scholarly journals IMPACT OF TEXT MESSAGES IN A MIDDLE-INCOME COUNTRY TO PROMOTE SECONDARY PREVENTION AFTER ACUTE CORONARY SYNDROME (IMPACS): A RANDOMIZED TRIAL

2020 ◽  
Vol 75 (11) ◽  
pp. 2003
Author(s):  
Luiz Passaglia ◽  
Bruno Ramos Nascimento ◽  
Luisa Caldeira Brant ◽  
Antonio L. Ribeiro
Keyword(s):  
Acute Coronary Syndrome ◽  
Secondary Prevention ◽  
Randomized Trial ◽  
Text Messages ◽  
Middle Income Country ◽  
Income Country ◽  
Middle Income ◽  
Coronary Syndrome

scholarly journals Impact of text messages in a middle-income country to promote secondary prevention after acute coronary syndrome (IMPACS)

Medicine ◽  
2019 ◽  
Vol 98 (22) ◽  
pp. e15681 ◽  
Author(s):  
Luiz Guilherme Passaglia ◽  
Luisa Campos Caldeira Brant ◽  
Bruno Ramos Nascimento ◽  
Antônio Luiz Pinho Ribeiro
Keyword(s):  
Acute Coronary Syndrome ◽  
Secondary Prevention ◽  
Text Messages ◽  
Middle Income Country ◽  
Income Country ◽  
Middle Income ◽  
Coronary Syndrome

scholarly journals Adherence and persistence of optimal medical therapy after myocardial infarction in a low to middle income country

2021 ◽  
Vol 10 (Supplement_1) ◽  
Author(s):  
M Villalobos-Pedroza ◽  
AP Flores-Batres ◽  
E Rivera-Pedrote ◽  
AA Brindis-Aranda ◽  
A Jara-Nevarez ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Medical Therapy ◽  
Middle Income Country ◽  
Income Country ◽  
Survey Study ◽  
Middle Income ◽  
Common Mean ◽  
Coronary Syndrome ◽  
Adherence To Medication

Abstract Funding Acknowledgements Type of funding sources: None. Background Adherence to medical therapy after myocardial infarction (MI) is a crucial part of patient care and indispensable for reaching clinical goals, however, data from low to middle income countries (LMIC) regarding adherence and persistence of optimal medical treatment (OMT) is scarce. Purpose To evaluate adherence and persistence to OMT after acute coronary syndrome (ACS) in a cohort of patients with ST elevation myocardial infarction (STEMI) in a low to middle income country. Methods We conducted a survey study evaluating adherence and persistence of OMT after 6 months of the index event in patients with STEMI. Patients were surveyed via phone call using the simplified medication adherence questionnaire (SMAQ) tool, which has been previously validated (both in English and Spanish) as a clinical tool to evaluate adherence to medication. We evaluated persistence of OMT as well. A secure electronic database was constructed to capture information, regarding adherence and persistence, and other clinically relevant variables. Study population The study included consecutive patients aged 18-99 years old with the diagnosis of STEMI form Mexico City’s STEMI Network, who received either pharmacoinvasive strategy (PIS) or Primary Percutaneous Coronary Intervention (pPCI) during the first 12 hours from symptom onset. This population is derived from the PHASE-Mx study (ClinicalTrials.gov Identifier: NCT03974581), which results have been previously published. Results A total of 602 patients were initially screened; among these, 158 patients (26.2%) were lost to contact, 5 patients (n = 0.008%) refused to answer and 65 patients (10.7%) died during follow up. The final analytic sample consisted of 375 patients; among them, 192 (51.2%) received primary PCI and 183 (48.8%) received pharmacoinvasive strategy. Mean age was 58 + 10 years old and most of the patients were male (90.1%). Hypertension (44.8%) and diabetes (32.0%) were common. Mean follow-up time after index STEMI was 650 (IQR: 416-832) days. After SMAQ evaluation, only 26.1% of the patients were considered to be adherent to their medications (>95% compliance), as shown in the Table 1. Persistence of OMT after STEMI included: ASA (84.6%), P2Y12i (71.5%), statin (83.6%), ACEI/ARB (77.1%) and beta blocker (63.7%) (Table 2). Conclusions In patients with STEMI in a low to middle income country, persistence and adherence to OMT were low. Actions to improve adherence to therapy after mayor cardiovascular events are needed. Risk factors associated to poor adherence included diabetes (OR 0.46), age (OR 0.76) and atrial fibrillation (OR 0.42). Abstract Figure.

scholarly journals Text Messages to Promote Secondary Prevention after Acute Coronary Syndrome (IMPACS trial)

2021 ◽  
Author(s):  
Luiz Guilherme Passaglia ◽  
Luisa Campos Caldeira Brant ◽  
José Luiz Padilha da Silva ◽  
Bruno Ramos Nascimento ◽  
Antônio Luiz Pinho Ribeiro
Keyword(s):  
Acute Coronary Syndrome ◽  
Secondary Prevention ◽  
Text Messages ◽  
Coronary Syndrome

scholarly journals Structured Caregiver Feedback Enhances Engagement and Impact of Mobile Health Support: A Randomized Trial in a Lower-Middle-Income Country

2016 ◽  
Vol 22 (4) ◽  
pp. 261-268 ◽  
Author(s):  
John D. Piette ◽  
Nicolle Marinec ◽  
Kathryn Janda ◽  
Emily Morgan ◽  
Karolina Schantz ◽  
...  
Keyword(s):  
Randomized Trial ◽  
Mobile Health ◽  
Middle Income Country ◽  
Income Country ◽  
Middle Income ◽  
Lower Middle Income Country ◽  
Health Support

scholarly journals Acceptability of a mHealth strategy for hypertension management in a low-income and middle-income country setting: a formative qualitative study among patients and healthcare providers

BMJ Open ◽  
2021 ◽  
Vol 11 (11) ◽  
pp. e052986
Author(s):  
Buna Bhandari ◽  
Aletta E Schutte ◽  
Rohan Jayasuriya ◽  
Abhinav Vaidya ◽  
Madhusudan Subedi ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Text Messages ◽  
Middle Income Country ◽  
Income Country ◽  
System Level ◽  
Hypertension Management ◽  
Middle Income ◽  
Diverse Range ◽  
Essential Information ◽  
Healthcare Facilities

BackgroundUnderstanding contextual needs and preferences is important for a successful design and effective outcome of a mHealth strategy.ObjectivesThis formative study aimed to explore the perspectives of patients and providers on the acceptability of a mHealth (text message) strategy and elicit preferred features of a mHealth strategy for hypertension management.DesignA qualitative study was conducted using in-depth interviews and focus group discussions guided by the technology acceptance model.SettingThe study was conducted at primary healthcare facilities and at a tertiary level referral hospital in Kathmandu, Nepal.ParticipantsA total of 61 participants, patients with hypertension (n=41), their family members (n=5), healthcare workers (n=11) and key informants (n=4) were included. We purposively recruited patients with hypertension aged 30–70 who attended the selected healthcare facilities to obtain maximum variation based on their age, sex and literacy.ResultsThe respondents perceived the mHealth strategy to be useful as it would reinforce medication compliance and behaviour change. Participants valued the trustworthiness of information from health authorities that could be delivered privately. Some implementation challenges were identified including a lack of technical manpower, resources for software development, gaps in recording a patient’s essential information and digital illiteracy. Solutions proposed were having system-level preparedness for recording the patient’s details, establishing a separate technical department in the hospital and involving a family member to assist illiterate/elderly patients. In addition, participants preferred text messages in the local language, containing comprehensive contextual content (disease, treatment, cultural foods and misconceptions) delivered at regular intervals (2–3 times/week) preferably in the morning or evening.ConclusionsWe found that a simple text messaging strategy was acceptable for hypertension management in this low/middle-income country setting. However, meticulous planning must address the needs of a diverse range of participants to ensure the mHealth strategy is acceptable to wider groups.

Women break down the barriers to the Vietnamese social sciences and humanities

2019 ◽  
Author(s):  
Quan-Hoang Vuong
Keyword(s):  
Social Sciences ◽  
Gender Inequality ◽  
Middle Income Country ◽  
Women In Science ◽  
Income Country ◽  
The West ◽  
Middle Income ◽  
Social Sciences And Humanities ◽  
The Social ◽  
Low And Middle Income

Valian rightly made a case for better recognition of women in science during the Nobel week in October 2018 (Valian, 2018). However, it seems most published views about gender inequality in Nature focused on the West. This correspondence shifts the focus to women in the social sciences and humanities (SSH) in a low- and middle-income country (LMIC).

International Health Research Ethics

2020 ◽  
Author(s):  
Bridget Pratt
Keyword(s):  
Research Ethics ◽  
Health Research ◽  
International Research ◽  
International Health ◽  
Middle Income Country ◽  
Income Country ◽  
Benefit Sharing ◽  
Middle Income ◽  
Ethical Concerns ◽  
Low And Middle Income

Health research funded by organizations from HICs and conducted in low- and middle-income countries has grown significantly since 1990. Power imbalances and inequities frequently (but not always) exist at each stage of the international research process. Unsurprisingly then, a variety of ethical concerns commonly arise in the context of international health research, such as inequities in funding, the semi-colonial nature of international research models, the brain drain of low- and middle-income country researchers, and inequities in partnerships between HIC and low- and middle-income country researchers. In this chapter, these (and other) ethical concerns are introduced and the following ethical concepts to address the concerns are then discussed: responsiveness, standard of care, benefit sharing, community engagement, and social value. Existing guidance and remaining debates about how to specify each of the concepts are summarized. The chapter concludes by highlighting the existence of epistemic injustices within the field of international research ethics.

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