Collaborative management of Type 2 Diabetes Mellitus in informal settings in Port-Harcourt, Nigeria using technology

利用技术在尼日利亚哈科特港非正式环境中协作管理 2 型糖尿病

• 批准号: 2600583
• 金额: --
• 依托单位: University of Bristol
• 依托单位国家: 英国
• 项目类别: Studentship
• 财政年份: 2021
• 资助国家: 英国
• 起止时间: 2021 至 无数据
• 项目状态: 未结题
• 来源: https://gtr.ukri.org/projects?ref=studentship-2600583
• 关键词: Collaborative; management; Type; Diabetes; Mellitus

IntroductionType 2 Diabetes Mellitus (T2DM) is one of the most prevalent diseases in Nigeria, and like other chronic diseases would require long-term care in informal contexts. The need for collaborative healthcare in chronic diseases like T2DM has been established by several researchers as it offers a plethora of benefits. However, the importance of technology in facilitating this process cannot be overemphasized. A lot of tech options have been explored such as the creation of mobile apps or the utilization of AI, however, there are still limited options available that consider the lived experiences of persons in non-Western contexts. The gaps observed in literature and available interventions, have contributed to the objectives of this study, which is centred on understanding the relationship between community pharmacists, persons living with T2DM and caregivers, within the Nigerian context and how this relationship could contribute to tech co-creation and tech-adoption for the improvement of health outcomes.ObjectivesPHASE 1: The objectives of this phase are to investigate the role of community pharmacists in promoting self-care using technology, to explore the types of technologies available and how they are being used. Other objectives include understanding collaborative care using technology within this context and identifying tech needs for this demographic.PHASE 2: The objective of this phase is to focus on the co-design/creation of a prototype or relevant artefact.PHASE 3: This phase would be focused on evaluating the artefact in the wild.PLAN FOR PHASE 1The purpose of this phase is to achieve the major objectives of the study using qualitative and quantitative research methods.Data collectionData collection would be conducted in two stages at the city of Port-Harcourt, Rivers State in Nigeria. The questions for the interviews and questionnaires would be designed to achieve the research objectives. In the first stage, interviews would be conducted via WhatsApp, with the intention of collecting different forms of data. The aim is to identify scenarios in which they either used some sort of technology or they wish they had some sort of technology. Interviews would also be conducted with several participants who may want to communicate physically, or via telephone calls or online calls. The second stage involves the dissemination of questionnaires which would have been prescreened and validated. The questionnaires would be distributed to as many persons living with T2DM, but with the aim of getting at least 59 responses which is the baseline sample size. The target group would be assessed in informal locations, and all ethical guidelines would be considered before the administration of the questionnaires.Data analysisThe qualitative data from the first stage would be analyzed using reflexive thematic analytical methods, while quantitative data would be analyzed using descriptive statistics and cluster analysis. The results would be used to create a report and a journey map, through which an artefact can be designed.Expected contributionsThere are multiple possible contributions from this phase of the study and they could generate viable research papers which could include:1. An assessment of WhatsApp as a tool for data collection in qualitative research (Possible methodological contribution)2. An understanding of the use of WhatsApp in the collaborative healthcare management of T2DM in informal settings3. Characterization of how tech is adopted by relevant stakeholders in the low resource setting of Port-Harcourt, NigeriaPHASE 2The themes from the first phase would serve as guidelines for the co-creation of an artefact, and/or the creation of frameworks or regulatory documents.PHASE 3The last phase would involve the deployment of the tech tool and evaluation of its performance in the wild.

2型糖尿病（T2 DM）是尼日利亚最流行的疾病之一，像其他慢性病一样，需要在非正式环境中进行长期护理。几位研究人员已经确定了T2 DM等慢性病对协作医疗保健的需求，因为它提供了大量的好处。然而，技术在促进这一进程方面的重要性怎么强调也不过分。人们已经探索了许多技术选择，例如创建移动的应用程序或利用人工智能，但是，考虑到非西方环境中人们的生活体验，仍然有有限的选择。在文献和现有干预措施中观察到的差距有助于实现本研究的目标，本研究的重点是了解尼日利亚背景下社区药剂师、T2 DM患者和护理人员之间的关系，以及这种关系如何有助于技术共同创造和技术采用，以改善健康结果。这一阶段的目标是调查社区药剂师在促进自我保健使用技术的作用，探索可用的技术类型以及它们是如何使用的。其他目标包括了解在此背景下使用技术的协作护理，并确定此人群的技术需求。第2阶段：此阶段的目标是专注于原型或相关人工制品的共同设计/创建。这一阶段的重点是评估野生人工制品。数据收集将分两个阶段在尼日利亚的里弗斯州哈科特港市进行。访谈和问卷的问题将根据研究目标进行设计。在第一阶段，访谈将通过WhatsApp进行，目的是收集不同形式的数据。目的是确定他们使用某种技术或希望拥有某种技术的情景。还将与几名可能希望进行实际交流或通过电话或在线电话进行交流的参与者进行访谈。第二阶段涉及分发经过预先筛选和验证的调查表。问卷将分发给尽可能多的T2 DM患者，但目的是获得至少59份答复，这是基线样本量。调查对象将在非正式地点接受评估，在发放调查问卷前将考虑所有道德准则。数据分析第一阶段的定性数据将采用自反主题分析方法进行分析，定量数据将采用描述性统计和聚类分析。研究结果将被用于创建一个报告和一个旅程图，通过它可以设计一个人工制品。预期的贡献有多个可能的贡献，从这个阶段的研究，他们可以产生可行的研究论文，其中可能包括：1. WhatsApp作为定性研究数据收集工具的评估（可能的方法学贡献）2.了解WhatsApp在非正式环境中的T2 DM协作医疗管理中的使用3。描述相关利益相关者如何在资源匮乏的哈科特港采用技术PHASE 2第一阶段的主题将作为共同创建人工制品和/或创建框架或监管文件的指导方针PHASE 3最后一个阶段将涉及技术工具的部署和评估其在野外的性能。