ArticleBMC medical informatics and decision making2020
Development of a targeted client communication intervention to women using an electronic maternal and child health registry: a qualitative study.
Article in BMC medical informatics and decision making, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.
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Who cites it
15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 238 citations in OpenAlex.
- Cocreation and codesign in maternal health: processes, outcomes and implementation challenges.BMJ quality & safety · 2026Pooled it
- Meaningful patient and public involvement in digital health innovation, implementation and evaluation: A systematic review.Health expectations : an international journal of public participation in health care and health policy · 2022Pooled it
- Developing targeted client communication messages to pregnant women in Bangladesh: a qualitative study.BMC public health · 2021Trial
- Trial
- Patient and carer perceptions and experiences of technology-facilitated appointment reminders in healthcare: a scoping review.Journal of the American Medical Informatics Association : JAMIA · 2026Article
- The promise of digital health technologies for integrated care for maternal and child health and non-communicable diseases.BMJ (Clinical research ed.) · 2023Article
- Digital health in fragile states in the Middle East and North Africa (MENA) region: A scoping review of the literature.PloS one · 2023Article
- Clinical and Laboratory Approach to Diagnose COVID-19 Using Machine Learning.Interdisciplinary sciences, computational life sciences · 2022Article
- How to promote a healthy lifestyle among schoolchildren: Development of an intervention module (i-PROMISe).Public health in practice (Oxford, England) · 2022Article
- PIGNet: a physics-informed deep learning model toward generalized drug-target interaction predictions.Chemical science · 2022Article
- Experience Sampling and Programmed Intervention Method and System for Planning, Authoring, and Deploying Mobile Health Interventions: Design and Case Reports.Journal of medical Internet research · 2021Article
- An Electronic Registry for Improving the Quality of Antenatal Care in Rural Bangladesh (eRegMat): Protocol for a Cluster Randomized Controlled Trial.JMIR research protocols · 2021Article
- Article
- Mobile Responsive App-A Useful Additional Tool for Data Collection in the German Pregnancy Register Rhekiss?Frontiers in medicine · 2021Article
- Drug-target affinity prediction using graph neural network and contact maps.RSC advances · 2020Article
Corrections and comments
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Authors and funding
13 authors at 3 institutions in 2 countries.
Funding
Abstract
backgroundTargeted client communication (TCC) using text messages can inform, motivate and remind pregnant and postpartum women of timely utilization of care. The mixed results of the effectiveness of TCC interventions points to the importance of theory based interventions that are co-design with users. The aim of this paper is to describe the planning, development, and evaluation of a theory led TCC intervention, tailored to pregnant and postpartum women and automated from the Palestinian electronic maternal and child health registry.
methodsWe used the Health Belief Model to develop interview guides to explore women's perceptions of antenatal care (ANC), with a focus on high-risk pregnancy conditions (anemia, hypertensive disorders in pregnancy, gestational diabetes mellitus, and fetal growth restriction), and untimely ANC attendance, issues predefined by a national expert panel as being of high interest. We performed 18 in-depth interviews with women, and eight with healthcare providers in public primary healthcare clinics in the West Bank and Gaza. Grounding on the results of the in-depth interviews, we used concepts from the Model of Actionable Feedback, social nudging and Enhanced Active Choice to compose the TCC content to be sent as text messages. We assessed the acceptability and understandability of the draft text messages through unstructured interviews with local health promotion experts, healthcare providers, and pregnant women.
resultsWe found low awareness of the importance of timely attendance to ANC, and the benefits of ANC for pregnancy outcomes. We identified knowledge gaps and beliefs in the domains of low awareness of susceptibility to, and severity of, anemia, hypertension, and diabetes complications in pregnancy. To increase the utilization of ANC and bridge the identified gaps, we iteratively composed actionable text messages with users, using recommended message framing models. We developed algorithms to trigger tailored text messages with higher intensity for women with a higher risk profile documented in the electronic health registry.
conclusionsWe developed an optimized TCC intervention underpinned by behavior change theory and concepts, and co-designed with users following an iterative process. The electronic maternal and child health registry can serve as a unique platform for TCC interventions using text messages.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.