v532 European Journal of Public Health, Volume 30 Supplement 5, 2020
no effective workflow improvements; c) lack of some technical best approach to evoke and understand behavior change
features. among populations.
Conclusions:
We propose four recommendations based on findings: 1.
Future initiatives should focus on developing HIE systems The role of mHealth in chronic disease management
giving GPs access to all possible patient medical information; in Sub-Saharan Africa
2. Crucial data privacy and security issues should never be Vasco Murteira Pedrosa
overlooked; 3. Technical and workflow improvements should VM Pedrosa1, AV Abrantes2
particularly consider the socio-technical nature of HIE 1
Tropical Diseases and Global Health, Institute of Hygiene and Tropical
systems; 4. Much attention needs to be paid to the importance Medicine, New University of Lisbon, Lisbon, Portugal
2
of relationships between health care providers and between Public Health Research Center, National School of Public Health, New
University of Lisbon, Lisbon, Portugal
these and local health institutions when implementing HIE Contact: [email protected]
systems. Background:
Key messages:
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The burden of non-communicable diseases has been increasing
This study filled a research gap as it is the first that tackles in Sub-Saharan Africa, mainly due to the adoption of
HIE system barriers and facilitators in Ticino. behavioral risk factors by the population. At the same time,
When information sharing for clinical practice focuses on there has been an exponential growth in the information and
improving the quality and costs of healthcare, GP’s trust in communication technologies sector, which has attracted
HIE system security is crucial. interest in the development of mobile health strategies
(mHealth) through the potential use of mobile phones in the
Using Instagram to deliver a theory-based wellness management of chronic conditions such as hypertension.
intervention designed to promote behavior change Methods:
It was performed a systematic review of the literature using
Lynn Herrmann
scientific databases (Cochrane, B On, Science Direct, and
S Blackstone2, C Russie1 Google Scholar). Inclusion criteria included: quantitative and
1
Public Health and Health Education, Northern Illinois University, DeKalb, qualitative studies developed between 2010 and 2018 in Sub-
USA Saharan African countries, with adult participants of both
2
Health Sciences, James Madison University, Harrisonburg, USA
Contact:
[email protected] sexes, diagnosed with hypertension, with access to mobile
Background: phones and attending primary health care or outpatient
With a high number of users, social networking sites (SNS), appointments.
such as Instagram, have the potential to serve as a tool to Results:
dispense health information and promote health. This pilot Five studies were selected for review (four from South Africa
study examined the effect of a four-week wellness intervention and one from Ghana). However, only two studies managed to
on Instagram users with targeted posts regarding fitness, obtain results which proved that the use of text messages was
nutritious eating, and self-care behaviors. efficient and accepted during hypertension treatment, as well
Methods: as it could allow understanding the factors that influence and
A review of best practices in Instagram posts was conducted to hinder therapeutic adherence. Those results were supported by
create daily posts relating to Theory of Planned Behavior information from a randomized trial (use of clinical compara-
constructs for the wellness areas of fitness (e.g., daily move- tors as evaluation of blood pressure values during a follow-up
ment), nutritious eating (e.g., vegetable and fruit consump- period of 12 months) and a qualitative study (self-reported
tion, healthy recipes), and self-care (e.g., social time, changes in the knowledge and health behavior of 15
journaling). The intervention group (N = 22) and control participants from focus groups and individual interviews).
group (N = 11) were assessed pre and post test using a Theory Conclusions:
of Planned Behavior survey. There’s still a lack of evidence available proving that mHealth
Results: can be efficient and feasible in Sub-Saharan Africa. However, it
At post-test, self-care intention for the intervention group was was possible to present a conceptual framework, adapted from
significantly higher compared to the control. However, there the literature, which identifies potential strategies for the use of
was not a significant difference between the intervention group mHealth in areas of prevention and management of chronic
and control for engaging in actual self-care behaviors reported diseases in the region.
at post-test. There were no significant differences between the Key messages:
groups for other constructs pre to post-test. User engagement Provide guidance to improve research about the adoption of
or lack of engagement with posts did not relate to any mHealth in low and middle-income countries.
differences in constructs at post-test. Promote the potential of this type of technology as a model
Conclusions: for mutual health education.
A wellness intervention delivered through Instagram did not
impact health behaviors over a four-week period in the
intervention group compared to the control group. Future Knowledge at palm of hand: supported self-
research should continue examining if SNS interventions, management and audiovisual content School of
specifically changing what users see and interact with, can Patients DF
influence health behavior outcomes. This pilot study also Estevao Cubas-Rolim
provides an example of a theory-based intervention that can be E Cubas-Rolim1,2,3, FR Yung2, MR Gripp2, CLA Oliveira2, LA Marques2,
tailored to examine effects on behavior change in other MC Fagundes2, BV Souza2, L Ribeiro2, E Faria-Tostes2, F Santana1
1
populations. Secretaria De Saude - Distrito Federal, Brasilia, Brazil
2
Key messages: Universidade De Brasilia, Brasilia, Brazil
3
Universidade Euro-Americana, Brasilia, Brazil
Though there is potential to use social networking sites as Contact:
[email protected] health promotion tools, there is a lack of understanding how Background:
to best use this technology, engage participants, and The region of practice of the School of Patients DF is
promote health. vulnerable at health literacy and income. Audiovisual informa-
Using health behavior change theories in intervention tion is strategic in primary care for its great power of reach and
research using social networking sites is considered the information retention.
