Ng, Wei Leik and Ng, Chirk Jenn and Teo, Chin Hai and Ang, Tan Fong and Lee, Yew Kong and Hadi, Haireen Abdul and Chiang, De Min and Noor, Mohd Khairi Mohd and Omar, Sharifah Faridah Syed and Ong, Hang Cheng and Wong, Pui Li and Kukreja, Anjanna and Chiew, Thiam Kian and Ong, Sim Ying and Azhar, Abdul Muhaimin Noor (2024) Feasibility and acceptability of a dengue self-monitoring system to reduce treatment delay in Malaysia: A single-centre pilot randomised controlled trial. Digital Health, 10. p. 20552076241277710. ISSN 2055-2076, DOI https://doi.org/10.1177/20552076241277710.
Full text not available from this repository.Abstract
Objective: Most dengue cases are managed in an outpatient setting, where patients are advised to return to the clinic daily for monitoring. Some patients can develop severe dengue at home and fail to recognise the deterioration. An application called DengueAid was designed as a self-monitoring tool for patients to reduce delay in seeking timely treatment. This study aimed to assess the feasibility of conducting a randomised controlled trial to determine the effectiveness of the DengueAid application. Methods: Dengue patients were recruited from a public health clinic in Malaysia and randomised to either use the DengueAid application plus standard care for dengue or receive only the standard care. The outcomes evaluated were the (1) feasibility of recruitment, data collection and follow-up procedures; (2) preliminary clinical outcome measures; and (3) acceptability of DengueAid. Qualitative interviews were conducted for participants in the intervention arm to assess the acceptability of DengueAid. Results: Thirty-seven patients were recruited with 97% (n = 36) retention rates. The recruitment rate was low (63% refusal rate, n = 62/99) with difficulty in data collection and follow-up due to the variable interval of care for dengue in an outpatient setting. DengueAid application was acceptable to the participants, but preliminary clinical outcomes and qualitative data suggested limited utility of the application. Unwell conditions of patients and limited access to healthcare are important factors impacting the application's utility. Conclusion: The feasibility trial uncovered issues with recruitment, data collection and follow-up processes. Further research and modification to the application are needed to improve its utility and usability.
| Item Type: | Article |
|---|---|
| Funders: | University of Malaya Impact-Oriented Interdisciplinary Research Grant Programme (IIRG002B-2020HWB) |
| Uncontrolled Keywords: | Digital health; eHealth; remote patient monitoring; self-monitoring; digital clinical trials |
| Subjects: | Q Science > QA Mathematics > QA75 Electronic computers. Computer science R Medicine > R Medicine (General) |
| Divisions: | Faculty of Computer Science & Information Technology Faculty of Engineering |
| Depositing User: | Ms. Juhaida Abd Rahim |
| Date Deposited: | 22 Nov 2024 05:03 |
| Last Modified: | 22 Nov 2024 05:03 |
| URI: | http://eprints.um.edu.my/id/eprint/47100 |
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