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Piette J.D.,University of Michigan | Marinec N.,University of Michigan | Janda K.,University of Michigan | Morgan E.,University of Michigan | And 6 more authors.
Telemedicine journal and e-health : the official journal of the American Telemedicine Association | Year: 2016

BACKGROUND: Patients' engagement in mobile health (m-health) interventions using interactive voice response (IVR) calls is less in low- and middle-income countries (LMICs) than in industrialized ones. We conducted a study to determine whether automated telephone feedback to informal caregivers ("CarePartners") increased engagement in m-health support among diabetes and hypertension patients in Bolivia.MATERIALS AND METHODS: Patients with diabetes and/or hypertension were identified through ambulatory clinics affiliated with four hospitals. All patients enrolled with a CarePartner. Patients were randomized to weekly IVR calls including self-management questions and self-care education either alone ("standard m-health") or with automated feedback about health and self-care needs sent to their CarePartner after each IVR call ("m-health+CP").RESULTS: The 72 participants included 39 with diabetes and 53 with hypertension, of whom 19 had ≤6 years of education. After 1,225 patient-weeks of attempted IVR assessments, the call completion rate was higher among patients randomized to m-health+CP compared with standard m-health (62.0% versus 44.9%; p < 0.047). CarePartner feedback more than tripled call completion rates among indigenous patients and patients with low literacy (p < 0.001 for both). M-health+CP patients were more likely to report excellent health via IVR (adjusted odds ratio [AOR] = 2.60; 95% confidence interval [CI], 1.07, 6.32) and less likely to report days in bed due to illness (AOR = 0.42; 95% CI, 0.19, 0.91).CONCLUSIONS: In this study we found that caregiver feedback increased engagement in m-health and may improve patients' health status relative to standard approaches. M-health+CP represents a scalable strategy for increasing the reach of self-management support in LMICs.


PubMed | University of Michigan, Public University of El Alto and Bolivian Catholic University
Type: Journal Article | Journal: Telemedicine journal and e-health : the official journal of the American Telemedicine Association | Year: 2016

Patients engagement in mobile health (m-health) interventions using interactive voice response (IVR) calls is less in low- and middle-income countries (LMICs) than in industrialized ones. We conducted a study to determine whether automated telephone feedback to informal caregivers (CarePartners) increased engagement in m-health support among diabetes and hypertension patients in Bolivia.Patients with diabetes and/or hypertension were identified through ambulatory clinics affiliated with four hospitals. All patients enrolled with a CarePartner. Patients were randomized to weekly IVR calls including self-management questions and self-care education either alone (standard m-health) or with automated feedback about health and self-care needs sent to their CarePartner after each IVR call (m-health+CP).The 72 participants included 39 with diabetes and 53 with hypertension, of whom 19 had 6 years of education. After 1,225 patient-weeks of attempted IVR assessments, the call completion rate was higher among patients randomized to m-health+CP compared with standard m-health (62.0% versus 44.9%; p<0.047). CarePartner feedback more than tripled call completion rates among indigenous patients and patients with low literacy (p<0.001 for both). M-health+CP patients were more likely to report excellent health via IVR (adjusted odds ratio [AOR]=2.60; 95% confidence interval [CI], 1.07, 6.32) and less likely to report days in bed due to illness (AOR=0.42; 95% CI, 0.19, 0.91).In this study we found that caregiver feedback increased engagement in m-health and may improve patients health status relative to standard approaches. M-health+CP represents a scalable strategy for increasing the reach of self-management support in LMICs.


Piette J.D.,Center for Clinical Management Research | Piette J.D.,University of Michigan | Marinec N.,Center for Clinical Management Research | Marinec N.,University of Michigan | And 8 more authors.
Telemedicine and e-Health | Year: 2016

Background: Patients' engagement in mobile health (m-health) interventions using interactive voice response (IVR) calls is less in low- and middle-income countries (LMICs) than in industrialized ones. We conducted a study to determine whether automated telephone feedback to informal caregivers ("CarePartners") increased engagement in m-health support among diabetes and hypertension patients in Bolivia. Materials and Methods: Patients with diabetes and/or hypertension were identified through ambulatory clinics affiliated with four hospitals. All patients enrolled with a CarePartner. Patients were randomized to weekly IVR calls including self-management questions and self-care education either alone ("standard m-health") or with automated feedback about health and self-care needs sent to their CarePartner after each IVR call ("m-health+CP"). Results: The 72 participants included 39 with diabetes and 53 with hypertension, of whom 19 had ≤6 years of education. After 1,225 patient-weeks of attempted IVR assessments, the call completion rate was higher among patients randomized to m-health+CP compared with standard m-health (62.0% versus 44.9%; p < 0.047). CarePartner feedback more than tripled call completion rates among indigenous patients and patients with low literacy (p < 0.001 for both). M-health+CP patients were more likely to report excellent health via IVR (adjusted odds ratio [AOR] = 2.60; 95% confidence interval [CI], 1.07, 6.32) and less likely to report days in bed due to illness (AOR = 0.42; 95% CI, 0.19, 0.91). Conclusions: In this study we found that caregiver feedback increased engagement in m-health and may improve patients' health status relative to standard approaches. M-health+CP represents a scalable strategy for increasing the reach of self-management support in LMICs. © Mary Ann Liebert, Inc. 2016.


Public University of El Alto | Entity website

Carreras upea Ingeniera de Sistemas Ciencias Fsicas y Energas Alternativas


Public University of El Alto | Entity website


Public University of El Alto | Entity website


Public University of El Alto | Entity website

Investigacin gjfkluyolguluiglhiuhlhuiu


Public University of El Alto | Entity website


Public University of El Alto | Entity website


Public University of El Alto | Entity website

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