Role of community health worker in a mobile health program for early detection of oral cancer

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dc.contributor.authorBirur, N Praveenen_US
dc.contributor.authorGurushanth, Keerthien_US
dc.contributor.authorPatrick, Sanjanaen_US
dc.contributor.authorSumsum, P Sunnyen_US
dc.contributor.authorRaghavan, Shubhasini Aen_US
dc.contributor.authorGurudath, Shubhaen_US
dc.contributor.authorHegde, Ushaen_US
dc.contributor.authorTiwari, Vidyaen_US
dc.contributor.authorJain, Vipinen_US
dc.contributor.authorImran, Mohammeden_US
dc.contributor.authorRao, Pratimaen_US
dc.contributor.authorKuriakose, Moni Abrahamen_US
dc.date.accessioned2020-01-02T06:26:54Z
dc.date.available2020-01-02T06:26:54Z
dc.date.issued2019-04
dc.description.abstractBackground: The global incidence of oral cancer occurs in low-resource settings. Community-based oral screening is a strategic step toward downstaging oral cancer by early diagnosis. The mobile health (mHealth) program is a technology-based platform, steered with the aim to assess the use of mHealth by community health workers (CHWs) in the identification of oral mucosal lesions. MATERIALS AND METHODS: mHealth is a mobile phone-based oral cancer-screening program in a workplace setting. The participants were screened by two CHWs, followed by an assessment by an oral medicine specialist. A mobile phone-based questionnaire that included the risk assessment was distributed among participants. On specialist recommendation an oral surgeon performed biopsy on participants. The diagnosis by onsite specialist that was confirmed by histopathology was considered as gold standard. All individuals received the standard treatment protocol. A remote oral medicine specialist reviewed the uploaded data in Open Medical Record System. Sensitivity, specificity, positive and negative predictive values were calculated. Inter-rater agreement was analyzed with Cohen's kappa coefficient (κ) test, and the diagnostic ability of CHWs, onsite specialist, and remote specialist was illustrated using receiver operating characteristic curve. RESULTS: CHWs identified oral lesions in 405 (11.8%) individuals; the onsite specialist identified oral lesions in 394 (11.4%) individuals; and the remote specialist diagnosed oral lesions in 444 (13%). The inter-rater agreement between the CHW and the onsite specialist showed almost perfect agreement with the κ score of 0.92, and a substantial agreement between CHW and remote specialist showed a score of 0.62. The sensitivity, specificity, positive and negative predictive values of CHWs in the identification of oral lesion were 84.7, 97.6, 84.8, and 97.7%, respectively. CONCLUSION: The trained CHWs can aid in identifying oral potentially malignant disorders and they can be utilized in oral cancer-screening program mHealth effectively.en_US
dc.identifier.affiliationsKLE Society's Institute of Dental Sciences; Oral Cancer Screening Program, Biocon Foundation, Bengaluru, Indiaen_US
dc.identifier.affiliationsKLE Society's Institute of Dental Sciences, Bengaluru, Indiaen_US
dc.identifier.affiliationsOral Cancer Screening Program, Biocon Foundation, Bengaluru, Indiaen_US
dc.identifier.affiliationsHead and Neck Oncology, Mazumdar Shaw Cancer Center, Bengaluru, Indiaen_US
dc.identifier.affiliationsJSS Dental College, Mysore, Karnataka, Indiaen_US
dc.identifier.affiliationsOral Medicine Specialist, KLE Society's Institute of Dental Sciences, Bengaluru, Indiaen_US
dc.identifier.affiliationsDepartment of Public Health Dentistry, KLE Society's Institute of Dental Sciences, Bengaluru, Indiaen_US
dc.identifier.affiliationsCochin Cancer Research Center, Kerala, Indiaen_US
dc.identifier.citationBirur N Praveen, Gurushanth Keerthi, Patrick Sanjana, Sumsum P Sunny, Raghavan Shubhasini A, Gurudath Shubha, Hegde Usha, Tiwari Vidya, Jain Vipin, Imran Mohammed, Rao Pratima, Kuriakose Moni Abraham. Role of community health worker in a mobile health program for early detection of oral cancer. Indian Journal of Cancer. 2018 Apr; 56(2): 107-113en_US
dc.identifier.issn0019-509X
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/190240
dc.languageenen_US
dc.publisherIndian Cancer Societyen_US
dc.relation.issuenumber2en_US
dc.relation.volume56en_US
dc.source.urihttps://dx.doi.org10.4103/ijc.IJC_232_18en_US
dc.titleRole of community health worker in a mobile health program for early detection of oral canceren_US
dc.typeJournal Articleen_US
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