RT info:eu-repo/semantics/article T1 mHealth intervention to improve quality of life in patients with chronic diseases during the COVID-19 crisis in Paraguay : a study protocol for a randomized controlled trial A1 Escrivá Martínez, Tamara A1 Vara, María Dolores A1 Czeraniuk de Schaefer, Nadia A1 Denis Cácaro, Matías A1 Núñez Benjumea, Francisco J. A1 Fernández Luque, Luis A1 Jiménez Díaz, Alba A1 Traver Saucedo, Vicente A1 Lull Noguera, Juan José A1 Martínez Millana, Antonio A1 Garcés Ferrer, Jorge A1 Miragall, Marta A1 Herrero, Rocío A1 Enríquez Tischler, Analía Soledad A1 Schaefer Czeraniuk, Laura Verena A1 Cervera Torres, Sergio A1 Villasanti Riquelme, Cecilia Beatriz A1 Cabral, Carmen Verónica A1 Fernández, Irene A1 Baños Rivera, Rosa María A2 Universidad Autónoma de Encarnación AB Background. Patients with chronic disease represent an at-risk group in the face of the COVID-19 crisis as they need to regularly monitor their lifestyle and emotional management. Coping with the illness becomes a challenge due to supply problems and lack of access to health care facilities. It is expected these limitations, along with lockdown and social distancing measures, have affected the routine disease management of these patients, being more pronounced in low- and middle-income countries with a flawed health care system.Objectives. The purpose of this study is to describe a protocol for a randomized controlled trial to test the efficacy of the Adhera® MejoraCare Digital Program, an mHealth intervention aimed at improving the quality of life of patients with chronic diseases during the COVID-19 outbreak in Paraguay.Method. A two-arm randomized controlled trial will be carried out, with repeated measures (baseline, 1-month, 3-month, 6-month, and 12-month) under two conditions: Adhera® MejoraCare Digital Program or waiting list. The primary outcome is a change in the quality of life on the EuroQol 5-Dimensions 3-Levels Questionnaire (EQ-5D-3L). Other secondary outcomes, as the effect on anxiety and health empowerment, will be considered. All participants must be 18 years of age or older and meet the criteria for chronic disease. A total of 96 participants will be recruited (48 per arm).Conclusions. It is expected that the Adhera® MejoraCare Digital Program will show significant improvements in quality of life and emotional distress compared to the waiting list condition. Additionally, it is hypothesized that this intervention will be positively evaluated by the participants in terms of usability and satisfaction. The findings will provide new insights into the viability and efficacy of mHealth solutions for chronic disease management in developing countries and in times of pandemic.Trial registration. ClinicalTrials.gov NCT04659746. PB Public Library of Science YR 2022 FD 2022-11-08 LK http://hdl.handle.net/20.500.14066/4723 UL http://hdl.handle.net/20.500.14066/4723 LA eng NO Escrivá-Martínez, T., Vara, M. D., Czaraniuk, N., Denis, M., Núñez-Benjumea, F. J., Fernández-Luque, L., Jiménez-Díaz, A., Traver, V., Llull, J. J., Martínez-Millana, A., Garcés-Ferrer, J., Miragall, M., Herrero, R., Enríquez, A., Schaefer, V., Cervera-Torres, S., Villasanti, C., Cabral, C. V., Fernández, I., & Baños, R. M. (2022). mHealth intervention to improve quality of life in patients with chronic diseases during the COVID-19 crisis in Paraguay: a study protocol for a randomized controlled trial. PLOS ONE, 17(11), Article e0273290. https://doi.org/10.1371/journal.pone.0273290 NO Correspondencia a los autores: tamara.escriva@uv.es. NO Trial registration. ClinicalTrials.gov NCT04659746. Enlace: https://clinicaltrials.gov/study/NCT04659746?tab=table. NO Consejo Nacional de Ciencia y Tecnología DS MINDS@UW RD 03-sep-2026