Evidence map›Paper›PMID 24927745›Full record

SynthesisGlobalization and health2014

Mobile health for non-communicable diseases in Sub-Saharan Africa: a systematic review of the literature and strategic framework for research.

Gerald S Bloomfield, Rajesh Vedanthan, Lavanya Vasudevan, Anne Kithei, Martin Were, Eric J Velazquez

Registry-linked trialAbstract readSystematic Review
In one paragraph

Synthesis in Globalization and health, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03376607 (Community- and mHealth-Based Integrated Management of Diabetes in Primary Healthcare in Rwanda), which is not on this map. Cited by 82 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
82citing papers in PubMed, 7 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03376607 naunknown statusnot on this mapstarted 2019, after this paper: background citation

Community- and mHealth-Based Integrated Management of Diabetes in Primary Healthcare in Rwanda: The D²Rwanda Study

TypeinterventionalSponsorUniversity of AarhusRan2019 to 2021Enrolled209ConditionsDiabetes Mellitus, Telemedicine, Community Health WorkersArmsHBCP programme, mobile health application
3 · Its place in the literature

Who cites it

82 citing papers in PubMed, 7 syntheses or guidelines pooled it.

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22 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Gerald S BloomfieldDepartment of Medicine and Duke Clinical Research Institute, Duke University, 2400 Pratt Street, Durham, North Carolina 27705, USA. gerald.bloomfield@duke.edu.
Rajesh Vedanthan
Lavanya Vasudevan
Anne Kithei
Martin Were
Eric J Velazquez

Funding

Nurse Management of Hypertension in Rural Western KenyaK01TW009218 · FIC · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI VEDANTHAN, RAJESH · 2011 to 2015
$638k
Risk Factors for Atherosclerosis among Patients with Heart Failure in KenyaK01TW008407 · FIC · DUKE UNIVERSITY · PI BLOOMFIELD, GERALD SAMUEL · 2011 to 2014
$490k
FIC NIH HHS K01TW008407FIC NIH HHS K01 TW009218FIC NIH HHS K01TW009218
6 · The paper itself

Abstract

backgroundMobile health (mHealth) approaches for non-communicable disease (NCD) care seem particularly applicable to sub-Saharan Africa given the penetration of mobile phones in the region. The evidence to support its implementation has not been critically reviewed.

methodsWe systematically searched PubMed, Embase, Web of Science, Cochrane Central Register of Clinical Trials, a number of other databases, and grey literature for studies reported between 1992 and 2012 published in English or with an English abstract available. We extracted data using a standard form in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines.

resultsOur search yielded 475 citations of which eleven were reviewed in full after applying exclusion criteria. Five of those studies met the inclusion criteria of using a mobile phone for non-communicable disease care in sub-Saharan Africa. Most studies lacked comparator arms, clinical endpoints, or were of short duration. mHealth for NCDs in sub-Saharan Africa appears feasible for follow-up and retention of patients, can support peer support networks, and uses a variety of mHealth modalities. Whether mHealth is associated with any adverse effect has not been systematically studied. Only a small number of mHealth strategies for NCDs have been studied in sub-Saharan Africa.

conclusionsThere is insufficient evidence to support the effectiveness of mHealth for NCD care in sub-Saharan Africa. We present a framework for cataloging evidence on mHealth strategies that incorporates health system challenges and stages of NCD care. This framework can guide approaches to fill evidence gaps in this area. Systematic review registration: PROSPERO CRD42014007527.

Indexed as

Global HealthHealth Services ResearchAfrica South of the SaharaChronic DiseaseHumansTelemedicine

Identifiers

PMID24927745
PMCPMC4064106

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.