腹泻病患者家庭的腹泻病知识：霍乱基于医院的 7 天干预措施（CHoBI7）移动健康计划随机对照试验的结果。

Diarrhoeal disease knowledge among diarrhoea patient housholds: findings from the randomised controlled trial of the Cholera-Hospital-Based-Intervention-for-7-days (CHoBI7) mobile health program.

机构信息

International Centre for Diarrhoeal Disease Research, Bangladesh, Dhaka, Bangladesh.

Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.

出版信息

Trop Med Int Health. 2020 Aug;25(8):996-1007. doi: 10.1111/tmi.13415. Epub 2020 Jul 21.

DOI:10.1111/tmi.13415

PMID:32406989

Abstract

OBJECTIVE

The objective of this study was to evaluate the impact of the Cholera-Hospital-Based-Intervention-for-7-days (CHoBI7) handwashing with soap and water treatment mobile health (mHealth) program on diarrhoeal disease knowledge among diarrhoea patients and their household members in urban Dhaka, Bangladesh.

METHODS

A cluster-randomised controlled trial of the CHoBI7 mHealth program was conducted among diarrhoea patient households in Dhaka, Bangladesh. Patients were randomised to three arms: standard recommendation on oral rehydration solution use; health facility delivery of CHoBI7 plus mHealth (weekly voice and text messages) (no home visits); and health facility delivery of CHoBI7 plus two home visits and mHealth. An open-ended questionnaire was administered to 1468 participants 12 years of age or older on diarrhoeal disease transmission and prevention. These items were combined to form a diarrhoeal disease knowledge score measured at baseline and at a 1 week, 6 month and 12 month follow-up.

RESULTS

At baseline, when participants were asked to report three ways diarrhoeal diseases were spread 37% (546/1468) of participants reported by water, 13% (187/1468) by lack of handwashing and 4% (53/1468) by food not being covered properly. At baseline when asked to name three ways diarrhoeal diseases could be prevented, 35% (515/1468) of participants reported safe water, and 16% (228/1468) reported handwashing with soap. At the 12-month follow-up, the overall diarrhoeal disease knowledge score was significantly higher in the mHealth with no home visits arm (score coefficient: 0.69, 95% Confidence Interval: 0.36, 1.01, P < 0.0001) and the mHealth with two home visits arm (score coefficient: 1.18, 95% CI: 0.87, 1.49, P < 0.0001) compared with the standard recommendation arm.

CONCLUSION

The CHoBI7 mHealth program significantly increased knowledge of diarrhoeal disease transmission and prevention among diarrhoea patients and their household members 12 months after in-person visits for program delivery were conducted.

摘要

目的

本研究旨在评估基于霍乱医院的 7 天手部卫生干预措施（CHoBI7）肥皂和水治疗移动健康（mHealth）方案对孟加拉国达卡城市腹泻病患者及其家庭成员中腹泻病知识的影响。

方法

在孟加拉国达卡，对腹泻病患者家庭进行了 CHoBI7 mHealth 方案的群组随机对照试验。患者被随机分为三组：标准口服补液溶液使用建议；医疗机构提供 CHoBI7 加 mHealth（每周语音和短信）（无家访）；医疗机构提供 CHoBI7 加两次家访和 mHealth。对 1468 名 12 岁及以上的参与者进行了关于腹泻病传播和预防的开放式问卷调查。这些项目结合起来形成了腹泻病知识评分，在基线和 1 周、6 个月和 12 个月随访时进行测量。

结果

在基线时，当被要求报告三种传播腹泻病的方式时，37%（546/1468）的参与者报告通过水传播，13%（187/1468）通过缺乏洗手传播，4%（53/1468）通过食物未妥善覆盖传播。在基线时，当被要求说出三种预防腹泻病的方法时，35%（515/1468）的参与者报告安全用水，16%（228/1468）报告用肥皂洗手。在 12 个月的随访中，无家访的 mHealth 组（得分系数：0.69，95%置信区间：0.36，1.01，P<0.0001）和有两次家访的 mHealth 组（得分系数：1.18，95%置信区间：0.87，1.49，P<0.0001）的整体腹泻病知识评分显著高于标准建议组。