Evidence map›Paper›PMID 32087731›Full record

ArticleBMC medical informatics and decision making2020

Design and implementation of a mobile health electronic data capture platform that functions in fully-disconnected settings: a pilot study in rural Liberia.

Avi Kenny, Nicholas Gordon, Jordan Downey, Owen Eddins, Kathleen Buchholz, Alvin Menyon, William Mansah

Open access · goldAbstract read
In one paragraph

Article in BMC medical informatics and decision making, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.9field-weighted citation impact, top 11% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 13 citations in OpenAlex.

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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

7 authors at 2 institutions in 2 countries.

Avi KennyDepartment of Biostatistics, University of Washington, 1705 NE Pacific Street F-600, Seattle, WA, 98195, USA. avikenny@uw.edu.ORCID 0000-0002-9465-7307
Nicholas GordonLast Mile Health, 205 Portland St #200, Boston, MA, 02114, USA.
Jordan DowneyLast Mile Health, 205 Portland St #200, Boston, MA, 02114, USA.
Owen EddinsLast Mile Health, 205 Portland St #200, Boston, MA, 02114, USA.
Kathleen BuchholzLast Mile Health, 205 Portland St #200, Boston, MA, 02114, USA.
Alvin MenyonLast Mile Health, 205 Portland St #200, Boston, MA, 02114, USA.
William MansahLiberia Ministry of Health, Tubman Blvd, Congo Town, Monrovia, Liberia.
Portland State University · USUniversity of Liberia · LR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMobile phones and personal digital assistants have been used for data collection in developing world settings for over three decades, and have become increasingly common. However, the use of electronic data capture (EDC) through mobile phones is limited in many areas by inconsistent network connectivity and poor access to electricity, which thwart data transmission and device usage. This is the case in rural Liberia, where many health workers live and work in areas without any access to cellular connectivity or reliable power. Many existing EDC mobile software tools are built for occasionally-disconnected settings, allowing a user to collect data while out of range of a cell tower and transmit data to a central server when he/she regains a network connection. However, few tools exist that can be used indefinitely in fully-disconnected settings, where a user will never have access to the internet or a cell network. This led us to create and implement an EDC software tool that allows for completely offline data transfer and application updating.

resultsWe designed, pilot-tested, and scaled an open-source fork of Open Data Kit Collect (an Android application that can be used to create EDC systems) that allows for offline Bluetooth-based bidirectional data transfer, enabling a system in which permanently-offline users can collect data and receive application updates. We implemented this platform among a cohort of 317 community health workers and 28 supervisors in a remote area of rural Liberia with incomplete cellular connectivity and low access to power sources.

conclusionsRunning a fully-offline EDC program that completely bypasses the cellular network was found to be feasible; the system is still running, over 4 years after the initial pilot program. The users of this program can theoretically collect data offline for months or years, assuming they receive hardware support when needed. Fully-offline EDC has applications in settings where cellular network coverage is poor, as well as in disaster relief settings in which portions of the communications infrastructure may be temporarily nonfunctional.

Indexed as

Cell PhoneMobile ApplicationsSoftwareCommunity Health WorkersData CollectionHumansLiberiaPilot ProjectsProgram EvaluationRural PopulationTelemedicineCommunity health workerData collectionDigital healthDisconnectedEDCeHealthElectronic data capturemHealthMobile healthOffline

Identifiers

PMID32087731
PMCPMC7036217
OpenAlexW3012616633

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.