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American Journal of Tropical Medicine and Hygiene
Article . 2024 . Peer-reviewed
License: CC BY
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https://dx.doi.org/10.60692/eb...
Other literature type . 2024
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Other literature type . 2024
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Qualitative Assessment of a Smartphone-Based Mobile Health Tool to Guide Diarrhea Management in Bangladesh

التقييم النوعي لأداة صحية متنقلة قائمة على الهاتف الذكي لتوجيه إدارة الإسهال في بنغلاديش
Authors: Debashish Biswas; Asadullah Asadullah; Sazzad Hossain Khan; Zahid Hasan Khan; Md. Taufiqul Islam; Ashraful Islam Khan; Firdausi Qadri; +3 Authors

Qualitative Assessment of a Smartphone-Based Mobile Health Tool to Guide Diarrhea Management in Bangladesh

Abstract

ABSTRACT. Diarrheal diseases are a major cause of morbidity and mortality in children worldwide and a significant contributor to antimicrobial resistance. In the absence of laboratory diagnostics to establish diarrhea etiology, electronic clinical decision support tools can help physicians make informed treatment decisions for children with diarrhea. In Bangladesh, we assessed the feasibility and acceptability of an electronic Diarrhea Etiology Prediction algorithm (DEP tool) embedded into a rehydration calculator, which was designed to help physicians manage children with diarrhea, including decisions on antibiotic use. A team of Bangladeshi anthropologists conducted in-depth interviews with physicians (N = 13) in three public hospitals in Bangladesh about their experience using the tool in the context of a pilot trial. Physicians expressed positive opinions of the DEP tool. Participants perceived the tool to be simple and easy to use, with structured guidance on collecting and entering clinical data from patients. Significant strengths of the tool were as follows: standardization of protocol, efficiency of clinical decision-making, and improved clinical practice. Participants also noted barriers that might restrict the widespread impact of the tool, including physicians’ reluctance to use an electronic tool for clinical decision-making, increasing work in overburdened healthcare settings, unavailability of a smartphone, and patients’ preferences for antibiotics. We conclude that an electronic clinical decision support tool is a promising method for improving diarrheal management and antibiotic stewardship. Future directions include developing and implementing such a tool for informal healthcare physicians in low-resource settings, where families may first seek care for pediatric diarrhea.

Keywords

Mobile Health Interventions and Applications, Diarrhea, Mobile Health, Alternative medicine, Family medicine, Developing country, Epidemiology, Antibiotic resistance, Economics, Medical emergency, Health Professions, Nursing, Antimicrobial stewardship, FOS: Health sciences, Applied Microbiology and Biotechnology, Microbiology, Global Burden of Antimicrobial Resistance, Context (archaeology), Antibiotics, Health Sciences, Epidemiology and Pathogenesis of Respiratory Viral Infections, Pathology, Humans, Intensive care medicine, Child, Internal medicine, Biology, Economic growth, Immunology and Microbiology, Bangladesh, Public health, Health care, Life Sciences, Paleontology, Telemedicine, Anti-Bacterial Agents, FOS: Biological sciences, General Health Professions, Protocol (science), Medicine, Smartphone, Research Article

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
Average
Average
Green
hybrid