Increasing Awareness and Use of Mobile Health Technology Among Individuals With Hypertension in a Rural Community of Bangladesh: Protocol for a Randomized Controlled Trial

Yasmin Jahan; Michiko Moriyama; Md Moshiur Rahman; Kana Kazawa; Atiqur Rahman; Abu Sadat Mohammad Sayeem Bin Shahid; Sumon Kumar Das; Asg Faruque; Mohammod Jobayer Chisti

doi:10.2196/15523

Increasing Awareness and Use of Mobile Health Technology Among Individuals With Hypertension in a Rural Community of Bangladesh: Protocol for a Randomized Controlled Trial

JMIR Res Protoc. 2020 Aug 17;9(8):e15523. doi: 10.2196/15523.

Authors

Yasmin Jahan¹, Michiko Moriyama¹, Md Moshiur Rahman¹, Kana Kazawa¹, Atiqur Rahman², Abu Sadat Mohammad Sayeem Bin Shahid³, Sumon Kumar Das⁴, Asg Faruque³, Mohammod Jobayer Chisti³

Affiliations

¹ Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.
² Department of Culture and Society, Linköping University, Norrköping, Sweden.
³ International Centre for Diarrheal Disease Research, Dhaka, Bangladesh.
⁴ Menzies School of Health Research, Darwin, Northern Teritorry, Australia.

PMID: 32804088
PMCID: PMC7459433
DOI: 10.2196/15523

Abstract

Background: Hypertension remains one of the foremost noncommunicable diseases that most often lead to cardiovascular diseases and its different complications. The prevalence of hypertension in Bangladesh has been increasing. However, there are very limited studies that have evaluated the impact of health education and awareness development in mitigating the burden of hypertension and its complications in Bangladesh.

Objective: This study aims to increase awareness, enhance knowledge, and change lifestyle behaviors through health education and the use of mobile health (mHealth) technology among individuals with hypertension living in a rural community of Bangladesh.

Methods: A randomized controlled trial is underway in a Mirzapur subdistrict of Bangladesh. This trial compares two groups of individuals with hypertension: The comparison arm receives health education and the intervention arm receives health education and a periodic mobile phone-based text message intervention. The trial duration is 5 months. The primary end point is participants' actual behavior changes brought about by increased awareness and knowledge.

Results: Enrollment of participants started in August 2018, and collection of follow-up data was completed at the end of July 2019. A total of 420 participants volunteered to participate, and among them, 209 and 211 were randomly allocated to the intervention group and the control group, respectively. Among them, the ratio of males/females was 12.0/88.0 in the intervention group and 16.1/83.9 in the control group. Data cleaning and analyses have been completed and the results have been submitted for publication.

Conclusions: Periodic short education using mHealth technology in addition to face-to-face health education may be an effective method for increasing awareness and knowledge about behavioral changes and maintaining healthy lifestyle behaviors.

Trial registration: Bangladesh Medical Research Council (BMRC) 06025072017; ClinicalTrials.gov NCT03614104, https://clinicaltrials.gov/ct2/show/NCT03614104; University hospital Medical Information Network (UMIN) R000033736, https://upload.umin.ac.jp/cgi-open-bin/ctr_e/ctr_his_list.cgi?recptno=R000033736.

International registered report identifier (irrid): DERR1-10.2196/15523.

Keywords: Bangladesh; awareness development; behavioral changes; hypertension; knowledge; mHealth.

©Yasmin Jahan, Michiko Moriyama, Md Moshiur Rahman, Kana Kazawa, Atiqur Rahman, Abu Sadat Mohammad Sayeem Bin Shahid, Sumon Kumar Das, Abu Syed Golam Faruque, Mohammod Jobayer Chisti. Originally published in JMIR Research Protocols (http://www.researchprotocols.org), 17.08.2020.

Associated data

ClinicalTrials.gov/NCT03614104