A mobile phone-based multimedia intervention to support maternal health is acceptable and feasible among illiterate pregnant women in Uganda: Qualitative findings from a pilot randomized controlled trial.
A mobile phone-based multimedia intervention to support maternal health is acceptable and feasible among illiterate pregnant women in Uganda: Qualitative findings from a pilot randomized controlled trial.
复制标题
DOI：
10.1177/2055207620986296
复制
发表时间：
2021-01
期刊：
影响因子：
3.9
通讯作者：
Atukunda EC
中科院分区：
文献类型：
--
作者：
Musiimenta A;Tumuhimbise W;Pinkwart N;Katusiime J;Mugyenyi G;Atukunda EC
乌干达的产妇死亡率仍然高得令人无法接受。即使在原本难以接触到的人群中，移动电话也有可能提供负担得起的获得产妇保健服务的手段。然而，关于以手机为基础的针对文盲妇女的干预措施的可接受性和可行性的证据有限。评估基于移动电话的多媒体应用程序(MatHealth App)在乌干达西南部农村地区支持文盲孕妇产妇保健方面的可接受性和可行性。从姆巴拉拉地区转诊医院开始产前护理的80名孕妇参加了一项试点随机对照试验，并一直跟踪到分娩后六周。干预组的40名女性收到了一款由教育视频/音频、诊所预约提醒和呼叫功能组成的MatHealth应用程序。对30名干预参与者进行了关于这项技术的可接受性的定性访谈。采用归纳、内容分析的方法对定性数据进行分析。对量化可行性数据进行了描述性的记录和总结。参与者报告说，干预措施是可以接受的，因为它使他们能够采取良好的孕产妇健康做法，加强配偶的社会支持，提供诊所预约提醒，并促进与医疗保健提供者的沟通。挑战包括：手机共享(74%)，应用程序意外删除15(43%)，缺电15(43%)，无法设置提醒功能20(57%)。MatHealth应用程序是在资源有限的情况下，对文盲妇女进行可接受和可行的干预。未来的努力应该集中在优化应用程序设计、配偶导向和纳入经济支持，以克服我们遇到的挑战。
Uganda’s maternal mortality rate remains unacceptably high. Mobile phones can potentially provide affordable means of accessing maternal health services even among the otherwise hard-to-reach populations. Evidence about the acceptability and feasibility of mobile phone-based interventions targeting illiterate women, however, is limited. To assess the acceptability and feasibility of a mobile phone-based multimedia application (MatHealth app) to support maternal health amongst illiterate pregnant women in rural southwestern Uganda. 80 pregnant women initiating antenatal care from Mbarara regional referral hospital were enrolled in a pilot randomized controlled trial and followed until six weeks after delivery. The 40 women in the intervention group received a MatHealth app composed of educational videos/audios, clinic appointment reminders, and the calling function. Qualitative interviews on acceptability of this technology were carried out with 30 of the intervention participants. An inductive, content analytic approach was used to analyze qualitative data. Quantitative feasibility data were recorded and summarized descriptively. Participants reported that the intervention is acceptable as it enabled them adopt good maternal health practices, enhanced social support from spouses, provided clinic appointment reminders, and facilitated communication with healthcare providers. Challenges included: phone sharing (74%), accidental deletion of the application 15 (43%), lack of electricity 15 (43%), and inability to set up a reminder function 20 (57%). The MatHealth app is an acceptable and feasible intervention among illiterate women, in a resource limited setting. Future efforts should focus on optimized application design, spouse orientation, and incorporating economic support to overcome the challenges we encountered.
登录
查看更多内容
影响因子：
3.2
作者：
Hsieh, HF;Shannon, SE
通讯作者：
Shannon, SE
影响因子：
5
作者：
Musiimenta A;Atukunda EC;Tumuhimbise W;Pisarski EE;Tam M;Wyatt MA;Ware NC;Haberer JE
通讯作者：
Haberer JE
DOI：
10.1016/j.jctube.2019.100119
发表时间：
2019-12-01
影响因子：
2
作者：
Musiimenta, Angella;Tumuhimbise, Wilson;Haberer, Jessica E.
通讯作者：
Haberer, Jessica E.
DOI：
10.1186/2049-3258-72-13
发表时间：
2014
期刊：
Archives of public health = Archives belges de sante publique
影响因子：
--
作者：
Poorman E;Gazmararian J;Elon L;Parker R
通讯作者：
Parker R
影响因子：
3.1
作者：
Mugyenyi, Godfrey R.;Atukunda, Esther C.;Haberer, Jessica E.
通讯作者：
Haberer, Jessica E.