The Library
mHealth text and voice communication for monitoring people with chronic diseases in low-resource settings : a realist review
Tools
Tools
Tools
Watkins, Jocelyn, Goudge, Jane, Gómez-Olivé, F. Xavier, Huxley, Caroline J., Dodd, Katherine and Griffiths, Frances (2018) mHealth text and voice communication for monitoring people with chronic diseases in low-resource settings : a realist review. BMJ Global Health, 3 (2). e000543. doi:10.1136/bmjgh-2017-000543 ISSN 2059-7908.
|
PDF
WRAP-mHealth-voice-communication-chronic-Watkins-2018.pdf - Published Version - Requires a PDF viewer. Available under License Creative Commons Attribution 4.0. Download (1294Kb) | Preview |
|
![[img]](http://wrap.warwick.ac.uk/style/images/fileicons/application_pdf.png) |
PDF
WRAP-mHealth-voice-communication-monitoring-chronic-diseases-Watkins-2018.pdf - Accepted Version Embargoed item. Restricted access to Repository staff only - Requires a PDF viewer. Download (609Kb) |
Official URL: http://dx.doi.org/10.1136/bmjgh-2017-000543
Abstract
Background
Routine monitoring by patients and healthcare providers to manage chronic disease is vital, though this can be challenging in low-resourced health systems. Mobile health (mHealth) has been proposed as one way to improve management of chronic diseases. Past mHealth reviews have proposed the need for a greater understanding around how the theoretical constructs in mHealth interventions actually work. In response, we synthesised evidence from primary studies on monitoring of chronic diseases using two-way digital text or voice communication between a patient and health worker. We did this in order to understand the important considerations for the design of mHealth interventions.
Method
Articles retrieved were systematically screened and analysed to elicit explanations of mHealth monitoring interventions. These explanations were consolidated into programme theory and compared with existing theory and frameworks. We identified variation in outcomes to understand how context moderates the outcome.
Results
Four articles were identified—monitoring of hypertension and HIV/AIDS from: Kenya, Pakistan, Honduras and Mexico and South Africa. Six components were found in all four interventions: reminders, patient observation of health state, motivational education/advice, provision of support communication, targeted actions and praise and encouragement. Intervention components were mapped to existing frameworks and theory. Variation in outcome identified in subgroup analysis suggests greater impact is achieved with certain patient groups, such as those with low literacy, those with stressful life events or those early in the disease trajectory. There was no other evidence in the included studies of the effect of context on the intervention and outcome.
Conclusion
mHealth interventions for monitoring chronic disease in low-resource settings, based on existing frameworks and theory, can be effective. A match between what the intervention provides and the needs or social factors relevant to specific patient group increases the effect. It was not possible to understand the impact of context on intervention and outcome beyond these patient-level measures as no evidence was provided in the study reports.
| Item Type: | Journal Article | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Subjects: | R Medicine > RA Public aspects of medicine | |||||||||
| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
|||||||||
| Library of Congress Subject Headings (LCSH): | Wireless communication systems in medical care, Chronic diseases -- Treatment | |||||||||
| Journal or Publication Title: | BMJ Global Health | |||||||||
| Publisher: | BMJ Group | |||||||||
| ISSN: | 2059-7908 | |||||||||
| Official Date: | 6 March 2018 | |||||||||
| Dates: |
|
|||||||||
| Volume: | 3 | |||||||||
| Number: | 2 | |||||||||
| Article Number: | e000543 | |||||||||
| DOI: | 10.1136/bmjgh-2017-000543 | |||||||||
| Status: | Peer Reviewed | |||||||||
| Publication Status: | Published | |||||||||
| Access rights to Published version: | Open Access (Creative Commons) | |||||||||
| Date of first compliant deposit: | 9 February 2018 | |||||||||
| Date of first compliant Open Access: | 27 March 2018 | |||||||||
| RIOXX Funder/Project Grant: |
|
Request changes or add full text files to a record
Repository staff actions (login required)
 |
View Item |
Downloads
Downloads per month over past year
