Mobile health treatment support intervention for HIV and tuberculosis in Mozambique: Perspectives of patients and healthcare workers

Introduction: Tuberculosis (TB) and HIV / AIDS are two major diseases that are the focus of public health. TB and HIV can each cause death due to infection, if TB accompanies AIDS it can cause the death of one in three patients with AIDS, in Mozambique 1.5 million people were infected with HIV/AIDS and 223 new patients were infected and 108 died due to HIV per day. Method: The critical appraisal tool used in the discussion of this journal is CASP (Critical Appraisal Skill Program). In this study, using RCTs involving 404 TB and HIV patients. However, the journal does not explain how to take it randomly. Result: Most of the patients (HIV 82% [56/68], TB 97% [65/67]) reported that they did not skip their drug collection at any time. This is consistent with the medication collection rates recorded in the patient database (78% and 94%, respectively) The experimental and control groups received the same treatment. This is shown in the journal in the discussion chapter which states that this study found that retention of antiretroviral therapy was very good in the control and intervention groups (91% vs 94%). Conclusion: Research results from this journal can be used as input and as material for reflection for health workers that currently the challenge faced by health workers is the creation of innovations related to interventions in the community.

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‘The phone reminder is important, but will others get to know about my illness?’ Patient perceptions of an mHealth antiretroviral treatment support intervention in the HIVIND trial in South India

BMJ Open ◽

10.1136/bmjopen-2015-007574 ◽

2015 ◽

Vol 5 (11) ◽

pp. e007574 ◽

Cited By ~ 24

Author(s):

Rashmi Rodrigues ◽

S Poongulali ◽

Kavitha Balaji ◽

Salla Atkins ◽

Per Ashorn ◽

...

Keyword(s):

Antiretroviral Treatment ◽

South India ◽

Patient Perceptions ◽

Support Intervention ◽

Treatment Support

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423. Implementation of a Hierarchy of Controls in a Mobile Health Unit to Safely Care for Inpatients with COVID-19 during Healthcare System Surge

Open Forum Infectious Diseases ◽

10.1093/ofid/ofab466.623 ◽

2021 ◽

Vol 8 (Supplement_1) ◽

pp. S312-S312

Author(s):

Paige Reason ◽

Jerome A Leis ◽

Claudia Cocco ◽

Lynfa Stroud ◽

Michelle Hladunewich ◽

...

Keyword(s):

Mobile Health ◽

Healthcare Workers ◽

Patient Characteristics ◽

Vaccination Rate ◽

Health Unit ◽

Term Care ◽

Mandatory Education ◽

Pandemic Planning ◽

Alpha Variant ◽

Mobile Health Unit

Abstract Background In April 2021, Sunnybrook Health Sciences Centre opened a Mobile Health Unit (MHU, i.e. medical tents) under the direction of the Ontario Ministry of Health and Long Term Care in response to a surge in hospitalized patients with COVID-19 during wave three of the pandemic. Providing care to patients in non-conventional spaces is not new, however, experience in safely caring for COVID-19 patients in these settings is lacking. Our aim is to describe the implementation of our MHU and associated outcomes of these COVID-19 patients. Methods A multidisciplinary clinical and operations team was created to plan, execute and operate a safe environment for COVID-19 patients and healthcare workers within the MHU. Patient selection was restricted to patients with COVID-19 who were clinically recovering from severe COVID-19 pneumonia. Ventilation was optimized with air flow directed away from patient areas, velocity reduced to below 0.25 meters per second, and air exchanges of 24-28 per hour. All healthcare workers working in the MHU were offered COVID-19 vaccine and required to complete mandatory education if they declined (vaccination rate of 87% was achieved among dedicated staff). Universal masking and eye protection was used throughout the MHU with designated areas for donning and doffing personal protective equipment. Results In total, 32 patients with COVID-19 were managed in the MHU between 26 April and 21 May, 2021. Table 1 provides the summary of patient characteristics. All patients had a median of one-day of transmission-based precautions remaining in their course and were infected with Alpha variant with exception of one patient with the Gamma variant. Among those patients with genotyping available, all were infected with SARS-CoV-2 carrying the N501Y mutation. Four of the 32 patients required transfer to the main hospital for medical indication while the others were discharged home or to rehabilitation. None of the healthcare workers who worked within the MHU developed COVID-19 infection. Conclusion We safely cared for patients recovering from COVID-19 infection in an MHU to support system healthcare capacity. Our experience, including the specific hierarchy of controls implemented, may be helpful for future pandemic planning. Disclosures All Authors: No reported disclosures

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Mapping Evidence of Mobile Health Technologies for Disease Diagnosis and Treatment Support by Health Workers in Sub-Saharan Africa: A Scoping Review

10.21203/rs.2.16644/v1 ◽

2019 ◽

Author(s):

Ernest Osei ◽

Desmond Kuupiel ◽

Portia Nelisiwe Vezi ◽

Tivani P. Mashamba-Thompson

Keyword(s):

Mobile Health ◽

Scoping Review ◽

Full Text ◽

Methodological Quality ◽

Health Workers ◽

Disease Diagnosis ◽

Sub Saharan Africa ◽

Diagnosis And Treatment ◽

Treatment Support ◽

Sub Saharan

Abstract Background: The rapid growth of mobile technology has given rise to the development of mobile health programmes aimed at treating and preventing a wide range of health conditions. However, evidence on the use of mHealth in high disease burdened settings such as SSA is not clear. We systematically mapped evidence on mHealth for disease diagnosis and treatment support by health workers in SSA. Methods: We conducted a scoping review study guided by the Arksey and O’Malley’s framework, Levac et al recommendations, and Joanna Briggs Institute guidelines. We thoroughly searched the following databases: MEDLINE and CINAHL with full-text via EBSCOhost; PubMed; Science Direct and Google Scholar for relevant articles from inception to July 2019. Two independent reviewers screened abstracts and full-text articles using the eligibility criteria as reference. This study employed the mixed methods appraisal tool version 2018 to assess the methodological quality of the included studies. Results: Out of the 572 articles identified , only 10 published articles presented evidence on mHealth for treatment support by health workers in SSA since 2010. No studies reported evidence on mHealth for disease diagnosis by health workers in SSA. Of the 10 studies, four studies were conducted in Kenya; one in South Africa; one in Malawi; one in Zimbabwe; one in Mozambique; one in Nigeria and one in Lesotho. Of the 10 studies: three reported the use of mHealth to manage HIV; two on the management of HIV/TB; two on treatment of malaria; one each on the management of hypertension; cervical cancer; and one was not specific on any disease condition. All the 10 included studies underwent methodological quality appraisal with a scored between 70 and 100%. Conclusions: The study shows that there is limited research on the availability and use of mHealth by health workers for treatment support in SSA. This study also shows there is no literature on the availability and use of mHealth by health workers for disease diagnosis in SSA. We, therefore, recommend primary studies focusing on the use of mHealth by health workers for disease diagnosis in SSA. Keywords: Mobile Health; Disease diagnosis; Treatment support; sub-Saharan Africa

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Barriers Associated with the Implementation of Homework in Youth Mental Health Treatment and Potential Mobile Health Solutions

Cognitive Therapy and Research ◽

10.1007/s10608-020-10090-8 ◽

2020 ◽

Author(s):

Brian E. Bunnell ◽

Lynne S. Nemeth ◽

Leslie A. Lenert ◽

Nikolaos Kazantzis ◽

Esther Deblinger ◽

...

Keyword(s):

Mental Health ◽

Mobile Health ◽

Mental Health Treatment ◽

Youth Mental Health ◽

Health Treatment

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Using the Medical Research Council framework for development and evaluation of complex interventions in a low resource setting to develop a theory-based treatment support intervention delivered via SMS text message to improve blood pressure control

BMC Health Services Research ◽

10.1186/s12913-017-2808-9 ◽

2018 ◽

Vol 18 (1) ◽

Cited By ~ 10

Author(s):

Kirsten Bobrow ◽

Andrew Farmer ◽

Nomazizi Cishe ◽

Ntobeko Nwagi ◽

Mosedi Namane ◽

...

Keyword(s):

Research Council ◽

Medical Research Council ◽

Complex Interventions ◽

Text Message ◽

Pressure Control ◽

Support Intervention ◽

Improve Blood Pressure Control ◽

Resource Setting ◽

Low Resource Setting ◽

Treatment Support

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Broadcasting War Trauma: An Exploratory Netnography of Veterans’ YouTube Vlogs

Qualitative Health Research ◽

10.1177/1049732318797623 ◽

2018 ◽

Vol 29 (3) ◽

pp. 357-370 ◽

Cited By ~ 4

Author(s):

Donna L. Schuman ◽

Karen A. Lawrence ◽

Natalie Pope

Keyword(s):

Mental Health ◽

Social Support ◽

Mental Health Treatment ◽

Help Seeking ◽

Combat Veterans ◽

War Trauma ◽

Self Management ◽

Health Treatment ◽

Treatment Support ◽

Motivation Loss

This exploratory netnographic study is among the first to investigate military video blogs (milvlogs) posted by Iraq and Afghanistan veterans who self-published stories on military-related trauma to YouTube. Studies have shown that self-published milvlogs provide benefits such as education, social support, and self-management of chronic physical and psychological illness. The aim of this study was to explore combat veterans’ milvlogs and to determine themes that emerged across the videos. We transcribed and analyzed content from 17 milvlogs. Our analysis yielded seven themes: motivation, loss, managing symptoms, help-seeking, guilt and shame, suicide, and connecting to other veterans. We concluded that veterans were initially drawn to vlogging to connect to others. Vlogging also served as a medium for combat veterans to tell their stories, position these stories against others’ experiences, and engage in outreach and advocacy. Finally, milvlogs may provide an easily accessible resource for developing preventive and/or mental health treatment/support links.

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