Effectiveness of an mHealth Interactive Education and Social Support Intervention for Improving Postnatal Health

移动医疗互动教育和社会支持干预措施对改善产后健康的有效性

• 批准号: 10671088
• 负责人: NADIA GRIFFI DIAMOND-SMITH
• 金额: $ 58.48万
• 依托单位: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-08-01 至 2027-05-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10671088
• 关键词: Attention; Behavior; Caring; Community Health Aides; Continuity of Patient Care; Cost Analysis; Cost Effectiveness Analysis; Drops; Education; Effectiveness; Effectiveness of Interventions; Ensure; Equation; Excision; Exclusive Breastfeeding; Family Planning; Family health status; Geography; Goals; Health; Health Services Accessibility; Health behavior; Health behavior and outcomes; India; Infant; Infant Health; Infant Mortality; International; Intervention; Knowledge; Late pregnancy; Live Birth; Maternal Health; Maternal Mortality; Maternal and Child Health; Mediation; Mental Health; Methods; Modeling; Modernization; Mothers; Nurse Midwives; Outcome; Pathway interactions; Patient Recruitments; Perinatal; Perinatal Care; Personal Satisfaction; Persons; Pilot Projects; Postnatal Care; Postpartum Depression; Postpartum Period; Postpartum Women; Provider; Randomized; Randomized, Controlled Trials; Research Personnel; Resources; Risk; Rural; Self Efficacy; Social Network; Social Values; Social stratification; Social support; South Asian; Support Groups; Testing; Text; Well in self; Woman; acceptability and feasibility; behavior change; care costs; care seeking; comparison intervention; cost; cost effective; cost effectiveness; cost-effectiveness ratio; disparity reduction; effectiveness evaluation; effectiveness outcome; effectiveness testing; evidence base; group intervention; health knowledge; improved; incremental cost-effectiveness; mHealth; maternal outcome; mobile computing; neglect; neonatal health; neonatal outcome; opportunity cost; peri-urban; perinatal health; perinatal women; pilot test; postnatal; postnatal period; postpartum care; postpartum contraception; postpartum health; prenatal; primary outcome; provider communication; rural area; rural dwellers; scale up; secondary outcome; social; social culture; sociodemographics; standard care; standard of care; symposium; urban area; virtual

Abstract Perinatal care continuity across the full continuum is essential for optimizing maternal and infant health; however, a stark gap occurs postpartum, with less than one half of Indian mothers receiving postpartum care due to significant logistical and sociocultural barriers, particularly for peri-urban and rural residents. To overcome these barriers and reduce women’s postpartum isolation, our international team of maternal and infant health clinicians and researchers developed and pilot-tested a culturally-tailored mobile interactive education and support group intervention: Maa Shishu Swasthya Sahayak Samooh (maternal and child health support group: MeSSSSage). MeSSSSage uses a provider-moderated group approach to increase women’s communication with providers, refer to in-person care, and connect them with a virtual social support group. Participants are recruited in late pregnancy and have 26 education and support sessions via audioconference facilitated by nurse-midwives (2 prenatal and weekly postpartum sessions through 6 months), plus engage in a text chat group. Pilot results indicated high acceptability and feasibility and suggest preliminary effectiveness. We propose to test the effectiveness of the MeSSSSage intervention compared to standard care on maternal and neonatal health-related behaviors and health outcomes in a randomized controlled trial among 2100 perinatal Indian women. Primary outcomes of exclusive breastfeeding, unmet need for postpartum contraceptives and postpartum depression will be assessed at 6 months. Our specific aims are to: estimate the effectiveness of a mobile interactive education and support group intervention (MeSSSSage) on postpartum behaviors for optimizing maternal and neonatal health in India (Aim 1), characterize the mechanisms of impact of the MeSSSSage intervention on maternal and neonatal health in India (Aim 2), and determine the cost-effectiveness of the MeSSSSage intervention in improving postpartum maternal and neonatal health as compared to the standard of care. We hope to positively impact women’s postnatal health knowledge and behaviors and improve health outcomes for women and their infants in the first six months postpartum. This study of a scaleable intervention will have an important contribution to the evidence base on mHealth for maternal and perinatal health and group care models for postnatal care, contributing to reducing disparities in women’s access to care through the removal of geographic and social barriers. 1

摘要