ArticleGlobal health action2018
Development of mWellcare: an mHealth intervention for integrated management of hypertension and diabetes in low-resource settings.
Article in Global health action, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02480062 (mWELLCARE), which is not on this map. Cited by 30 papers, 4 of them syntheses that pooled it.
What it found
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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.
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.
mWELLCARE:An Integrated mHealth System for the Prevention and Care of Chronic Disease
Who cites it
30 citing papers in PubMed, 4 syntheses or guidelines pooled it, 61 citations in OpenAlex.
- Implementation strategies for evidence-based management of type 2 diabetes at primary healthcare facilities in low- and middle-income countries and related barriers and facilitators: a scoping review.Implementation science communications · 2026Pooled it
- Remote Monitoring Systems for Patients With Chronic Diseases in Primary Health Care: Systematic Review.JMIR mHealth and uHealth · 2021Pooled it
- Mobile phone-based interventions for improving adherence to medication prescribed for the primary prevention of cardiovascular disease in adults.The Cochrane database of systematic reviews · 2021Pooled it
- How Behavior Change Strategies are Used to Design Digital Interventions to Improve Medication Adherence and Blood Pressure Among Patients With Hypertension: Systematic Review.Journal of medical Internet research · 2020Pooled it
- Article
- Disparities in access to and use of diabetes technologies and therapeutics: a narrative review.Diabetologia · 2025Review
- Empowering postpartum women: the role of mHealth apps in promoting mental health and obesity prevention.BMC women's health · 2025Article
- Determinants of chronic disease patients' intention to use Internet diagnosis and treatment services: based on the UTAUT2 model.Frontiers in digital health · 2025Article
- Article
- The Role of Telemedicine in Improving Hypertension Management Outcomes: A Systematic Review.Cureus · 2024Review
- Exploring the potential of telemedicine for improved primary healthcare in India: a comprehensive review.The Lancet regional health. Southeast Asia · 2024Review
- How Is Telehealth Currently Being Utilized to Help in Hypertension Management within Primary Healthcare Settings? A Scoping Review.International journal of environmental research and public health · 2024Article
- Adapting and deploying a digital program for training non-specialist providers on a brief psychological intervention for depression in rural Gujarat, India.PLOS global public health · 2024Article
- A Situational Analysis of the Impact of the COVID-19 Pandemic on Digital Health Research Initiatives in South Asia.Cureus · 2023Review
- Problems and Barriers Related to the Use of Digital Health Applications: Scoping Review.Journal of medical Internet research · 2023Article
- Information and Communications Technologies Enabling Integrated Primary Care for Patients With Complex Care Needs: Scoping Review.Journal of medical Internet research · 2023Article
- Adherence to Lifestyle Modification Practices and Its Associated Factors Among Hypertensive Patients in Bahir Dar City Hospitals, North West Ethiopia.Integrated blood pressure control · 2023Article
- Designing, Developing, Evaluating, and Implementing a Smartphone-Delivered, Rule-Based Conversational Agent (DISCOVER): Development of a Conceptual Framework.JMIR mHealth and uHealth · 2022Article
- Digital Health Interventions for Depression and Anxiety Among People With Chronic Conditions: Scoping Review.Journal of medical Internet research · 2022Article
- Adopting mobile health applications by nurses: a scoping review.Journal of research in nursing : JRN · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
13 authors at 5 institutions in 3 countries.
Funding
Abstract
backgroundCardiovascular diseases and diabetes are among the leading causes of premature adult deaths in India. Innovative approaches such as clinical decision support (CDS) software could play a major role in improving the quality of hypertension/diabetes care in primary care settings.
objectiveTo describe the steps and processes in the development of mWellcare, a complex intervention based on mobile health (mHealth) technology.
methodsThe Medical Research Council framework was used to develop mWellcare in four steps: (1) identify gaps in usual care through literature review and health facility assessments; (2) identify the components of the intervention through discussions and consultations with experts; (3) develop intervention (clinical algorithms and mHealth system); and (4) evaluate acceptability and feasibility through pilot testing in five community health centers.
resultsLack of evidence-based, integrated, and systematic management of chronic conditions were major gaps identified. Experts in information technology, clinical fields, and public health professionals identified intervention components to address these gaps. Thereafter, clinical algorithm contextualized to primary care settings were prepared and the mWellcare intervention was developed. During the 2-month pilot, 631 patients diagnosed with hypertension and/or diabetes were registered, with a follow-up rate of 36.2%. The major barrier was resistance to follow mWellcare recommended patient workflow, and to overcome it, we emphasized onsite training and orientation program to cover all health care team member in each CHC.
conclusionA pilot-tested mWellcare intervention is an mHealth system with important components, i.e. integrated management of chronic conditions, evidence-based CDS, longitudinal health data and automated short-messaging service to reinforce compliance to drug intake and follow-up visit, which will be used by nurses at primary health care settings in India. The effectiveness and cost-effectiveness of the intervention will be tested through a cluster randomized trial (trial registration number NCT02480062).
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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.