AHOMKA: A Culturally-adapted mHealth Platform for Management of Hypertension in an Urban and Rural Region of Ghana

AHOMKA：一个适应文化的移动医疗平台，用于加纳城乡地区的高血压管理

基本信息

批准号：
10268704
负责人：
Valencia Joyner Koomson
金额：
$ 20.73万
依托单位：
TUFTS UNIVERSITY MEDFORD
依托单位国家：
美国
项目类别：
财政年份：
2021
资助国家：
美国
起止时间：
2021-09-15 至 2023-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10268704
关键词：
Adherence Adoption Affect Africa South of the Sahara Appointment Blood Pressure COVID-19 pandemic Car Phone Cardiac Cardiology Cardiovascular Diseases Cardiovascular system Caring Chronic Disease Clinic Clinical Collaborations Communication Communities Computer software Computers Data Devices Diabetes Mellitus Economic Burden Education Effectiveness Engineering Event Evidence based intervention Feasibility Studies Feedback Focus Groups Ghana Health Health Promotion Health Services Health Technology Healthcare Healthcare Systems Hypertension Institution Intervention Interview Israel Knowledge Lead Life Malignant Neoplasms Measurement Measures Medical Device Medical center Methods Monitor Morbidity - disease rate Myocardial Infarction Network Infrastructure Organ Outcome Participant Patient Self-Report Patients Persons Pharmaceutical Preparations Phase Policies Population Study Prevalence Process Provider Public Health Reporting Research Research Personnel Research Project Grants Risk Risk Factors Schedule Science Scientist Self Care Site Stroke Supervision Surgeon Surveys System Target Populations Teaching Hospitals Technology Testing Text Messaging Universities Validation Vulnerable Populations World Health Organization arm base blood pressure regulation clinical care cohort digital evidence base health literacy high risk population hypertension control improved iterative design low and middle-income countries mHealth mobile application mobile computing mortality multidisciplinary patient-clinician communication programs remote patient monitoring rural area rural patients technology development tool treatment adherence treatment planning urban area usability user centered design wireless network

项目摘要

PROJECT SUMMARY Non-communicable diseases (NCDs), including cancer, cardiovascular disease, diabetes, have become the greatest health threat for low and middle-income countries (LMIC). In Ghana, hypertension is recognized as a major public health challenge. The ubiquity of mobile phones in Ghana and the popularity of mobile communications make it possible to deliver mHealth interventions to our target population. However, there is crucial gap in knowledge of the effectiveness of mobile health technology-based interventions for hypertension management in SSA. The proposed AHOMKA mHealth platform is an evidence-based intervention to assist with management of hypertension in an urban and rural region of Ghana. AHOMKA is adapted from the Empower HealthTM system, a proprietary software application developed by Medtronic for direct patient-to- provider communication via a mobile application and text messaging for hypertension management. This US- Ghana collaborative R21/R33 research project will focus on adaptation of the Empower HealthTM system into the local context in an urban and rural region of Ghana by multi-level engagement with stakeholders. We have assembled a multi-national, multi-disciplinary team of researchers and medical device professionals with expertise in mobile technology development, hypertension, cardiology, population studies, and public health across multiple institutions in Ghana (University of Ghana, University of Health and Allied Sciences, Medtronic Labs Ghana) and the USA (Beth Israel Deaconess Medical Center, Tufts University). The proposed feasibility studies will be conducted at two large cardiovascular clinics in the Greater Accra region and the Volta region in Ghana. Phase One aims to (1) implement a user-centered, iterative design approach to adapt the mHealth platform based on feedback from stakeholders, and (2) conduct a 6-month usability and feasibility study with a cohort of patients. Phase Two aims to conduct a 12-month feasibility study to assess change in blood pressure among a cohort of patients in two regions of Ghana. In order to accelerate mobile health research in Ghana, we propose to form the AHOMKA Research and Education Network as part of the strategic capacity building plan.

项目概要包括癌症、心血管疾病、糖尿病在内的非传染性疾病（NCD）已成为低收入和中等收入国家 (LMIC) 面临的最大健康威胁。在加纳，高血压被认为是一种重大公共卫生挑战。加纳手机的普及和手机的普及通信使向我们的目标人群提供移动医疗干预成为可能。然而，有对基于移动医疗技术的高血压干预措施有效性的认识存在重大差距 SSA 的管理。拟议的 AHOMKA mHealth 平台是一种基于证据的干预措施，旨在帮助负责加纳城市和农村地区的高血压管理。 AHOMKA 改编自 Empower HealthTM 系统是美敦力 (Medtronic) 开发的专有软件应用程序，用于直接患者与提供者通过移动应用程序和短信进行沟通以进行高血压管理。这个美国—— 加纳 R21/R33 合作研究项目将重点关注 Empower HealthTM 系统适应通过与利益相关者的多层次接触，了解加纳城乡地区的当地情况。我们有组建了一支由研究人员和医疗器械专业人员组成的跨国、多学科团队移动技术开发、高血压、心脏病学、人口研究和公共卫生方面的专业知识加纳多个机构（加纳大学、健康与联合科学大学、美敦力加纳实验室）和美国（贝斯以色列女执事医疗中心、塔夫茨大学）。拟议的可行性研究将在大阿克拉地区和沃尔特地区的两家大型心血管诊所进行加纳。第一阶段的目标是 (1) 实施以用户为中心的迭代设计方法来适应移动医疗平台基于利益相关者的反馈，以及 (2) 进行为期 6 个月的可用性和可行性研究患者队列。第二阶段旨在进行为期 12 个月的可行性研究，以评估血液变化加纳两个地区的一组患者面临的压力。为了加速移动健康研究加纳，我们建议成立 AHOMKA 研究和教育网络，作为战略能力的一部分建筑计划。