JHU-IKU Mobile Health for Child Injury Prevention in Malaysia (M-CHILD)

描述(申请人提供)：马来西亚与其他中低收入国家(LMIC)一样，面临着在家中或其邻近环境中发生的儿童伤害的日益沉重的负担。与此同时，移动电话的广泛和日益增长的拥有和使用为以低成本提供卫生干预措施创造了一条很有希望的途径。我们的目标是利用移动技术的巨大潜力来减轻儿童受伤的负担。JHU-IKU M-CHILD项目的总体目标是通过可持续能力发展的创新模式，加强移动卫生能力以评估风险，并改善马来西亚家庭儿童受伤的预防。我们的具体目标是(1)开发一个用于家庭风险评估和预防儿童伤害的mHealth工具，这是马来西亚的一个关键国家优先事项，重点是可行的、可衡量的家庭干预措施。该工具将用于绘制5年内儿童受伤风险图，这将通过创新的数据驱动的mHealth应用程序(map-Child app)刺激减少灾害的干预措施；(2)在马来西亚试点测试map-Child，以评估数据质量和家庭的用户可操作性；以及(3)通过为来自Iku的研究人员开展短期、结构化的mHealth能力建设培训计划，发展一个核心研究人员小组，重点是在马来西亚公共卫生研究所(Iku)公共卫生研究和培训中使用和整合mHealth；在iku举办的国内培训讲习班；以及联合大学举办的关于移动能力优先主题的在线课程和网络研讨会。JHU-IKU M-CHILD项目是mHealth在伤害预防领域的一种新应用，其依据是通过家访等其他交付方式被发现有效的科学原则。我们将开发一款简单、有趣、但又有创意和严谨的手机应用程序，以防止儿童在家中的风险 因此，减少了马来西亚儿童受伤的负担。这项创新的好处将不仅限于儿童或马来西亚；一旦开发，该应用程序将很容易适应其他LMIC设置。JHU-Iku M-CHILD项目还将改变Iku和马来西亚的mHealth环境。通过一种变革性的方法，我们将实施能力发展模式，使用移动能力来围绕国家相关问题进行研究，同时我们的两个机构合作开发与当地相关的数据 登记和伤害结果工具(目标1)。登记册将在一个区实施，以评估其可行性，并发展各中心评估和跟踪减少风险成果的能力(目标2)。我们将利用Iku在具体的儿童伤害和公共卫生方面的教学和研究方面的兴趣，以及在JHU在全球和移动卫生方面的兴趣，以加强马来西亚主要机构之一的移动能力专业知识(目标3)。我们预计，这一计划将导致在Iku和马来西亚的全球健康研究和培训中致力于使用mHealth的计划的未来发展。

DESCRIPTION (provided by applicant): Malaysia, like other low- and middle-income countries (LMICs), faces an increasing burden of childhood injuries occurring in the home or its immediate environment. At the same time, widespread and growing ownership and use of mobile phones has created a promising avenue for delivery of health interventions at low cost. We aim to harness the immense potential of mobile technologies to lessen the burden of child injuries. The overall goal of the JHU-IKU M-CHILD program is to strengthen mobile health capacity to assess risks and improve prevention of child injuries at home in Malaysia through an innovative model of sustainable capacity development. Our specific aims are (1) to develop an mHealth tool for home risk assessment and prevention of child injuries, a key national priority in Malaysia, focusing on feasible, measureable in-home interventions. This tool will be used to map risks for injury to children <5 years, which will stimulate hazard reduction interventions through an innovative data-driven mhealth application (the MAP- CHILD app); (2) to pilot-test MAP-CHILD in Malaysia to evaluate data quality and user operability by families; and (3) to develop a core group of researchers focused on the use and integration of mHealth for research and training in public health at Institute for Public Health (IKU) in Malaysia through a short-term, structured, mHealth capacity-building training program for researchers from IKU that will include an innovative e-mentoring program; in-country training workshops at IKU; and online courses and webinars from JHU on priority topics in m-capacity. The JHU-IKU M-CHILD project is a novel application of mHealth in the area of injury prevention, grounded in scientific principles that hav been found effective through other modes of delivery, such as home visits. We will develop a simple, "fun," yet creative and rigorous mobile phone app that will prevent in-home risks for child injuries, thereby reducing the burden of injuries among children in Malaysia. The innovation's benefits will not be limited to children or to Malaysia; once developed, the app will be easily adaptable to other LMIC settings. The JHU-IKU M-CHILD program will also transform the mHealth environment at IKU and in Malaysia. Through a transformative approach, we will implement a capacity development model using m-capacity to conduct research around a nationally relevant issue while our two institutions collaborate to develop a locally relevant data registry and injury outcome tool (Aim 1). The registry will be implemented in one district to assess its feasibility and develop the capacity of the centers to evaluate and follow outcomes in risk reduction (Aim 2). We will use the interest at IKU in teaching and research on child injuries specifically, and public health in general, and at JHU in global and mobile health, to strengthen m-capacity expertise in one of the premier institutions in Malaysia (Aim 3). We envision that this program will lead to the future development of a program dedicated to the use of mHealth in global health research and training at IKU and Malaysia.