Awareness Development and Usage of mHealth Technology Among Hypertensive Patients in a Rural Community of Bangladesh
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 420
- 试验地点
- 1
- 主要终点
- Behavioral change
研究概览
简要总结
To develop awareness, enhance knowledge, attitude and make behavioral changes by using health education and mHealth technology among hypertensive patients in a rural community of Bangladesh, A Randomized Controlled Trial will be conducted in a rural community around Kumudini Women's Medical College and Hospital, Mirzapur, Bangladesh, intervention period will be consecutive 5 months and 210 in each group (total 420). Face to face interviews will be conducted to develop awareness among hypertensive individuals as part of the provision of improved health care services. The face to face interview will take place at Kumudini Hospital or in the community. Face to face interviews will help to understand the individuals' perceptions, attitudes, and practices associated with compliance to treatment and behavior change. Additionally, the study will identify major barriers related to hypertension associated with healthcare-seeking behaviors. Subjects will be diagnosed cases of hypertension. The selection criteria would be: individuals aged 35 years and more, have at least 1-5 years of schooling, who are open and can exchange their views freely as well as who can be asked in-depth and probing questions. Moreover, specimens will be collected to examine for serum total cholesterol, random blood sugar, urinary salinity, and urinary protein. Physical measurements like height in meter, weight in kg, MUAC in millimeter, hip and waist ratio will be performed from the day of enrollment till the end of follow up. If the participant agrees to participate, they will be asked questions about their lifestyle, present health status, and socio-demographic characteristics. The interview will around 30 minutes of their time, measurement of nutritional status (height, weight, MUAC, hip circumference, and waist circumference), and specimen collection for laboratory tests (blood and urine) will take another 30 minutes. Initially, the follow-up visits will be twice a month then once a month up to 4 consecutive months. Interviews will be conducted in the Kumudini Women's Medical College and Hospital. The data will be securely stored in a locked room. Data will be processed and analyzed by using the statistical software packages SPSS for Windows version 21.0 and Epi Info version 6.0. Statistical significance will be defined as p<0.05.
详细描述
Introduction:
Hypertension is one of the foremost non-communicable diseases (NCDs)c in the world, which significantly contributes to the burden of cardiovascular diseases (CVDs), stroke, kidney failure, disability, and premature death. It is also recognized as a global public health problem and ranked third as a cause of disability-adjusted life-years (DALYs). According to the World Health Organization (WHO), about 17 million deaths occur worldwide due to CVDs, of which hypertension alone accounts for 9.4 million deaths and 80% of the CVD-related deaths occurred in the developing countries. The global prevalence of hypertension is projected to increase from 26% in 2000 to 29% by 2025, which will be approximately 29% of the world's population. Its prevalence is increasing in the low and middle-income countries (LMIC), especially Southeast Asia where individuals are having an increasing burden of hypertension including CVDs. According to WHO, hypertension has become a significant health concern in the Asian region, affecting more than 35% of the adult population. Bangladesh, a developing country in South Asia, has been experiencing an epidemiologic transition from communicable diseases to NCDs. In recent years, rapid urbanization, prolonged life expectancy, unhealthy diet, and lifestyle changes have led to an increase in the rate of CVD including hypertension in Bangladesh. In recent years, in Bangladesh, approximately 20% of adults and 40-65% of elderly people suffer from HTN. Most of the common reasons are sedentary lifestyle, changing food habit, smoking, and adulteration of food products, fruits, and vegetables. However, keeping in mind the changes in lifestyle and food habits among the young adults in Bangladesh, the possibilities of hypertension in young adults can't be ruled out among this age group. In this study, we aim to develop awareness, enrich knowledge and make behavioral modifications by health education and mHealth technology among hypertensive patients in a rural community of Bangladesh.
Objectives:
General objective:
- To develop awareness and enhance knowledge, which will be measured by actual behavioral changes by using health education and mHealth technology among hypertensive patients in a rural community of Bangladesh.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 35 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Hypertensive individuals of either sex aged 35 years or older
- •Have 1-5 years of schooling
- •Resides within a radius of 3 miles from the Kumudini Women's Medical College and Hospital
- •Who resides in that area at least 6 months
- •Has a personal cell phone or access to a shared phone
- •Who is open and can exchange his views freely
- •Willing to participate in the study
- •Who consents to receive and read periodic text messages for the entire study period.
排除标准
- •Individuals with no hypertension aged less than 35 years
- •Who don't have 1-5 years of schooling
- •Resides beyond a radius of 3 miles from the Kumudini Women's Medical College and Hospital
- •Who don't reside in that area at least 6 months
- •With mental illnesses or serious co-morbidities or chronic illnesses that might cause periodic absence
- •Without access to cell phone
- •Not willing to participate
- •Who don't want to give consent to receive and read periodic text messages for the entire study period.
结局指标
主要结局
Behavioral change
时间窗: Intervention period is 5 months
By health education Operational Definition: Increased awareness, knowledge, and attitude changes will be measured by actual behavior change of participants. Once participants will aware the importance of lifestyle change, obtain knowledge about the way of change, and intend to change, the participants will change their lifestyles. Thus, we can measure these changes by actual behavior. Behavioral changes by health education (evaluated by the researcher who developed questionnaire). Operational Definition: Increased awareness, knowledge, and attitude changes will be measured by actual behavior change of participants. Once participants will aware the importance of lifestyle change, obtain knowledge about the way of change, and intend to change, the participants will change their lifestyles. Thus, we can measure these changes by actual behavior. Behavioral changes by health education (evaluated by the researcher who developed questionnaire).
次要结局
- Improve quality of life(Intervention period is 5 months)
研究者
Yasmin Jahan
Principal Investigator
Hiroshima University