دورية أكاديمية
أعرض في EDS

Insights From a Text Messaging-Based Sexual and Reproductive Health Information Program in Tanzania (m4RH): Retrospective Analysis.

التفاصيل البيبلوغرافية
العنوان: Insights From a Text Messaging-Based Sexual and Reproductive Health Information Program in Tanzania (m4RH): Retrospective Analysis.
المؤلفون: Olsen PS; Health Services Research, Global Health, Population, and Nutrition, FHI 360, Durham, NC, United States., Plourde KF; Research Utilization, Global Health, Population, and Nutrition, FHI 360, Durham, NC, United States., Lasway C; Palladium: Make It Possible, Health Practice, Americas, Washington, DC, United States., van Praag E; Public Health Consultant, Dar es Salaam, United Republic Of Tanzania.
المصدر: JMIR mHealth and uHealth [JMIR Mhealth Uhealth] 2018 Nov 01; Vol. 6 (11), pp. e10190. Date of Electronic Publication: 2018 Nov 01.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: JMIR Publications Inc Country of Publication: Canada NLM ID: 101624439 Publication Model: Electronic Cited Medium: Print ISSN: 2291-5222 (Print) Linking ISSN: 22915222 NLM ISO Abbreviation: JMIR Mhealth Uhealth Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: Toronto: JMIR Publications Inc., [2013]-
مستخلص: Background: Many mobile health (mHealth) interventions have the potential to generate and store vast amounts of system-generated participant interaction data that could provide insight into user engagement, programmatic strengths, and areas that need improvement to maximize efficacy. However, despite the popularity of mHealth interventions, there is little documentation on how to use these data to monitor and improve programming or to evaluate impact.
Objective: This study aimed to better understand how users of the Mobile for Reproductive Health (m4RH) mHealth intervention engaged with the program in Tanzania from September 2013 to August 2016.
Methods: We conducted secondary data analysis of longitudinal data captured by system logs of participant interactions with the m4RH program from 127 districts in Tanzania from September 2013 to August 2016. Data cleaning and analysis was conducted using Stata 13. The data were examined for completeness and "correctness." No missing data was imputed; respondents with missing or incorrect values were dropped from the analyses.
Results: The total population for analysis included 3,673,702 queries among 409,768 unique visitors. New users represented roughly 11.15% (409,768/3,673,702) of all queries. Among all system queries for new users, 46.10% (188,904/409,768) users accessed the m4RH main menu. Among these users, 89.58% (169,218/188,904) accessed specific m4RH content on family planning, contraceptive methods, adolescent-specific and youth-specific information, and clinic locations after first accessing the m4RH main menu. The majority of these users (216,422/409,768, 52.82%) requested information on contraceptive methods; fewer users (23,236/409,768, 5.67%) requested information on clinic location. The conversion rate was highest during the first and second years of the program when nearly all users (11,246/11,470, 98.05%, and 33,551/34,830, 96.33%, respectively) who accessed m4RH continued on to query more specific content from the system. The rate of users that accessed m4RH and became active users declined slightly from 98.05% (11,246/11,470) in 2013 to 87.54% (56,696/64,765) in 2016. Overall, slightly more than one-third of all new users accessing m4RH sent queries at least once per month for 2 or more months, and 67.86% (278,088/409,768) of new and returning users requested information multiple times per month. Promotional periods were present for 15 of 36 months during the study period.
Conclusions: The analysis of the rich data captured provides a useful framework with which to measure the degree and nature of user engagement utilizing routine system-generated data. It also contributes to knowledge of how users engage with text messaging (short message service)-based health promotion interventions and demonstrates how data generated on user interactions could inform improvements to the design and delivery of a service, thereby enhancing its effectiveness.
(©Patrick S Olsen, Kate F Plourde, Christine Lasway, Eric van Praag. Originally published in JMIR Mhealth and Uhealth (http://mhealth.jmir.org), 01.11.2018.)
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فهرسة مساهمة: Keywords: data analysis; mHealth; mobile phone; short message service; user engagement
تواريخ الأحداث: Date Created: 20181104 Latest Revision: 20191120
رمز التحديث: 20240628
مُعرف محوري في PubMed: PMC6238099
DOI: 10.2196/10190
PMID: 30389651
قاعدة البيانات: MEDLINE
الوصف
تدمد:2291-5222
DOI:10.2196/10190