Impact of mobile health in diabetic retinopathy awareness and eye care behavior among Indigenous women

Umaefulam, Valerie; Premkumar, Kalyani

doi:10.21037/mhealth.2019.12.01

Cited by 15 publications

(22 citation statements)

References 45 publications

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“… 66 One model described the use of mobile phones (mobile health) to carry out eye health promotion regarding diabetic retinopathy with Indigenous women in Canada. 67 …”

Section: Resultsmentioning

confidence: 99%

“…66 One model described the use of mobile phones (mobile health) to carry out eye health promotion regarding diabetic retinopathy with Indigenous women in Canada. 67 Lastly, eight models focused exclusively on access to trachoma control measures in the USA (n=1) 68 and Australia (n=7). [69][70][71][72][73][74][75][76][77] Trachoma requires specific, welldefined interventions which are not widely applicable to other eye conditions: SAFE (surgery for trichiasis, mass antibiotic distribution, promotion of facial hygiene and environmental change).…”

Section: Bmj Global Healthmentioning

confidence: 99%

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Eye care delivery models to improve access to eye care for Indigenous peoples in high-income countries: a scoping review

et al. 2021

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PurposeGlobally, there are ~370 million Indigenous peoples. Indigenous peoples typically experience worse health compared with non-Indigenous people, including higher rates of avoidable vision impairment. Much of this gap in eye health can be attributed to barriers that impede access to eye care services. We conducted a scoping review to identify and summarise service delivery models designed to improve access to eye care for Indigenous peoples in high-income countries.MethodsSearches were conducted on MEDLINE, Embase and Global Health in January 2019 and updated in July 2020. All study designs were eligible if they described a model of eye care service delivery aimed at populations with over 50% Indigenous peoples. Two reviewers independently screened titles, abstracts and full-text articles and completed data charting. We extracted data on publication details, study context, service delivery interventions, outcomes and evaluations, engagement with Indigenous peoples and access dimensions targeted. We summarised findings descriptively following thematic analysis.ResultsWe screened 2604 abstracts and 67 studies fulfilled our eligibility criteria. Studies were focused on Indigenous peoples in Australia (n=45), USA (n=11), Canada (n=7), New Zealand (n=2), Taiwan (n=1) and Greenland (n=1). The main disease focus was diabetic retinopathy (n=30, 45%), followed by ‘all eye care’ (n=16, 24%). Most studies focused on targeted interventions to increase availability of services. Fewer than one-third of studies reported involving Indigenous communities when designing the service. 41 studies reflected on whether the model improved access, but none undertook rigorous evaluation or quantitative assessment.ConclusionsThe geographical and clinical scope of service delivery models to improve access to eye care for Indigenous peoples in high-income countries is narrow, with most studies focused on Australia and services for diabetic retinopathy. More and better engagement with Indigenous communities is required to design and implement accessible eye care services.

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“… 66 One model described the use of mobile phones (mobile health) to carry out eye health promotion regarding diabetic retinopathy with Indigenous women in Canada. 67 …”

Section: Resultsmentioning

confidence: 99%

Section: Bmj Global Healthmentioning

confidence: 99%

Eye care delivery models to improve access to eye care for Indigenous peoples in high-income countries: a scoping review

et al. 2021

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“…mHealth apps are intended to give empowerment to its users to self-manage their problems and render social justice to get the solution when he is incapacitated by various means to reach health care. Many patients having Non-Communicable Diseases like Diabetics, Obesity, COPD are using wearable sensors, belt etc to monitor their calorie intake, exercise, partial oxygen saturation etc [17]. Though at a first look it appears, these Apps and digital tools empower patients and enhance their autonomy, when critically analysed it is not so.…”

Section: Efficiency and Preventionmentioning

confidence: 99%

mHealth for Health Care in India – Defining the agenda of Bioethics A meta-analysis

Jayalal¹,

Kumar²,

Ponkilas³

2020

Global Bioethics Enquiry Journal

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Delivering health care through remote monitoring wearables' and personal devices such as mobile phones are collectively termed as "mHealth". mHealth has emerged as ubiquitous, omnipresent global phenomena. Adoption of ethical priority and challenges on implementation of them are often noted but not given adequate care. Meta-analysis of research data published from 2009 to 2018 were analyzed and the ethical concerns raised were grouped into 5 grids. 1. Privacy, security and the data ownership, 2. Process of obtaining informed consent, 3. Efficiency, prevention and maleficence 4. Empowerment, beneficence 5. Access to mHealth technology and its social justice were the major 5 concerns reported in the published literatures. Based on these reported concerns and on evaluation of these problems, for effective designing and implementation of ethical principles ten recommendations, concerns and concepts are designed. The proposed recommended steps for adopting implementations and to be used in developing mHealth apps are prioritized and tabulated along with Council for International Organizations of Medical Sciences ethical guidelines. Our study resolves that, the regulatory mechanism in India is in an evolution stage and speedy constitution of regulating frame works with ethical concerns is the need of the hour before the system goes beyond repair. Bioethicists play a vital role and are exceptionally placed to bring these more conceptual and empirical issues into the public debate and extend the current discourse beyond questions of effectiveness and safety of mHealth. The ethical issues are evolving and dynamic and hence constant evaluation and appropriate recommendations should be implemented periodically.

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“…It helps by providing autonomy, competency and his own responsibilities to follow the desired health behaviour. 5 The community can also be made aware of DR related health promotional sources available for the visually impaired population. 6 Another study conducted in an urban province of the Sultanate of Oman identified that only 24% of the schools' students population had adequate knowledge about diabetes.…”

mentioning

confidence: 99%

“…Such tools support the individuals having diabetes, or the communities at risk in prevention as well as further managements in improving their quality of life. 5 An intervention design based on the systematic approach followed by applying the different theories based on the consensus of the various stakeholders is more likely to be successful in improving the health outcomes within the affected community. 11 However, there are limited studies evaluating the impact of the various DR health educational resources on enhancing the knowledge level amongst the community.…”

mentioning

confidence: 99%

Knowledge outcome of visual-simulation-based over print-based diabetic retinopathy health education amongst the Omani community residing in Al Batinah, Oman

Vankudre

Saad

2021

African Vision and Eye Health

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Background: Evidence-based contextual diabetic retinopathy (DR) related health promotion tools are essential in improving patient compliance and reducing the condition-related burden within the community.Aim: This study compares DR related knowledge impact amongst the population following the traditional print based health education over the developed visual simulations.Setting: This prospective cross-sectional study was conducted within a province in Oman over the duration of one year.Methods: One hundred and thirty-six (50.6%) participants were provided with print-based and 133 (49.4%) with visual-simulation-based DR related health promotional intervention. A questionnaire and model responses were designed and validated to assess the knowledge of the participants about DR.Results: The improvement in DR related knowledge scores was slightly higher in the print-based version (17.88%) compared to the visual-simulation-based (15.77%) health education. However, the Mann Whitney U test indicated a statistically insignificant (U = 8446.5, p = 0.348) difference in change in the knowledge scores between these groups following the provision of DR related health education either with the print-based or visual-simulation-based version.Conclusion: Print-based, as well as visual-simulation-based health educational interventions are effective in improving DR related knowledge. Although there is not enough evidence to support the visual-simulation method over the print-based DR health education, observing the similar positive impact upon the DR knowledge level with the latter method, this study suggests the use of these contextual visual simulations as an alternative strategy of DR health education. There is a need to develop evaluation strategies for the health promotional tools. The evidence-based health promotional tools are recommended to be integrated within the eye health system.

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Impact of mobile health in diabetic retinopathy awareness and eye care behavior among Indigenous women

Cited by 15 publications

References 45 publications

Eye care delivery models to improve access to eye care for Indigenous peoples in high-income countries: a scoping review

Eye care delivery models to improve access to eye care for Indigenous peoples in high-income countries: a scoping review

mHealth for Health Care in India – Defining the agenda of Bioethics A meta-analysis

Knowledge outcome of visual-simulation-based over print-based diabetic retinopathy health education amongst the Omani community residing in Al Batinah, Oman

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