Mobile Phone Use and Acceptability for the Delivery of Mental Health Information Among Perinatal Adolescents in Nigeria: Survey Study.

Mobile Phone Use and Acceptability for the Delivery of Mental Health Information Among Perinatal Adolescents in Nigeria: Survey Study.
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DOI:
10.2196/20314
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发表时间:
2021-01-26
期刊:
影响因子:
5.2
通讯作者:
Ben-Zeev D
Ben-Zeev D
中科院分区:
医学2区
文献类型:
--
作者:
Kola L;Abiona D;Adefolarin AO;Ben-Zeev D

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有几个障碍可能会阻碍少女母亲利用现有的保健干预措施治疗围产期抑郁症。需要创新的治疗方法,以增加青少年母亲获得心理保健的机会,从而改善孕产妇和儿童的健康结果。移动的电话有可能成为非洲精神卫生保健的重要渠道。然而,尼日利亚年轻母亲使用移动的电话的模式和需求并没有得到很好的记录。本研究旨在确定围产期青少年使用移动的电话的流行率,并报告使用模式,以及评估年轻母亲对移动的健康(mHealth)心理健康干预措施的开放程度。我们于2020年在尼日利亚奥约州伊巴丹的33家初级卫生保健诊所调查了260名处于围产期或产后妊娠期的青少年母亲(年龄16-19岁)。如果受访者怀孕的胎龄大于或等于4周,或有婴儿(他们已经出生),年龄小于12个月。总的研究样本包括260名青少年母亲,平均年龄为18.4(SD 0.88)岁。大多数受访者(233/260,89.6%)拥有移动的电话(例如,键盘、键盘和互联网、智能手机); 260名母亲中有22人(8.5%)可以使用属于住在同一家庭的亲戚的电话,而5人(1.9%)只能使用公共付费电话。只有23%(54/233)的手机拥有者(占总研究人群的20.5%)拥有智能手机。平均而言,受访者报告第一次使用移动的电话是在15.5岁(SD 2.06)。大多数受访者(222/260,85.4%)表示,他们每天平均使用手机与家人通话45分钟。Facebook是使用手机上网的受访者最常使用的社交媒体平台(每天122/146分钟,83.4%)。大多数样本回答说,对使用移动的电话进行预防干预(250/260,96.2%)和治疗(243/260,93.5%)有关抑郁症和“幻听”等精神疾病的信息“感兴趣”和“非常感兴趣”。一半的受访者(126/233,50.4%)更愿意以短信的形式接收此类信息。这项研究的结果表明,绝大多数围产期青少年在尼日利亚拥有和使用移动的手机,他们有兴趣利用这些设备的预防,治疗和宣传活动集中在心理健康。这一人群中智能手机的使用率相对较低,通过短信进行健康干预受到女性的青睐。
There are several barriers that may hamper adolescent mothers’ utilization of available health interventions for perinatal depression. Innovative treatment approaches are needed to increase adolescent mothers’ access to mental health care for improved maternal and child health outcomes. Mobile phones have the potential to serve as important conduits to mental health care in Africa. However, mobile phone use patterns and needs among young mothers in Nigeria are not well documented. This study sought to determine the prevalence of mobile phone use among perinatal adolescents and report patterns of use, as well as to assess the openness of young mothers to mobile health (mHealth) mental health interventions. We surveyed 260 adolescent mothers (ages 16-19 years) in their perinatal or postnatal periods of pregnancies in 33 primary health care clinics in Ibadan, Oyo State, Nigeria in 2020. Respondents were included if they were pregnant with a gestation age of greater than or equal to 4 weeks, or had babies (which they had birthed) that were younger than 12 months. The total study sample consisted of 260 adolescent mothers with a mean age of 18.4 (SD 0.88) years. The majority of the respondents (233/260, 89.6%) owned mobile phones (eg, keypad, keypad and internet, smartphones); 22 (8.5%) of the 260 mothers had access to phones that belonged to relatives who lived in the same household, while 5 (1.9%) had access only to public paid phones. Only 23% (54/233) of phone owners (which is 20.5% of the total study population) had smartphones. On average, respondents reported first using mobile phones at 15.5 (SD 2.06) years old. The majority of respondents (222/260, 85.4%) reported using their phones for an average of 45 minutes daily for calls to family members. Facebook was the social media platform that was most often used among respondents who had phones with internet access (122/146 minutes per day, 83.4%). The majority of the sample responded as being “interested” and “very interested” in the use of mobile phones for preventive interventions (250/260, 96.2%) and treatment (243/260, 93.5%) information on mental illness such as depression and “hearing voices.” Half of the respondents (126/233, 50.4%) preferred to receive such information in the form of text messages. Findings from this study suggest that the vast majority of perinatal adolescents in Nigeria own and use mobile phones and that they are interested in leveraging these devices for prevention, treatment, and informational campaigns focused on mental health. The use of smartphones in this population is relatively low, and health intervention through text messages were favored by the women.
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