1. Главная
  2. Ресурсы
  3. Библиотечный поиск
Protocol for themWellcare trial: amulticentre, clusterrandomised, 12-month,controlled trial tocompare theeffectiveness ofmWellcare, an mHealthsystem… Dilip JhaPriti GuptaVamadevan S. Ajay2017 год

Protocol for the mWellcare trial: a multicentre, cluster randomised, 12-month, controlled trial to compare the effectiveness of mWellcare, an mHealth system for an integrated management of patients with hypertension and diabetes, versus enhanced usual care in India
статья из журнала

Полный текстСтраница публикацииПубликация в OpenAlex
Аннотация: Introduction Rising burden of cardiovascular disease (CVD) and diabetes is a major challenge to the health system in India. Innovative approaches such as mobile phone technology (mHealth) for electronic decision support in delivering evidence-based and integrated care for hypertension, diabetes and comorbid depression have potential to transform the primary healthcare system. Methods and analysis mWellcare trial is a multicentre, cluster randomised controlled trial evaluating the clinical and cost-effectiveness of a mHealth system and nurse managed care for people with hypertension and diabetes in rural India. mWellcare system is an Android-based mobile application designed to generate algorithm-based clinical management prompts for treating hypertension and diabetes and also capable of storing health records, sending alerts and reminders for follow-up and adherence to medication. We recruited a total of 3702 participants from 40 Community Health Centres (CHCs), with ≥90 at each of the CHCs in the intervention and control (enhanced care) arms. The primary outcome is the difference in mean change (from baseline to 1 year) in systolic blood pressure and glycated haemoglobin (HbA1c) between the two treatment arms. The secondary outcomes are difference in mean change from baseline to 1 year in fasting plasma glucose, total cholesterol, predicted 10-year risk of CVD, depression, smoking behaviour, body mass index and alcohol use between the two treatment arms and cost-effectiveness. Ethics and dissemination The study has been approved by the institutional Ethics Committees at Public Health Foundation of India and the London School of Hygiene and Tropical Medicine. Findings will be disseminated widely through peer-reviewed publications, conference presentations and other mechanisms. Trial registration mWellcare trial is registered with Clinicaltrial.gov (Registration number NCT02480062 ; Pre-results) and Clinical Trial Registry of India (Registration number CTRI/2016/02/006641). The current version of the protocol is Version 2 dated 19 October 2015 and the study sponsor is Public Health Foundation of India, Gurgaon, India ( www.phfi.org ).
Год издания: 2017
Авторы: Dilip Jha, Priti Gupta, Vamadevan S. Ajay, Devraj Jindal, Pablo Perel, David Prieto‐Merino, Pramod Jacob, Jonathan Nyong, Vidya Venugopal, Kavita Singh, Shifalika Goenka, Ambuj Roy, Nikhil Tandon, Vikram Patel, Dorairaj Prabhakaran
Издательство: BMJ
Источник: BMJ Open
Ключевые слова: Mobile Health and mHealth Applications, Artificial Intelligence in Healthcare, Telemedicine and Telehealth Implementation
Другие ссылки: BMJ Open (PDF)
BMJ Open (HTML)
Europe PMC (PubMed Central) (PDF)
Europe PMC (PubMed Central) (HTML)
Digital Access to Scholarship at Harvard (DASH) (Harvard University) (PDF)
Digital Access to Scholarship at Harvard (DASH) (Harvard University) (HTML)
UCL Discovery (University College London) (PDF)
UCL Discovery (University College London) (HTML)
UCL Discovery (University College London) (HTML)
PubMed Central (HTML)
LSHTM Research Online (London School of Hygiene & Tropical Medicine) (HTML)
LSHTM Research Online (London School of Hygiene & Tropical Medicine) (HTML)
PubMed (HTML)