Now showing items 1-3 of 3

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      Can mHealth and eHealth improve management of diabetes and hypertension in a hard-to-reach population? —lessons learned from a process evaluation of digital health to support a peer educator model in Cambodia using the RE-AIM framework 

      Steinman, Lesley; Pelt, Maurits van; Hen, Heang; Chhea, Chhorvann; Lan, Channe Suy; Te, Vannarath; LoGerfo, James; Fitzpatrick, Annette L. (2020-10-05)

      Background: The burden of non-communicable diseases (NCDs) is increasing in low- and middle-income countries (LMICs) where NCDs cause 4:5 deaths, disproportionately affect poorer populations, and carry a large economic burden. Digital interventions can improve NCD management for these hard-to-reach populations with inadequate health systems and high cell-phone coverage; however, there is limited research on whether digital health is reaching this potential. We conducted a process evaluation to understand challenges and successes from a digital ...
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      The social determinants of chronic disease management: perspectives of elderly patients with hypertension from low socio-economic background in Singapore 

      Tan, Sok Teng; Quek, Rina Yu Chin; Haldane, Victoria; Koh, Joel Jun Kai; Han, Emeline Kai Lin; Ong, Suan Ee; Chuah, Fiona Leh Hoon; Legido-Quigley, Helena (2019-01-03)

      Background: In Singapore, the burden of hypertension disproportionately falls on the elderly population of low socio-economic status. Despite availability of effective treatment, studies have shown high prevalence of sub-optimal blood pressure control in this group. Poor hypertension management can be attributed to a number of personal factors including awareness, management skills and overall adherence to treatment. However, these factors are also closely linked to a broader range of community and policy factors. This paper explores the perceived ...
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      Strong structuration analysis of patterns of adherence to hypertension medication 

      Seguin, Maureen; Mendoza, Jhaki; Lasco, Gideon; Palileo-Villanueva, Lia M.; Palafox, Benjamin; Renedo, Alicia; McKee, Martin; Balabanova, Dina (2022-05-18)

      Achieving blood pressure control is among the highest priorities for reducing the burden of cardiovascular diseases globally. Control is poor in the Philippines, especially in socioeconomically marginalised communities. This paper explores long-term adherence to anti-hypertensive medication in these communities, identifying 4 distinct medication adherence patterns. We draw on Strong Structuration Theory to explore motivations of action for those who are consistently adherent, consistently non-adherent, and those who became more or less adherent ...