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Awareness Development and Usage of Mobile Health Technology among Hypertensive Individuals in a Rural Community of Bangladesh: Randomized Controlled Trial.

Jahan Yasmin 広島大学

2021.01.29

概要

Noncommunicable diseases (NCDs) are the leading cause of
death and disability globally. Each year an estimated 41 million
people die from NCDs, accounting for about 70% of total
mortality worldwide [1]. Among the NCDs, hypertension (HTN)
is a major modifiable risk factor and the leading cause of
premature death [2]. The global prevalence of HTN is projected
to increase up to 29.2% by 2025 (or >1.5 billion people) [3-5].
Currently, the prevalence of HTN [3] among adults is higher
in low- and middle-income countries (31.5% or 1.04 billion
people) than in high-income countries (28.5% or 349 million
people) [6]. A recent report suggested that 18% or 12 million
adults aged 25 years or older suffer from HTN in Bangladesh
[7].
The risk factors for developing HTN are more salt intake,
sedentary lifestyle, excess weight, unhealthy diet, tobacco
consumption, and chronic stress [8-10]. The World Health
Organization recommends salt intake of 5 g/day for adults in
order to reduce blood pressure (BP) and risk of cardiovascular
diseases [11], whereas Bangladeshi people consume more than
17 g salt/day [12].
According to the NCD risk factors survey, the prevalence of
self-reported HTN is 12.5% (men 10.9% and women 13.9%)
and one-third of the Bangladeshi population never measured
their BP due to lack of opportunity and accessibility to the health
care system [13]. Despite the increasing prevalence of HTN, a
substantial proportion of the population remains undiagnosed
due to lack of awareness to seek medical care and high treatment
costs [7,11,14]. Controlling BP at a population level may be
associated with a decrease in cardiovascular diseases regardless
of the increasing burden of chronic diseases such as kidney
disease and diabetes [15]. The comorbid conditions related to
HTN may cause the greatest morbidity burden if left untreated,
especially in low-resource settings [3,4]. Therefore, continuous
and long-term BP monitoring including medication adherence
is needed [16,17]. So far, different types of nonpharmacological
interventions have been developed and tested with aims to
improve BP control [18].
In this regard, the 2-way SMS text messaging communication
is a commonly used approach that can help develop awareness
and improve an individual’s self-management about HTN [19].
Nowadays, the mobile phone has become the favored device to
communicate and gather information together worldwide [19]. ...

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Abbreviations

BP: blood pressure

CHWs: community health workers

DASH: dietary approaches to stop hypertension

HTN: hypertension

NCDs: noncommunicable diseases

QOL: quality of life

RBS: random blood sugar

Edited by G Eysenbach; submitted 05.04.20; peer-reviewed by F Schwebel; comments to author 29.04.20; revised version received

23.05.20; accepted 26.10.20; published 07.12.20

Please cite as:

Jahan Y, Rahman MM, Faruque ASG, Chisti MJ, Kazawa K, Matsuyama R, Moriyama M

Awareness Development and Usage of Mobile Health Technology Among Individuals With Hypertension in a Rural Community of

Bangladesh: Randomized Controlled Trial

J Med Internet Res 2020;22(12):e19137

URL: https://www.jmir.org/2020/12/e19137

doi: 10.2196/19137

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