A study protocol to develop and assess the utility of a Dinacharya habit-tracking mHealth app towards modification of health behaviour of study subjects
DOI:
https://doi.org/10.18203/2349-3259.ijct20251927Keywords:
mHealth, Ayurveda, Dinacharya, Daily regimen, Health appAbstract
Background: Dinacharya (daily regimen) in Ayurveda are health practices that sync with circadian rhythms, and promote holistic health. Mobile health apps (mHealth) are widely adopted tools of behavioural change communication to implement health behaviours. However, there is still significant scope for mHealth research in Ayurveda. In particular, there is a noticeable lack of high-quality, authentic, educational and interactive habit-tracking apps based on Dinacharya principles. The objective of this study is to develop and assess the utility of Dinacharya Habit-Tracking mHealth App on the health behavior of subjects.
Methods: The study has 3 parts: design and validate Dinacharya guidelines and Dinacharya KAP questionnaire (Delphi method); develop a habit-tracking Dinacharya app and multimedia database, and assess the app’s effectiveness on health behaviour outcomes of the study subjects with a prospective randomized controlled trial. 72 healthy volunteers, aged between 18 to 65 years, English speaking and mobile literate will be recruited. Participants will be randomized into the trial group receiving the app intervention (n=36) and the control group receiving Dinacharya printed material intervention (n=36), for 4 weeks. Primary outcomes include frequency of habit adoption, and knowledge, attitudes and practice of Dinacharya. Secondary outcomes include objective and subjective assessment of feasibility, usability, navigation, motivation, and overall rating via the Mobile app rating scale (MARS) and semi-structured interviews, respectively. The outcomes will be assessed at baseline, week 1, week 2, week 3, and post-intervention.
Conclusions: The findings from this study will offer empirical data on the effectiveness of mHealth in promoting healthy habits, and educating users about Dinacharya. Findings may guide development of future Ayurveda-based apps by demonstrating how digital tools can support user engagement and integrate traditional wellness principles into modern healthcare.
Trial Registration: CTRI-Clinical Trial Registry of India (CTRI/2025/06/089328).
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References
Bowen DJ, Kreuter M, Spring B, Cofta-Woerpel L, Linnan L, Weiner D, et al. How we design feasibility studies. Am J Prev Med. 2009;36(5):452-7. DOI: https://doi.org/10.1016/j.amepre.2009.02.002
Acharya YT. Charaka Samhita with Ayurveda Dipika commentary by Chakrapanidatta. Chaukhambha Orientalia, Reprint Edition- 2016, Sutrasthana, 26/29-30. 2011;240.
Green LW, Kreuter MW, Deeds SG, Partridge KB, Bartlett E. Health education planning: a diagnostic approach. Mayfield Publishing Company: Palo Alto CA. 1980.
Bartholomew LK, Parcel GS, Kok G, Gottlieb NH. Planning health promotion programs: an intervention mapping approach. 2nd edition. San Francisco: Jossey-Bass. 2006.
Vital Wave Consulting. mHealth for Development: The Opportunity of Mobile Technology for Healthcare in the Developing World. Washington, D.C. and Berkshire, UK: UN Foundation-Vodafone Foundation Partnership. 2009. Available at: https:// www.foresightfordevelopment.org/sobipro/54/437-mhealth-for-development-the-opportunity-of-mobile -technology-for-healthcare-in-the-developing-world. Accessed on 12 May 2025.
National Health Portal of India. Mobile App. 2024. Available at: https://www.nhp.gov.in/mobile-app. Accessed on 12 May 2025.
Guidelines For Central Sector Scheme of Ministry Of AYUSH For AYURGYAN. Available at: https://cdn. ayush.gov.in/wp-content/uploads/2021/07/Ayurgyan -Scheme-for-Research-Innovation.pdf. Accessed on 12 May 2025.
Muthappan S, Elumalai R, Shanmugasundaram N, Johnraja N, Prasath H, Ambigadoss P, et al, AYUSH digital initiatives: Harnessing the power of digital technology for India’s traditional medical systems. JAIM. 2022;13(2):100498.
All India Institute of Ayurveda & START UP INDIA. AYUSH Start up Challenge. 2022. Available at: https://www.startupindia.gov.in/content/sih/en/a ms-application/challenge.html?applicationId=61f90 367e4b00f5d174a31c8. Accessed on 12 May 2025.
Srikanth N, Rana R, Singhal R, Jameela S, Singh R, Khanduri S, et al. Mobile App-Reported Use of Traditional Medicine for Maintenance of Health in India During the COVID-19 Pandemic: Cross-sectional Questionnaire Study. JMIRx Med. 2021;2(2):e25703. DOI: https://doi.org/10.2196/25703
World Health Organization. WHO Draft Resolution – Digital Health, Seventy First World Health Assembly. 2024. Available at: https://apps.who.int/ gb/ebwha/pdf_files/WHA71/A71_ACONF1-en.pdf. Accessed on 12 May 2025.
Singh K, Landman A. Chapter 13 - Mobile Health, Key Advances in Clinical Informatics. Academic Press. 2017;183-96. DOI: https://doi.org/10.1016/B978-0-12-809523-2.00013-3
World Health Organization. WHO Fact Sheet on Non communicable Diseases. 2021. Available at: https:// www.who.int/news-room/fact-sheets/detail/non communicable-diseases. Accessed on 12 May 2025.
Goyal M. Lifestyle intervention: A preventive approach for non-communicable diseases. Ayu. 2018;39(3):119-20. DOI: https://doi.org/10.4103/ayu.AYU_26_19
World Health Organization. WHO Global Report On Traditional And Complementary Medicine. 2019. Available at: https://www.who.int/traditional-compl ementary-integrative-medicine/WhoGlobalReport OnTraditionalAndComplementaryMedicine2019.pdf. Accessed on 12 May 2025.
Acharya YT. Charaka Samhita with Ayurveda Dipika commentary by Chakrapanidatta. Chaukhambha Orientalia, Reprint Edition- 2016, Sutrasthana, 30/26. 2011;187.
Guffey T. Smartphone Application Self-Tracking Use And Health, PhD Dissertation, Texas Woman’s University. 2017. Available at: https://twu-ir.tdl.org/handle/11274/9384. Accessed on 12 May 2025.
Stoyanov S, Hides L, Kavanagh D, Zelenko O, Tjondronegoro D, Mani M. Mobile App Rating Scale: A New Tool for Assessing the Quality of Health Mobile Apps. JMIR Mhealth Uhealth. 2015;3(1):e27. DOI: https://doi.org/10.2196/mhealth.3422
Kumar S, Kuchewar V, Karuveettil V. Effectiveness of mHealth interventions for improving health attendance: an umbrella review protocol. JBI Evid Synth. 2024;22(1):116-23. DOI: https://doi.org/10.11124/JBIES-23-00137
Kumar S, Nachankar SR, Kuchewar V, Nimbarte BB, Bhanare RS. Chronobiology And Circadian Rhythm-Based Daily Regimen In Ayurveda - A Comparative Analysis. J Neonatal Surg. 2025;27.
Patil PM, Bagalkoti AK. Dinacharya - Holistic approach towards heathy life. J Ayurveda Integr Med Sci. 2018;31. DOI: https://doi.org/10.21760/jaims.v3i4.13299
Jadhav RH. Effect of Dincharya palan on various Health parameters - A Retrospective Study. Int J Res Ayurv Med Sci. 2018;1(1):19-26.
Pardeshi A. Study the efficacy of Danta Dhavana as a Upakrama of Dinacharya w.s.r. to Danta Shodhan Churna. MD Dissertation. Bharati Vidyapeeth Deemed University. 2011.
Kumar A. Study the efficacy of Dantadhavana Upakrama of Dinacharya w.s.r. to Asana kastha Churna. MD Dissertation. Bharati Vidyapeeth Deemed University. 2011.
Nasa P, Jain R, Juneja D. Delphi methodology in healthcare research: How to decide its appropriateness. World J Methodol. 2021;11(4):116-29. DOI: https://doi.org/10.5662/wjm.v11.i4.116
Muthappan S. AYUSH digital initiatives: Harnessing the power of digital technology for India’s traditional medical systems. J Ayurveda Integr Med. 2022;13(2):100498. DOI: https://doi.org/10.1016/j.jaim.2021.07.014
Annigeri N. Ayurveda Upachara – an android app. Int J Adv Res Comp Sci. 2018;9(1). DOI: https://doi.org/10.26483/ijarcs.v9i1.5301
Ministry of Health and Family Welfare, Government of India. Dr. Harsh Vardhan launches the ‘AYUSH Sanjivani’ App and inter-disciplinary studies involving AYUSH interventions for COVID 19 [press release]. New Delhi: Press Information Bureau. 2020. Available at: https://www.pib.gov.in /PressReleasePage.aspx?PRID=1621787#. Accessed on 12 May 2025.
AyuRythm Home - AyuRythm. Available at: https://www.ayurythm.com/home/. Accessed on 12 May 2025.
Reddy PS. An observational study on dinacharya modalities w.s.r to bramhmuhurte utthishteth (waking up in early morning) in improving longevity. IJSR. 2019;8(1):167-70.
Kulkarni V. Role of ushapaan in dinacharya w.s.r.t.avastmbha. MD Dissertation. DYPatil University. 2016.