尼日利亚贝努埃州改善分娩结局的移动健康框架：一项研究方案。
An mHealth Framework to Improve Birth Outcomes in Benue State, Nigeria: A Study Protocol.
作者信息
Ezeanolue Echezona Edozie, Gbadamosi Semiu Olatunde, Olawepo John Olajide, Iwelunmor Juliet, Sarpong Daniel, Eze Chuka, Ogidi Amaka, Patel Dina, Onoka Chima
机构信息
Global Health Initiative, School of Community Health Sciences, University of Nevada, Las Vegas, NV, United States.
Catholic Caritas Foundation of Nigeria, Abuja, Nigeria.
出版信息
JMIR Res Protoc. 2017 May 26;6(5):e100. doi: 10.2196/resprot.7743.
BACKGROUND
The unprecedented coverage of mobile technology across the globe has led to an increase in the use of mobile health apps and related strategies to make health information available at the point of care. These strategies have the potential to improve birth outcomes, but are limited by the availability of Internet services, especially in resource-limited settings such as Nigeria.
OBJECTIVE
Our primary objective is to determine the feasibility of developing an integrated mobile health platform that is able to collect data from community-based programs, embed collected data into a smart card, and read the smart card using a mobile phone-based app without the need for Internet access. Our secondary objectives are to determine (1) the acceptability of the smart card among pregnant women and (2) the usability of the smart card by pregnant women and health facilities in rural Nigeria.
METHODS
We will leverage existing technology to develop a platform that integrates a database, smart card technology, and a mobile phone-based app to read the smart cards. We will recruit 300 pregnant women with one of the three conditions-HIV, hepatitis B virus infection, and sickle cell trait or disease-and four health facilities in their community. We will use Glasgow's Reach, Effectiveness, Adoption, Implementation, and Maintenance framework as a guide to assess the implementation, acceptability, and usability of the mHealth platform.
RESULTS
We have recruited four health facilities and 300 pregnant women with at least one of the eligible conditions. Over the course of 3 months, we will complete the development of the mobile health platform and each participant will be offered a smart card; staff in each health facility will receive training on the use of the mobile health platform.
CONCLUSIONS
Findings from this study could offer a new approach to making health data from pregnant women available at the point of delivery without the need for an Internet connection. This would allow clinicians to implement evidence-based interventions in real time to improve health outcomes.
TRIAL REGISTRATION
ClinicalTrials.gov NCT03027258; https://clinicaltrials.gov/ct2/show/NCT03027258 (Archived by WebCite at http://www.webcitation.org/6owR2D0kE).
背景
移动技术在全球范围内前所未有的覆盖范围导致移动健康应用程序及相关策略的使用增加，以便在医疗点提供健康信息。这些策略有可能改善分娩结局，但受到互联网服务可用性的限制，尤其是在尼日利亚等资源有限的地区。
目的
我们的主要目标是确定开发一个集成移动健康平台的可行性，该平台能够从社区项目收集数据，将收集到的数据嵌入智能卡，并使用基于手机的应用程序读取智能卡而无需互联网接入。我们的次要目标是确定：（1）智能卡在孕妇中的可接受性；（2）智能卡在尼日利亚农村孕妇和医疗机构中的可用性。
方法
我们将利用现有技术开发一个集成数据库、智能卡技术和用于读取智能卡的基于手机的应用程序的平台。我们将招募300名患有以下三种疾病之一的孕妇——艾滋病毒、乙型肝炎病毒感染以及镰状细胞性状或疾病——及其所在社区的四个医疗机构。我们将以格拉斯哥的可及性、有效性、采用、实施和维持框架为指导，评估移动健康平台的实施、可接受性和可用性。
结果
我们已经招募了四个医疗机构和300名患有至少一种符合条件疾病的孕妇。在3个月的时间里，我们将完成移动健康平台的开发，并为每位参与者提供一张智能卡；每个医疗机构的工作人员将接受关于移动健康平台使用的培训。
结论
本研究的结果可能提供一种新方法，在无需互联网连接的情况下，在分娩时获取孕妇的健康数据。这将使临床医生能够实时实施基于证据的干预措施，以改善健康结局。
试验注册
ClinicalTrials.gov NCT03027258；https://clinicaltrials.gov/ct2/show/NCT03027258（由WebCite存档于http://www.webcitation.org/6owR2D0kE）
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