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The SMS-text adherence support (StAR) study: hardware and software infrastructure

Published: 07 December 2013 Publication History

Abstract

This paper details the hardware and software infrastructure used to collect data and deliver a novel intervention in an on-going individually randomised three-arm parallel group trial in a resource-limited setting. The SMS-text Adherence support trial (StAR) tests the efficacy of a behavioural intervention delivered by SMS-text to support hypertension treatment adherence compared to usual care. The intervention is a structured program of clinic appointment and medication pick-up reminders, medication adherence support and hypertension-related education delivered remotely using an automated system of semi-tailored informational or interactive SMS-text messages delivered to the 1372 recruited participants. The technical infrastructure includes mobile device-based electronic data collection at the point of care with secure remote upload of the data; the intervention delivery system; real-time query identification for screening, enrolment and participant management procedures; and monitoring and evaluation of trial processes. We are using several open-source software platforms in conjunction with off-the-shelf hardware to set-up and run a randomised clinical trial of a novel intervention in a low-resource setting.

References

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Burnier, M. 2006. Medication adherence and persistence as the cornerstone of effective antihypertensive therapy. American journal of hypertension. 19, 11 (Nov. 2006), 1190--6. DOI=10.1016/j.amjhyper.2006.04.006.
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Celi, L. A., Sarmenta, L., Rotberg, J., Marcelo, A. and Clifford, G. 2009. Mobile Care (Moca) for Remote Diagnosis and Screening. Journal of Health Informatics in Developing Countries. 3, 1 (Jan. 2009), 17--21.
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Free, C., Phillips, G., Galli, L., Watson, L., Felix, L., Edwards, P., Patel, V. and Haines, A. 2013. The effectiveness of mobile-health technology-based health behaviour change or disease management interventions for health care consumers: a systematic review. PLoS Medicine. 10, 1 (Jan. 2013), 1--45. DOI=10.1371/journal.pmed.1001362.
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Google Cloud Messaging for Android: 2013. http://developer.android.com/google/gcm/index.html. Accessed: 2013-07-20.
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Heron, K. E. and Smyth, J. M. 2010. Ecological momentary interventions: incorporating mobile technology into psychosocial and health behaviour treatments. British Journal of Health Psychology. 15, Pt 1 (Feb. 2010), 1--39. DOI=10.1348/135910709X466063.
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Karasz, H. N., Eiden, A. and Bogan, S. 2013. Text messaging to communicate with public health audiences: how the HIPAA Security Rule affects practice. American Journal of Public Health. 103, 4 (Apr. 2013), 617--22. DOI=10.2105/AJPH.2012.300999.
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NHS Information Governance 2010. Information Risk Management Guidance: Short Message Service (SMS) and Texting.
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Westhoff, T. H., Schmidt, S., Zidek, W. and Van der Giet, M. 2008. Validation of the Stabil-O-Graph blood pressure self-measurement device. Journal of Human Hypertension. 22, 3 (Mar. 2008), 233--5. DOI=10.1038/sj.jhh.1002287.

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  • (2014)Mobile healthProceedings of the 4th ACM MobiHoc workshop on Pervasive wireless healthcare10.1145/2633651.2633656(37-42)Online publication date: 11-Aug-2014

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cover image ACM Other conferences
ICTD '13: Proceedings of the Sixth International Conference on Information and Communications Technologies and Development: Notes - Volume 2
December 2013
214 pages
ISBN:9781450319072
DOI:10.1145/2517899
Permission to make digital or hard copies of part or all of this work for personal or classroom use is granted without fee provided that copies are not made or distributed for profit or commercial advantage and that copies bear this notice and the full citation on the first page. Copyrights for third-party components of this work must be honored. For all other uses, contact the Owner/Author.

Sponsors

  • IPID: International Network for Postgraduate Students in the area of ICT4D
  • University of the Western Cape: University of the Western Cape
  • Nokia
  • Google Inc.
  • Microsoft: Microsoft
  • University of Cape Town
  • Microsoft Reasearch: Microsoft Reasearch
  • IDRC: International Development Research Centre
  • IBM: IBM

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Association for Computing Machinery

New York, NY, United States

Publication History

Published: 07 December 2013

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Author Tags

  1. Android
  2. OpenMRS
  3. SANA
  4. SMS-text
  5. adherence support
  6. clinical trial
  7. hypertension
  8. mobile health
  9. open source

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  • Research-article

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ICTD 2013
Sponsor:
  • IPID
  • University of the Western Cape
  • Microsoft
  • Microsoft Reasearch
  • IDRC
  • IBM

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Overall Acceptance Rate 22 of 116 submissions, 19%

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  • (2014)Mobile healthProceedings of the 4th ACM MobiHoc workshop on Pervasive wireless healthcare10.1145/2633651.2633656(37-42)Online publication date: 11-Aug-2014

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