提高孟加拉国农村社区高血压患者对移动健康技术的认知和使用：一项随机对照试验方案
Increasing Awareness and Use of Mobile Health Technology Among Individuals With Hypertension in a Rural Community of Bangladesh: Protocol for a Randomized Controlled Trial.
作者信息
Jahan Yasmin, Moriyama Michiko, Rahman Md Moshiur, Kazawa Kana, Rahman Atiqur, Sayeem Bin Shahid Abu Sadat Mohammad, Das Sumon Kumar, Faruque Asg, Chisti Mohammod Jobayer
机构信息
Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.
Department of Culture and Society, Linköping University, Norrköping, Sweden.
出版信息
JMIR Res Protoc. 2020 Aug 17;9(8):e15523. doi: 10.2196/15523.
BACKGROUND
Hypertension remains one of the foremost noncommunicable diseases that most often lead to cardiovascular diseases and its different complications. The prevalence of hypertension in Bangladesh has been increasing. However, there are very limited studies that have evaluated the impact of health education and awareness development in mitigating the burden of hypertension and its complications in Bangladesh.
OBJECTIVE
This study aims to increase awareness, enhance knowledge, and change lifestyle behaviors through health education and the use of mobile health (mHealth) technology among individuals with hypertension living in a rural community of Bangladesh.
METHODS
A randomized controlled trial is underway in a Mirzapur subdistrict of Bangladesh. This trial compares two groups of individuals with hypertension: The comparison arm receives health education and the intervention arm receives health education and a periodic mobile phone-based text message intervention. The trial duration is 5 months. The primary end point is participants' actual behavior changes brought about by increased awareness and knowledge.
RESULTS
Enrollment of participants started in August 2018, and collection of follow-up data was completed at the end of July 2019. A total of 420 participants volunteered to participate, and among them, 209 and 211 were randomly allocated to the intervention group and the control group, respectively. Among them, the ratio of males/females was 12.0/88.0 in the intervention group and 16.1/83.9 in the control group. Data cleaning and analyses have been completed and the results have been submitted for publication.
CONCLUSIONS
Periodic short education using mHealth technology in addition to face-to-face health education may be an effective method for increasing awareness and knowledge about behavioral changes and maintaining healthy lifestyle behaviors.
TRIAL REGISTRATION
Bangladesh Medical Research Council (BMRC) 06025072017; ClinicalTrials.gov NCT03614104, https://clinicaltrials.gov/ct2/show/NCT03614104; University hospital Medical Information Network (UMIN) R000033736, https://upload.umin.ac.jp/cgi-open-bin/ctr_e/ctr_his_list.cgi?recptno=R000033736.
INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/15523.
背景
高血压仍然是最主要的非传染性疾病之一，常常导致心血管疾病及其各种并发症。孟加拉国高血压的患病率一直在上升。然而，在孟加拉国，评估健康教育和提高认识对减轻高血压及其并发症负担的影响的研究非常有限。
目的
本研究旨在通过健康教育以及在孟加拉国农村社区的高血压患者中使用移动健康（mHealth）技术，提高认识、增强知识并改变生活方式行为。
方法
在孟加拉国米尔扎布尔分区正在进行一项随机对照试验。该试验比较两组高血压患者：对照组接受健康教育，干预组接受健康教育以及定期的基于手机短信的干预。试验持续时间为5个月。主要终点是参与者因认识和知识增加而带来的实际行为改变。
结果
参与者招募于2018年8月开始，随访数据收集于2019年7月底完成。共有420名参与者自愿参加，其中209名和211名分别被随机分配到干预组和对照组。其中，干预组男女比例为12.0/88.0，对照组为16.1/83.9。数据清理和分析已经完成，结果已提交发表。
结论
除面对面健康教育外，使用mHealth技术进行定期简短教育可能是提高行为改变认识和知识以及维持健康生活方式行为的有效方法。
试验注册
孟加拉国医学研究理事会（BMRC）06025072017；ClinicalTrials.gov NCT03614104，https://clinicaltrials.gov/ct2/show/NCT03614104；大学医院医学信息网络（UMIN）R000033736，https://upload.umin.ac.jp/cgi-open-bin/ctr_e/ctr_his_list.cgi?recptno=R000033736。
国际注册报告识别码（IRRID）：DERR1-10.2196/15523。
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