Evidence map›Paper›PMID 29335234›Full record

ArticleJournal of medical Internet research2018

A Patient-Held Smartcard With a Unique Identifier and an mHealth Platform to Improve the Availability of Prenatal Test Results in Rural Nigeria: Demonstration Study.

Semiu Olatunde Gbadamosi, Chuka Eze, John Olajide Olawepo, Juliet Iwelunmor, Daniel F Sarpong, Amaka Grace Ogidi, Dina Patel, John Okpanachi Oko, Chima Onoka, Echezona Edozie Ezeanolue

Registry-linked trialAbstract read
In one paragraph

Article in Journal of medical Internet research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03027258 (Point-of-Delivery Prenatal Test Results Through mHealth to Improve Birth Outcome), which is not on this map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
–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.

NCT03027258 naunknown statusnot on this map

Point-of-Delivery Prenatal Test Results Through mHealth to Improve Birth Outcome

TypeinterventionalSponsorUniversity of Nevada, Las VegasRan2016 to 2018Enrolled300ConditionsHIV, Sickle Cell Disease, Hepatitis BArmsmHealth
3 · Its place in the literature

Who cites it

20 citing papers in PubMed.

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  9. Scoping review of health information technology usability methods leveraged in Africa.Journal of the American Medical Informatics Association : JAMIA · 2023
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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

10 authors.

Semiu Olatunde GbadamosiGlobal Health Initiative, School of Community Health Sciences, University of Nevada, Las Vegas, Las Vegas, NV, United States.ORCID 0000-0003-2048-2943
Chuka EzeVitira Health, Arlington, VA, United States.ORCID 0000-0003-3591-9204
John Olajide OlawepoCaritas Nigeria, Abuja, Nigeria.ORCID 0000-0001-6732-1042
Juliet IwelunmorDepartment of Behavioral Science and Health Education, St Louis University, St Louis, MO, United States.ORCID 0000-0002-8424-0807
Daniel F SarpongCenter for Minority Health and Health Disparities Research and Education, Xavier University, New Orleans, LA, United States.ORCID 0000-0003-2094-3041
Amaka Grace OgidiUniversity of Nigeria, Nsukka, Nigeria.ORCID 0000-0002-8282-1173
Dina PatelGlobal Health Initiative, School of Community Health Sciences, University of Nevada, Las Vegas, Las Vegas, NV, United States.ORCID 0000-0002-6790-6769
John Okpanachi OkoCaritas Nigeria, Abuja, Nigeria.ORCID 0000-0003-2904-1597
Chima OnokaUniversity of Nigeria, Nsukka, Nigeria.ORCID 0000-0002-3328-1887
Echezona Edozie EzeanolueGlobal Health Initiative, School of Community Health Sciences, University of Nevada, Las Vegas, Las Vegas, NV, United States.ORCID 0000-0002-6294-9479

Funding

Tracking & Evaluation CoreU54GM104940 · NIGMS · LSU PENNINGTON BIOMEDICAL RESEARCH CTR · PI Peter Todd Katzmarzyk · 2012 to 2026
$69.1M
Intervention for Sustained Testing and Retention (iSTAR) Among HIV-infected PatientsR01HD087994 · NICHD · UNIVERSITY OF NEVADA LAS VEGAS · PI EZEANOLUE, ECHEZONA EDOZIE, ONOKA, CHIMA · 2016 to 2017
$1.9M
Point-of-Delivery Prenatal Test Results through mHealth to Improve Birth OutcomeR21TW010252 · FIC · UNIVERSITY OF NEVADA LAS VEGAS · PI EZEANOLUE, ECHEZONA EDOZIE · 2015 to 2016
$322k
FIC NIH HHS R21 TW010252NICHD NIH HHS R01 HD087994NIGMS NIH HHS U54 GM104940
6 · The paper itself

Abstract

backgroundCommunity-based strategies to test for HIV, hepatitis B virus (HBV), and sickle cell disease (SCD) have expanded opportunities to increase the proportion of pregnant women who are aware of their diagnosis. In order to use this information to implement evidence-based interventions, these results have to be available to skilled health providers at the point of delivery. Most electronic health platforms are dependent on the availability of reliable Internet connectivity and, thus, have limited use in many rural and resource-limited settings.

objectiveHere we describe our work on the development and deployment of an integrated mHealth platform that is able to capture medical information, including test results, and encrypt it into a patient-held smartcard that can be read at the point of delivery without the need for an Internet connection.

methodsWe engaged a team of implementation scientists, public health experts, and information technology specialists in a requirement-gathering process to inform the design of a prototype for a platform that uses smartcard technology, database deployment, and mobile phone app development. Key design decisions focused on usability, scalability, and security.

resultsWe successfully designed an integrated mHealth platform and deployed it in 4 health facilities across Benue State, Nigeria. We developed the Vitira Health platform to store test results of HIV, HBV, and SCD in a database, and securely encrypt the results on a Quick Response code embedded on a smartcard. We used a mobile app to read the contents on the smartcard without the need for Internet connectivity.

conclusionsOur findings indicate that it is possible to develop a patient-held smartcard and an mHealth platform that contains vital health information that can be read at the point of delivery using a mobile phone-based app without an Internet connection.

trial registrationClinicalTrials.gov NCT03027258; https://clinicaltrials.gov/ct2/show/NCT03027258 (Archived by WebCite at http://www.webcitation.org/6owR2D0kE).

Indexed as

Mobile ApplicationsAdultCommunity Health WorkersComputers, HandheldDelivery of Health CareFemaleHealth LiteracyHumansInternetMaleNigeriaPatient ParticipationPregnancyPrenatal CarePrenatal DiagnosisResearch Designhepatitis BHIVinfectious disease transmission, verticalmHealthNigeriaprenatal diagnosisprenatal screeningsickle cell diseasetelemedicine

Identifiers

PMID29335234
PMCPMC5789164

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.