Targeted client communication via mobile devices for improving maternal, neonatal, and child health

Palmer, Melissa; Villanueva, Gemma; Maayan, Nicola; Tamrat, Tigest; Mehl, Garrett; Glenton, Claire; Lewin, Simon; Fønhus, Marita Sporstøl; Free, Caroline

doi:10.1002/14651858.cd013679

Cited by 35 publications

(56 citation statements)

References 155 publications

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“…M-Health was also found to be useful in encouraging consumption of micronutrient supplements in pregnancy [ 50 ]. Targeted messaging via mobile devices was found to marginally improve breastfeeding rates, but had little or no effect when compared to non-digital strategies [ 51 ]. Few studies within the reviews presented growth and mortality outcomes, but one study, which combined educational text messages and two-way voice calls found a significant reduction in perinatal mortality [ 52 ].…”

Section: Resultsmentioning

confidence: 99%

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Maternal-focused interventions to improve infant growth and nutritional status in low-middle income countries: A systematic review of reviews

et al. 2021

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Background Small and nutritionally at-risk infants under 6 months (<6m) are a vulnerable group at increased risk of mortality, morbidity, poor growth and sub-optimal development. Current national and international (World Health Organization) management guidelines focus mainly on infants’ needs, yet growing evidence suggests that maternal factors also influence infant outcomes. We aimed to inform future guidelines by exploring the impacts of maternal-focused interventions on infant feeding and growth. Methods We conducted a systematic review of reviews published since 2008 (PROSPERO, register number CRD 42019141724). We explored five databases and a wide variety of maternal-focused interventions based in low- and middle-income countries. Infant outcomes of interest included anthropometric status, birthweight, infant mortality, breastfeeding and complementary feeding practices. Given heterogenous interventions, we present a narrative synthesis of the extracted data. Results We included a total of 55 systematic reviews. Numerous maternal interventions were effective in improving infant growth or feeding outcomes. These included breastfeeding promotion, education, support and counselling interventions. Maternal mental health, while under-researched, showed potential to positively impact infant growth. There was also some evidence for a positive impact of: women’s empowerment, m-health technologies, conditional cash transfers, water, sanitation and hygiene and agricultural interventions. Effectiveness was increased when implemented as part of a multi-sectoral program. Antenatal supplementation with macronutrient, multiple micronutrients, Vitamin D, zinc, iron folic acid and possibly calcium, iodine and B12 in deficient women, improved birth outcomes. In contrast, evidence for postnatal supplementation was limited as was evidence directly focusing on small and nutritionally at-risk infants; most reviews focused on the prevention of growth faltering. Conclusion Our findings suggest sufficient evidence to justify greater inclusion of mothers in more holistic packages of care for small and nutritionally at-risk infants aged <6m. Context specific approaches are likely needed to support mother-infant dyads and ensure infants survive and thrive.

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Section: Resultsmentioning

confidence: 99%

“…m-Health. Three reviews focused on m-health interventions [50][51][52]. One found that LBW was less common among women in the intervention group (short message service, audio voice messages or a combination) compared with the control group [50].…”

Section: Plos Onementioning

confidence: 99%

Maternal-focused interventions to improve infant growth and nutritional status in low-middle income countries: A systematic review of reviews

et al. 2021

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“…The effectivity of technology use, particularly the one with a mobile device for pregnant women, gives a very significant influence [16]. First, the application use can encourage the mothers to breastfeed their babies more often.…”

Section: Discussionmentioning

confidence: 99%

Intervention Effects in Using an Application Compared with a Module with Pictures on Knowledge, Attitude, and Practice of the Pregnant Women in North Sumatra, Indonesia

Manurung

Santoso

Rochadi

et al. 2022

Open Access Maced J Med Sci

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BACKGROUND: Pregnancy period is a crucial period for the maternal and infant health. Unfortunately, there are still many pregnant women having low knowledge, attitude, and practice (KAP). Meanwhile, the advanced technology and the occurrence of pandemic should have created change toward the method to provide education. AIM: This research aims to compare the KAP of the pregnant women provided by an application with those provided with a module with pictures. METHODS: This research was conducted in Deli Serdang Regency, North Sumatera Province. There were two groups of pregnant women, each of which consists of 32 people chosen from the pregnant women registered in two Public Health Centers. One group used the application and the other used the module with pictures. After 3 months, the KAP of those two groups was measured in accordance with the content of the module. RESULTS: Those two groups had the profile of the same age and education, but their occupation was different, where the application users were mostly housewives, while the most of the module users were self-employed. The pregnant women using the application had a higher KAP than the pregnant women using the module with pictures. CONCLUSION: The use of the application and the module with pictures is an important alternative to increase the KAP of the pregnant women.

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“…In Rhekiss, reminders for the questionnaire are sent out through the application only once when the corresponding module (e.g., first/second trimester) is activated. More advanced targeted client communication (e.g., more reminders) may be an option to increase patient participation, although the value of the targeted client communication approach via mobile devices has been questioned in a Cochrane review (28). Increased numbers of error prompts could be useful, considering that the option to leave questions unanswered is regarded as a relevant matter of choice (17,29).…”

Section: Discussionmentioning

confidence: 99%

Mobile Responsive App—A Useful Additional Tool for Data Collection in the German Pregnancy Register Rhekiss?

et al. 2021

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Background: The German pregnancy register Rhekiss is designed as a nationwide, web-based longitudinal observational cohort established in 2015. The register follows women with inflammatory rheumatic disease prospectively from child wish or early pregnancy until 2 years post-partum. Information on clinical and laboratory parameters, drug treatment, and (adverse) pregnancy outcomes are documented in pre-specified intervals. Physicians and patients report data for the same time periods via separated accounts and forms into a web-based application (app). As data entry on mobile devices might improve response rates of patients, a responsive app as a further convenient documentation option was developed.Methods: The Rhekiss-app is available for self-reported data retrieval since August 2017 from the App stores. For the current analysis, Rhekiss register data were used from the start of the register until 30 September 2020. The analyses were performed for forms containing information on devices. Outcome parameters were compared for mobile and desktop users for the quantity and quality of filled forms.Results: In total, 5,048 forms were received and submitted by 966 patients. About 57% of forms were sent from mobile devices with the highest numbers in patients with child wishes (63%). Users of mobile devices were slightly younger and often had less high-education level (62 vs. 79%) compared with desktop users. The proportion of forms submitted via mobile devices increased steadily from 48% in the fourth quarter of 2018 to 64% in the third quarter of 2020. The proportion of forms received before and after the Rhekiss-app implementation increased with the highest increase of 12% for forms filled at time point 12 months post-partum. Mobile users submitted significantly more forms than desktop users (2.9 vs. 2.1), data sent via desktops were more often complete (88 vs. 86%).Conclusion: The responsive app is a valuable additional tool for data collection and is well-accepted by patients as indicated by its increasing use in Rhekiss. Apart from desktop/browser developments, the technological adoptions within observational cohorts and registries should take smartphone requirements and developments into account, especially when patient-reported data in young, mobile patients are collected, bearing in mind that data quality could be compromised and concepts for improving data quality should be implemented.

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Targeted client communication via mobile devices for improving maternal, neonatal, and child health

Abstract: Targeted client communication via mobile devices for improving maternal, neonatal, and child health (Review)

Cited by 35 publications

References 155 publications

Maternal-focused interventions to improve infant growth and nutritional status in low-middle income countries: A systematic review of reviews

Maternal-focused interventions to improve infant growth and nutritional status in low-middle income countries: A systematic review of reviews

Intervention Effects in Using an Application Compared with a Module with Pictures on Knowledge, Attitude, and Practice of the Pregnant Women in North Sumatra, Indonesia

Mobile Responsive App—A Useful Additional Tool for Data Collection in the German Pregnancy Register Rhekiss?

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