دورية أكاديمية

Providing support to pregnant women and new mothers through moderated WhatsApp groups: a feasibility study.

التفاصيل البيبلوغرافية
العنوان: Providing support to pregnant women and new mothers through moderated WhatsApp groups: a feasibility study.
المؤلفون: Patel SJ; Division of Global Obstetrics and Gynecology, Brigham and Women's Hospital, Boston, MA, USA., Subbiah S; Jacaranda Health, Nairobi, Kenya., Jones R; Jacaranda Health, Nairobi, Kenya., Muigai F; PharmAccess Foundation, Nairobi, Kenya., Rothschild CW; Department of Epidemiology, University of Washington School of Public Health, Seattle, WA, USA., Omwodo L; Jacaranda Health, Nairobi, Kenya., Ogolla T; Jacaranda Health, Nairobi, Kenya., Kimenju G; Jacaranda Health, Nairobi, Kenya., Pearson N; Jacaranda Health, Nairobi, Kenya., Meadows A; Division of Global Obstetrics and Gynecology, Brigham and Women's Hospital, Boston, MA, USA., Nour NM; Division of Global Obstetrics and Gynecology, Brigham and Women's Hospital, Boston, MA, USA.
المصدر: MHealth [Mhealth] 2018 May 21; Vol. 4, pp. 14. Date of Electronic Publication: 2018 May 21 (Print Publication: 2018).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: AME Publishing Company Country of Publication: China NLM ID: 101678564 Publication Model: eCollection Cited Medium: Print ISSN: 2306-9740 (Print) Linking ISSN: 23069740 NLM ISO Abbreviation: Mhealth Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: Hong Kong : AME Publishing Company, [2015]-
مستخلص: Background: Group-based health services can improve maternal and newborn health outcomes. Group antenatal care and participatory learning and action cycles (PLA) with women's groups have been cited by the WHO as health systems interventions that can lead to improvements in adherence to care and health outcomes in pregnancy and the postpartum period.
Methods: We used a mixed-methods approach to assess the feasibility of a light touch group-based support intervention using the WhatsApp text-messaging platform. Pregnant women were enrolled at Jacaranda Health (JH), a maternity center in peri-urban Kiambu County, Kenya. Their phone numbers were added to WhatsApp groups consisting of participants with similar estimated due dates. The WhatsApp group administrator was a JH employee. Acceptability, demand, implementation, and practicality of this service were evaluated through in-depth interviews (IDIs), surveys, chart review, and analysis of group chats. Limited analysis of program efficacy (ANC visits, any PNC, and post-partum family planning uptake) was assessed by comparing participant data collected through chart review using a concurrent comparison of the general JH patient population.
Results: Fifty women (88%) of 57 eligible women who were approached to participate enrolled in the study. Five WhatsApp groups were created. A total of 983 messages were exchanged over 38 weeks. No harms or negative interactions were reported. Participants reported several benefits. Participants had differing expectations of the level of the group administrator's activity in the groups. ANC and PNC attendance were in line with the hospital's metrics for the rest of JH's patient population. Higher rates of postpartum long acting reversible contraception (LARC) uptake were observed among participants relative to the general patient population.
Conclusions: A moderated mobile-based support group service for pregnant women and new mothers is safe and feasible. Additional research using experimental designs to strengthen evidence of the effectiveness of the support intervention is warranted.
Competing Interests: Conflict of Interest: The authors have no conflicts of interest to declare.
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فهرسة مساهمة: Keywords: infant care; mHealth; pregnancy; reproductive health; social support
تواريخ الأحداث: Date Created: 20180703 Latest Revision: 20220318
رمز التحديث: 20221213
مُعرف محوري في PubMed: PMC5994467
DOI: 10.21037/mhealth.2018.04.05
PMID: 29963559
قاعدة البيانات: MEDLINE
الوصف
تدمد:2306-9740
DOI:10.21037/mhealth.2018.04.05