Effect of Digital Tools on the Knowledge and Performance of Frontline Health Workers For Diabetes Control in Myanmar: Cost-Effective Analysis and Quasi Experimental Study

Abstract BackgroundDiabetes has become a significant global health issue, particularly imposing a deep economic burden on low-income countries. Innovative and integrated digital solutions can reduce the impact of diabetes and enhance the quality of care. However, digital solut...

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Main Authors: Kyi Thar, Sathirakorn Pongpanich, Min Nwe Tun
Format: Article
Language:English
Published: JMIR Publications 2025-06-01
Series:JMIR Nursing
Online Access:https://nursing.jmir.org/2025/1/e72230
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author Kyi Thar
Sathirakorn Pongpanich
Min Nwe Tun
author_facet Kyi Thar
Sathirakorn Pongpanich
Min Nwe Tun
author_sort Kyi Thar
collection DOAJ
description Abstract BackgroundDiabetes has become a significant global health issue, particularly imposing a deep economic burden on low-income countries. Innovative and integrated digital solutions can reduce the impact of diabetes and enhance the quality of care. However, digital solutions have not been utilized before in Myanmar. ObjectiveThis study aimed to demonstrate the novel integrated effect of diabetes knowledge and registry tools on the performance of front-line health workers in primary health care settings. MethodsA quasi-experimental study with an intervention and a control group was conducted in two townships from October 2022 to April 2023. For the first time, researchers trained the intervention group to use digital tools for diabetes control and performed monthly follow-ups. The study employed multiple linear regression models to explore the novel impact of digital tools on knowledge and performance scores, their correlations, and their association with covariates. Additionally, it assessed the cost-effectiveness of the intervention by using self-administered questionnaires as measurement tools formulated based on the National Diabetes Guidelines. ResultsA total of 96 participants were enrolled in the study, divided evenly into the two groups. The intervention group exhibited a significant increase in the mean knowledge scores from 85.81 to 99.25 (PPPrP ConclusionsAs the new integrated intervention yields significant economic gains and positive effects, researchers suggest policy makers replicate this intervention as a nationwide program and recommend scaling up the use of digital tools to improve knowledge and performance for diabetes control in frontline health workers.
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spelling doaj-art-1f8ca0c24f564aeda1cbe60ccd3d63432025-08-20T03:30:08ZengJMIR PublicationsJMIR Nursing2562-76002025-06-018e72230e7223010.2196/72230Effect of Digital Tools on the Knowledge and Performance of Frontline Health Workers For Diabetes Control in Myanmar: Cost-Effective Analysis and Quasi Experimental StudyKyi Tharhttp://orcid.org/0009-0002-0918-0338Sathirakorn Pongpanichhttp://orcid.org/0000-0001-9408-3465Min Nwe Tunhttp://orcid.org/0009-0005-5105-3932 Abstract BackgroundDiabetes has become a significant global health issue, particularly imposing a deep economic burden on low-income countries. Innovative and integrated digital solutions can reduce the impact of diabetes and enhance the quality of care. However, digital solutions have not been utilized before in Myanmar. ObjectiveThis study aimed to demonstrate the novel integrated effect of diabetes knowledge and registry tools on the performance of front-line health workers in primary health care settings. MethodsA quasi-experimental study with an intervention and a control group was conducted in two townships from October 2022 to April 2023. For the first time, researchers trained the intervention group to use digital tools for diabetes control and performed monthly follow-ups. The study employed multiple linear regression models to explore the novel impact of digital tools on knowledge and performance scores, their correlations, and their association with covariates. Additionally, it assessed the cost-effectiveness of the intervention by using self-administered questionnaires as measurement tools formulated based on the National Diabetes Guidelines. ResultsA total of 96 participants were enrolled in the study, divided evenly into the two groups. The intervention group exhibited a significant increase in the mean knowledge scores from 85.81 to 99.25 (PPPrP ConclusionsAs the new integrated intervention yields significant economic gains and positive effects, researchers suggest policy makers replicate this intervention as a nationwide program and recommend scaling up the use of digital tools to improve knowledge and performance for diabetes control in frontline health workers.https://nursing.jmir.org/2025/1/e72230
spellingShingle Kyi Thar
Sathirakorn Pongpanich
Min Nwe Tun
Effect of Digital Tools on the Knowledge and Performance of Frontline Health Workers For Diabetes Control in Myanmar: Cost-Effective Analysis and Quasi Experimental Study
JMIR Nursing
title Effect of Digital Tools on the Knowledge and Performance of Frontline Health Workers For Diabetes Control in Myanmar: Cost-Effective Analysis and Quasi Experimental Study
title_full Effect of Digital Tools on the Knowledge and Performance of Frontline Health Workers For Diabetes Control in Myanmar: Cost-Effective Analysis and Quasi Experimental Study
title_fullStr Effect of Digital Tools on the Knowledge and Performance of Frontline Health Workers For Diabetes Control in Myanmar: Cost-Effective Analysis and Quasi Experimental Study
title_full_unstemmed Effect of Digital Tools on the Knowledge and Performance of Frontline Health Workers For Diabetes Control in Myanmar: Cost-Effective Analysis and Quasi Experimental Study
title_short Effect of Digital Tools on the Knowledge and Performance of Frontline Health Workers For Diabetes Control in Myanmar: Cost-Effective Analysis and Quasi Experimental Study
title_sort effect of digital tools on the knowledge and performance of frontline health workers for diabetes control in myanmar cost effective analysis and quasi experimental study
url https://nursing.jmir.org/2025/1/e72230
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AT sathirakornpongpanich effectofdigitaltoolsontheknowledgeandperformanceoffrontlinehealthworkersfordiabetescontrolinmyanmarcosteffectiveanalysisandquasiexperimentalstudy
AT minnwetun effectofdigitaltoolsontheknowledgeandperformanceoffrontlinehealthworkersfordiabetescontrolinmyanmarcosteffectiveanalysisandquasiexperimentalstudy