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Assessing Mobile Health Capacity And Task Shifting Strategies To Improve Hypertension Among Ghanaian Stroke Survivors☆,☆☆

Michelle Nichols, Fred Stephen Sarfo, Arti Singh, Suparna Qanungo, Frank A Treiber, Bruce Ovbiagele, Raelle Saulson, Sachin K. Patel, Carolyn Jenkins
Published 2017 · Medicine
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Background: There has been a tremendous surge in stroke prevalence in sub‐Saharan Africa. Hypertension (HTN), the most potent, modifiable risk factor for stroke, is a particular challenge in sub‐Saharan Africa. Culturally sensitive, efficacious HTN control programs that are timely and sustainable are needed, especially among stroke survivors. Mobile health (mHealth) technology and task‐shifting offer promising approaches to address this need. Methods: Using a concurrent triangulation design, we collected data from stroke survivors, caregivers, community leaders, clinicians and hospital personnel to explore the barriers, facilitators and perceptions toward mHealth related to HTN management among poststroke survivors in Ghana. Exploration included perceptions of a nurse‐led navigational model to facilitate care delivery and willingness of stroke survivors and caregivers to use mHealth technology. Results: Two hundred stroke survivors completed study surveys while focus groups (n = 4) were conducted with stroke survivors, caregivers and community leaders (n = 28). Key informant interviews were completed with clinicians and hospital personnel (n = 10). A total of 93% of survey respondents had HTN (60% uncontrolled). Findings support mHealth strategies for poststroke care delivery and HTN management and for task‐shifting through a nurse‐led model. Of survey and focus group participants, 76% and 78.6%, respectively, have access to mobile phones and 90% express comfort in using mobile phones and conveyed assurance that task‐shifting through a nurse‐led model could facilitate management of HTN. Findings also identified barriers to care delivery and medication adherence across all levels of the social ecological model. Conclusions: Participants strongly supported enhanced care delivery through mobile health and were receptive toward a nurse‐led navigational model.
This paper references
The Global Burden of Disease Study
Christopher J. L. Murray (2003)
10.1016/j.ensci.2016.03.003
Profile of neurological disorders in an adult neurology clinic in Kumasi, Ghana
Fred Stephen Sarfo (2016)
10.1016/j.amepre.2005.07.025
Stroke prevention, treatment, and rehabilitation in sub-saharan Africa.
Daniel Lemogoum (2005)
Ecological models of human development
U. Bronfenbrenner (1994)
Cell phone short messaging service (SMS) for HIV/AIDS in South Africa: a literature review.
Khatry-Chhetry Mukund Bahadur (2010)
10.1093/eurheartj/8.suppl_C.77
Value, sensitivity and specificity of stroke volume ratio in routine equilibrium gated scintigraphy.
Patrice Gobert (1987)
10.29328/journal.ach.1001007
Role of home Blood Pressure Monitoring in overcoming Therapeutic Inertia and improving Hypertension Control in Mexico
Hector Galvan Oseguera (2018)
10.1186/1744-8603-5-10
An overview of cardiovascular risk factor burden in sub-Saharan African countries: a socio-cultural perspective
Rhonda BeLue (2009)
10.3399/bjgp10X544113
Self-monitoring and other non-pharmacological interventions to improve the management of hypertension in primary care: a systematic review.
Liam G. Glynn (2010)
10.1161/01.STR.29.10.2118
Risk factors for early recurrence after ischemic stroke: the role of stroke syndrome and subtype.
Joan T. Moroney (1998)
10.1186/s13063-016-1557-0
Phone-based Intervention under Nurse Guidance after Stroke (PINGS): study protocol for a randomized controlled trial
Fred Stephen Sarfo (2016)
10.1177/1049732305276687
Three Approaches to Qualitative Content Analysis
Hsiu-Fang Hsieh (2005)
10.1016/S0140-6736(10)61997-6
Effects of a mobile phone short message service on antiretroviral treatment adherence in Kenya (WelTel Kenya1): a randomised trial
Richard Todd Lester (2010)
10.1016/j.jns.2017.02.018
Stroke-related stigma among West Africans: Patterns and predictors
Fred Stephen Sarfo (2017)
10.1016/j.accreview.2004.12.034
Blood pressure control by home monitoring: Meta-analysis of randomised trials
Francesco Paolo Cappuccio (2005)
Designing and Conducting Mixed Methods Research, 2nd ed, Washington, DC: Sage
JW Creswell (2011)
10.1016/S0140-6736(13)61953-4
Global and regional burden of stroke during 1990–2010: findings from the Global Burden of Disease Study 2010
Valery L Feigin (2014)
10.1161/CIR.0000000000000350
Heart Disease and Stroke Statistics—2016 Update: A Report From the American Heart Association
D. Mozaffarian (2016)
10.1016/j.ahj.2005.01.047
Barriers to hypertension control.
Ann M. Borzecki (2005)
10.1080/13557858.2012.754409
Review of community-based interventions for prevention of cardiovascular diseases in low- and middle-income countries
Steven van de Vijver (2012)
control : a systematic review and meta - analysis
KL Furie (2011)
10.1161/01.cir.0000441139.02102.80
Heart disease and stroke statistics--2014 update: a report from the American Heart Association.
A. S. Go (2014)
10.1097/CRD.0000000000000083
Hypertension in Sub-Saharan Africa: A Contextual View of Patterns of Disease, Best Management, and Systems Issues
Shanti Nulu (2016)
Lincoln, Yvonna, and Egon Guba, "Postpositivism and the Naturalist Paradigm," pp. 14-46 in Yvonna Lincoln and Egon Guba, Naturalistic Inquiry . Beverly Hills, CA: Sage, 1985.*
Yvonna S. Lincoln (1985)
10.2196/jmir.2130
Mobile Health (mHealth) Approaches and Lessons for Increased Performance and Retention of Community Health Workers in Low- and Middle-Income Countries: A Review
Karin Källander (2013)
Cell phone short messaging service (SMS) for HIV/AIDS in South Africa: a literature review.
Mukund Bahadur Kc (2010)
10.1080/10810730.2011.649160
Effectiveness of mHealth Behavior Change Communication Interventions in Developing Countries: A Systematic Review of the Literature
Tilly Gurman (2012)
10.1161/01.HYP.0000200702.76436.4b
Therapeutic Inertia Is an Impediment to Achieving the Healthy People 2010 Blood Pressure Control Goals
Eni C. Okonofua (2006)
10.1185/030079906X120995
Overcoming barriers to effective blood pressure control in patients with hypertension
Rainer Duesing (2006)
10.1016/S0140-6736(05)66755-4
Stroke epidemiology in the developing world
Valery L Feigin (2005)
Hypertension management: the care gap between clinical guidelines and clinical practice.
Susan E. Andrade (2004)
Misconceptions of hypertension.
David Adewale Oke (2004)
10.1002/14651858.cd005182.pub3
Interventions used to improve control of blood pressure in patients with hypertension.
Tom Fahey (2006)
Stroke epidemiology in the developing work. Lancet 2005;365:2160–1
VL Feigin (2005)
10.1159/000441085
Update on the Global Burden of Ischemic and Hemorrhagic Stroke in 1990-2013: The GBD 2013 Study
Valery L Feigin (2015)
10.1016/S0140-6736(02)11136-6
International Day of Peace takes place amid continuing violence
C. Terrence Kapp (2002)
10.4314/AHS.V10I2.60074
Mobile phone ownership among Nigerians with diabetes.
Emmanuel O. Okoro (2010)
10.5830/CVJA-2015-038
The burden of stroke in Africa: a glance at the present and a glimpse into the future
Mayowa O Owolabi (2015)
10.1161/01.STR.0000116183.50167.D9
Ten-Year Risk of First Recurrent Stroke and Disability After First-Ever Stroke in the Perth Community Stroke Study
Kate M Hardie (2004)
10.1161/STR.0b013e3181f7d043
Guidelines for the prevention of stroke in patients with stroke or transient ischemic attack: a guideline for healthcare professionals from the american heart association/american stroke association.
K. Furie (2011)
and disability after fi rst - ever stroke in the Perth Community Stroke Study
JT Moroney (2004)
The real mobile revolution: Africa's smartphone future. CNN Marketplace Africa
N. Jidenma (2014)
10.2105/AJPH.2010.300113
Advancing the science of community-level interventions.
Edison J. Trickett (2011)
10.1161/STR.0000000000000024
Guidelines for the prevention of stroke in patients with stroke and transient ischemic attack: a guideline for healthcare professionals from the American Heart Association/American Stroke Association.
W. Kernan (2014)
10.1016/S0140-6736(02)11911-8
Age-specific relevance of usual blood pressure to vascular mortality: a meta-analysis of individual data for one million adults in 61 prospective studies.
Sarah Lewington (2002)
Qualitative Research and Evaluation Methods, (3rd ed.), Thousand Oaks, CA: Sage
MQ Patton (2002)
10.1212/WNL.78.1_MEETINGABSTRACTS.P01.002
Taming the burgeoning stroke epidemic in Africa: stroke quadrangle to the rescue.
Mayowa O Owolabi (2011)
10.1001/jama.2015.10082
Association Between Blood Pressure Control and Risk of Recurrent Intracerebral Hemorrhage.
A. Biffi (2015)



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10.1016/j.jns.2019.116462
Post-intervention qualitative assessment of mobile health technology to manage hypertension among Ghanaian stroke survivors
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10.4102/phcfm.v12i1.2222
The outpatient management of hypertension at two Sierra Leonean health centres: A mixed-method investigation of follow-up compliance and patient-reported barriers to care
Jenna Herskind (2020)
10.1016/j.jns.2018.01.039
Pilot trial of a tele-rehab intervention to improve outcomes after stroke in Ghana: A feasibility and user satisfaction study
Fred Stephen Sarfo (2018)
10.1007/s10354-019-00707-3
Apps in der Sekundärprävention nach Schlaganfall
Viktoria Fruhwirth (2019)
10.11604/pamj.2019.33.50.16318
A pilot study of a novel, incentivised mHealth technology to monitor the vaccine supply chain in rural Zambia
Camillo Lamanna (2019)
10.1016/j.jns.2020.116770
Low blood pressure levels & incident stroke risk among elderly Ghanaians with hypertension
Fred Stephen Sarfo (2020)
10.12688/GATESOPENRES.13044.1
Differential pricing of medicines to improve access to medicines for hypertension and diabetes control in Ghana: The Ghana Access and Affordability Program, a multi-center prospective trial
Fred Stephen Sarfo (2019)
10.2196/preprints.15408
Nurse-Led Education and Engagement for Diabetes Care in Sub-Saharan Africa: Protocol for a Mixed Methods Study
Arti Singh (2020)
10.1093/fampra/cmz030
Medication-taking after stroke: a qualitative meta-synthesis of the perspectives of stroke survivors, informal carers and health professionals.
Josephine M E Gibson (2019)
10.2196/15408
Nurse-Led Education and Engagement Study for Diabetes Care in Sub-Saharan Africa: Mixed Methods Protocol.
Arti Singh (2020)
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