scholarly journals Insights From a Text Messaging–Based Sexual and Reproductive Health Information Program in Tanzania (m4RH): Retrospective Analysis (Preprint)

2018 ◽  
Author(s):  
Patrick S Olsen ◽  
Kate F Plourde ◽  
Christine Lasway ◽  
Eric van Praag
Keyword(s):  
Reproductive Health ◽  
Text Messaging ◽  
Secondary Data ◽  
Specific Information ◽  
User Engagement ◽  
Contraceptive Methods ◽  
Main Menu ◽  
User Interactions ◽  
Specific Content ◽  
Mhealth Intervention

BACKGROUND Many mobile health (mHealth) interventions have the potential to generate and store vast amounts of system-generated participant interaction data that could provide insight into user engagement, programmatic strengths, and areas that need improvement to maximize efficacy. However, despite the popularity of mHealth interventions, there is little documentation on how to use these data to monitor and improve programming or to evaluate impact. OBJECTIVE This study aimed to better understand how users of the Mobile for Reproductive Health (m4RH) mHealth intervention engaged with the program in Tanzania from September 2013 to August 2016. METHODS We conducted secondary data analysis of longitudinal data captured by system logs of participant interactions with the m4RH program from 127 districts in Tanzania from September 2013 to August 2016. Data cleaning and analysis was conducted using Stata 13. The data were examined for completeness and “correctness.” No missing data was imputed; respondents with missing or incorrect values were dropped from the analyses. RESULTS The total population for analysis included 3,673,702 queries among 409,768 unique visitors. New users represented roughly 11.15% (409,768/3,673,702) of all queries. Among all system queries for new users, 46.10% (188,904/409,768) users accessed the m4RH main menu. Among these users, 89.58% (169,218/188,904) accessed specific m4RH content on family planning, contraceptive methods, adolescent-specific and youth-specific information, and clinic locations after first accessing the m4RH main menu. The majority of these users (216,422/409,768, 52.82%) requested information on contraceptive methods; fewer users (23,236/409,768, 5.67%) requested information on clinic location. The conversion rate was highest during the first and second years of the program when nearly all users (11,246/11,470, 98.05%, and 33,551/34,830, 96.33%, respectively) who accessed m4RH continued on to query more specific content from the system. The rate of users that accessed m4RH and became active users declined slightly from 98.05% (11,246/11,470) in 2013 to 87.54% (56,696/64,765) in 2016. Overall, slightly more than one-third of all new users accessing m4RH sent queries at least once per month for 2 or more months, and 67.86% (278,088/409,768) of new and returning users requested information multiple times per month. Promotional periods were present for 15 of 36 months during the study period. CONCLUSIONS The analysis of the rich data captured provides a useful framework with which to measure the degree and nature of user engagement utilizing routine system-generated data. It also contributes to knowledge of how users engage with text messaging (short message service)-based health promotion interventions and demonstrates how data generated on user interactions could inform improvements to the design and delivery of a service, thereby enhancing its effectiveness.

scholarly journals Social Media Content About Children’s Pain and Sleep: Content and Network Analysis (Preprint)

2018 ◽  
Author(s):  
Michelle E Tougas ◽  
Christine T Chambers ◽  
Penny Corkum ◽  
Julie M Robillard ◽  
Anatoliy Gruzd ◽  
...  
Keyword(s):  
Social Media ◽  
Network Analysis ◽  
Child Health ◽  
Information Exchange ◽  
Research Evidence ◽  
Specific Information ◽  
User Engagement ◽  
User Interactions ◽  
Personal Experiences ◽  
Children's Pain

BACKGROUND Social media is often used for health communication and can facilitate fast information exchange. Despite its increasing use, little is known about child health information sharing and engagement over social media. OBJECTIVE The primary objectives of this study are to systematically describe the content of social media posts about child pain and sleep and identify the level of research evidence in these posts. The secondary objective is to examine user engagement with information shared over social media. METHODS Twitter, Instagram, and Facebook were searched by members of the research team over a 2-week period using a comprehensive search strategy. Codes were used to categorize the content of posts to identify the frequency of content categories shared over social media platforms. Posts were evaluated by content experts to determine the frequency of posts consistent with existing research evidence. User engagement was analyzed using Netlytic, a social network analysis program, to examine visual networks illustrating the level of user engagement. RESULTS From the 2-week period, nearly 1500 pain-related and 3800 sleep-related posts were identified and analyzed. Twitter was used most often to share knowledge about child pain (639/1133, 56.40% of posts), and personal experiences for child sleep (2255/3008, 75.00% of posts). For both topics, Instagram posts shared personal experiences (53/68, 78% pain; 413/478, 86.4% sleep), Facebook group posts shared personal experiences (30/49, 61% pain; 230/345, 66.7% sleep) and Facebook pages shared knowledge (68/198, 34.3% pain; 452/1026, 44.05% sleep). Across platforms, research evidence was shared in 21.96% (318/1448) of pain- and 9.16% (445/4857) of sleep-related posts; 5.38% (61/1133) of all pain posts and 2.82% (85/3008) of all sleep posts shared information inconsistent with the evidence, while the rest were absent of evidence. User interactions were indirect, with mostly one-way, rather than reciprocal conversations. CONCLUSIONS Social media is commonly used to discuss child health, yet the majority of posts do not contain research evidence, and user engagement is primarily one-way. These findings represent an opportunity to expand engagement through open conversations with credible sources. Research and health care communities can benefit from incorporating specific information about evidence within social media posts to improve communication with the public and empower users to distinguish evidence-based content better. Together, these findings have identified potential gaps in social media communication that may be informative targets to guide future strategies for improving the translation of child health evidence over social media.

scholarly journals “This is not my decision; I have no alternative”. Perceptions and experiences of marriage age and family planning among Syrian women and men: a primary care study

2021 ◽  
Vol 22 ◽  
Author(s):  
Pinar Döner ◽  
Kadriye Şahin
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Family Planning ◽  
Reproductive Health ◽  
Religious Beliefs ◽  
Economic Status ◽  
Cultural Beliefs ◽  
Contraceptive Methods ◽  
Factors Affecting ◽  
Primary Health

Abstract Purpose: Reproductive health includes the capability to reproduce and the freedom to decide. In this context, both women and men have rights. In this study, it is aimed to reveal the obstacles in using these rights and to describe perceptions on marriage and family planning (FP) of Syrian women and men and to increase awareness for developing new policies on the Primary Health Care. Methods: The study was conducted using qualitative method, consisting of in-depth interviews with 54 participants; 43 women and 11 men who had to emigrate from varied regions of Syria at different times since 2011. Syrian women living in Hatay, in the south of Turkey were identified from Primary Health Care Center. Most of the Syrian women had given birth to the first two children before the age of 20 years. The interviewees were selected by purposive and snowball sampling. Results: The result was examined under seven headings: knowledge about FP and contraceptive methods, hesitation about contraceptive methods, emotional pressure of family and fear of maintaining marriage, embarrassing of talking about sexuality and contraception, the effects of belief and culture on contraception, psychological reflections of war, and changes in the perception of health during the process of immigration. The most significant factors affecting the approaches to FP and contraceptive methods of the women in this study were determined to be education, traditions, economic status, and religious beliefs. The most important factors affecting participants’ FP and contraceptive method approaches are education, cultural beliefs, economic status, and religious beliefs. Conclusions: The primary healthcare centers are at a very strategical point for offering FP services to help address patients’ unmet contraceptive needs and improve pregnancy outcomes. More attention should be paid to social determinants that influence the access to reproductive health. Moreover, efforts can be done to address gender inequality that intercept FP. The most important strategy for primary health systems to follow the gender barriers that hinder access to FP services and men are empowered to share responsibility for FP.

Caregiver–provider communication about pain in persons with dementia

Dementia ◽  
2021 ◽  
pp. 147130122110368
Author(s):  
Catherine Riffin ◽  
Karlee Patrick ◽  
Sylvia L. Lin ◽  
M. Carrington Reid ◽  
Keela Herr ◽  
...  
Keyword(s):  
Family Caregivers ◽  
Interpersonal Conflict ◽  
Specific Information ◽  
Provider Communication ◽  
Care Providers ◽  
Specific Content ◽  
Communication Processes ◽  
Inadequate Information ◽  
Pain Scales ◽  
Rapport Building

Background Pain in older persons with dementia is both under-detected and under-managed. Family caregivers can play an important role in addressing these deficiencies by communicating their care recipient’s symptoms and behaviors to medical providers, but little is known about how caregivers and providers approach pain-related discussions in the context of dementia. The goal of this study was to explore how ambulatory care providers and family caregivers of persons with dementia view pain communication. Methods In-depth, semi-structured interviews were conducted with family caregivers ( n = 18) and healthcare providers involved in dementia care ( n = 16). Interviews focused on three specific content areas: (1) caregivers’ roles in communicating about pain in persons with dementia, (2) challenges experienced when communicating about pain in persons with dementia, and (3) strategies and recommendations for optimizing communication in this context. All interviews were audio-recorded, transcribed, and analyzed using the constant comparative method of data analysis. Results Caregivers and providers described various roles that caregivers assumed in communication processes, such as serving as historians, interpreters, and advocates. They identified two key features of problematic communication—receipt of inadequate information and interpersonal conflict about the care recipient’s pain—and articulated how ambiguity around pain and dementia, as well as preexisting beliefs and emotions, contributed to communication challenges. They also offered several suggestions to improve caregiver–provider communication processes, including the use of (1) written records to enhance the accuracy of caregivers’ reports and ensure that providers had specific information to inform symptom management and treatment plans, (2) pain scales and follow-up discussions to establish baseline data and clarify treatment recommendations, and (3) collaboration and rapport-building strategies to validate the caregivers’ contributions and maximize a team-based decision-making. Conclusion Receipt of inadequate information and interpersonal conflict are key challenges to caregiver–provider communication regarding pain in persons with dementia. Written records, pain scales, and rapport-building strategies may help to address these challenges.

scholarly journals The promise and peril of mHealth in developing countries

2013 ◽  
Vol 1 (1) ◽  
pp. 69-75 ◽  
Author(s):  
Arul Chib
Keyword(s):  
Developing Countries ◽  
Text Messaging ◽  
Healthcare Workers ◽  
Public Investment ◽  
National Policy ◽  
Review Article ◽  
Mobile Technologies ◽  
Communication Studies ◽  
Mhealth Intervention ◽  
Medical Infrastructure

The mHealth field understandably arose from a base of practice, developed a nascent, yet ever-expanding, body of inter-disciplinary scholarship, and currently hopes for recognition by, and establishment on, national and trans-national policy bodies and agendas respectively. However, to justify public investment, policymakers require a body of theoretically sound, methodologically rigorous, and generalizable, evidence on how mobile technologies can effectively improve basic healthcare service delivery for hard-to-reach, resource-poor populations in developing countries. This essay draws upon prior work, ranging from a review article, an mHealth intervention for Indonesian healthcare workers within the medical infrastructure, to a text-messaging project in Uganda focused on beneficiaries. The argument is organized around theoretical, methodological, and sustainability issues, and proposes suggestions for how the discipline of mobile communication studies can add value to the field of mHealth research in developing countries.

scholarly journals Reproductive Health of Women Workers in Villages, Cities in Islamic Perspective

2020 ◽  
Vol 4 (4) ◽  
pp. 123-128
Author(s):  
Tri Niswati Utami ◽  
Nurhayati Nurhayati ◽  
Reni Agustina Harahap ◽  
Zuhrina Aidha
Keyword(s):  
Women Workers ◽  
Reproductive Health ◽  
Marital Status ◽  
Working Women ◽  
Secondary Data ◽  
Participation Rate ◽  
P Value ◽  
Chi Square ◽  
Her Family ◽  
The Relationship

The trend of working women in Indonesia has increased. In 2017 the participation rate of women workers increased by 39.3%. This study aims to analyze the tendency of women to work in villages and cities, analyze the relationship of women who work with reproductive health, the relationship between marital status and reproductive health and Islamic perspectives on working women. The method used was quantitative, sourced from secondary data on Indonesia's Demographic and Health Data Survey 2017 Data were analyzed using the chi-square test. It was found that the tendency of women to work in villages was higher by 65.5%. The analysis found that the significant correlation between job status and marital status with reproductive health, with p-value of 0.0001 and 0.0001. It is not forbidden in Islam that women work outside the home, but must uphold a woman’s character, her role in her family and dignity. Considering women have a dual role, in the household and as workers, the company should give the right to maintain reproductive health such as menstruation leave, pregnancy, childbirth, and breastfeeding. Keywords: female workers; types of work; reproductive health; marital status; village

scholarly journals ANCHOR OPINION LEADER TRAITS, USER ENGAGEMENT AND BUYING BEHAVIOR—AN EMPIRICAL CASE IN A NEW SCENARIO

2021 ◽  
Author(s):  
YUAN WANG ◽  
CHU HUANG ◽  
BING-XUE HAN
Keyword(s):  
Opinion Leader ◽  
Purchase Behavior ◽  
User Engagement ◽  
Purchasing Behavior ◽  
Buying Behavior ◽  
User Interactions ◽  
Mediating Role ◽  
Live Broadcast ◽  
Leader Traits ◽  
The Relationship

In the emerging marketing scenario of e-commerce live broadcast, there are few studies on anchor-user interactions. By using all the data of the salesmen who introduces the merchandise to the audience through the camera on Taobao website in China in February 2021, a model with user engagement as a mediating variable was constructed to investigate the relationship between anchor opinion leader traits and user purchase behavior. The results show that anchor opinion leader traits positively influence users' purchasing behavior. User engagement plays a fully mediating role in this mechanism. The findings of this paper serve as a guide for the e-commerce industry to better cultivate and select anchors.

Formative research to underpin a text messaging home safety intervention for young mothers

2018 ◽  
Vol 78 (3) ◽  
pp. 266-272 ◽  
Author(s):  
Michael J Mello ◽  
Zoe Gilbard ◽  
Dina Burstein ◽  
Janette Baird ◽  
Mark R Zonfrillo ◽  
...  
Keyword(s):  
Injury Prevention ◽  
Text Messaging ◽  
Unintentional Injury ◽  
Structured Interview ◽  
Health Clinic ◽  
Young Mothers ◽  
Home Safety ◽  
Structured Interviews ◽  
Safe Sleep ◽  
Mhealth Intervention

Objective: Unintentional injury is the leading cause of death for infants and young children in the USA, and the children of young mothers are at an even higher risk. Mobile health (mHealth) interventions have been successful in promoting behaviour change for many health conditions. This study assessed interest in mSafety, a text and video messaging mHealth intervention targeting injury prevention knowledge, behaviour and self-efficacy in young mothers. Design: Interviews with young mothers were conducted using a semi-structured interview guide. Setting: Interviews took place at a health clinic for teenage mothers and their children and at a local public charter high school which serves pregnant teenagers and young mothers. Method: A trained research assistant conducted semi-structured interviews with 20 young mothers (ages 15–20). Participants were asked both closed and open-ended questions to elicit opinions about their willingness to utilise mSafety. Results: The results of the interviews were positive. Participants were most interested in learning about the prevention of falls and poisonings, as well as safe sleep. Many emphasised that the language of the messages should be simple and that videos could be included to demonstrate methods of injury prevention. Most interviewees were willing to participate in a ‘virtual home safety visit’ in which participants text home photos to an expert to evaluate home safety practices. Conclusion: The concept of an mHealth intervention that would provide young mothers with the tools to prevent injuries among their children received positive feedback.

Prevalence and determinants of condom use among male adolescents in Indonesia

2018 ◽  
Vol 0 (0) ◽  
Author(s):  
I Gusti Ngurah Edi Putra ◽  
Desri Astuti ◽  
Dyah Anantalia Widyastari ◽  
Dusita Phuengsamran
Keyword(s):  
Reproductive Health ◽  
Condom Use ◽  
Sexual And Reproductive Health ◽  
Sexual Debut ◽  
Secondary Data ◽  
Health Concern ◽  
Sexually Active ◽  
Unsafe Sex ◽  
Cross Sectional ◽  
Male Adolescents

AbstractAdolescent sexual and reproductive health problems remain a public health concern in Indonesia. An increase of premarital sex as well as early sexual debut among adolescents without any protection leads to a high risk of adverse sexual and reproductive health consequences. This study aimed to assess condom use prevalence and identify its determinants among male adolescents who are sexually active in Indonesia. This was a cross-sectional study using secondary data from the Adolescent Reproductive Health component of the Indonesia Demographic and Health Survey (IDHS) 2012. The sample for this study was 1341 sexually active male adolescents aged 15–24 years old. Data were analyzed descriptively and using binary logistic regression for bivariate and multivariate analysis. This study found that condom use prevalence among male adolescents at first and last sex accounted for 25.0% and 27.4%, respectively. Determinants of condom use varied by time of sexual intercourse. Knowledge of sexual and reproductive health and obtaining information about condoms were consistently related to condom use at first and last sexual encounter. Meanwhile, residential type, age at first sex, and sexual partner were significant determinants of condom use at sexual debut whilst educational level was only associated with condom use at last sex. As the level of protected sex among male adolescents was very low, providing comprehensive sexuality education (CSE) is suggested in order to develop the capacity among adolescents in making informed decisions and preventing unsafe sex.

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