Key result
Mobile tech-supported primary care is linked to a ~14% absolute increase in preventive CVD medication use.
Why the study?
Cardiovascular diseases are the leading cause of disease burden in Indonesia, but implementation of effective preventive interventions remains limited.
Does a multifaceted mobile technology-supported primary care intervention improve the use of preventive CVD medications in high-risk adults in rural Indonesia?
Population
6579 high-risk individuals in 4 intervention and 4 control villages in rural Indonesia
Comparison
Mobile technology-supported primary health care intervention vs usual care
Design
Quasi-experimental study
Follow-up
Median 12.2 months
Authors
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May increase preventive CVD medication use in rural high-risk adults; leaves open need for RCTs to confirm outcome benefits.
Observational (n=6,579)
Yes
Does a multifaceted mobile technology-supported primary care intervention improve the use of preventive CVD medications in high-risk adults in rural Indonesia?
Effect estimate: Adjusted risk difference 14.1% (95% CI 12.7%-15.6%)
Absolute Event Rate: 15.5% vs 1%
A mobile technology-supported primary care intervention significantly increased the use of preventive CVD medications and lowered blood pressure among high-risk individuals in rural Indonesia.
Patel et al. (2019) conducted an observational in High risk of cardiovascular disease (n=6,579). Multifaceted mobile technology-supported intervention vs. Usual care was evaluated on Proportion of individuals taking appropriate preventive CVD medications (Adjusted risk difference 14.1%, 95% CI 12.7%-15.6%). A mobile technology-supported primary care intervention increased appropriate preventive CVD medication use compared with usual care (15.5% vs 1.0%; adjusted risk difference 14.1%, 95% CI 12.7%-15.6%).
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