Uptake, Engagement and Acceptance, Barriers and Facilitators of a Text Messaging Intervention for Postnatal Care of Mother and Child in India-A Mixed Methods Feasibility Study
Sampathkumar, Swetha Sankar, Meenakshi Ramasamy, Sankar Sriram, Nivedita Saravanan, Ponnusamy Ram, Uma
Sampathkumar, Swetha
Sankar, Meenakshi
Ramasamy, Sankar
Sriram, Nivedita
Ram, Uma
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Affiliation
Warwick Medical School; Buddhi Consulting Ltd., Lower Hutt, New Zealand; Education Review Office, Wellington, New Zealand; UT South Western Medical School, Dallas, USA; Brown University, Providence, USA.; George Eliot Hospital; Seethapathy Clinic and Hospital, Chennai, India.
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Publication date
2022-07-22
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Abstract
This study aimed to test the feasibility and to identify barriers and facilitators towards adherence of a text messaging intervention for postnatal care in India. Mixed methods research involving both quantitative and qualitative methods were used. A survey questionnaire for feasibility and focus group interviews to identify the barriers and facilitators to the intervention were conducted. The top three reasons for activation of service were: helped the new mother to understand the changes (95%); provided continuation of care (90%) and clarified conflicting information (89%). Over 90% read the messages daily. 80% were happy with the message frequency. About 75% shared the content with others. The main reasons for non-activation were: 30% had technical issues, 15% did not think it would be useful, 17% did not have time to activate and for 5%, husbands made the decision. These findings were triangulated through the qualitative focus groups. The main themes identified via the focus groups were: (1) reliable, current information; (2) issues and themes well aligned with new mothers' needs and priorities; (3) expanded the repertoire of information sources available; and (4) high-quality accessible information. The satisfaction and trust rates were high. This technology may be useful for health information intervention in specific postnatal areas.
Citation
Sampathkumar S, Sankar M, Ramasamy S, Sriram N, Saravanan P, Ram U. Uptake, Engagement and Acceptance, Barriers and Facilitators of a Text Messaging Intervention for Postnatal Care of Mother and Child in India-A Mixed Methods Feasibility Study. Int J Environ Res Public Health. 2022 Jul 22;19(15):8914. doi: 10.3390/ijerph19158914. PMID: 35897288; PMCID: PMC9329952.
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Article