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Potential for mobile health (mHealth) prevention of cardiovascular diseases in Kerala: A population-based survey

Feinberg, L; Menon, J; Smith, R; Rajeev, JG; Kumar, RK; Banerjee, A; (2016) Potential for mobile health (mHealth) prevention of cardiovascular diseases in Kerala: A population-based survey. Indian Heart Journal , 69 (2) pp. 182-199. 10.1016/j.ihj.2016.11.004. Green open access

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Abstract

BACKGROUND: India's southern state of Kerala stands at the forefront of India's epidemic of cardiovascular disease (CVD), among other non-communicable diseases (NCDs). Mobile phone use in healthcare (mHealth) has shown promise in India, including NCDs. However, suitability and acceptability of m-Health interventions is poorly researched, particularly in rural settings. OBJECTIVES: . (1)To explore mobile phone usage patterns in rural Kerala (Ernakulam).(2)To explore acceptability of mHealth delivery of health promotion and CVD prevention. . . METHODS: A questionnaire regarding mobile phone usage and possible use in healthcare was verbally administered in five primary health centres and by home visits in five village councils ("panchayats") of Ernakulam, Kerala. Adults who spoke Malayalam or English, with access to a mobile phone were recruited by convenience sampling in partnership with accredited social health activists (ASHAs). Quantitative data analysis was conducted using SPSS software. Results: 262 participants were recruited. 87% routinely used and 88% owned a mobile phone. 92% were willing to receive mHealth advice, and 94% favoured mobile medication reminders. 70.3% and 73% preferred voice calls over short messaging service (SMS) for delivering health information and medication reminders, respectively. 85.9% would send home recorded information on their blood pressure, weight, medication use and lifestyle to a doctor or ASHA. 75.2% trusted the confidentiality of mHealth data, while 77.1% had no concerns about the privacy of their information. CONCLUSIONS: The majority of this population approve mHealth interventions. While further investigation of mHealth as a health education tool is warranted, SMS interventions may fail to maximise equity and penetration across all patient groups.

Type: Article
Title: Potential for mobile health (mHealth) prevention of cardiovascular diseases in Kerala: A population-based survey
Open access status: An open access version is available from UCL Discovery
DOI: 10.1016/j.ihj.2016.11.004
Publisher version: http://doi.org/10.1016/j.ihj.2016.11.004
Language: English
Additional information: © 2016 Cardiological Society of India. Published by Elsevier B.V. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
Keywords: Telemedicine; Cell phones; Cardiovascular diseases; Rural health; India; Prevention and control
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 of Health Informatics
URI: https://discovery.ucl.ac.uk/id/eprint/1539912
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