Designing a mobile health intervention for preterm home care: Application of conceptual framework

Phagdol, Tenzin; Nayak, Baby S; Lewis, Leslie Edward; Margaret, Binu; George, Anice

doi:10.1111/phn.13020

Cited by 15 publications

(18 citation statements)

References 20 publications

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“…Despite the popularity of smartphone health-related apps has increased quickly, there has been a lack of rigorous studies which including a clinically important outcome (45,46). Our trial, to our knowledge, is one of the first randomized clinical studies using a conceptual framework (47), reporting the effect of a stand-alone mHealth platform to improve DBP control and increase hypertension compliance, self-efficacy and life quality. We found mHealth platform was safe and effective for promoting hypertension compliance, self-efficacy, life quality and DBP control, but no difference in SBP between the control and intervention groups during 12 weeks.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of a mHealth intervention on hypertension control in a low-resource rural setting: A randomized clinical trial

Zhang

Tan²,

Wang³

2023

Front. Public Health

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BackgroundDespite the increasing popularity of mHealth, little evidence indicates that they can improve health outcomes. Mobile health interventions (mHealth) have been shown as an attractive approach for health-care systems with limited resources. To determine whether mHealth would reduce blood pressure, promote weight loss, and improve hypertension compliance, self-efficacy and life quality in individuals with hypertension living in low-resource rural settings in Hubei, China.MethodsIn this parallel-group, randomized controlled trial, we recruited individuals from health-care centers, home visits, and community centers in low-resource rural settings in Hubei, China. Of 200 participants who were screened, 148 completed consent, met inclusion criteria, and were randomly assigned in a ratio of 1:1 to control or intervention. Intervention group participants were instructed to use the Monitoring Wearable Device and download a Smartphone Application, which includes reminder alerts, adherence reports, medical instruction and optional family support. Changes in the index of Cardiovascular health risk factors from baseline to end of follow-up. Secondary outcomes were change in hypertension compliance, self-efficacy and life quality at 12 weeks.ResultsParticipants (n = 134; 66 in the intervention group and 68 controls) had a mean age of 61.73 years, 61.94% were male. After 12 weeks, the mean (SD) systolic blood pressure decreased by 8.52 (19.73) mm Hg in the intervention group and by 1.25 (12.47) mm Hg in the control group (between-group difference, −7.265 mm Hg; 95% CI, −12.89 to −1.64 mm Hg; P = 0.012), While, there was no difference in the change in diastolic blood pressure between the two groups (between-group difference, −0.41 mm Hg; 95% CI, −3.56 to 2.74 mm Hg; P = 0.797). After 12 weeks of follow-up, the mean (SD) hypertension compliance increased by 7.35 (7.31) in the intervention group and by 3.01 (4.92) in the control group (between-group difference, 4.334; 95% CI, 2.21 to −6.46; P < 0.01), the mean (SD) hypertension compliance increased by 12.89 (11.95) in the intervention group and by 5.43 (10.54) in the control group (between-group difference, 7.47; 95% CI, 3.62 to 11.31; P < 0.01), the mean (SD) physical health increased by 12.21 (10.77) in the intervention group and by 1.54 (7.18) in the control group (between-group difference, 10.66; 95% CI, 7.54–13.78; P < 0.01), the mean (SD) mental health increased by 13.17 (9.25) in the intervention group and by 2.55 (5.99) in the control group (between-group difference, 10.93; 95% CI, 7.74 to 14.12; P < 0.01).ConclusionsAmong participants with uncontrolled hypertension, individuals randomized to use a monitoring wearable device with a smartphone application had a significant improvement in self-reported hypertension compliance, self-efficacy, life quality, weight loss and diastolic blood pressure, but no change in systolic blood pressure compared with controls.

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Section: Discussionmentioning

confidence: 99%

Effectiveness of a mHealth intervention on hypertension control in a low-resource rural setting: A randomized clinical trial

Zhang

Tan²,

Wang³

2023

Front. Public Health

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“…One influential and comprehensive theory is the Process virtualization theory (PVT) to describe virtual processes. The PVT, proposed by Overby [1], has gained attention in several domains such as e-commerce [5], health [6], governance [7], e-learning [2,4,8], and information technology [9]. The strength of PVT lies in postulating interaction and the tradeoff between more pragmatic factors in developing one's inclination towards the virtual process [5].…”

Section: Process Virtualization Theorymentioning

confidence: 99%

“…The strength of PVT lies in postulating interaction and the tradeoff between more pragmatic factors in developing one's inclination towards the virtual process [5]. Secondly, the nature of constructs such as sensory requirements is very much applied in nature in several contexts [6]. Thirdly, based upon the above factors, PVT has parsimony and is suitable for explaining several attributes and expected relationships in different circumstances [7].…”

Section: Process Virtualization Theorymentioning

confidence: 99%

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Post-COVID Education: Virtualization as the Way Forward

Ogadimma¹,

Raza²,

Gorpe³

et al. 2023

Future Trends in Education Post COVID-19

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Online education has been in practice before COVID-19. However, COVID-19 pandemic has popularized online education. This study aims to explore the application of Process Virtualization Theory (PVT) in an e-learning process to gain new insights into the education context. Data was collected through an online survey from 362 university students in Pakistan. Results of the structural equational modeling indicate that eradication of digital divide can improve students’ engagement in virtual learning environments and thus entrench e-learning as a viable mode of education. Thus, this study has unfolded the understudied factor of digital divide in a developing country setting. To this end, the study underscored the threatening potential of digital divide to e-learning. Furthermore, the study has validated the notion of PVT theory that when a virtual process or a system reduces the need for sensory requirements, there are more chances of adoption. For educational institutions, the findings recommend incorporating offline learner-material and interaction capability (e.g., feedback) in their e-learning management system to promote students’ adoption of e-learning.

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“…Considering that 99% of all neonatal deaths globally occur in LMICs, preterm birth, birth asphyxia, neonatal sepsis, and perinatal depression are leading causes of infant morbidity and mortality (Iqbal et al., 2023; Phagdol et al., 2022). Mothers living in LMICs are disproportionately exposed to various cumulative socioeconomic and risk factors related to the environment, which may threaten the mother's mental health and the development of the child.…”

Section: Introductionmentioning

confidence: 99%

Stress and stressors experienced by the parents of high‐risk neonates admitted in neonatal intensive care unit: Systematic review and meta‐analysis evidence available from India

Siva,

Phagdol,

S. Nayak

et al. 2023

Stress and Health

Self Cite

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The aim of the systematic review and meta‐analysis is to determine the stress and stressors experienced by the parents of high‐risk neonates admitted to the neonatal intensive care unit (NICU) in India. We included both quantitative and qualitative studies. The Joanna Briggs Institute Critical Appraisal Checklist and Critical Appraisal Skill Programme checklist were used to assess the quality of included studies. A systematic search was conducted in PubMed, EMBASE, SCOPUS, EBSCOhost, Web of Science, ProQuest, Microsoft Academic, DOAJ, Indian Citation Index, and J‐Gate to identify relevant studies. Additionally, online hand searching was performed on Indian websites of relevant institutions, women and child health departments, repositories, registries, and paediatric journals. Twelve of the 21 quantitative studies found that maternal stress was higher than fathers due to the separation from their babies and the medical condition of the neonate. One qualitative study reported that financial burden, alterations in the parenting role, and concern over domestic issues are significant causes of fathers' stress. A meta‐analysis of the included studies assessed the prevalence of maternal, paternal, and parental stress and reported that mothers experienced higher stress levels than fathers across all subscales. The most typical stressors for parents were changes in neonatal looks, behaviour, and altered parental roles. Beyond the immediate NICU care and interactions, other triggering factors of stress among parents must be considered to design multicomponent interventions in a local (Indian) context. Moreover, parental psychological support and regular counselling can be incorporated into the standard neonatal intensive care policy.

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Designing a mobile health intervention for preterm home care: Application of conceptual framework

Cited by 15 publications

References 20 publications

Effectiveness of a mHealth intervention on hypertension control in a low-resource rural setting: A randomized clinical trial

Effectiveness of a mHealth intervention on hypertension control in a low-resource rural setting: A randomized clinical trial

Post-COVID Education: Virtualization as the Way Forward

Stress and stressors experienced by the parents of high‐risk neonates admitted in neonatal intensive care unit: Systematic review and meta‐analysis evidence available from India

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