Development and Implementation of Culturally Tailored Offline Mobile Health Surveys

McIntosh, Scott; Pérez-Ramos, José G.; Demment, Margaret; Vega, Carmen Vélez; Avendaño, E.; Ossip, Deborah J.; Dye, Timothy D.

doi:10.2196/publichealth.5408

Cited by 20 publications

(21 citation statements)

References 48 publications

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“…Moreover, conducting cross-cultural, multinational eHealth research requires collaboration and multiple considerations to ensure an eHealth system’s validity, fidelity, and appropriateness within different cultural and clinical settings [15-17]. This paper seeks to address an important gap in knowledge regarding the steps involved in adapting an eHealth system within cancer care across multiple countries.…”

Section: Introductionmentioning

confidence: 99%

Adaptation and Implementation of a Mobile Phone–Based Remote Symptom Monitoring System for People With Cancer in Europe

Furlong¹,

Darley²,

Fox³

et al. 2019

JMIR Cancer

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Background There has been an international shift in health care, which has seen an increasing focus and development of technological and personalized at-home interventions that aim to improve health outcomes and patient-clinician communication. However, there is a notable lack of empirical evidence describing the preparatory steps of adapting and implementing technology of this kind across multiple countries and clinical settings. Objective This study aimed to describe the steps undertaken in the preparation of a multinational, multicenter randomized controlled trial (RCT) to test a mobile phone–based remote symptom monitoring system, that is, Advanced Symptom Management System (ASyMS), designed to enhance management of chemotherapy toxicities among people with cancer receiving adjuvant chemotherapy versus standard cancer center care. Methods There were 13 cancer centers across 5 European countries (Austria, Greece, Ireland, Norway, and the United Kingdom). Multiple steps were undertaken, including a scoping review of empirical literature and clinical guidelines, translation and linguistic validation of study materials, development of standardized international care procedures, and the integration and evaluation of the technology within each cancer center. Results The ASyMS was successfully implemented and deployed in clinical practices across 5 European countries. The rigorous and simultaneous steps undertaken by the research team highlighted the strengths of the system in clinical practice, as well as the clinical and technical changes required to meet the diverse needs of its intended users within each country, before the commencement of the RCT. Conclusions Adapting and implementing this multinational, multicenter system required close attention to diverse considerations and unique challenges primarily related to communication and clinical and technical issues. Success was dependent on collaborative and transparent communication among academics, the technology industry, translation partners, patients, and clinicians as well as a simultaneous and rigorous methodological approach within the 5 relevant countries.

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Section: Introductionmentioning

confidence: 99%

Adaptation and Implementation of a Mobile Phone–Based Remote Symptom Monitoring System for People With Cancer in Europe

Furlong¹,

Darley²,

Fox³

et al. 2019

JMIR Cancer

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“…For example, REDCap® was used for a variety of purposes, including initial team applications, uploading documents, and evaluations of face-to-face and online modules. This tool can be accessed and used for data capture from a variety of devices, both online and offline [ 39 ].…”

Section: Discussionmentioning

confidence: 99%

A globally networked hybrid approach to public health capacity training for maternal health professionals in low and middle income countries

McIntosh

Pérez-Ramos

David

et al. 2017

glob health res policy

Self Cite

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BackgroundMundoComm is a current NIH-funded project for sustainable public health capacity building in community engagement and technological advances aimed at improving maternal health issues. Two to four teams are selected annually, each consisting of three healthcare professionals and one technical person from specific low and middle income countries (LMICs) including Costa Rica, Dominican Republic, Honduras, and other LMICs. MundoComm is a course with three parts: in-person workshops, online modules, and mentored community engagement development. Two annual 1-week on-site “short courses” convened in Costa Rica are supplemented with six monthly online training modules using the Moodle® online platform for e-learning, and mentored project development. The year-long course comprises over 20 topics divided into the six modules - each module further segmented into 4 week-long assignments, with readings and assigned tasks covering different aspects of community-engaged interventions. The content is peer reviewed by experts in the respective fields from University of Rochester, UCIMED in Costa Rica, and faculty from Costa Rica and the Dominican Republic who maintain regular contact with the trainees to mentor learning and project progress. The purpose of this paper is to report the first year results of the MundoComm project.MethodsBoth quantitative and qualitative feedback (using online data capturing forms) assess baseline and post-training knowledge and skills in public health project strategies.ResultsThe course currently has one team each in Costa Rica, the Dominican Republic, and Honduras for a total of 12 trainees. The course and modules include best practices in information and communication technologies (ICTs), ethical reviews, community engagement, evidence-based community interventions, and e-Health strategies. To maximize successful and culturally appropriate training approaches, the multi-media didactic presentations, flexible distance learning strategies, and the use of tablets for offline data collection are offered to trainees, and then feedback from trainees and other lessons learned aid in the refinement of subsequent curricular improvements.ConclusionsThrough remark and discussion, the authors report on 1) the feasibility of using a globally networked learning environment (GNLE) plus workshop approach to public health capacity training and 2) the capacity of LMIC teams to complete the MundoComm trainings and produce ICT-based interventions to address a maternal health issue in their respective regions.

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“…Automated data capture and central deposition may be particularly advantageous for review and analysis. Research Electronic Data Capture (REDCap) is one useful application for wide-scale projects [204]. ''Store and forward'' data collection is especially important when collecting data in areas where internet access is limited [204].…”

Section: Improve Surveillance Of Surgical Infectionsmentioning

confidence: 99%

Surgical Infections in Low- and Middle-Income Countries: A Global Assessment of the Burden and Management Needs

Rickard

Beilman

Forrester

et al. 2020

Surgical Infections

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Background: The burden of surgical infections in low-and middle-income countries (LMICs) remains poorly defined compared with high-income countries. Although there are common infections necessitating surgery prevalent across the world, such as appendicitis and peptic ulcer disease, other conditions are more localized geographically. To date, comprehensive assessment of the burden of surgically treatable infections or sequelae of surgical infections in LMICs is lacking. Methods: We reviewed the literature to define the burden of surgical infections in LMICs and characterize the needs and challenges of addressing this issue. Results: Surgical infections comprise a broad range of diseases including intra-abdominal, skin and soft tissue, and healthcare-associated infections and other infectious processes. Treatment of surgical infections requires a functional surgical ecosystem, microbiology services, and appropriate and effective antimicrobial therapy. Systems must be developed and maintained to evaluate screening, prevention, and treatment strategies. Solutions and interventions are proposed focusing on reducing the burden of disease, improving surveillance, strengthening antibiotic stewardship, and enhancing the management of surgical infections. Conclusions: Surgical infections constitute a large burden of disease globally. Challenges to management in LMICs include a shortage of trained personnel and material resources. The increasing rate of antimicrobial drug resistance, likely related to antibiotic misuse, adds to the challenges. Development of surveillance, infection prevention, and antimicrobial stewardship programs are initial steps forward. Education is critical and should begin early in training, be an active process, and be sustained through regular programs.

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Development and Implementation of Culturally Tailored Offline Mobile Health Surveys

Cited by 20 publications

References 48 publications

Adaptation and Implementation of a Mobile Phone–Based Remote Symptom Monitoring System for People With Cancer in Europe

Adaptation and Implementation of a Mobile Phone–Based Remote Symptom Monitoring System for People With Cancer in Europe

A globally networked hybrid approach to public health capacity training for maternal health professionals in low and middle income countries

Surgical Infections in Low- and Middle-Income Countries: A Global Assessment of the Burden and Management Needs

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