Rahman Md Jiaur, Rahman Md Moshiur, Kakehashi Masayuki, Matsuyama Ryota, Sarker Mohammad Habibur Rahman, Ali Mohammad, Promitee Sumaita Kabir, Prihanto Junaidi Budi, Ahmed Ashir, Shimpuku Yoko
Global Health Nursing, Department of Health Science, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.
Department of Health Science, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.
J Family Med Prim Care. 2023 Nov;12(11):2569-2575. doi: 10.4103/jfmpc.jfmpc_1010_23. Epub 2023 Nov 21.
Adolescent girls are highly vulnerable to developing anemia due to reproductive immaturity, poor personal hygiene, and lack of nutritional intake and health education in rural Bangladesh. Digital health technology is a promising tool to overcome barriers and provide appropriate health guidelines. We aim to evaluate eHealth education's impact and changes in adolescent girls' knowledge, attitude, and practice regarding anemia. A 1:1 parallel randomized control trial was conducted among school-going adolescent girls in rural Bangladesh. A total of 138 anemic (mild and moderate) participants were enrolled. We randomized schools to reduce the health education bias through a simple coin toss technique, then allocated participants to the intervention group (n = 69) and control group (n = 69) by stratified random sampling technique. The intervention group received two online counseling sessions and 8-month eHealth education through mobile phone calls and short message service regarding anemia. The control group received the usual care. The primary endpoint changes the anemic level through changing knowledge, healthy lifestyle behavior, and an iron-rich food dietary plan. Per-protocol analysis will utilize to compare the control and intervention groups using SPSS software. Descriptive statistics (frequencies, percentages, mean, SD) will be employed, and continuous variables will be compared using the t-test/Mann-Whitney test. Two-way analysis of variance will assess outcome variables at baseline, 4 months, and 8 months. The 8-month intervention is designed from May 2022 to February 2023. Participants' age range of 10-14 years was 60.9% in the intervention group and 56.5% in the control group. Among the participants, 89.9% and 88.4% were mild anemic; 11.11 (SD ± 0.80) and 11.06 (SD ± 0.96) were mean hemoglobin in the intervention and control groups, respectively. eHealth education is expected to be an effective way to increase knowledge and healthy behavioral change, which can reduce the anemia burden among adolescent girls.
在孟加拉国农村地区，青春期女孩由于生殖不成熟、个人卫生习惯差、营养摄入不足以及缺乏健康教育，极易患上贫血症。数字健康技术是克服障碍并提供适当健康指导的一项很有前景的工具。我们旨在评估电子健康教育对青春期女孩有关贫血症的知识、态度和行为的影响及变化。在孟加拉国农村地区的在校青春期女孩中开展了一项1:1平行随机对照试验。共招募了138名贫血（轻度和中度）参与者。我们通过简单抛硬币技术对学校进行随机分组，以减少健康教育偏差，然后通过分层随机抽样技术将参与者分配到干预组（n = 69）和对照组（n = 69）。干预组通过手机通话和短信服务接受了两次在线咨询以及为期8个月的关于贫血症的电子健康教育。对照组接受常规护理。主要终点是通过改变知识、健康生活方式行为以及富含铁的食物饮食计划来改变贫血水平。将使用SPSS软件对对照组和干预组进行符合方案分析。将采用描述性统计（频率、百分比、均值、标准差），连续变量将使用t检验/曼-惠特尼检验进行比较。双向方差分析将在基线、4个月和8个月时评估结果变量。为期8个月的干预从2022年5月至2023年2月。干预组参与者年龄在10 - 14岁的比例为60.9%，对照组为56.5%。在参与者中，89.9%和88.4%为轻度贫血；干预组和对照组的平均血红蛋白分别为11.11（标准差±0.80）和11.06（标准差±0.96）。电子健康教育有望成为增加知识和促进健康行为改变的有效方式，从而减轻青春期女孩的贫血负担。
