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

描述（由申请人提供）：马来西亚，像其他低收入和中等收入国家（LMICs）一样，面临着越来越多的家庭或直接环境中发生的儿童伤害的负担。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保健干预措施创造了一个有希望的途径。我们的目标是利用移动技术的巨大潜力，减轻儿童受伤的负担。JHU-IKU M-CHILD方案的总体目标是通过可持续能力发展的创新模式，加强移动保健能力，以评估马来西亚的风险，并改善在家中预防儿童受伤的情况。我们的具体目标是(1)开发一个移动健康工具，用于家庭风险评估和预防儿童伤害，这是马来西亚的一个关键国家优先事项，重点是可行的，可测量的家庭干预措施。该工具将用于绘制5岁以下儿童受伤风险图，这将通过创新的数据驱动的移动医疗应用程序（map -儿童应用程序）刺激减少危害的干预措施；(2)在马来西亚对MAP-CHILD进行试点测试，评估数据质量和家庭用户的可操作性；(3)通过面向马来西亚公共卫生研究所（IKU）研究人员的短期、结构化的移动卫生能力建设培训计划（其中包括创新的电子指导计划），建立一个核心研究小组，专注于在公共卫生研究和培训中使用和整合移动卫生；IKU国内培训讲习班；以及JHU关于m-capacity优先主题的在线课程和网络研讨会。JHU-IKU M-CHILD项目是移动医疗在伤害预防领域的一项新应用，其基础是通过家访等其他接生方式发现有效的科学原则。我们将开发一个简单，“有趣”，但创造性和严谨的手机应用程序，以防止儿童在家庭中的风险

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.