Screening, Early Referral and Lifestyle Tailored E_prescription for Cardiovascular Prevention in PakisTan(SELECT) - A Pilot Feasibility Study Using mHealth
试验速览
- 阶段
- 不适用
- 入组人数
- 2,000
- 主要终点
- Health Service Delivery of Intervention Outreach via Interactive Voice Recording
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Observational
- 观察模型
- Ecologic Or Community
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 90 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •All adult (>18 years) residents of Malir district
- •Own a mobile phone
- •Provide written informed consent are eligible to participate
排除标准
- •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
结局指标
主要结局
Health Service Delivery of Intervention Outreach via Interactive Voice Recording
时间窗: 3 to 6 months
Number of IVR ( Interactive Voice Recording ) sent to target Population
Health Service Delivery of Intervention Outreach via Short Text Messages
时间窗: 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
时间窗: 3 to 6 months
Proportion of referred participants enrolled in e_Prescription education program
Early Impact Measure of Intervention for Prompt Referral
时间窗: 3 to 6 months
Proportion of referred participants from screened participants referred
Community Participation and Uptake of Intervention
时间窗: 3 to 6 months
Number of participants responded to the IVR and SMS call
Early Impact Measure of Intervention for Detection
时间窗: 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
次要结局
- 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)
研究者
Dr. Ayeesha Kamran Kamal
Professor of Neurology, Department of Medicine
Aga Khan University