Development and implementation of a national mobile health application: A case study from Brunei

Koh, Kai Shing; Lim, Hong Shen; Lim, Jeremy; Wei, Yuan; Minn, Phyo Wai; Wong, Justin

doi:10.7189/jogh.12.03083

Cited by 5 publications

(9 citation statements)

References 7 publications

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“…With resource limitations in providing holistic lifestyle interventions in a conventional manner through face-to-face consultations in outpatient settings, digital interventions can be a scalable and cost-effective solution for diabetes self-management. According to Koh et al [ 19 ], COVID-19 has had a negative impact on noncommunicable diseases (NCDs) in Brunei due to the disruption of essential health services. Thus, the government has stated its intention to use BruHealth to prioritize NCD service expansions.…”

Section: Discussionmentioning

confidence: 99%

“…Globally, there are multiple studies demonstrating the effectiveness of digital interventions [ 12 - 17 , 28 , 29 ], but there are limited studies conducted in Southeast Asia, particularly in Muslim-dominant populations [ 16 ]. This study will be useful for health care professionals and policy makers to understand the possible barriers to the implementation process during the subsequent phases of rolling out an app for T2DM management as a nationwide digital health solution in Brunei [ 19 ]. In addition, a feedback form will be given to any participants who have dropped out or completed the study to collect their quantitative feedback on the DEsireD trial.…”

Section: Discussionmentioning

confidence: 99%

“…The study is conducted with the following aims: to assess the potential effectiveness and feasibility of a comprehensive digital intervention for people with T2DM, to explore the effects of a combined online and offline intervention for the management of T2DM, to improve the accessibility of a lifestyle intervention among participants with T2DM, and to understand the process of guiding the rollout of an app for T2DM management as part of a health management digital solution [ 19 ].…”

Section: Introductionmentioning

confidence: 99%

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Development and Exploration of the Effectiveness and Feasibility of a Digital Intervention for Type 2 Diabetes Mellitus (DEsireD): Protocol for a Clinical Nonrandomized Pilot Trial in Brunei Darussalam

Chan¹,

Lim²,

Chong³

et al. 2022

JMIR Res Protoc

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Background The prevalence of type 2 diabetes mellitus (T2DM) is increasing worldwide. Digital interventions that incorporate the use of mobile phones and wearables have been getting popular. A combination of a digital intervention with support from professional management can enhance users’ self-efficacy better than a digital intervention alone and provide better accessibility to a lifestyle intervention. However, there are limited studies exploring the feasibility and efficacy of applying a digital intervention in Muslim-majority countries, and none have been conducted in Brunei Darussalam. Objective The study aims to determine the effectiveness and feasibility of a proposed 16-week digital intervention program for T2DM self-management and to guide the rollout of a mobile app as part of a population health solution for adults with T2DM in Brunei. The primary outcome of this study is to measure the proportion of participants with a hemoglobin A1c (HbA1c) reduction of at least 0.6% from baseline, and the secondary outcomes include a change in HbA1c, BMI, lipid profile, and EQ-5D-5L score. Methods This single-arm nonrandomized pilot study will recruit participants using web-based (with the national health care app [BruHealth] and official social media platforms being used for outreach) and offline (in-person recruitment at health centers) approaches. A target of 180 individuals with T2DM aged between 20 and 70 years that meet the inclusion criteria will be enrolled in a 16-week digital intervention program. Baseline and postintervention markers will be evaluated. Results The study received approval from the Medical and Health Research & Ethics Committee of the Brunei Darussalam Ministry of Health (MHREC/MOH/2022/4(1)). The recruitment process is ongoing, and we anticipate that the study will conclude by April 2023. This will be followed by data analysis and the reporting of outcomes with the intention to publish. The results of this study will be disseminated through scientific publications and conferences. This study will serve as a guide to launch T2DM digital therapeutic programs and extend to other noncommunicable diseases (NCDs) if proven as an effective and feasible approach in Brunei. Conclusions The Development and Exploration of the Effectiveness and Feasibility of a Digital Intervention for Type 2 Diabetes Mellitus (DEsireD) study will be the first study to investigate the clinical effectiveness and feasibility of the proposed 16-week T2DM digital intervention program tailored for Brunei, a Muslim-majority country. The findings of this study can potentially scale up the proposed model of care to other NCDs as a national approach for health management solutions. Trial Registration ClinicalTrials.gov NCT05364476; https://clinicaltrials.gov/ct2/show/NCT05364476 International Registered Report Identifier (IRRID) DERR1-10.2196/43208

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Development and Exploration of the Effectiveness and Feasibility of a Digital Intervention for Type 2 Diabetes Mellitus (DEsireD): Protocol for a Clinical Nonrandomized Pilot Trial in Brunei Darussalam

Chan¹,

Lim²,

Chong³

et al. 2022

JMIR Res Protoc

View full text Add to dashboard Cite

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“…The QR code comes with five colour codes, ranges of green, yellow, red, blue and purple, indicating individual health status, and each colour code denotes entry permissions to any premises [71] . To further ensure better accessibility of the BruHealth application to all residents of Brunei Darussalam, the PremiseScan application was launched, enabling the business owner to scan customers' QR codes upon entry and exit of business premises [72] .…”

Section: Contact Tracking Mobile Appsmentioning

confidence: 99%

COVID-19 Pandemic in Brunei Darussalam

Ang¹,

Law²,

Letchumanan³

et al. 2023

Prog Micobes Mol Biol

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Within ASEAN, Brunei is one of the low population density nations successfully combating the first wave of the COVID-19 pandemic in 2020. As of 4th January 2023, over 2.6 hundred thousand confirmed cases of COVID-19, with 225 deaths, had been reported in Brunei. This paper outlines the COVID-19 trends in Brunei and strategies taken by the health authorities to contain the pandemic. Three waves of COVID-19 have hit Brunei, with the first case of COVID-19 reported on 9th March 2020. The adoption of the “whole of nation approach” has proven to be effective in managing the outbreak. Early and decisive interventions taken by authorities and the public’s cooperation have been a remarkable success story. The key success factors are effective pandemic containment measures, public communication strategy, and enhanced surveillance mechanisms supported by the mass testing program and contact tracing. A national vaccination strategy ensuring adequate vaccine distribution and effective administration has been rolled out to render lasting protection against the infection. National COVID-19 Recovery Plan Framework and a gradual COVID-19 de-escalation plan were implemented to ensure a smoother transition to the new normal. This review provides valuable insights into the development of a robust pandemic leadership model and highlights the lessons and strategies that other countries can adopt for any future uncertainties.

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“…Brunei effectively controlled the COVID-19 pandemic with the help of the whole nation. Like other countries, Brunei's Ministry of Health launched a mobile app in May 2020 called "BruHealth" focused on contact tracing [76] . Then another app called "PremiseScan" was launched to further ensure better accessibility of "BruHealth" by recording customers' entry and exit of business premises [64,77] .…”

Section: Bruneimentioning

confidence: 99%

Focused Review: Insight and Updates on COVID-19 from Progress in Microbes and Molecular Biology

Thye,

Law

2023

Prog Micobes Mol Biol

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COVID-19 Bulletins from various countries have been published as the pandemic hit. This focused review provides an overview of the published COVID-19 cases, including the first case detected in respective countries, preventive measures implemented, and vaccinations available for some countries, depending on the time it was written. The countries that will be covered in this review are the United Kingdom, Spain, Malaysia, Singapore, Thailand, India, Australia, South Africa, and Brunei. This review also discusses the variants of concern (VOCs) that emerged since the start of the pandemic, which include variants: Alpha (B.1.1.7), Beta (B.1.351), Delta (B.1.617.2), Gamma (P.1), and Omicron (B.1.1.529). COVID-19-associated gastrointestinal manifestations and mental health implications and the application of probiotics as a potential adjunct therapy to psychotropic medications will be addressed in this review. Additional information on COVID-19 will also be reviewed, such as risk factors affecting COVID-19 case fatality rate, positive impacts of public health measures, the cost-effectiveness of public health strategies on COVID-19 control, and the COVID-19 pandemic and diet.

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Development and implementation of a national mobile health application: A case study from Brunei

Cited by 5 publications

References 7 publications

Development and Exploration of the Effectiveness and Feasibility of a Digital Intervention for Type 2 Diabetes Mellitus (DEsireD): Protocol for a Clinical Nonrandomized Pilot Trial in Brunei Darussalam

Development and Exploration of the Effectiveness and Feasibility of a Digital Intervention for Type 2 Diabetes Mellitus (DEsireD): Protocol for a Clinical Nonrandomized Pilot Trial in Brunei Darussalam

COVID-19 Pandemic in Brunei Darussalam

Focused Review: Insight and Updates on COVID-19 from Progress in Microbes and Molecular Biology

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