User acceptability and perceived impact of a mobile interactive education and support group intervention to improve postnatal health care in northern India: a qualitative study.

IF 3.3 3区 医学 Q2 MEDICAL INFORMATICS
Valentina Cox, Preetika Sharma, Garima Singh Verma, Navneet Gill, Nadia G Diamond-Smith, Mona Duggal, Vijay Kumar, Rashmi Bagga, Jasmeet Kaur, Pushpendra Singh, Alison M El Ayadi
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引用次数: 0

Abstract

Background: Postnatal care, crucial for preventing and assessing complications after birth, remains low in India. An interactive mHealth community-based postnatal intervention was implemented to promote healthy maternal behaviors through knowledge and social support in rural Northern India. However, there is limited information on how virtual health interventions in resource-constrained settings are perceived by the users and which elements influence their engagement and sustained participation.

Objective: We explored the user perceptions of acceptability and impact of a virtual interactive maternal and child health intervention pilot tested in Punjab State, India, including their perspectives on barriers and facilitators to engage with this intervention.

Methods: This qualitative study was embedded within extensive mixed-method research, and oriented by the Realist Evaluation approach. Sixteen participants were recruited from the parent study. They were identified by purposive sampling to cover diverse levels of attendance and engagement with the intervention. In-depth interviews were conducted by phone. Following translation, a framework analysis was completed to search for the main themes. Feedback was requested from intervention moderators during the process to prioritize local interpretation.

Results: Study participants reported overall satisfaction with the intervention. The mothers appreciated the educational material provided and the communication with other participants and health professionals. Across context, intervention, and actor domains, the barriers most commented on were network and connectivity challenges, lack of time due to household responsibilities, and feeling uncomfortable sharing personal experiences. Family buy-in and support were fundamental for overcoming the high domestic workload and baby care. Another facilitator mentioned was moderators' guidance on using the different intervention modalities. Regarding perceived impact, participants shared that MeSSSSage increased their capability and motivation to breastfeed, seek care as needed, and use contraception according to their preferences. Finally, participants suggested adding more topics to the educational content and adjusting the dynamics within the group calls to improve the intervention.

Conclusions: This study identifies the high acceptability and perceived impact of a novel postnatal care program in a rural setting, including the users' perceived barriers to engaging with the intervention and possible solutions to overcome them. These findings enable refinement of the ongoing intervention, providing a more robust framing for its scalability and long-term sustainability. On a larger scale, conclusions from this research provide new insights and encouragement to global stakeholders who aspire to improve maternal and neonatal outcomes in low-income and middle-income countries through mHealth.

Trial registration: ClinicalTrials.gov NCT04693585 (Registration date: 05/01/21).

移动互动教育和支持小组干预改善印度北部产后保健的用户可接受性和感知影响:一项定性研究。
背景:产后护理对预防和评估出生后并发症至关重要,在印度仍然很低。在印度北部农村实施了基于社区的交互式移动健康产后干预,通过知识和社会支持促进健康的孕产妇行为。然而,关于用户如何看待资源受限环境下的虚拟卫生干预措施以及哪些因素影响他们的参与和持续参与的信息有限。目的:我们探讨了用户对在印度旁遮普邦测试的虚拟互动式妇幼保健干预试点的可接受性和影响的看法,包括他们对参与这一干预的障碍和促进因素的看法。方法:本定性研究嵌入广泛的混合方法研究中,并以现实主义评价方法为导向。从父母研究中招募了16名参与者。他们是通过有目的的抽样来确定的,以涵盖不同程度的出席和参与干预。深度采访是通过电话进行的。在翻译之后,完成了一个框架分析,以寻找主题。在优先考虑本地口译的过程中,干预主持人提出了反馈意见。结果:研究参与者报告了对干预的总体满意度。母亲们对提供的教育材料以及与其他参与者和保健专业人员的交流表示赞赏。在背景、干预和参与者领域中,评论最多的障碍是网络和连接挑战、由于家庭责任而缺乏时间、以及分享个人经历感到不舒服。家庭的支持和支持是克服繁重的家务和照顾婴儿的根本。另一个推动者提到的是主持人对使用不同干预方式的指导。关于感知到的影响,参与者分享了messsage提高了他们母乳喂养的能力和动力,根据需要寻求护理,并根据自己的喜好使用避孕措施。最后,与会者建议在教育内容中增加更多的主题,并调整小组通话的动态,以改善干预。结论:本研究确定了一种新型产后护理方案在农村环境中的高可接受性和感知影响,包括用户参与干预的感知障碍和克服这些障碍的可能解决方案。这些发现有助于改进正在进行的干预措施,为其可扩展性和长期可持续性提供更强大的框架。在更大的范围内,本研究的结论为渴望通过移动医疗改善低收入和中等收入国家孕产妇和新生儿结局的全球利益攸关方提供了新的见解和鼓励。试验注册:ClinicalTrials.gov NCT04693585(注册日期:05/01/21)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
7.20
自引率
5.70%
发文量
297
审稿时长
1 months
期刊介绍: BMC Medical Informatics and Decision Making is an open access journal publishing original peer-reviewed research articles in relation to the design, development, implementation, use, and evaluation of health information technologies and decision-making for human health.
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