The impact and implementation of an mHealth intervention to improve infant and young child feeding in Senegal: IIMAANJE protocol for a cluster randomized control trial.
The impact and implementation of an mHealth intervention to improve infant and young child feeding in Senegal: IIMAANJE protocol for a cluster randomized control trial.
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DOI：
10.3389/fpubh.2023.1258963
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发表时间：
2023
影响因子：
5.2
通讯作者：
Sackey, Joachim
中科院分区：
文献类型：
--
作者：
Downs, Shauna M.;Gueye, Daouda;Sall, Medoune;Ndoye, Bamba;Sarr, Ndeye Ndambao;Sarr, Moussa;Mboup, Souleymane;Alam, Neeloy Ashraful;Diouf, Adama;Merchant, Emily V.;Sackey, Joachim
关键词：
行为改变沟通（BCC）策略有可能改善低收入和中等收入国家婴幼儿的婴儿喂养和营养结果。最近，人们开始转向采用移动医疗干预措施（使用手机传输健康相关信息或直接护理），以在婴幼儿护理人员中推广推荐的 BCC 策略。在塞内加尔，大多数婴幼儿没有按照建议的做法喂养，导致营养不良和微量营养素缺乏的发生率很高。这项整群随机对照试验的目的是：(1) 确定 mHealth IYCF 干预对 IYCF 实践和营养结果的影响； (2) 检查扩大移动医疗信息干预的实施、成本和机会。该试验在塞内加尔的三个地区（Thies、Fatick、Diourbel）进行，共有 488 名母亲、父亲和儿童（6-23 个月）三合会。干预措施包括 8 条有脚本的消息（在干预实施之前经过认知测试）和 8 条来自积极异常者的无脚本消息。在 16 周的时间里，我们每周都会向实验组的成员发送一条语音消息和一条短信。通过家庭调查、24 小时饮食回忆以及干预实施前后的血红蛋白测量来评估干预的影响。主要结局是最低可接受饮食（MAD）和贫血。我们还纳入了与母亲和父亲一起举行的 9 个焦点小组的总共 54 名参与者，并对 Badienou Gox（即社区卫生工作者）（n = 6）以及国家合作伙伴和计划实施者（n = 6）进行半结构化访谈，以检查干预措施的实施过程。该研究在 ClinicalTrials.gov 上收集数据之前已注册（标识符：NCT05374837）。
Behavior change communication (BCC) strategies have the potential to improve infant feeding and nutrition outcomes among infants and young children in low- and middle-income countries. More recently, there has been a shift toward the adoption of mHealth interventions—the use of mobile phones to transmit health-related information or direct care—to promote recommended BCC strategies among the caregivers of infants and young children. In Senegal, most infants and young children are not fed according to recommended practices leading to a high prevalence of undernutrition and micronutrient deficiencies. The aims of this cluster randomized control trial, using an effectiveness-implementation (type 1) hybrid design, were to: (1) determine the impact of an mHealth IYCF intervention on IYCF practices and nutrition outcomes; and (2) examine the implementation, costs, and opportunities for scaling up the mHealth messaging intervention. The trial was conducted in three regions in Senegal (Thies, Fatick, Diourbel) with 488 mother, father and children (6–23 months) triads. The intervention included 8 scripted messages, that underwent cognitive testing prior to the intervention implementation, and 8 unscripted messages from positive deviants. One voice message and one text message were sent each week to members of our experimental group for a 16-week period. The impact of the intervention was assessed through a household survey, 24-h dietary recall, and hemoglobin measurements before and after the intervention implementation. The primary outcomes were minimal acceptable diet (MAD) and anemia. We also included a total of 54 participants in nine focus groups held with mothers and fathers and semi-structured interviews with Badienou Gox (i.e., community health workers) (n = 6) and national partners and program implementers (n = 6) to examine the intervention implementation process. The study was registered prior to data collection on Clinicaltrials.gov (Identifier: NCT05374837).
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DOI：
10.1016/0749-5978(91)90020-t
发表时间：
1991-12-01
影响因子：
4.6
作者：
AJZEN, I
通讯作者：
AJZEN, I
影响因子：
3
作者：
Curran GM;Bauer M;Mittman B;Pyne JM;Stetler C
通讯作者：
Stetler C
DOI：
10.1186/1748-5908-9-57
发表时间：
2014-05-12
期刊：
Implementation science : IS
影响因子：
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作者：
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通讯作者：
Perry T
哪些方法用于在医疗保健组织中应用积极的偏差？系统评价。
影响因子：
5.4
作者：
Baxter R;Taylor N;Kellar I;Lawton R
通讯作者：
Lawton R
影响因子：
3.4
作者：
Downs, Shauna M.;Sackey, Joachim;Fanzo, Jessica
通讯作者：
Fanzo, Jessica