An mHealth voice messaging intervention to improve infant and young child feeding practices in Senegal
An mHealth voice messaging intervention to improve infant and young child feeding practices in Senegal
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DOI：
10.1111/mcn.12825
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发表时间：
2019-10-01
影响因子：
3.4
通讯作者：
Fanzo, Jessica
中科院分区：
文献类型：
--
作者：
Downs, Shauna M.;Sackey, Joachim;Fanzo, Jessica
移动医疗（mHealth）干预措施有可能改善婴幼儿喂养（IYCF）实践；然而，文献中在其设计、实施和有效性方面仍然存在差距。本研究的目的是针对 IYCF 实践设计针对母亲和父亲的 mHealth 语音消息传递干预措施，并检查其实施情况及其对塞内加尔三个农村有 6-23 个月儿童的家庭的影响。我们进行了焦点小组（n = 6）来为干预措施的制定提供信息。然后，我们进行了一项试点研究（n = 47 个家庭），以考察干预措施对 6-23 个月儿童 IYCF 实践的影响。我们在 4 周内向孩子的母亲和父亲发送语音信息（每周 2 条信息；总共 8 条信息），并在实施移动健康干预之前和之后立即进行 24 小时饮食回忆和食物频率调查问卷 (FFQ)，以检查其对 IYCF 实践的影响。总体而言，八种行为中有 3 种增加，1 种减少。通过干预完成后的 24 小时回忆来衡量，食用鱼类的儿童数量显着增加（60% 对比 94%；p = .008）。我们还发现，根据 FFQ 测量，过去 7 天内鸡蛋 (p = .026)、鱼 (p = .004) 和浓粥 (p = .002) 的消费频率明显更高。我们的研究结果表明，塞内加尔的语音消息 IYCF 干预措施有可能在短期内改善幼儿的 IYCF 行为。未来的研究应该扩大干预措施并检验其长期可持续性。
Mobile health (mHealth) interventions have the potential to improve infant and young child feeding (IYCF) practices; however, gaps in the literature remain regarding their design, implementation, and effectiveness. The aims of this study were to design an mHealth voice messaging intervention delivered to mothers and fathers targeting IYCF practices and examine its implementation and impact in households with children 6-23 months in three rural villages in Senegal. We conducted focus groups (n = 6) to inform the intervention development. We then conducted a pilot study (n = 47 households) to examine the impact of the intervention on IYCF practices of children 6-23 months. Voice messages were sent to the children's mothers and fathers over a period of 4 weeks (two messages per week; eight messages in total), and 24-hr dietary recalls and food frequency questionnaires (FFQs) were conducted before and immediately after the implementation of the mHealth intervention to examine its impact on IYCF practices. Overall, three of the eight behaviours increased and one decreased. There was a significant increase in the number of children that consumed fish (60% vs. 94%; p = .008) as measured by the 24-hr recall after the completion of the intervention. We also found significantly higher frequency of egg (p = .026), fish (p = .004), and thick porridge (p = .002) consumption in the previous 7 days measured by the FFQ. Our findings suggest that voice messaging IYCF interventions in Senegal have the potential to improve IYCF behaviours among young children in the short term. Future research should entail scaling-up the intervention and examining its sustainability over the long-term.