A mobile health app may improve maternal and child health knowledge and practices among rural women with limited education in Uganda: a pilot randomized controlled trial.
A mobile health app may improve maternal and child health knowledge and practices among rural women with limited education in Uganda: a pilot randomized controlled trial.
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DOI：
10.1093/jamiaopen/ooac081
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发表时间：
2022-12
期刊：
影响因子：
2.1
通讯作者：
Haberer, Jessica E.
中科院分区：
文献类型：
--
作者：
Musiimenta, Angella;Tumuhimbise, Wilson;Atukunda, Esther C.;Mugaba, Aaron T.;Asasira, Justus;Katusiime, Jane;Zender, Raphael;Pinkwart, Niels;Mugyenyi, Godfrey Rwambuka;Haberer, Jessica E.
本文描述了一个移动的健康应用程序（MatHealth应用程序）对受教育程度有限的妇女的母婴健康知识和实践的影响。将开始产前护理（ANC）的孕妇随机（1：1）分配至MatHealth App与常规护理。参与者被跟踪到分娩后6周。在基线和终点时，对两组参与者进行评估知识和实践的问卷。使用逻辑回归，我们估计了差异的几率有孕产妇保健知识。我们审查了诊所记录，以获取孕产妇健康实践。在80名入组的参与者中，69名（86%）完成了研究，中位随访时间为6个月。MatHealth组的女性有8.2（P = .19），3.6（P = 0.14）和6.4（P = 0.25），分别更高的几率知道（1）开始ANC的推荐妊娠期，（2）推荐的ANC访视次数，和（3）推荐的人类免疫缺陷病毒（HIV）检测的时间和频率，分别，与常规护理组相比，MatHealth App组中的所有女性都完全母乳喂养婴儿，并在6周时将其带到艾滋病毒检测组。在两组中，超过一半的女性至少接受了4次产前检查。不遵守产前护理预约的主要原因是缺乏前往诊所的交通工具。该应用程序增加了知识和实践，但没有达到统计学意义。未来的努力可以集中在解决社会和经济问题以及评估临床结果上。
This article describes the impact of a mobile health app (MatHealth App) on maternal and child health knowledge and practices among women with limited education. Pregnant women initiating antenatal care (ANC) were randomized (1:1) to the MatHealth App versus routine care. Participants were followed until 6 weeks after delivery. Questionnaires for assessing knowledge and practices were administered to participants from both arms at baseline and endline. Using logistic regression, we estimated the difference in odds of having maternal health knowledge. We reviewed clinic records to capture maternal health practices. Of the 80 enrolled participants, 69 (86%) completed the study with a median follow-up of 6 months. Women in the MatHealth arm had 8.2 (P = .19), 3.6 (P = .14), and 6.4 (P = .25), respectively higher odds of knowing (1) the recommended gestation period for starting ANC, (2) the recommended number of ANC visits, and (3) the timing and frequency of recommended human immunodeficiency virus (HIV) testing, respectively, compared to those in the routine care arm. All women in the MatHealth App arm exclusively breastfed their babies, and brought them at 6 weeks for HIV testing, compared to the routine care arm. Just over half of the women attended at least 4 prenatal visits across the 2 arms. The main reason for noncompliance to ANC appointments was a lack of transport to the clinic. The app increased knowledge and practices although not reaching statistical significance. Future efforts can focus on addressing social and economic issues and assessing clinical outcomes.
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影响因子：
3.1
作者：
Ayiasi MR;Van Royen K;Verstraeten R;Atuyambe L;Criel B;Garimoi CO;Kolsteren P
通讯作者：
Kolsteren P
影响因子：
3.7
作者：
Islam MM;Masud MS
通讯作者：
Masud MS
影响因子：
4.4
作者：
Hazra, Avishek;Khan, M. E.;Mondal, Subrato Kumar
通讯作者：
Mondal, Subrato Kumar
影响因子：
4
作者：
Sarna, Avina;Saraswati, Lopamudra Ray;Kalibala, Sam
通讯作者：
Kalibala, Sam
影响因子：
3.9
作者：
Musiimenta A;Tumuhimbise W;Pinkwart N;Katusiime J;Mugyenyi G;Atukunda EC
通讯作者：
Atukunda EC