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Learning from a diabetes mHealth intervention in rural Bangladesh: what worked, what did not and what next?

Morrison, J; Akter, K; Jennings, H; Ahmed, N; Kumer Shaha, S; Kuddus, A; Nahar, T; ... Fottrell, E; + view all (2021) Learning from a diabetes mHealth intervention in rural Bangladesh: what worked, what did not and what next? Global Public Health 10.1080/17441692.2021.1923776. (In press). Green open access

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Abstract

There is an urgent need for population-based interventions to slow the growth of the diabetes epidemic in low-and middle-income countries. We tested the effectiveness of a population-based mHealth voice messaging intervention for T2DM prevention and control in rural Bangladesh through a cluster randomised controlled trial. mHealth improved knowledge and awareness about T2DM but there was no detectable effect on T2DM occurrence. We conducted mixed-methods research to understand this result. Exposure to messages was limited by technological faults, high frequency of mobile phone number changes, message fatigue and (mis)perceptions that messages were only for those who had T2DM. Persistent social norms, habits and desires made behaviour change challenging, and participants felt they would be more motivated by group discussions than mHealth messaging alone. Engagement with mHealth messages for T2DM prevention and control can be increased by (1) sending identifiable messages from a trusted source (2) using participatory design of mHealth messages to inform modelling of behaviours and increase relevance to the general population (3) enabling interactive messaging. mHealth messaging is likely to be most successful if implemented as part of a multi-sectoral, multi-component approach to address T2DM and non-communicable disease risk factors.

Type: Article
Title: Learning from a diabetes mHealth intervention in rural Bangladesh: what worked, what did not and what next?
Open access status: An open access version is available from UCL Discovery
DOI: 10.1080/17441692.2021.1923776
Publisher version: http://dx.doi.org/10.1080/17441692.2021.1923776
Language: English
Additional information: © 2021 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Keywords: mhealth, diabetes, non-communicable diseases, process evaluation
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute for Global Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute for Global Health > Infection and Population Health
URI: https://discovery.ucl.ac.uk/id/eprint/10127661
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