Effectiveness of an mHealth application to improve hypertension health literacy in India.

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Abstrakt

Tytuł:: Effectiveness of an mHealth application to improve hypertension health literacy in India.
Autorzy:: Garner SL; Baylor University - Louise Herrington School of Nursing, Dallas, Texas, USA.
George CE; Bangalore Baptist Hospital, Hebbal, Bengaluru, Karnataka, India.
Young P; Hankamer School of Business, Baylor University, Waco, Texas, USA.
Hitchcock J; Department of Art, Baylor University, Waco, Texas, USA.
Koch H; Hankamer School of Business, Baylor University, Waco, Texas, USA.
Green G; Hankamer School of Business, Baylor University, Waco, Texas, USA.
Mahid Z; Baylor University, Waco, Texas, USA.
Norman G; Community Health Department, Bangalore Baptist Hospital, Bengaluru, Karnataka, India.
Źródło:: International nursing review [Int Nurs Rev] 2020 Dec; Vol. 67 (4), pp. 476-483. Date of Electronic Publication: 2020 Aug 07.
Typ publikacji:: Journal Article
Język:: English
Imprint Name(s):: Publication: Oxford, UK : Blackwell Science Ltd.
Original Publication: Geneva, International Council of Nurses.
MeSH Terms:: Health Literacy*
Hypertension*/prevention & control
Telemedicine*
Humans ; India
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Grant Information:: Baylor University Social Innovation Collaborative Grant
Contributed Indexing:: Keywords: India; health literacy; hypertension; mHealth; mobile health
Entry Date(s):: Date Created: 20200809 Date Completed: 20211125 Latest Revision: 20220419
Update Code:: 20240105
DOI:: 10.1111/inr.12616
PMID:: 32767464
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Aim: The purpose of this research was to determine the effectiveness of a mobile health or mHealth application to improve hypertension health literacy among vulnerable populations in India. Additionally, we sought to estimate relationships between participant knowledge on hypertension and sociodemographic variables.
Background: The World Health Organization advocates for the use of mobile technology to improve public health outcomes.
Introduction: The incidence of hypertension is on the rise in India, and effective and sustainable interventions are needed.
Methods: A quantitative single arm pre-test post-test interventional and correlational design was used to test the hypertension mHealth application among participants in a limited resource setting. A paired t-test was performed to compare pre- and post-test results after participant use of the mHealth application. A regression model was used to estimate relationships between participant hypertension health literacy and sociodemographic variables.
Results: A statistically significant improvement in test scores among participants after use of the mHealth app was found. Sociodemographic characteristics such as living in an urban environment, married, increased number of people living in household and alcohol use were determined to have a statistically significant effect on improvement of test score.
Discussion: Results indicated the application was effective among participants with varied literacy and health literacy levels. These findings contribute to the potential widespread scalability of the app among populations with varied demographics.
Conclusion: This application provides an effective and valuable culturally tailored educational resource for nurses and other health providers to use to improve hypertension health literacy among vulnerable populations in India.
Implications for Nursing Practice and Health Policy: This study contributes to nursing and health policy by answering a call from the World Health Organization to implement and research mHealth interventions to improve health outcomes, particularly in a low and middle income country where preventive health access is limited.
(© 2020 International Council of Nurses.)

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