Empowering Community Health Workers With Mobile Technology to Treat Diabetes

Duffy, Sean; Svenson, Jim; Chavez, Alejandro; Kelly, Mark; Wise, Paul H.

doi:10.1370/afm.2361

Cited by 7 publications

(8 citation statements)

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“…As variáveis "idade" e "experiência no uso das tecnologias" são aspectos a serem considerados a partir da TUAUT2, pois podem interferir na atitude em relação ao comportamento esperado, assim como explicar a aceitação da tecnologia como precondição para seu uso (16,17). Embora, neste estudo, o número de profissionais que já desenvolveram ou trabalharam com projetos voltados para a área de tecnologias em saúde seja reduzido, as TICs (36) aparecem como potenciais na educação permanente, no acesso às informações para a dinamização do cuidado, na inovação e na implementação de ações para a qualificação das atividades de profissionais que têm contato direto com pessoas com DM (37).…”

Section: Resultsunclassified

Development and Assessment of an Application for Primary Care for Users with Diabetes Mellitus

et al. 2020

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Objective: To develop an application on primary nursing care for users with diabetes mellitus and to assess its usability in the light of the Unified Theory of Acceptance and Use of Technology. Materials and methods: A methodological study, which used a quantitative and cross-sectional approach, based on the Systematic Design of Instruction method. The product was validated for usability by 11 specialist nurses, using the System Usability Scale questionnaire, based on the Unified Theory of Acceptance and Use of Technology 2 by Venkatesh, Thong and Xu. Results: The application was developed through open and free frameworks, based on the updated content of the Nursing Protocol in Primary Care on Diabetes Mellitus, plus the International Classification of Nursing Practices in Public Health. In assessing usability, the application reached a score of 90 points, being classified on a scale of best achievable, with dimensions that ground the theoretical constructs. Conclusions: The technology named Diabetes em Foco (Diabetes in focus in English) is promising to improve and advance theoretical and practical knowledge, in addition to quick and easy access to the protocol, timely support for decision-making and strengthening the systematization of nursing care in primary health care.

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Section: Resultsunclassified

Development and Assessment of an Application for Primary Care for Users with Diabetes Mellitus

et al. 2020

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“…Community health workers have found that using health education videos via tablets was an effective teaching tool and facilitated greater patient engagement (Coetzee et al., 2018). Evidence also indicates that training community health workers to use safe and functional technologies, such as mobile health applications, can enable them to function as support staff to providers who may be geographically unavailable, allowing them to better serve populations (Duffy, Kelly, Svenson, Wise, & Chavez, 2019). Providing community health workers access to mobile health reduces training time, screening time, and medical errors (Surka et al., 2014).…”

Section: Potentials Of Hit For Womenmentioning

confidence: 99%

Equality through Innovation: Promoting Women in the Workplace in Low‐ and Middle‐Income Countries with Health Information Technology

Asi

Williams

2020

Journal of Social Issues

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Technological innovation has served as a useful catalyst for development goals across sectors, from agriculture to education. Various forms of health information technology (HIT), such as mobile health and telemedicine, have been used globally to support health care delivery systems. Forms of HIT, developed primarily by men in rich countries, are touted to support all patients and providers. However, while women perform most global health delivery, especially in low-and middleincome countries (LMIC), they have less access to technology. Stakeholders have been slow to recognize and resolve conflicts about how technology affects gender disparities, especially in health care. In this paper, we describe, using a social capital framework, how integrating HIT in health systems can empower women in the health care workforce. We conclude with policy recommendations that can support women in the health care workforce through HIT. Numerous global development initiatives suggest that the empowerment of women and girls is one of the most pressing issues of this century. The United Nations' Sustainable Development Goal 5 aims to "achieve gender equality and empower all women and girls" by 2030 (UNDP, 2019a,b), while the Organization * Correspondence concerning this article should be addressed toYara M. Asi,

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“…Some of these studies use community health workers (CHW) as frontline providers to connect with patients and improve their health outcomes (17)(18)(19). Ideally, because of their shared lived experiences and unique positions within the healthcare team, CHWs have the opportunity to improve integration of mobile health apps into the health and healthcare experience of their patients.…”

Section: Introductionmentioning

confidence: 99%

“…Recent literature on mHealth interventions has primarily focused on mHealth adoption among health workers to facilitate their work and interactions with patients, primarily in low- and middle-income countries (14-16). Some of these studies use community health workers (CHW) as frontline providers to connect with patients and improve their health outcomes (17-19). Ideally, because of their shared lived experiences and unique positions within the healthcare team, CHWs have the opportunity to improve integration of mobile health apps into the health and healthcare experience of their patients.…”

Section: Introductionmentioning

confidence: 99%

Use of mobile health apps in low-income populations: a prospective study of facilitators and barriers

Liu

Astudillo

Velez

et al. 2019

Preprint

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Background: Mobile applications (apps) are increasingly popular in healthcare. For low-income populations, barriers exist, yet limited data are available about the challenges and catalysts for adoption. Methods and Results: We partnered with a primary care center and a community organization and recruited patients to use a health app. A community health worker (CHW) consented participants, downloaded the app and instructed on its use, and provided ongoing technical support. Bi-weekly surveys for three months were sent via email/text to assess participant experiences and perceptions. The majority (81 of 108 [75.0%] English language-preferred and 50 of 52 [96.2%] Spanish language-preferred) of patients approached were enrolled. Common reasons for declining were: did not own a smartphone (13.8%), did not have email (20.7%), and not interested (58.6%). Enrollment challenges included: insufficient storage, unfamiliarity with downloading apps, forgotten passwords to email accounts, and slow/absent WiFi connection - which the CHW and the app company were able to address. Most participants, English and Spanish language-preferred respectively, were interested in monitoring their health through an app (74.4%; 70.4%), connecting devices such as FitBits© and blood pressure cuffs (78.9%; 50.0%), and being the owner of their health records (83.6%; 95.6%). There were concerns about sharing health information with research teams (66.7%; 51.9%), and data being sold (83.0%; 70.4%). However, many (58.6%; 87.2%) reported being likely to share health data with a trusted research team. Compared with before the study, most felt more comfortable using health apps (67.4%; 82.1%) and more likely to participate in research using apps (76.2%; 72.4%). Conclusions: The assistance of a CHW facilitated the enrollment of low-income individuals in a mobile health app by fostering trust and sustained engagement. Participants were interested in having several app features. Despite concerns about data privacy, they demonstrated greater interest in mobile health app use and research participation at study conclusion.

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Empowering Community Health Workers With Mobile Technology to Treat Diabetes

Cited by 7 publications

References 0 publications

Development and Assessment of an Application for Primary Care for Users with Diabetes Mellitus

Development and Assessment of an Application for Primary Care for Users with Diabetes Mellitus

Equality through Innovation: Promoting Women in the Workplace in Low‐ and Middle‐Income Countries with Health Information Technology

Use of mobile health apps in low-income populations: a prospective study of facilitators and barriers

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