An mHealth Framework to Improve Birth Outcomes in Benue State, Nigeria: A Study Protocol.
An mHealth Framework to Improve Birth Outcomes in Benue State, Nigeria: A Study Protocol.
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DOI：
10.2196/resprot.7743
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发表时间：
2017-05-26
影响因子：
1.7
通讯作者：
Onoka, Chima
中科院分区：
文献类型：
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作者：
Ezeanolue, Echezona Edozie;Gbadamosi, Semiu Olatunde;Onoka, Chima
背景：移动技术在全球范围内的空前覆盖导致移动健康应用程序和相关战略的使用增加，以便在护理点提供健康信息。这些策略具有改善生育结局的潜力，但受到互联网服务可用性的限制，特别是在尼日利亚等资源有限的环境中。目标：我们的主要目标是确定开发一个综合移动健康平台的可行性，该平台能够从基于社区的项目中收集数据，将收集的数据嵌入智能卡，并使用基于手机的应用程序读取智能卡，而不需要互联网接入。我们的次要目标是确定(1)孕妇对智能卡的接受度和(2)孕妇和尼日利亚农村医疗机构对智能卡的使用情况。方法：我们将利用现有技术开发一个集成数据库、智能卡技术和基于手机的应用程序来读取智能卡的平台。我们将招募300名患有三种疾病之一的孕妇-艾滋病毒、乙肝病毒感染和镰状细胞特征或疾病-以及他们所在社区的四家卫生机构。我们将以格拉斯哥的覆盖范围、有效性、采用、实施和维护框架为指南，评估mHealth平台的实施、可接受性和可用性。结果：我们招募了4家医疗机构和300名至少符合条件的孕妇。在3个月的时间里，我们将完成移动健康平台的开发，每个参与者都将获得一张智能卡；每个医疗机构的工作人员都将接受使用移动健康平台的培训。结论：这项研究的结果可以提供一种新的方法，使孕妇在分娩时获得健康数据，而不需要连接互联网。这将使临床医生能够实时实施循证干预措施，以改善健康结果。TRIAL注册：ClinicalTrials.gov NCT03027258；https://clinicaltrials.gov/ct2/show/NCT03027258(由网站http://www.webcitation.org/6owR2D0kE).存档
BACKGROUND: The unprecedented coverage of mobile technology across the globe has led to an increase in the use of mobile health apps and related strategies to make health information available at the point of care. These strategies have the potential to improve birth outcomes, but are limited by the availability of Internet services, especially in resource-limited settings such as Nigeria.OBJECTIVE: Our primary objective is to determine the feasibility of developing an integrated mobile health platform that is able to collect data from community-based programs, embed collected data into a smart card, and read the smart card using a mobile phone-based app without the need for Internet access. Our secondary objectives are to determine (1) the acceptability of the smart card among pregnant women and (2) the usability of the smart card by pregnant women and health facilities in rural Nigeria.METHODS: We will leverage existing technology to develop a platform that integrates a database, smart card technology, and a mobile phone-based app to read the smart cards. We will recruit 300 pregnant women with one of the three conditions-HIV, hepatitis B virus infection, and sickle cell trait or disease-and four health facilities in their community. We will use Glasgow's Reach, Effectiveness, Adoption, Implementation, and Maintenance framework as a guide to assess the implementation, acceptability, and usability of the mHealth platform.RESULTS: We have recruited four health facilities and 300 pregnant women with at least one of the eligible conditions. Over the course of 3 months, we will complete the development of the mobile health platform and each participant will be offered a smart card; staff in each health facility will receive training on the use of the mobile health platform.CONCLUSIONS: Findings from this study could offer a new approach to making health data from pregnant women available at the point of delivery without the need for an Internet connection. This would allow clinicians to implement evidence-based interventions in real time to improve health outcomes.TRIAL REGISTRATION: ClinicalTrials.gov NCT03027258; https://clinicaltrials.gov/ct2/show/NCT03027258 (Archived by WebCite at http://www.webcitation.org/6owR2D0kE).