Principal Investigator: Shannon Doocy, Johns Hopkins Bloomberg School of Public Health
This project aimed to develop, implement and evaluate treatment guidelines and an mHealth intervention to improve treatment of hypertension and type 2 diabetes. The mHealth tool was composed of two elements: an electronic patient medical record and a tablet-based software application that provides decision support to healthcare providers. The study sought to assess the effectiveness of these components in improving patient and provider compliance, quality of care, disease control and health outcomes among patients. The trial was planned to take place in five clinics supported by the International Organisation for Migration (IOM) in Southern Lebanon.
The guidelines for treatment of hypertension and type 2 diabetes were successfully adapted to the emergency context. Working in partnership with MIT, an mHealth app was developed which acted as a patient medical record and a tool to support treatment decisions. Staff in health care facilities were trained on the use of the guidelines and the mHealth app. A study was undertaken to assess the effectiveness of the interventions measuring clinical health outcomes and qualitative feedback from both patients and providers, with comparison of data from baseline to endline (after 6 months use of the guidelines and app).
Further promotion of the mHealth app with IOM, UNHCR and others to increase uptake is planned. The open-source code for the application has been made available for others to adapt and develop. Development and ongoing updating of a user manual, troubleshooting guidelines and other supporting documentation will be required. Translation of application content to other languages, and adoption of the current version to locations with different treatment protocols, is encouraged.
The mHealth phase of the NCD study began in January 2016 in all participating clinics. Together with teams from MIT-Sana and Johns Hopkins, IOM conducted clinic visits during which hardware…View
In the R2HC-supported research study, “NCD guidelines and mHealth records for refugees in Lebanon”, we aim to improve the quality of care for patients with hypertension and/or type II diabetes…View
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