Department of Health Management and Policy, Faculty of Health Sciences, American University of Beirut, Riad El Solh, Beirut, Lebanon.
Global Health Institute, American University of Beirut, Riad El Solh, Beirut, Lebanon.
J Public Health (Oxf). 2018 Dec 1;40(suppl_2):ii52-ii63. doi: 10.1093/pubmed/fdy172.
Non-communicable diseases (NCDs) account for 85% of deaths in Lebanon and contribute to remarkable morbidity and mortality among refugees and underserved populations. This study assesses the perspectives of individuals with hypertension and/or diabetes in rural areas and Palestinian refugee camps towards a population based mHealth intervention called 'eSahha'.
The study employs a mixed-methods design to evaluate the effectiveness of SMSs on self-reported perceptions of lifestyle modifications. Quantitative data was collected through phone surveys, and qualitative data through focus group discussions. Descriptive statistics and bivariate analysis were performed.
About 93.9% (n = 1000) of respondents perceived the SMSs as useful and easy to read and understand. About 76.9% reported compliance with SMSs through daily behavioral modifications. Women (P = 0.007), people aged ≥76 years (P < 0.001), unemployed individuals (P < 0.001), individuals who only read and write (P < 0.001) or those who are illiterate (P < 0.001) were significantly more likely to receive and not read the SMSs. Behavior change across settings was statistically significant (P < 0.001).
While SMS-based interventions targeting individuals with hypertension and/or diabetes were generally satisfactory among those living in rural areas and Palestinian refugee camps in Lebanon, a more tailored approach for older, illiterate and unemployed individuals is needed.
e-health, refugees.
在黎巴嫩，非传染性疾病（NCDs）占死亡人数的 85%，对难民和服务不足人群的发病率和死亡率有显著影响。本研究评估了农村地区和巴勒斯坦难民营中患有高血压和/或糖尿病的个体对一项名为“eSahha”的基于人群的移动健康干预措施的看法。
该研究采用混合方法设计，评估短信对自我报告的生活方式改变感知的有效性。通过电话调查收集定量数据，通过焦点小组讨论收集定性数据。进行描述性统计和双变量分析。
约 93.9%（n = 1000）的受访者认为短信有用且易于阅读和理解。约 76.9%的人通过日常行为改变来遵守短信。女性（P = 0.007）、年龄≥76 岁的人（P < 0.001）、失业者（P < 0.001）、只读写的人（P < 0.001）或文盲（P < 0.001）更有可能收到短信但不阅读短信。不同环境下的行为改变具有统计学意义（P < 0.001）。
虽然针对高血压和/或糖尿病患者的基于短信的干预措施在黎巴嫩农村地区和巴勒斯坦难民营的居民中普遍令人满意，但需要针对老年人、文盲和失业者采取更有针对性的方法。
电子健康，难民。
