Abstract
Empirical literature has shown that interventions to address social determinants of health are limited owing to poor integration of social and clinical data. The objective of this study was to describe a Sustainable, Multisector, Accessible, Affordable, Reimbursable, and Tailored framework (SMAARTTM) which was utilized to design and pilot test portable health information kiosk that can facilitate the integration of social determinants of health data with clinical data to enhance population health outcomes in global settings. The SMAART TM framework was designed using a combined approach of Data, Information Knowledge, Human Centered approach and behavioral humanistic and learning theories, and was applied to develop and evaluate an interactive, bi-lingual computer enabled portable health information kiosk. A convenience sample (recruitment based on accessibility to the researcher) of 149 individuals aged 18 years and above living in urban slum settings of India were enrolled in the year 2013. Subjective and objective data gathering included socio-demographics, clinical history, health behaviors and knowledge, attitude and practices. Weight and blood pressure levels were measured using physiological sensors. Usability assessment of the health information kiosk was also conducted. Results showed an increased burden of chronic non-communicable disease (NCD) risk factors and related knowledge, and lack of healthy lifestyle practices among urban slum individuals. Our study showed that the technology enabled SMAART TM framework can be utilized to develop an individual risk profile for better disease prevention, monitoring and management of chronic NCDs.
Highlights
Health systems include all activities in which the primary purpose is to promote, restore, or maintain health
Our study showed that the technology enabled SMAART TM framework can be utilized to develop an individual risk profile for better disease prevention, monitoring and management of chronic non-communicable disease (NCD)
The current study describes the implementation of a Portable Health Information Kiosk using novel Population health Informatics SMAARTTM framework (Sustainability, Multi-sector, Accessible, Affordable, Reimbursable, and Tailored)
Summary
Health systems include all activities in which the primary purpose is to promote, restore, or maintain health. Internet has become an integral part of the world economy and its ability to facilitate data storage and sharing much faster and more efficiently than before has accelerated diffusion of innovation for sustainable development (Zelenika & Pearce, 2013). Information and Communication Technologies (ICTs) are allowing organizations to share their collective resources and knowledge. These technologies can be presented and accessed in different formats, such as web-based applications, mobile phone and alert systems, or telephone and video conferencing. They have been recognized as effective measures for improving patient skills and knowledge increasing the likelihood of engaging in healthy behavior. There are still challenges of utilizing ICTs in Low Middle Income Countries (LMICs), including lack of infrastructure and political support, trained health personnel and Internet access (Lewis et al, 2012)
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