mHealth for Self-Management in Pregnancy: Perceptions of Women in Low-Resource Settings

Dansharif, Aliyu Rabiu; Iyawa, Gloria Ejehiohen; Owoseni, Adebowale; Iyawa, Rebecca

doi:10.1016/j.procs.2021.01.226

Cited by 12 publications

(13 citation statements)

References 16 publications

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“…They highlighted possible barriers to utilisation as the availability of mobile phones, the internet, and electricity as well as digital literacy and tailored messages. These findings are consistent with similar research on digital health in sub-Saharan and other low- and middle-income countries which have consistently found that barriers to technology utilization include lack of infrastructure such as electricity, literacy, and language ( Khatun et al , 2016 ; Kruse et al , 2019 ; Dansharif et al , 2021 ). However, our results indicated that after addressing these pre-requisites the next hurdle would be ensuring that, how end-users are informed about the intervention.…”

Section: Discussionsupporting

confidence: 91%

Cancer as a death sentence: developing an initial program theory for an IVR intervention

Ilozumba

Kabukye

Keizer

et al. 2022

Health Promotion International

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To address current trends in poor health-seeking behaviour and late cancer diagnosis in many low- and middle-income countries, like Uganda, it is important to explore innovative awareness building interventions. One possible intervention is a common digital format, an interactive voice response (IVR) system, which is suitable for individuals with low technological and reading literacy. It is increasingly acknowledged that developing digital interventions requires co-creation with relevant stakeholders and explication of program developers’ assumptions, to make them effective, sustainable, and scalable. To this end, we sought to develop an initial program theory for a co-created IVR system for cancer awareness in Uganda. Utilising principles of the realist approach, a qualitative exploratory study was conducted through seven focus group discussions (FGDs) with people living with cancer (PLWC), health workers, and policy makers. Thematic analysis of the transcripts resulted in the emergence of four major themes. Through all themes the most consistent finding was that myths, misconceptions, and misinformation about cancer were related to every aspect of the cancer journey and influenced the experiences and lives of PLWC and their caregivers. Participants were positive about the potential of an IVR system but also had reservations about the design and reach of the system. The resulting initial program theory proposes that a context-specific IVR system has the potential to improve awareness on cancer, provided attention is given to aspects such as language, message framing, and accuracy.

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Section: Discussionsupporting

confidence: 91%

Cancer as a death sentence: developing an initial program theory for an IVR intervention

Ilozumba

Kabukye

Keizer

et al. 2022

Health Promotion International

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“…In low-resource settings, potential barriers to mHealth interventions include the limited level of literacy, access to mobile data, knowledge of technology, cultural beliefs and availability of mobile devices. 16 The culture and cultural beliefs surrounding the women may have restricted opportunities to learn about technology and therefore limited their skills to navigate mobile services. Other barriers include unstable power supply and poor infrastructure and connectivity to internet, especially in rural or conflict-affected areas.…”

Section: Introductionmentioning

confidence: 99%

“…Despite the potentials of mHealth, there are also its challenges that remain to be tackled. In low-resource settings, potential barriers to mHealth interventions include the limited level of literacy, access to mobile data, knowledge of technology, cultural beliefs and availability of mobile devices 16. The culture and cultural beliefs surrounding the women may have restricted opportunities to learn about technology and therefore limited their skills to navigate mobile services.…”

Section: Introductionmentioning

confidence: 99%

Effects of mHealth on the psychosocial health of pregnant women and mothers: a systematic review

et al. 2022

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ObjectiveTo investigate the roles of mobile health, or mHealth, in the psychosocial health of pregnant women and mothers.MethodsA systematic search was conducted in databases and grey literature including MEDLINE, Web of Science, CINAHL, PsycINFO, PsycARTICLES, Academic Search Complete, SocINDEX, Central Register of Controlled Trials, The Database of Abstracts of Reviews of Effects, NHS Economic Evaluation Database, Health Technology Assessment, UNICEF and WHO databases. Two searches were conducted to include original research articles published in English until 15 November 2021. Several tools were used to assess the risk of bias: revised Cochrane risk of bias tool for randomised trials, Risk of Bias in Non-randomized Studies of Interventions, National Heart, Lung, and Blood Institute quality assessment tool for cohort and cross-sectional studies, Critical Appraisal Skills Program checklist for qualitative studies and Mixed Methods Appraisal Tool for mixed-methods studies. Certainty of evidence was assessed using Grading of Recommendations Assessment, Development and Evaluation approach. Due to the high heterogeneity and variability of the included studies, data synthesis was conducted narratively.Results44 studies were included among 11 999 identified articles. Most studies reported mixed findings on the roles of mHealth interventions in the psychosocial health of pregnant women and mothers; mHealth improved self-management, acceptance of pregnancy/motherhood and social support, while mixed results were observed for anxiety and depressive symptoms, perceived stress, mental well-being, coping and self-efficacy. Furthermore, pregnant women and mothers from vulnerable populations benefited from the use of mHealth to improve their psychosocial health.ConclusionsThe findings suggest that mHealth has the potential to improve self-management, acceptance of pregnancy/motherhood and social support. mHealth can also be a useful tool to reach vulnerable pregnant women and mothers with barriers to health information and facilitate access to healthcare services. However, the high heterogeneity limited the certainty of evidence of these findings. Therefore, future studies should identify the context under which mHealth could be more effective.

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“…The DHIs were categorised into two primary groups according to their intended purpose: as a supplementary or substitute to routine care. Among the 61 included studies, 32 ( [77,71,72,23,69,54,55,33,34,36,37,40,92,41,42,43,44,88,45,46,47,70,49,50,51,58,79,57,56].…”

Section: Purpose Of Digital Healthmentioning

confidence: 99%

A Scoping Review of Digital Technologies in Antenatal Care: Recent Progress and Applications of Digital Technologies

Mohamed,

Ismail,

Sutan

et al. 2023

Preprint

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Introduction: Integrating digital health technology into antenatal care has revolutionised patient monitoring, diagnosis, and management. As expectant mothers increasingly embrace social media, the Internet, and smartphone applications, leveraging digital health interventions presents immense potential for enhancing maternal healthcare. Objective This review aims to assess digital health modalities, their applicability, and outcomes in maternal care. Method We conducted a scoping review by searching four electronic databases (Scopus, Web of Science, PubMed, EBSCOhost), performing manual searches of Google Scholar, and examining the references of relevant studies. Eligible studies included original research published in English between 2018 and January 2023 involving the usage of digital health interventions for antenatal care, complying with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping review guidelines. Results A total of 61 eligible articles were identified, where most (n = 37) were conducted in high-income countries such as the US, UK, and Australia. Over the past five years, digital intervention studies motivated by increased telehealth adoption in affluent nations have increased consistently. These interventions primarily encompass patient–provider consultations, remote monitoring, and health education, often supplementing or even replacing in-person visits. Notably, acceptance and satisfaction levels among patients and healthcare providers engaging with digital health interventions were high. The interventions primarily addressed general maternal care (n = 22, 36.06%), mental health issues (n = 7, 11.47%), high-risk pregnancies (n = 5, 8.19%), hypertensive disorders (n = 4, 6.55%), gestational diabetes mellitus (n = 7, 11.47%), antenatal education (n = 5, 8.19%), and gestational weight gain (n = 3, 4.91%). The review findings consistently demonstrated that digital health interventions yielded positive results in effectively managing clinical conditions, improving knowledge, and promoting birth preparedness during the perinatal period. Additionally, these interventions digitally enhanced antenatal care service access and utilisation. Conclusion Digital health is gaining importance in maternal and child care, where patients and healthcare providers demonstrate positive outcomes and high acceptance. Safety and privacy concerns are rarely discussed, but no adverse effects have been reported, and standard care is maintained. The increasing prevalence of digital technologies paves the way for the widespread adoption of digital health in antenatal care, shaping the future of maternal care.

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mHealth for Self-Management in Pregnancy: Perceptions of Women in Low-Resource Settings

Cited by 12 publications

References 16 publications

Cancer as a death sentence: developing an initial program theory for an IVR intervention

Cancer as a death sentence: developing an initial program theory for an IVR intervention

Effects of mHealth on the psychosocial health of pregnant women and mothers: a systematic review

A Scoping Review of Digital Technologies in Antenatal Care: Recent Progress and Applications of Digital Technologies

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