Implementation of foot thermometry plus mHealth to prevent diabetic foot ulcers: study protocol for a randomized controlled trial

A registered trial from ClinicalTrials.gov: Identifier NCT02373592

Analyzed by M'lynda Owens 0 4849 Article rating: No rating

From the article abstract: 

BACKGROUND:
Diabetic foot neuropathy (DFN) is one of the most important complications of diabetes mellitus; its early diagnosis and intervention can prevent foot ulcers and the need for amputation. Thermometry, measuring the temperature of the feet, is a promising emerging modality for diabetic foot ulcer prevention. However, patient compliance with at-home monitoring is concerning. Delivering messages to remind patients to perform thermometry and foot care might be helpful to guarantee regular foot monitoring. This trial was designed to compare the incidence of diabetic foot ulcers (DFUs) between participants who receive thermometry alone and those who receive thermometry as well as mHealth (SMS and voice messaging) over a year-long study period.
METHODS/DESIGN:
This is an evaluator-blinded, randomized, 12-month trial. Individuals with a diagnosis of type 2 diabetes mellitus, aged between 18-80 years, having a present dorsalis pedis pulse in both feet, are in risk group 2 or 3 using the diabetic foot risk classification system (as specified by the International Working Group on the Diabetic Foot), have an operating cell phone or a caregiver with an operating cell phone, and have the ability to provide informed consent will be eligible to participate in the study. Recruitment will be performed in diabetes outpatient clinics at two Ministry of Health tertiary hospitals in Lima, Peru.
INTERVENTIONS:
participants in both groups will receive education about foot care at the beginning of the study and they will be provided with a thermometry device (TempStat™). TempStat™ is a tool that captures a thermal image of the feet, which, depending on the temperature of the feet, shows different colors. In this study, if a participant notes a single yellow image or variance between one foot and the contralateral foot, they will be prompted to notify a nurse to evaluate their activity within the previous 2 weeks and make appropriate recommendations. In addition to thermometry, participants in the intervention arm will receive an mHealth component in the form of SMS and voice messages as reminders to use the thermometry device, and instructions to promote foot care.

Text message reminders do not improve hepatitis B vaccination rates in an Australian sexual health setting

An article from the Journal of the American Medical Informatics Association

Analyzed by Nathan Botts 0 6061 Article rating: No rating

From the PubMed article abstract: "In September 2008, Sydney Sexual Health Centre implemented an SMS reminder system. The authors assessed the impact of the reminder system on HBV vaccination rates among patients who initiated a course. The authors used a chi-square test and multivariate logistic regression to determine if SMS reminders were associated with second and third dose vaccine completion, compared with patients prior to the intervention."

mFHAST Implications: Opportunity for SMS reminders to improve vaccination completion rates

Feasibility of a Text Messaging Intervention to Promote Self-Management for Patients Prescribed Oral Anticancer Agents

An article from the Oncology Nursing Forum

Gathered by mFHAST 0 4116 Article rating: No rating

From the PubMed article abstract: "To determine proof of concept of a mobile health (mHealth) intervention delivering text messages (texts) to self-manage among patients prescribed oral anticancer agents (OAs) and to examine preliminary efficacy on symptoms and medication adherence. "

mFHAST Implications: Effectiveness of text messages toward increasing self-management among patients prescribed oral anticancer agents

Text Message and Internet Support for Coronary Heart Disease Self-Management

An article from the Journal of Medical Internet Research

Gathered by mFHAST 0 5801 Article rating: No rating

From the PubMed abstract: "Mobile technology has the potential to deliver behavior change interventions (mHealth) to reduce coronary heart disease (CHD) at modest cost. Previous studies have focused on single behaviors; however, cardiac rehabilitation (CR), a component of CHD self-management, needs to address multiple risk factors."

mFHAST Implications: Opportunity for SMS interventions to increase adherence behavior changes needed to reduce coronary heart disease

A randomized controlled behavioral intervention trial to improve medication adherence in adult stroke patients with prescription tailored SMS

An article from BMC Neurology

Gathered by mFHAST 0 4274 Article rating: No rating

From the PubMed article abstract: "The effectiveness of mobile technology to improve medication adherence via customized Short Messaging Service (SMS) reminders for stroke has not been tested in resource poor areas. We designed a randomized controlled trial to test the effectiveness of SMS on improving medication adherence in stroke survivors in Pakistan."

mFHAST Implications: Opportunity for use of SMS to improve medication adherence for stroke survivors

mHealth SMS text messaging interventions and to promote medication adherence: an integrative review

An article from the Journal of Clinical Nursing

Gathered by mFHAST 0 3565 Article rating: No rating

From the PubMed abstract: "This article is an integrative review of the evidence for mobile health Short Message Service text messages as an innovative and emerging intervention to promote medication adherence. Authors completed this review to draw conclusions and implications towards establishing a scientific foundation for use of text messages to promote medication adherence, thus informing clinical practice."

mFHAST Implications: Methods for text messaging interventions that promote medication adherence

Improving treatment adherence for blood pressure lowering via mobile phone SMS-messages in South Africa

An article from BMC Family Practice

Gathered by mFHAST 0 2633 Article rating: No rating

From the PubMed article abstract: "Effective use of proven treatments for high blood pressure, a preventable health risk, is challenging for many patients. Prompts via mobile phone SMS-text messaging may improve adherence to clinic visits and treatment, though more research is needed on impact and patient perceptions of such support interventions, especially in low-resource settings."

mFHAST Implications: Opportunity for SMS reminders to improve adherence to blood pressure therapies

Prescriber and patient-oriented behavioural interventions to improve use of malaria rapid diagnostic tests in Tanzania

An article from BMC Medicine

Gathered by mFHAST 0 1640 Article rating: No rating

From the PubMed article abstract: "The increasing investment in malaria rapid diagnostic tests (RDTs) to differentiate malarial and non-malarial fevers, and an awareness of the need to improve case management of non-malarial fever, indicates an urgent need for high quality evidence on how best to improve prescribers' practices."

mFHAST Implications: Opportunity for use of SMS to improve health worker training within antimalarial programs

Effectiveness of short message services reminder on childhood immunization programme in Kadoma, Zimbabwe

An article from BMC Public Health

Gathered by mFHAST 0 2658 Article rating: No rating

From the PubMed article abstract: "Globally, non-attendance for immunization appointments remains a challenge to healthcare providers. A review of the 2011 immunization coverage for Kadoma City, Zimbabwe was 74% for Oral Polio Vaccine (OPV), Pneumococcal and Pentavalent antigens. The immunization coverage was less than 90%, which is the target for Kadoma City. Adoption of short message services (SMS) reminders has been shown to enhance attendance in some medical settings. The study was conducted to determine the effectiveness of SMS reminders on immunization programme for Kadoma City."

mFHAST Implications: Opportunities for increasing immunization appointment adherence through use of SMS

Empowering pharmacists in asthma management through interactive SMS (EmPhAsIS): study protocol for a randomized controlled trial

An article from the Trials journal

Gathered by mFHAST 0 2309 Article rating: No rating

From the PubMed article abstract: "Medication regimens for asthma are particularly vulnerable to adherence problems because of the requirement for long-term use and periods of symptom remission experienced by patients. Pharmacists are suited to impact medication adherence given their training, skills, and frequent contact with patients. The Empowering pharmacists in asthma management through interactive SMS (EmPhAsIS) trial involves an intervention leveraging mobile health (mHealth) technology to support community pharmacy practice with the hypothesis of improved medication adherence in asthma."

mFHAST Implications: Opportunity for use of SMS to improve medication adherence for asthma therapies

Interventions to promote adherence to antiretroviral therapy in Africa

An article from the Lancet HIV journal

Gathered by mFHAST 0 2146 Article rating: No rating

From the article abstract: "We searched for randomised trials of interventions to promote antiretroviral adherence within adults in Africa. We searched AMED, CINAHL, Embase, Medline (via PubMed), and ClinicalTrials.gov from inception to Oct 31, 2014, with the terms "HIV", "ART", "adherence", and "Africa". We created a network of the interventions by pooling the published and individual patients' data for comparable treatments and comparing them across the individual interventions with Bayesian network meta-analyses. The primary outcome was adherence defined as the proportion of patients meeting trial defined criteria; the secondary endpoint was viral suppression."

mFHAST Implications: Opportunities for SMS messages to increase adherence to HIV antiretroviral therapies 

Acceptability and factors associated with willingness to receive short messages for improving antiretroviral therapy adherence in China

An article from the Aids Care journal

Nathan E Botts 0 341 Article rating: No rating

From the PubMed article abstract: "This study aimed to understand the acceptability of short message service (SMS) as a reminder for improving antiretroviral therapy (ART) adherence and determine the factors associated with willingness to accept SMS among people living HIV (PLH) in China."

mFHAST Implications: Opportunities for SMS messages to increase adherence to HIV antiretroviral therapies

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