A randomized controlled trial of the impact of a family planning mHealth service on knowledge and use of contraception
A randomized controlled trial of the impact of a family planning mHealth service on knowledge and use of contraception
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DOI：
10.1016/j.contraception.2016.07.009
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发表时间：
2017-01-01
期刊：
影响因子：
2.9
通讯作者：
Ben Johns
中科院分区：
文献类型：
--
作者：
Johnson, Douglas;Juras, Randall;Ben Johns
目的：移动健康，或使用移动电话进行健康，是一种很有前途但在很大程度上未经测试的方法，可以增加发展中国家的计划生育知识。这项研究评估了肯尼亚通过短信提供计划生育信息的m4RH服务对消费者避孕知识和使用的影响。研究设计：我们随机分配m4RH服务的新消费者获得完全获得m4RH服务的机会或获得有限机会。结果：短信调查的回复率为51.8%~13.5%。尽管回复率相对较低，但完全访问组和有限访问组的响应率非常相似。我们FMD发现，与有限获得M4RH的对照组相比，完全获得M4RH的消费者在避孕知识测试中的得分增加了14%(95%可信区间：9.9%-18.2%)。M4RH不会增加消费者避孕措施的使用率、与伴侣讨论计划生育的可能性或去诊所讨论计划生育的可能性。结论：短信可能会增加计划生育知识，但本身并不会导致行为改变。(C)2016 Elsevier Inc.保留所有权利。
Objectives: mHealth, or the use of mobile phones for health, is a promising but largely untested method for increasing family planning knowledge in developing countries. This study estimates the effect of m4RH, an mHealth service in Kenya that provides family planning information via text message, on consumers' knowledge and use of contraception.Study design: We randomly assigned new consumers of the m4RH service to receive either full access or limited access to m4RH. We collected data on outcomes by sending questions directly to consumers via text message.Results: Response rates to the text message surveys ranged from 51.8% to 13.5%. Despite relatively low response rates, response rates were very similar across the full-access and limited-access groups. We fmd that full access to m4RH increased consumers' scores on a test of contraceptive knowledge by 14% (95% confidence interval: 9.9%-18.2%) compared to a control group with limited access to m4RH. m4RH did not increase consumers' use of contraception, likelihood of discussing family planning with their partners, or likelihood of visiting a clinic to discuss family planning.Conclusion: Text messages may increase family planning knowledge but do not, by themselves, lead to behavior change. (C) 2016 Elsevier Inc. All rights reserved.