Telehealth Usability, Engagement Patterns, and Technical Infrastructure in Managing Noncommunicable Diseases Among Health Care Professionals in Brazil, Ghana, Honduras, and the United Kingdom: Multinational Cross-Sectional Study

Ken Brackstone   ^{1 *} , MSc, PhD ;   Roberta Lins Gonçalves   ^{2, 3 *} , PT, MSc, PhD ;   Adriana Silvina Pagano   ⁴ , MSc, PhD ;   Zilma Silveira Nogueira Reis   ⁴ , MSc, MD, PhD ;   Seth Kwaku Afagbedzi   ⁵ , MSc, MD, PhD ;   Lysien Ivania Zambrano   ⁶ , MD, MSc, PhD ;   Tainá Costa Pereira Lopes   ² , PT, MSc ;   Sarah Almeida Cordeiro   ² , MSc ;   Julia Macedo Nunes   ⁴ , BLitt, MSc ;   Wagner Meira Jr   ⁴ , PhD ;   James Batchelor   ¹ , MD ;   Antonio Luiz Pinho Ribeiro   ⁴ , MSc, MD, PhD

¹ University of Southampton, Southampton, England, United Kingdom

² Universidade Federal do Amazonas, Manaus, Amazonas, Brazil

³ Universidade Federal de Juiz de Fora, Juiz de Fora, Minas Gerais, Brazil

⁴ Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil

⁵ University of Ghana, Accra, Greater Accra, Ghana

⁶ National Autonomous University of Honduras, Tegucigalpa, Francisco Morazán Department, Honduras

*these authors contributed equally