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首页> 外文期刊>BMC Medical Informatics and Decision Making >Does mHealth voice messaging work for improving knowledge and practice of maternal and newborn healthcare?
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Does mHealth voice messaging work for improving knowledge and practice of maternal and newborn healthcare?

机译：mHealth语音消息传送是否可以改善产妇和新生儿保健的知识和实践？

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Aponjon (meaning “near and dear ones”), a mobile phone-based mHealth service, customized voice messages for expectant (6–42?weeks pregnancy) and new mothers (1–52?weeks after delivery) for promotion of recommended healthcare practices. The Aponjon system sent two voice messages per week to subscribers, tailored to the timing during pregnancy or post-partum. The current study is an external evaluation of the effect of Aponjon use on knowledge and behaviors related to maternal and newborn health (MNH) care. We implemented an observational study of Aponjon users with propensity score matched non-users in Bangladesh. Subscribers with at least 3?months exposure to Aponjon and non-users were interviewed retrospectively on knowledge and practices surrounding MNH. The sample included women with infants ≤6?months (243 users; 369 non-user) for maternal health knowledge and practice indicators and women with infants ?6 to 12?months old (332 users; 454 non-user) for neonatal health knowledge and practice indicators. Data were analyzed using principal component analysis and categorized as ‘high’ and ‘low’ at the median of principal component scores. Interactions between duration of use of Aponjon services and self-reported patterns of receiving and listening to messages were examined to assess the effect on knowledge and practices for MNH. Women reporting at least 6?months of using Aponjon were approximately 3 times as likely as the non-users to score high on both maternal healthcare knowledge questions and related practices. Similarly women with at least 6 months of Aponjon exposure were 1.5 times as likely as the non-users to score high on knowledge questions on newborn health. Reporting a good-pattern of Aponjon use (i.e. receiving a minimum of 3 messages per month and listening to all of them) had an even stronger association with knowledge and practices related to MNH care. However, a shorter exposure to Aponjon service (i.e. 3–5?months), despite having a good-pattern of use, did not have an effect on the related outcomes. The use of Aponjon services for at least 6?months, with a good-pattern of receiving and listening to the messages, was associated with improved knowledge and practices related to MNH care.
机译：Aponjon（意为“亲爱的”），基于移动电话的mHealth服务，为孕妇（怀孕6–42周）和新妈妈（分娩后1–52周）定制语音消息，以促进推荐的医疗保健习惯。 Aponjon系统每周根据订制怀孕或产后的时间向订户发送两次语音消息。当前的研究是对使用Aponjon对与孕产妇和新生儿保健（MNH）护理有关的知识和行为的影响的外部评估。我们对孟加拉国倾向得分匹配的非使用者进行了Aponjon使用者的观察性研究。回顾性访问了至少3个月接触Aponjon的订户和非订户，以了解有关MNH的知识和做法。样本包括婴儿≤6个月的妇女（243位使用者; 369位非使用者）的孕产妇健康知识和实践指标，以及婴儿≥6个月和12个月以上的妇女（332位使用者; 454位非使用者）的新生儿卫生知识。知识和实践指标。使用主成分分析对数据进行分析，并按主成分得分的中位数将其分类为“高”和“低”。研究了Aponjon服务的使用期限与自我报告的接收和收听消息模式之间的相互作用，以评估对MNH的知识和实践的影响。报告使用Aponjon至少6个月的妇女在孕产妇保健知识问题和相关实践上得分较高的可能性约为非使用者的3倍。同样，在Aponjon暴露至少6个月的妇女在新生儿健康知识问题上获得高分的可能性是非使用者的1.5倍。报告Aponjon使用情况良好的模式（即每月至少接收3条消息并收听所有消息）与MNH护理相关的知识和实践的联系更加紧密。然而，尽管使用方法良好，但较短的Aponjon服务暴露时间（即3-5个月）对相关结局没有影响。使用Aponjon服务至少6个月，并且具有良好的接收和收听消息的模式，这与MNH护理相关的知识和实践得到了改善。

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