mHealth use for non-communicable diseases care in primary health: patients' perspective from rural settings and refugee camps

Shadi Saleh, Angie Farah, Nour El Arnaout, Hani Dimassi, Christo El Morr, Carles Muntaner, Walid Ammar, Randa Hamadeh, Mohamad Alameddine

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3 Citations (Scopus)

Abstract

Background: Non-communicable diseases (NCDs) account for 85% of deaths in Lebanon and contribute to remarkable morbidity and mortality among refugees and underserved populations. This study assesses the perspectives of individuals with hypertension and/or diabetes in rural areas and Palestinian refugee camps towards a population based mHealth intervention called 'eSahha'. Methods: The study employs a mixed-methods design to evaluate the effectiveness of SMSs on self-reported perceptions of lifestyle modifications. Quantitative data was collected through phone surveys, and qualitative data through focus group discussions. Descriptive statistics and bivariate analysis were performed. Results: About 93.9% (n = 1000) of respondents perceived the SMSs as useful and easy to read and understand. About 76.9% reported compliance with SMSs through daily behavioral modifications. Women (P = 0.007), people aged ≥76 years (P < 0.001), unemployed individuals (P < 0.001), individuals who only read and write (P < 0.001) or those who are illiterate (P < 0.001) were significantly more likely to receive and not read the SMSs. Behavior change across settings was statistically significant (P < 0.001). Conclusion: While SMS-based interventions targeting individuals with hypertension and/or diabetes were generally satisfactory among those living in rural areas and Palestinian refugee camps in Lebanon, a more tailored approach for older, illiterate and unemployed individuals is needed. Keywords: e-health, refugees.

Original languageEnglish
Pages (from-to)ii52-ii63
JournalJournal of public health (Oxford, England)
Volume40
Issue number2
DOIs
Publication statusPublished - 2018 Dec 1

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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    Saleh, S., Farah, A., El Arnaout, N., Dimassi, H., El Morr, C., Muntaner, C., Ammar, W., Hamadeh, R., & Alameddine, M. (2018). mHealth use for non-communicable diseases care in primary health: patients' perspective from rural settings and refugee camps. Journal of public health (Oxford, England), 40(2), ii52-ii63. https://doi.org/10.1093/pubmed/fdy172