Between leaves and lives: Maternal mental health among tea garden workers in Bangladesh and its association with children's behavioural difficulties.
Authors: Ansary M, Sultana A, Ferdousi M, Rahman MS, Sizear MI, Chowdhury KUA, Hasan MT
Journal: Global mental health (Cambridge, England)
mental health
psychology
open access
Abstract
Coronary artery disease (CAD) remains a major threat to global public health, accounting for approximately 8.9 million deaths annually (). Up to 90% of CAD and myocardial infarction risk is attributable to modifiable factors, including unhealthy diet, physical inactivity, obesity, and smoking (–). A significant gap persists between clinical guidelines for CAD and real-world implementation (–). Therapy for CAD should therefore, in addition to medical intervention, include support for lifestyle modifications. Exercise therapy is, for instance, a cornerstone of cardiac rehabilitation, favourably impacting key CAD determinants, including autonomic tone, blood pressure, and metabolic profiles (, ), while potentially contributing to reversal of the atherosclerotic processes (). Digital health technologies offer a scalable solution to improve adherence to lifestyle modifications and bridge the gap between acute care and long-term maintenance. The digital therapeutics company Sidekick Health (SKH) developed, in collaboration with cardiovascular experts, a digital health program (SK-121) for patients with CAD to support the adoption of cardiovascular risk-reducing lifestyle behaviours. Concurrent with the standard of care (SoC), patients are supported with personalised, disease-specific education and treatment to adopt healthy lifestyle habits across nutrition, exercise, psychological well-being, and sleep, in addition to remote patient monitoring (RPM). Behavioural change techniques such as goal setting, action plans, and feedback are central to the program, along with self-monitoring of medication use and health-related metrics. Similar digital programs developed by SKH for other diseases were found to be user-friendly, engaging, and associated with improved health outcomes (–).