A randomized controlled trial of the impact of a family planning mHealth service on knowledge and use of contraception

Johnson, Douglas; Juras, Randall; Riley, Pamela; Chatterji, Minki; Sloane, Phoebe; Choi, Soon Kyu; Johns, Ben

doi:10.1016/j.contraception.2016.07.009

Cited by 62 publications

(98 citation statements)

References 15 publications

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“…Another RCT in Cambodia observed higher rates of contraceptive use among women using an interactive voice recording system and optional counsellor phone call . In contrast, two SMS studies in Africa (m4RH in Kenya and 6001 system in Uganda) did not observe improved contraceptive uptake . There are important differences between our trial and these studies, both in terms of the intervention and the target population.…”

Section: Discussionmentioning

confidence: 96%

“…The m4RH intervention targeted general consumers who signed up for two‐way informational family planning SMS. While messages improved knowledge, contraceptive use did not increase, and response rates were low (13.5–51.8%) . The 6001 system allowed phone users to text questions and responded with pre‐prepared advice using an algorithm but found no increase in knowledge or change in attitudes .…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Short message service communication improves exclusive breastfeeding and early postpartum contraception in a low‐ to middle‐income country setting: a randomised trial

Unger

Ronen

Perrier

et al. 2018

BJOG

173

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Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

Short message service communication improves exclusive breastfeeding and early postpartum contraception in a low‐ to middle‐income country setting: a randomised trial

Unger

Ronen

Perrier

et al. 2018

BJOG

173

View full text Add to dashboard Cite

show abstract

“…However, two of the projects included here have been rigorously evaluated. In a randomized control trial, m4RH had a significant impact on family planning knowledge, although it was not associated with improvements in family planning use [29]. A randomized control trial for m-ASSIST found that between baseline and follow-up, anxiety decreased more ( p = 0.013) and less emotional stress was experienced ( p = 0.015) in the intervention group who received standard of care plus mobile messaging, compared to the group only receiving standard of care.…”

Section: Discussionmentioning

confidence: 99%

Meet us on the phone: mobile phone programs for adolescent sexual and reproductive health in low-to-middle income countries

2017

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IntroductionmHealth as a technical area has seen increasing interest and promise from both developed and developing countries. While published research from higher income countries on mHealth solutions for adolescent sexual and reproductive health (SRH) is growing, there is much less documentation of SRH mHealth interventions for youth living in resource-poor settings. We conducted a global landscape analysis to answer the following research question: How are programs using mHealth interventions to improve adolescent SRH in low to middle income countries (LMICs)?MethodsTo obtain the latest information about mHealth programs targeting youth SRH, a global call for project resources was issued in 2014. Information about approximately 25 projects from LMICs was submitted. These projects were reviewed to confirm that mobile phones were utilized as a key communication media for the program, that youth ages 10–24 were a prime target audience, and that the program used mobile phone features beyond one-on-one phone calls between youth and health professionals.ResultsA total of 17 projects met our inclusion criteria. Most of these projects were based in Africa (67%), followed by Eurasia (26%) and Latin America (13%). The majority of projects used mHealth as a health promotion tool (82%) to facilitate knowledge sharing and behavior change to improve youth SRH. Other projects (18%) used mHealth as a way to link users to essential SRH services, including family planning counseling and services, medical abortion and post-abortion care, and HIV care and treatment. There was little variation in delivery methods for SRH content, as two-thirds of the projects (70%) relied on text messaging to transmit SRH information to youth. Several projects have been adapted and scaled to other countries.DiscussionFindings suggest that mHealth interventions are becoming a more common method to connect youth to SRH information and services in LMICs, and evidence is emerging that mobile phones are an effective way to reach young people and to achieve knowledge and behavior change. More understanding is needed about the challenges of data privacy and phone access, especially among younger adolescents, and the role that mHealth solutions for adolescent SRH should play in health programming for young people.Electronic supplementary materialThe online version of this article (doi:10.1186/s12978-016-0276-z) contains supplementary material, which is available to authorized users.

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“…Interventions have sought to improve adherence to specific methods of contraception such as oral contraceptive or injectable [2–4], or improve use of a range of contraceptive methods [5–7]. To date, the trial evidence for mobile phone-based interventions to increase contraception use is mixed.…”

Section: Introductionmentioning

confidence: 99%

“…Automated text message reminders did not improve oral contraceptive or injectable adherence in two small trials in the USA [3, 4]. Text messages and role model stories were reported to be associated with increased knowledge but not behaviour change in Kenya [7]. Thus, whilst interventions delivered by mobile phone to improve contraception use show promise, greater understanding of what works, for whom and under what circumstances is required.…”

Section: Introductionmentioning

confidence: 99%

Women’s views and experiences of a mobile phone-based intervention to support post-abortion contraception in Cambodia

et al. 2017

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BackgroundThe MObile Technology for Improved Family Planning (MOTIF) trial assessed a mobile phone-based intervention comprising voice messages and counsellor support to increase post-abortion contraception at four Marie Stopes International clinics in Cambodia. The aim of this process evaluation was to assess women’s views and experiences of receiving the MOTIF intervention, gain insights into the mechanism of action of the intervention and seek recommendations for improvements.MethodsWe conducted a qualitative study comprising15 semi-structured interviews with women who had received the intervention and undertook a simple thematic analysis.ResultsWe identified themes relating to communication via mobile phone, supporting contraception use, broader post-abortion care, interaction with family and friends and suggestions for improvement. The majority of women were positive about the mobile phone-based intervention to support contraception use and reported it to be a convenient way to ask questions or get advice without going to a health centre, although a few women found the voice messages intrusive.The intervention supported contraception use by provision of information, encouragement, reminders to return to clinic, reassurance and advice for problems and had a positive effect on contraceptive uptake and continuation. Women reported a sense of being cared for and received support for additional physical and emotional issues. Most women thought that the duration of the intervention and frequency of messages were acceptable.ConclusionsThe majority of women were positive about the mobile phone-based intervention which provided support for contraception use as well as additional physical and emotional issues. The study provides some insights into how the intervention might have worked and considers how the intervention could be improved.

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A randomized controlled trial of the impact of a family planning mHealth service on knowledge and use of contraception

Cited by 62 publications

References 15 publications

Short message service communication improves exclusive breastfeeding and early postpartum contraception in a low‐ to middle‐income country setting: a randomised trial

Short message service communication improves exclusive breastfeeding and early postpartum contraception in a low‐ to middle‐income country setting: a randomised trial

Meet us on the phone: mobile phone programs for adolescent sexual and reproductive health in low-to-middle income countries

Women’s views and experiences of a mobile phone-based intervention to support post-abortion contraception in Cambodia

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