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A smart-phone enabled diagnosis and management services for hypertension and diabetes at primary health settings in Kerala, India PDF Print

The objectives of the study are: 1) To assess the acceptability and feasibility of a smart-phone enabled detection and management services for hypertension and diabetes at primary health settings in Kerala, India; 2) To collect information on participant response rate, compliance and follow-up statistics to design an effectiveness trial.

The study will be a multi-site, parallel group, controlled, prospective cluster randomized trial testing a smart phone enabled diagnosis and management service among 3050 adult (30+ age group) subjects, attending out-patient clinics in 4 Primary Health Centres (2 PHCs each arm) over a period of 9 months.

Primary outcome: Proportion of people with hypertension and/or diabetes receiving evidence based clinical management after screening.Secondary outcome:Compliance to therapy and follow-up rate among people with hypertension and/or diabetes.

Decision support software (DSS) tool, which runs on smartphones, will be developed for this study. The health care personnel (physician, nurse and health workers) at the PHC will use this tool as a screening and management aid. The software will compute clinical risk scores (for diabetes and 10-year risk of coronary heart disease) and will generate patient specific drug/lifestyle/referral advice using the guidelines issued by the Government of India. The qualitative research component of the study will assess user requirements, acceptability and practicality of the smart-phone enabled service at the PHCs.

Expected outcome:The study will elicit the feasibility dimensions on the use of smartphone based decision support system for chronic disease care at primary care settings.

This research is being done as part of a PhD at London School of Hygiene and Tropical Medicine under the PHFI-UKC Wellcome Trust Capacity Building Programme.

PhD Scholar: Vamadevan S Ajay
Supervisor: D. Prabhakaran (India), Sanjay Kinra (UK)

Project Duration: 2011 – 2012
Last Modified : August 10, 2011, 10:28 am