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Naoko Arakawa

Assistant Professor at the College of Life and Health Sciences at Chubu University.

Title: Validity and usability of templates for a tablet-type database system created for community health nurses in Thailand

Biography

Biography: Naoko Arakawa

Abstract

Background: Community Health Nurses (CHNs) in Thailand are the key players in the health promotion and follow-up for
rural residents with chronic diseases. Our previous study showed there were major six target groups: diabetes, hypertension,
stroke, maternity, neonate and tuberculosis among them. However, because CHNs were recording residents’ information using
paper-based formats, they could not well utilize data collected from the residents.
Purpose: The purpose of the study is to develop an easy to use database system that could directly input data from residents
using a tablet device and examine its validity and usability.
Methods: Through five rounds of reciprocal development processes with CHNs who worked at a health-promoting hospital
in rural Northern-east Thailand, we revised designs, structures and data-entry format of a tablet-type database system for the
six target groups. In the final study, we asked four CHNs to use our system in their daily activities for five months to evaluate
the usability.
Results: Four CHNs who participated in this trial, collected data from 101 patients. Most of the data were collected from
diabetes patients (n=64) and 65% had suffered nerve damage in the peripheral nervous system. CHNs provided education to
patients on diet (94%), exercise (91%), curative medicine (78%), self-control (45%), sleep (42%) and stress management (35%).
CHNs could notice the detailed statistical trends for the first time, whereas previously they had just impressions through their
activities.
Conclusion: Our system can provide better information easily that could show the attributes of residents with chronic disease.
Further, it would help to describe the daily community health activities, which were not described before this system was used.
We also expect this system to help CHNs’ decision making to improve quality of community health.