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Co-design and implementation of a mHealth intervention targeting fathers and mothers to improve breastfeeding
journal contribution
posted on 2023-02-16, 02:45 authored by Kidane GebremariamKidane Gebremariam, Afework Mulugeta, Danielle GallegosAbstract
Background
Evidence has shown that SMS text message-based health education is effective in improving exclusive breastfeeding. However, there is limited evidence on the development and design of SMS messaging intervention targeting fathers and mothers.
Method
This is the formative assessment and intervention design for a larger trial targeting both fathers and mothers for breastfeeding support in Tigray, Ethiopia. A total of 42 parents of children less than 2 years of age were involved in the design process that also included nutrition experts. We recruited 128 expectant couples to the intervention (1-month antenatally) who continued for 3 months postnatally.
Results
Sixteen messages were developed specific to feeding in the antenatal and postnatal periods. These messages were revised with parents and experts and pretested with parents. Over 4 months 87% of fathers and mothers received 3 or more SMS text messages. All fathers and 97% of mothers read the weekly SMS text messages. Almost 90% of mothers and fathers indicated their willingness to continue to receive SMS text messages related to infant feeding.
Conclusion
Development of SMS based breastfeeding interventions should involve the target population in content design. The role of experts and target population in the co-design process is also crucial.
History
Journal
BMC Medical Informatics and Decision MakingVolume
23Article number
30Pagination
30-Location
EnglandPublisher DOI
ISSN
1472-6947eISSN
1472-6947Language
enIssue
1Publisher
Springer Science and Business Media LLCUsage metrics
Keywords
BreastfeedingCo-designLow-incomeParentseHealthmHealthInfantChildHumansFemalePregnancyMaleBreast FeedingMothersHealth EducationText MessagingTelemedicineFathersPediatricNutritionPrevention3 Prevention of disease and conditions, and promotion of well-being3.1 Primary prevention interventions to modify behaviours or promote wellbeingReproductive health and childbirth3 Good Health and Well BeingInformation SystemsClinical Sciences not elsewhere classified
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