Continuing Education Module—Information Needs and Information-Seeking Processes of Low-Income Pregnant Women in Relation to Digital Maternity Education Resources

Arcia, Adriana; Stonbraker, Samantha; Warner, Eva R.

doi:10.1891/1058-1243.28.3.151

Cited by 18 publications

(51 citation statements)

References 55 publications

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“…Furthermore, within the global health community, we must look across specific content areas toward the broader themes emerging within the literature on technology-based interventions. Consistent with previous studies, this serves as a call to action to pair formative research with strong evidence-based design, combining messaging type and content with optimum technology platforms to effectively improve health outcomes [ 17 , 18 , 28 , 59 , 63 - 67 , 78 ].…”

Section: Discussionsupporting

confidence: 54%

Perceptions and Attitudes Toward Mobile Health in Development of an Exclusive Breastfeeding Tool: Focus Group Study With Caregivers and Health Promoters in the Dominican Republic

Casilang

Stonbraker²,

Japa³

et al. 2020

JMIR Pediatr Parent

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Background Despite growing interest in the use of technology to improve health outcomes in low- and middle-income countries (LMICs), local attitudes toward mobile health (mHealth) use in these settings are minimally understood. This is especially true in the Dominican Republic, where mHealth interventions are starting to emerge. This information is critical for developing effective mHealth interventions to address public health issues, such as low exclusive breastfeeding (EBF) rates, which can lead to poor outcomes. With an EBF rate of 5% in the first 6 months of life, the Dominican Republic has one of the lowest EBF rates worldwide. Objective This study aims to describe the current use of information and communication technology (ICT) and to analyze the attitudes and perceptions related to using mHealth interventions among caregivers of children aged ≤5 years and health promoters in the Dominican Republic. Findings can inform mHealth strategies aimed at improving EBF in this, and other, LMICs. Methods Participants were recruited from 3 outpatient sites: the Niños Primeros en Salud program at Centro de Salud Divina Providencia in Consuelo (rural setting) and Clínica de Familia La Romana and its program Módulo de Adolescentes Materno Infantil in La Romana (urban setting). Focus groups were conducted with caregivers and community health promoters to identify the use, attitudes, perceptions, and acceptability of mHealth as well as barriers to EBF. Discussions were conducted in Spanish, guided by semistructured interview guides. All sessions were audio-recorded and later transcribed. Thematic content analysis was conducted in Spanish by two bilingual researchers and was structured around a hybrid behavioral theory framework to identify salient themes. Results All participants (N=35) reported having a mobile phone, and 29 (83%) participants had a smartphone. Sources for obtaining health information included the internet, physicians and clinic, family and friends, health promoters, and television. Barriers to mHealth use included the cost of internet service, privacy concerns, and perceived credibility of information sources. Participants indicated the desire for, and willingness to use, an mHealth intervention to support breastfeeding. The desired features of a possible mHealth intervention included offering diverse methods of information delivery such as images and video content, text messages, and person-to-person interaction as well as notifications for appointments, vaccines, and feeding schedules. Other important considerations were internet-free access and content that included maternal and child health self-management topics beyond breastfeeding. Conclusions There is a high level of acceptance of ICT tools for breastfeeding promotion among caregivers in urban and rural areas of the Dominican Republic. As mHealth tools can contribute to increased breastfeeding self-efficacy, identifying desirable features of such a tool is necessary to create an effective intervention. Participants wanted to receive trusted and reliable information through various formats and were interested in information beyond breastfeeding.

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Section: Discussionsupporting

confidence: 54%

Perceptions and Attitudes Toward Mobile Health in Development of an Exclusive Breastfeeding Tool: Focus Group Study With Caregivers and Health Promoters in the Dominican Republic

Casilang

Stonbraker²,

Japa³

et al. 2020

JMIR Pediatr Parent

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Section: Strengthssupporting

confidence: 57%

Perceptions and Attitudes Toward Mobile Health in Development of an Exclusive Breastfeeding Tool: Focus Group Study With Caregivers and Health Promoters in the Dominican Republic (Preprint)

Casilang¹,

Stonbraker²,

Japa³

et al. 2020

Preprint

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BACKGROUND Despite growing interest in the use of technology to improve health outcomes and health care delivery in low- and middle-income countries (LMIC), local attitudes towards mHealth use in these settings are minimally understood. This is especially true in the Dominican Republic, where attitudes toward mHealth have not been fully assessed. Yet, this information is critical for developing effective mHealth interventions to address public health problems, such as low rates of exclusive breastfeeding (EBF), which can lead to poor infant outcomes. With an EBF rate of 5% in the first 6 months of life, the Dominican Republic (DR) has one of the lowest EBF rates worldwide. OBJECTIVE This study aimed to describe the current use of information and communication technologies (ICT) and to analyze the attitudes and perceptions related to using cellular phones for mobile health (mHealth) interventions among caregivers of children ≤5 years old and health promoters in the DR. Findings can inform mHealth strategies aiming to improve EBF in this, and other, LMICs. METHODS Participants were recruited from three outpatient sites: the Niños Primeros en Salud program based at Centro de Salud Divina Providencia in Consuelo (rural setting), Clínica de Familia La Romana and its program Módulo de Adolescentes Materno Infantil in La Romana (urban setting). Focus groups were conducted with caregivers of infants and community health promoters to identify use, attitudes, perceptions, and acceptability of mHealth as well as barriers to EBF. Discussions were conducted in Spanish, guided by a semi-structured interview guide. All sessions were audio recorded and later transcribed. Thematic content analysis was conducted in Spanish by two bilingual researchers and was structured around a hybrid behavioral theory framework to identify salient themes. RESULTS All participants (n=35) reported having a cellular phone and 29 (83%) had smartphone technology. Sources for obtaining health information included internet, physician/clinic, family/friends, health promoters, and television. Barriers to mHealth use included cost of internet service, privacy concerns, and perceived credibility of sources. Participants indicated desire for, and willingness to use, a mHealth intervention to support breastfeeding. Desired features of a possible mHealth intervention included offering diverse methods of information delivery such as images/video content, text messages and person-to-person interaction, as well as notifications for appointments/vaccines/feeding schedule. Other important considerations were internet-free access and content that included maternal and child health self-management topics beyond breastfeeding. CONCLUSIONS There is a high level of acceptance for ICT tools for breastfeeding promotion among caregivers in urban and rural areas of the Dominican Republic. As mHealth tools can contribute to increased breastfeeding self-efficacy, identifying desirable features of such a tool is necessary to create a meaningful and useful intervention. Participants wanted to receive trusted, reliable information through various formats and were interested in information beyond breastfeeding.

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“…Research shows that, in addition to regularly consulting the internet, women go to midwives and consider them their best source of information [ 12 , 13 , 51 ]. Although useful, these web tools are not sufficient to meet all the needs of women at this stage [ 52 ]. Their full potential would be achieved as support options, serving women who wish to take a more active role in managing their health.…”

Section: Discussionmentioning

confidence: 99%

Design of the Maternal Website EMAeHealth That Supports Decision-Making During Pregnancy and in the Postpartum Period: Collaborative Action Research Study

Artieta-Pinedo

Paz-Pascual

Bully³

et al. 2021

JMIR Form Res

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Background Despite the benefit maternal education has for women, it needs new tools to increase its effectiveness and scope, in tune with the needs of current users. Objective We attempted to develop a multifunctional personalized eHealth platform aimed at the self-management of health in relation to maternity, which can be considered a flexible and adaptable maternal education tool. Methods The International Patient Decision Aid Standards (IPDAS) were applied. A website prototype was developed for implementation in the public health system using a collaborative action research process, in which experts and patients participate, with qualitative research techniques, as well as focus groups, prioritization, and consensus techniques. Results We have proposed a website that includes (1) systematically updated information related to clinical practice guidelines, (2) interaction between peers and users/professionals, (3) instruments for self-assessment of health needs as a basis for working on counseling, agreement on actions, help in the search for resources, support in decision-making, and monitoring and evaluation of results, and (4) access for women to their clinical data and the option of sharing the data with other health agents. These components, with different access requirements, would be reviewed through iterative cycles depending on the frequency and effectiveness resulting from their use and would be accessible from any digital device. Conclusions A website that supports maternal education should contain not only information, but also resources for individual attention and social support. Its usefulness for the health and satisfaction of women should be evaluated in various different environments.

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Continuing Education Module—Information Needs and Information-Seeking Processes of Low-Income Pregnant Women in Relation to Digital Maternity Education Resources

Cited by 18 publications

References 55 publications

Perceptions and Attitudes Toward Mobile Health in Development of an Exclusive Breastfeeding Tool: Focus Group Study With Caregivers and Health Promoters in the Dominican Republic

Perceptions and Attitudes Toward Mobile Health in Development of an Exclusive Breastfeeding Tool: Focus Group Study With Caregivers and Health Promoters in the Dominican Republic

Perceptions and Attitudes Toward Mobile Health in Development of an Exclusive Breastfeeding Tool: Focus Group Study With Caregivers and Health Promoters in the Dominican Republic (Preprint)

Design of the Maternal Website EMAeHealth That Supports Decision-Making During Pregnancy and in the Postpartum Period: Collaborative Action Research Study

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