Using mHealth to Support Queensland Mothers and Children From Birth to Two Years: A Longitudinal Study of Connecting2u

IF 1.5 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Lisa Irene Jones, Brett Dyer, Amanda Wedemeyer, Lieke Vorage, Nicola Wiseman, Alanna Philipson, Skye Frazer-Ryan, Andrew Resetti, Neil Harris
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引用次数: 0

Abstract

Introduction

Connecting2u (C2u) is a mobile health (mHealth) intervention supporting Queensland families. The 2021–2023 iteration focused on the first 2 years of a child's life. This study evaluated whether C2u supported maternal and child well-being during this period.

Methods

This longitudinal study used a self-administered online survey at four points over 2 years. Survey items included the Karitane Parenting Confidence Scale, Modified Medical Outcome Social Support survey, child immunisation status, agreement statements, and open-ended questions on C2u support and satisfaction. Parenting confidence and social support were modelled using linear quantile mixed models; univariate and qualitative content analysis were applied to remaining items.

Results

Parenting confidence increased over the first 12 months, with faster improvements among first-time parents and modestly faster gains among parents with university-level education. Social support scores showed little change over the 2-year period, although qualitative data suggested C2u encouraged conversations between parents. Agreement statements indicated that C2u was well received and supported preventative health behaviours. Qualitative feedback reinforced these findings, with participants describing C2u as an extra layer of support, prompting self-care, encouraging bonding with their child, and offering timely guidance on introducing solids. By the end of the study, 100% of participants indicated their child had received the full schedule of age-appropriate immunisations.

Conclusions

C2u was well received by mothers. Enhancing its focus on partner support, expanding social support networks, guidance on sibling bonding, and self-care strategies could be beneficial. Queensland Health could consider implementing an online booking system to streamline child health appointments. So what? C2u is an innovative mHealth intervention. Our findings support refinement as C2u expands to include antenatal care messaging and support for children up to 5 years, helping to optimise outcomes for families.

Abstract Image

使用移动医疗支持昆士兰州母亲和儿童从出生到两岁:连接2u的纵向研究。
简介:Connecting2u (C2u)是一个支持昆士兰家庭的移动健康(mHealth)干预。2021-2023年的迭代重点关注儿童生命的头两年。本研究评估了C2u在这一时期是否支持了孕产妇和儿童的福祉。方法:本纵向研究采用自我管理的在线调查,为期2年,分4个时间点进行。调查项目包括Karitane父母信心量表、改良医疗结果社会支持调查、儿童免疫状况、协议声明以及关于C2u支持和满意度的开放式问题。采用线性分位数混合模型对父母信心和社会支持进行建模;其余项目采用单因素和定性含量分析。结果:在最初的12个月里,父母的信心增加了,第一次父母的信心增加得更快,受过大学教育的父母的信心增加得更快。社会支持得分在两年期间几乎没有变化,尽管定性数据表明C2u鼓励父母之间的对话。协议声明表明,C2u受到欢迎并支持预防性健康行为。定性反馈强化了这些发现,参与者将C2u描述为额外的支持层,促进自我照顾,鼓励与孩子建立联系,并在引入固体时提供及时的指导。到研究结束时,100%的参与者表示他们的孩子已经接受了与年龄相适应的免疫接种。结论:C2u的使用效果良好。加强对伴侣支持的关注,扩大社会支持网络,对兄弟姐妹关系的指导,以及自我照顾策略可能是有益的。昆士兰州卫生局可以考虑实施一个在线预约系统,以简化儿童健康预约。那又怎样?C2u是一种创新的移动医疗干预。我们的研究结果支持改进,因为C2u扩展到包括产前保健信息和对5岁以下儿童的支持,有助于优化家庭的结果。
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来源期刊
Health Promotion Journal of Australia
Health Promotion Journal of Australia PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
3.10
自引率
10.50%
发文量
115
期刊介绍: The purpose of the Health Promotion Journal of Australia is to facilitate communication between researchers, practitioners, and policymakers involved in health promotion activities. Preference for publication is given to practical examples of policies, theories, strategies and programs which utilise educational, organisational, economic and/or environmental approaches to health promotion. The journal also publishes brief reports discussing programs, professional viewpoints, and guidelines for practice or evaluation methodology. The journal features articles, brief reports, editorials, perspectives, "of interest", viewpoints, book reviews and letters.
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