Challenges and Opportunities in Digital Screening for Hypertension and Diabetes Among Community Groups of Older Adults in Vietnam: Mixed Methods Study.

IF 5.8 2区 医学 Q1 HEALTH CARE SCIENCES & SERVICES
Trang Thi Thu Nong, Giang Hoang Nguyen, Alexander Lepe, Thuy Bich Tran, Lan Thi Phuong Nguyen, Jaap A R Koot
{"title":"Challenges and Opportunities in Digital Screening for Hypertension and Diabetes Among Community Groups of Older Adults in Vietnam: Mixed Methods Study.","authors":"Trang Thi Thu Nong, Giang Hoang Nguyen, Alexander Lepe, Thuy Bich Tran, Lan Thi Phuong Nguyen, Jaap A R Koot","doi":"10.2196/54127","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>The project of scaling up noncommunicable disease (NCD) interventions in Southeast Asia aimed to strengthen the prevention and control of hypertension and diabetes, focusing on primary health care and community levels. In Vietnam, health volunteers who were members of the Intergenerational Self-Help Clubs (ISHCs) implemented community-based NCD screening and health promotion activities in communities. The ISHC health volunteers used an app based on District Health Information Software, version 2 (DHIS2) tracker (Society for Health Information Systems Programmes, India) to record details of participants during screening and other health activities.</p><p><strong>Objective: </strong>This study aimed to assess the strengths, barriers, and limitations of the NCD screening app used by the ISHC health volunteers on tablets and to provide recommendations for further scaling up.</p><p><strong>Methods: </strong>A mixed methods observational study with a convergent parallel design was performed. For the quantitative data analysis, 2 rounds of screening data collected from all 59 ISHCs were analyzed on completeness and quality. For the qualitative analysis, 2 rounds of evaluation of the screening app were completed. Focus group discussions with ISHC health volunteers and club management boards and in-depth interviews with members of the Association of the Elderly and Commune Health Station staff were performed.</p><p><strong>Results: </strong>In the quantitative analysis, data completeness of all 6704 screenings (n=3485 individuals) was very high. For anthropomorphic measurements, such as blood pressure, body weight, and abdominal circumference, less than 1% errors were found. The data on NCD risk factors were not adequately recorded in 1908 (29.5%) of the screenings. From the qualitative analysis, the NCD screening app was appreciated by ISHC health volunteers and supervisors, as an easier and more efficient way to report to higher levels, secure data, and strengthen relationships with relevant stakeholders, using tablets to connect to the internet and internet-based platforms to access information for self-learning and sharing to promote a healthy lifestyle as the strengths. The barriers and limitations reported by the respondents were a non-age-friendly app, incomplete translation of parts of the app into Vietnamese, some issues with the tablet's display, lack of sharing of responsibilities among the health volunteers, and suboptimal involvement of the health sector; limited digital literacy among ISHC health volunteers. Recommendations are continuous capacity building, improving app issues, improving tablet issues, and involving relevant stakeholders or younger members in technology adoption to support older people.</p><p><strong>Conclusions: </strong>The implementation of the NCD screening app by ISHC volunteers can be an effective way to improve community-led NCD screening and increase the uptake of NCD prevention and management services at the primary health care level. However, our study has shown that some barriers need to be addressed to maximize the efficient use of the app by ISHC health volunteers to record, report, and manage the screening data.</p>","PeriodicalId":16337,"journal":{"name":"Journal of Medical Internet Research","volume":"26 ","pages":"e54127"},"PeriodicalIF":5.8000,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11650079/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Medical Internet Research","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.2196/54127","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
引用次数: 0

Abstract

Background: The project of scaling up noncommunicable disease (NCD) interventions in Southeast Asia aimed to strengthen the prevention and control of hypertension and diabetes, focusing on primary health care and community levels. In Vietnam, health volunteers who were members of the Intergenerational Self-Help Clubs (ISHCs) implemented community-based NCD screening and health promotion activities in communities. The ISHC health volunteers used an app based on District Health Information Software, version 2 (DHIS2) tracker (Society for Health Information Systems Programmes, India) to record details of participants during screening and other health activities.

Objective: This study aimed to assess the strengths, barriers, and limitations of the NCD screening app used by the ISHC health volunteers on tablets and to provide recommendations for further scaling up.

Methods: A mixed methods observational study with a convergent parallel design was performed. For the quantitative data analysis, 2 rounds of screening data collected from all 59 ISHCs were analyzed on completeness and quality. For the qualitative analysis, 2 rounds of evaluation of the screening app were completed. Focus group discussions with ISHC health volunteers and club management boards and in-depth interviews with members of the Association of the Elderly and Commune Health Station staff were performed.

Results: In the quantitative analysis, data completeness of all 6704 screenings (n=3485 individuals) was very high. For anthropomorphic measurements, such as blood pressure, body weight, and abdominal circumference, less than 1% errors were found. The data on NCD risk factors were not adequately recorded in 1908 (29.5%) of the screenings. From the qualitative analysis, the NCD screening app was appreciated by ISHC health volunteers and supervisors, as an easier and more efficient way to report to higher levels, secure data, and strengthen relationships with relevant stakeholders, using tablets to connect to the internet and internet-based platforms to access information for self-learning and sharing to promote a healthy lifestyle as the strengths. The barriers and limitations reported by the respondents were a non-age-friendly app, incomplete translation of parts of the app into Vietnamese, some issues with the tablet's display, lack of sharing of responsibilities among the health volunteers, and suboptimal involvement of the health sector; limited digital literacy among ISHC health volunteers. Recommendations are continuous capacity building, improving app issues, improving tablet issues, and involving relevant stakeholders or younger members in technology adoption to support older people.

Conclusions: The implementation of the NCD screening app by ISHC volunteers can be an effective way to improve community-led NCD screening and increase the uptake of NCD prevention and management services at the primary health care level. However, our study has shown that some barriers need to be addressed to maximize the efficient use of the app by ISHC health volunteers to record, report, and manage the screening data.

越南社区老年人高血压和糖尿病数字筛查的挑战和机遇:混合方法研究
背景:东南亚扩大非传染性疾病(NCD)干预项目旨在加强高血压和糖尿病的预防和控制,重点放在初级卫生保健和社区层面。在越南,作为代际自助俱乐部(ISHCs)成员的卫生志愿者在社区开展了以社区为基础的非传染性疾病筛查和健康促进活动。ISHC卫生志愿者使用基于地区卫生信息软件第2版(DHIS2)跟踪器(印度卫生信息系统计划协会)的应用程序,记录参与者在筛查和其他卫生活动期间的详细信息。目的:本研究旨在评估ISHC健康志愿者在平板电脑上使用的非传染性疾病筛查应用程序的优势、障碍和局限性,并为进一步扩大规模提供建议。方法:采用收敛平行设计的混合方法观察研究。在定量数据分析方面,对所有59个ISHCs收集的2轮筛选数据进行完整性和质量分析。为了进行定性分析,我们对筛选app进行了2轮评估。与社委会健康志愿者和社委会管理委员会进行了焦点小组讨论,并与老年人协会成员和社区卫生站工作人员进行了深入访谈。结果:在定量分析中,6704例筛查(n=3485例)的数据完整性都很高。对于拟人化测量,如血压、体重和腹围,误差小于1%。1908年(29.5%)的筛查未充分记录非传染性疾病危险因素数据。从定性分析来看,非传染性疾病筛查应用程序得到了卫生服务中心卫生志愿者和主管的赞赏,认为它是向上级报告、保护数据和加强与相关利益攸关方关系的一种更简单、更有效的方式,它利用平板电脑连接到互联网和基于互联网的平台,获取信息进行自我学习和分享,以促进健康的生活方式。受访者报告的障碍和限制是一个不适合年龄的应用程序,部分应用程序翻译成越南语不完整,平板电脑的显示存在一些问题,卫生志愿者之间缺乏责任分担,卫生部门的参与不够理想;ISHC卫生志愿者的数字素养有限。建议是持续的能力建设,改善应用程序问题,改善平板电脑问题,让相关利益相关者或年轻成员参与技术采用,以支持老年人。结论:由ISHC志愿者实施NCD筛查app可有效改善社区主导的NCD筛查,提高基层卫生保健对NCD预防和管理服务的接受程度。然而,我们的研究表明,为了最大限度地有效利用ISHC健康志愿者的应用程序来记录、报告和管理筛查数据,需要解决一些障碍。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
CiteScore
14.40
自引率
5.40%
发文量
654
审稿时长
1 months
期刊介绍: The Journal of Medical Internet Research (JMIR) is a highly respected publication in the field of health informatics and health services. With a founding date in 1999, JMIR has been a pioneer in the field for over two decades. As a leader in the industry, the journal focuses on digital health, data science, health informatics, and emerging technologies for health, medicine, and biomedical research. It is recognized as a top publication in these disciplines, ranking in the first quartile (Q1) by Impact Factor. Notably, JMIR holds the prestigious position of being ranked #1 on Google Scholar within the "Medical Informatics" discipline.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信