊尔的妊娠糖尿病 (GDM) 自主管理. 该应用程序旨在改善低资源环境中的GDM治疗.
科学领域:
- 数字健康干预措施 数字健康干预措施
- 生殖健康 生殖健康
- 全球卫生健康 全球卫生健康
背景情况:
- 孕期糖尿病 (GDM) 的患病率在全球范围内正在上升,特别是在低收入和中等收入国家 (LMICs).
- 有效的GDM自我管理至关重要,但由于各种障碍,在资源有限的环境中具有挑战性.
- 移动健康 (mHealth) 为支持GDM自我管理提供了一个潜在的解决方案,但其在LMICs中的应用仍然未被探索.
研究的目的:
- 为GDM自我管理开发一个文化定制的mHealth应用程序 (GDM-Dhulikhel医院 [GDM-DH]应用程序).
- 评估GDM-DH应用程序在尼泊尔一个郊区医院的可用性和初步有效性.
- 提供关于mHealth在LMICs中GDM管理中的作用的见解.
主要方法:
- 第1阶段涉及以用户为中心的开发和通过焦点小组和采访的定性反.
- 第二阶段是一个随机对照试验,比较标准护理与标准护理以及GDM-DH应用程序.
- 结果包括应用程序的使用,自我监测的坚持,可用性,可接受性,血糖控制和出生结果.
主要成果:
- 第1阶段 (应用程序开发) 已经完成.
- 第二阶段正在进行中,截至2024年7月,120名参与者中有99人已注册.
- 预计在2024年12月之前完成招聘,并在2025年12月之前传播调查结果.
结论:
- 基于应用程序的GDM管理干预措施在LMICs中很少.
- 这项概念验证试验将提供有关mHealth平台在LMICs中GDM自我管理的实用性的有价值数据.
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