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Increasing awareness, health literacy, and behavior changes by addressing and managing health issues of climate and lifestyle changes in a developing country focusing on hypertension

Research Project

Project/Area Number 18H03113
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Review Section Basic Section 58080:Gerontological nursing and community health nursing-related
Research InstitutionHiroshima University

Principal Investigator

Moriyama Michiko  広島大学, 医系科学研究科(保), 教授 (80264977)

Co-Investigator(Kenkyū-buntansha) RAHMAN MDMOSHIUR  広島大学, 医系科学研究科(保), 准教授 (10796056)
Ashir Ahmed  九州大学, システム情報科学研究院, 准教授 (30457444)
Project Period (FY) 2018-04-01 – 2021-03-31
Project Status Completed (Fiscal Year 2020)
Budget Amount *help
¥17,550,000 (Direct Cost: ¥13,500,000、Indirect Cost: ¥4,050,000)
Fiscal Year 2020: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2019: ¥7,280,000 (Direct Cost: ¥5,600,000、Indirect Cost: ¥1,680,000)
Fiscal Year 2018: ¥9,230,000 (Direct Cost: ¥7,100,000、Indirect Cost: ¥2,130,000)
Keywords高齢者看護学 / 地域看護学 / 疾病管理 / 高血圧 / CKD / バングラデシュ / 健康教育 / 住民教育
Outline of Final Research Achievements

This study is a technology based chronic disease management technique that we have developed and demonstrated to see the effectiveness of hypertension (HTN) disease management, which is an alarming non-communicable disease (NCD). To increase awareness, health literacy, and behavior changes among community people with hypertension and/or chronic kidney disease (CKD) in Bangladesh, we conducted three research projects namely epidemiological and intervention studies related to HTN, the epidemiological prevalence of CKD, and intervention studies, and nurse’s education program. The prevalence rate of CKD was 22%, and factors related to the onset were extracted. In-person health education through home visits by trained female community health workers (CHWs) was effective in raising awareness and behavior change in chronic diseases (i.e., HTN) which showed the effectiveness of intervention embedded in our technology and local culture.

Academic Significance and Societal Importance of the Research Achievements

識字率の低い、医療資源の限られた地域において、どのような介入が、脆弱な地域住民を意識づけ、ヘルスリテラシーを高めるかについてのエビデンスを示すことができた。簡便で科学的な方法を地域の訓練を受けた女性が提供することで、地域住民の行動変容を起こすことが可能であることを示した。この技術は他の開発途上国に移転可能で、地域保健の発展に寄与することができる。また、CKDの有病率については、バングラデシュの農村部及び都市周辺部の有病率を明らかにした初めての研究であり、他の国や地域との比較を可能とするデータベースが構築できた。

Report

(4 results)
  • 2020 Annual Research Report   Final Research Report ( PDF )
  • 2019 Annual Research Report
  • 2018 Annual Research Report
  • Research Products

    (13 results)

All 2020 2019 2018 Other

All Int'l Joint Research (3 results) Journal Article (7 results) (of which Int'l Joint Research: 7 results,  Peer Reviewed: 7 results,  Open Access: 7 results) Presentation (3 results) (of which Int'l Joint Research: 3 results)

  • [Int'l Joint Research] icddr,b(バングラデシュ)

    • Related Report
      2020 Annual Research Report
  • [Int'l Joint Research] 国際下痢症研究センター(icddr,b)(バングラデシュ)

    • Related Report
      2019 Annual Research Report
  • [Int'l Joint Research] 国際下痢症研究センター(icddr、b)(バングラデシュ)

    • Related Report
      2018 Annual Research Report
  • [Journal Article] Awareness Development and Usage of Mobile Health Technology Among Individuals With Hypertension in a Rural Community of Bangladesh: Randomized Controlled Trial2020

    • Author(s)
      Jahan Yasmin、Rahman Md Moshiur、Faruque Abu S G、Chisti Mohammod Jobayer、Kazawa Kana、Matsuyama Ryota、Moriyama Michiko
    • Journal Title

      Journal of Medical Internet Research

      Volume: 22 Issue: 12 Pages: e19137-e19137

    • DOI

      10.2196/19137

    • Related Report
      2020 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Evaluating the effectiveness and feasibility of nurse-led distant and face-to-face interviews programs for promoting behavioral change and disease management in patients with diabetic nephropathy: A triangulation approach.2020

    • Author(s)
      Kazawa K, Osaki K, Rahman MM, Moriyama M.
    • Journal Title

      BMC Nursing

      Volume: - Issue: 1

    • DOI

      10.1186/s12912-020-0409-0

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Awareness Development and Usage of mobile Health Technology among Individuals with Hypertension in a Rural Community of Bangladesh: A Randomized Controlled Trial Study Protocol2019

    • Author(s)
      Jahan Y, Moriyama M, Rahman MM, Kazawa K, Rahman A, Shahid ASMSB, Das SK, Faruque ASG, Chisti MJ
    • Journal Title

      JMIR Research Protocols

      Volume: - Issue: 8 Pages: e15523-e15523

    • DOI

      10.2196/15523

    • Related Report
      2020 Annual Research Report 2019 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Disease perception and experiences among rural Bangladeshi hypertensive women: A qualitative approach.2019

    • Author(s)
      Jahan Y, Moriyama M, Rahman MM, Kazawa K, Mizukawa M, Rahman A, Shahid ASMSB, Das SK, Faruque ASG, Chisti MJ
    • Journal Title

      Health Promotion Perspectives

      Volume: 10 Issue: 1 Pages: 66-73

    • DOI

      10.15171/hpp.2020.11

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Self-monitoring urinary salt excretion device can be used for controlling hypertension for developing countries.2019

    • Author(s)
      Jahan Y, Moriyama M, Rahman MM, Rahman A.
    • Journal Title

      Clinical Hypertension

      Volume: 25:3 Issue: 1

    • DOI

      10.1186/s40885-019-0109-9

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Quality primary care for disease prevention and management.2018

    • Author(s)
      Rahman MM, Moriyama M, Kazawa K.
    • Journal Title

      Asian Hospital & Healthcare Management

      Volume: 42 Pages: 24-28

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Health seeking behaviour and delayed management of tuberculosis patients in rural Bangladesh2018

    • Author(s)
      Huq KATME, Moriyama M, Zaman K, Chisti MJ, Long J, Islam A, Hossain S, Shirin H, Raihan MJ, Chowdhury S, Rahman MM.
    • Journal Title

      BMC Infectious Diseases

      Volume: 18:515 Issue: 1

    • DOI

      10.1186/s12879-018-3430-0

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Presentation] Long-term evaluation of Disease Management Program(DMP) for Type 2 Diabetes Mellitus(T2DM) patients using medical claim data: a retrospective cohort study.2019

    • Author(s)
      Watanabe H, Kazawa K, Moriyama M.
    • Organizer
      International Microsimulation Association 7th World Congress
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Differentials in Childhood Immunization Coverage Among the Three South Asian Countries (Bangladesh, Pakistan and Nepal): Evidence from Demographic and Health Survey.2019

    • Author(s)
      Jahan Y, Moriyama M, Rahman MM, Rahman A.
    • Organizer
      45th Biennial Convention
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Child health and maternal health progress against the target of Millennium Development Goals in Bangladesh. The 3rd International Conference on Healthcare2019

    • Author(s)
      Rahman MM, Moriyama M, Rahman MJ, Chowdhury S.
    • Organizer
      SDGs and Social Business
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research

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Published: 2018-04-23   Modified: 2022-01-27  

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