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Implementation barriers for mHealth for non-communicable diseases management in low and middle income countries: A scoping review and field-based views from implementers

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dc.contributor.author van Olmen, J.
dc.contributor.author Erwin, E.
dc.contributor.author García-Ulloa, A.C.
dc.contributor.author Meessen, B.
dc.contributor.author Miranda, J. Jaime
dc.contributor.author Bobrow, K.
dc.contributor.author Iwelunmore, J.
dc.contributor.author Nwaozuru, U.
dc.contributor.author Obiezu Umeh, C.
dc.contributor.author Smith, C.
dc.contributor.author Harding, C.
dc.contributor.author Kumar, P.
dc.contributor.author Gonzales, Clicerio
dc.contributor.author Hernández-Jiménez, S.
dc.contributor.author Yeates, K.
dc.date.accessioned 2020-12-14T16:10:23Z
dc.date.available 2020-12-14T16:10:23Z
dc.date.issued 2020
dc.identifier.uri https://hdl.handle.net/20.500.12866/8842
dc.description.abstract Background: Mobile health (mHealth) has been hailed as a potential gamechanger for non-communicable disease (NCD) management, especially in low- and middle-income countries (LMIC). Individual studies illustrate barriers to implementation and scale-up, but an overview of implementation issues for NCD mHealth interventions in LMIC is lacking. This paper explores implementation issues from two perspectives: information in published papers and field-based knowledge by people working in this field. Methods: Through a scoping review publications on mHealth interventions for NCDs in LMIC were identified and assessed with the WHO mHealth Evidence Reporting and Assessment (mERA) tool. A two-stage web-based survey on implementation barriers was performed within a NCD research network and through two online platforms on mHealth targeting researchers and implementors. Results: 16 studies were included in the scoping review. Short Message Service (SMS) messaging was the main implementation tool. Most studies focused on patient-centered outcomes. Most studies did not report on process measures and on contextual conditions influencing implementation decisions. Few publications reported on implementation barriers. The websurvey included twelve projects and the responses revealed additional information, especially on practical barriers related to the patients' characteristics, low demand, technical requirements, integration with health services and with the wider context. Many interventions used low-cost software and devices with limited capacity that not allowed linkage with routine data or patient records, which incurred fragmented delivery and increased workload. Conclusion: Text messaging is a dominant mHealth tool for patient-directed of quality improvement interventions in LMIC. Publications report little on implementation barriers, while a questionnaire among implementors reveals significant barriers and strategies to address them. This information is relevant for decisions on scale-up of mHealth in the domain of NCD. Further knowledge should be gathered on implementation issues, and the conditions that allow universal coverage. en_US
dc.language.iso eng
dc.publisher F1000 Research
dc.relation.ispartofseries Wellcome Open Research
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject diabetes en_US
dc.subject implementation research en_US
dc.subject Low and middle income countries en_US
dc.subject mobile health en_US
dc.title Implementation barriers for mHealth for non-communicable diseases management in low and middle income countries: A scoping review and field-based views from implementers en_US
dc.type info:eu-repo/semantics/review
dc.identifier.doi https://doi.org/10.12688/wellcomeopenres.15581.2
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#1.06.03
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.00.00
dc.relation.issn 2398-502X


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