Screening, Early Referral and Lifestyle Tailored E_prescription for Cardiovascular Prevention in PakisTan(SELECT) - A Pilot Feasibility Study Using mHealth
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Cardiovascular Diseases
- Sponsor
- Aga Khan University
- Enrollment
- 2000
- Primary Endpoint
- Health Service Delivery of Intervention Outreach via Interactive Voice Recording
- Last Updated
- 6 years ago
Overview
Brief Summary
We will evaluate an e_Prescription intervention can be integrated into an electronic screening program, which together exploit: (i) reach - the adult population has 100% mobile phone ownership and 92% internet national coverage; and (ii) behavioral change - the intervention can teach verbally and visually, thus bypassing literacy challenges, to allow simple, low-cost, repetition messaging for habit reinforcement. Uptake of the program through the various stages will be evaluated in ~2000 adults of a large representative suburban district of Karachi: As well as before-and-after physiological measures, including blood pressure (BP) and blood glucose, a random sample of 30-40 participants will be invited for interview to assess success and failure of the program. This is a pragmatic feasibility intervention implementation study.
Detailed Description
The goal of this pilot study is to demonstrate feasibility of a scalable , population-wide, approach to early detection and management of people at high-risk of CVD using electronic screening, referral, treatment and lifestyle modification based on health theory and considerable background research for local applicability. It is a mixed method, feasibility study based in Malir District of Karachi, the largest city in Pakistan, to demonstrate uptake, participation and response of our mHealth intervention.
Investigators
Dr. Ayeesha Kamran Kamal
Professor of Neurology, Department of Medicine
Aga Khan University
Eligibility Criteria
Inclusion Criteria
- •All adult (\>18 years) residents of Malir district
- •Own a mobile phone
- •Provide written informed consent are eligible to participate
Exclusion Criteria
- •Not permanent residents of Malir district.
- •A person who is decision impaired due to stroke, or aphasia or dementia .
- •Serious cognitive deficits that impair the visualization or understanding of SMS, IVR and e_prescription messages
Outcomes
Primary Outcomes
Health Service Delivery of Intervention Outreach via Interactive Voice Recording
Time Frame: 3 to 6 months
Number of IVR ( Interactive Voice Recording ) sent to target Population
Health Service Delivery of Intervention Outreach via Short Text Messages
Time Frame: 3 to 6 months
The success rate in delivery of SMS intervention to target community 1. Number of SMS sent successfully to target Population
Health Service Measures of Intervention Uptake
Time Frame: 3 to 6 months
Proportion of referred participants enrolled in e_Prescription education program
Early Impact Measure of Intervention for Prompt Referral
Time Frame: 3 to 6 months
Proportion of referred participants from screened participants referred
Community Participation and Uptake of Intervention
Time Frame: 3 to 6 months
Number of participants responded to the IVR and SMS call
Early Impact Measure of Intervention for Detection
Time Frame: 3 to 6 months
Proportion of participants in each of risk strata (low, medium and high risk) as defined by the presence of stroke and/or MI ( High ), DM and / or HTN ( Medium), or poor lifestyle choices ( Low Risk) by the SELECT algorithm
Secondary Outcomes
- Change in Physiological Characteristics of Intervention Participants - Blood Pressure(0, 3 to 6 months)
- Change in Physiologic Characteristics of Intervention Participants- Height(0, 3 to 6 months)
- Change in Physiological Characteristics of Intervention Participants - Physical Activity(0, 3 to 6 months)
- Change in Physiological Characteristics of Intervention Participants - Weight(0, 3 to 6 months)
- Change in Physiological Characteristics of Intervention Participants - BMI(0, 3 to 6 months)