Evidence map›Paper›PMID 33717497›Full record

ArticleDigital health

A mobile phone-based multimedia intervention to support maternal health is acceptable and feasible among illiterate pregnant women in Uganda: Qualitative findings from a pilot randomized controlled trial.

Angella Musiimenta, Wilson Tumuhimbise, Niels Pinkwart, Jane Katusiime, Godfrey Mugyenyi, Esther C Atukunda

Open access · goldAbstract read
In one paragraph

Article in Digital health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 3 pooled it
7.8field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 3 syntheses or guidelines pooled it, 32 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 2 countries.

Angella MusiimentaDepartment of Information Technology, Mbarara, Mbarara University of Science and Technology, Uganda.ORCID https://orcid.org/0000-0003-1983-696X
Wilson TumuhimbiseDepartment of Information Technology, Mbarara, Mbarara University of Science and Technology, Uganda.
Niels PinkwartComputer Science Department, Humboldt-Universität zu Berlin, Berlin, Germany.
Jane KatusiimeDepartment of Information Technology, Mbarara, Mbarara University of Science and Technology, Uganda.
Godfrey MugyenyiDepartment of Information Technology, Mbarara, Mbarara University of Science and Technology, Uganda.
Esther C AtukundaDepartment of Information Technology, Mbarara, Mbarara University of Science and Technology, Uganda.
Mbarara University of Science and Technology · UGHumboldt-Universität zu Berlin · DEThe AIDS Support Organization · UG

Funding

Real time Tuberculosis Medication Adherence Intervention in Rural Southwestern UgandaK43TW010388 · FIC · MBARARA UNIVERSITY/SCIENCE/ TECHNOLOGY · PI MUSIIMENTA, ANGELLA · 2016 to 2021
$602k
Patient-centered mobile technology interventions to improve maternal health in UgandaK43TW011004 · FIC · MBARARA UNIVERSITY/SCIENCE/ TECHNOLOGY · PI ATUKUNDA, ESTHER CATHYLN · 2018 to 2022
$542k
FIC NIH HHS K43 TW010388FIC NIH HHS K43 TW011004
6 · The paper itself

Abstract

backgroundUganda's maternal mortality rate remains unacceptably high. Mobile phones can potentially provide affordable means of accessing maternal health services even among the otherwise hard-to-reach populations. Evidence about the acceptability and feasibility of mobile phone-based interventions targeting illiterate women, however, is limited.

objectiveTo assess the acceptability and feasibility of a mobile phone-based multimedia application (MatHealth app) to support maternal health amongst illiterate pregnant women in rural southwestern Uganda.

methods80 pregnant women initiating antenatal care from Mbarara regional referral hospital were enrolled in a pilot randomized controlled trial and followed until six weeks after delivery. The 40 women in the intervention group received a MatHealth app composed of educational videos/audios, clinic appointment reminders, and the calling function. Qualitative interviews on acceptability of this technology were carried out with 30 of the intervention participants. An inductive, content analytic approach was used to analyze qualitative data. Quantitative feasibility data were recorded and summarized descriptively.

resultsParticipants reported that the intervention is acceptable as it enabled them adopt good maternal health practices, enhanced social support from spouses, provided clinic appointment reminders, and facilitated communication with healthcare providers. Challenges included: phone sharing (74%), accidental deletion of the application 15 (43%), lack of electricity 15 (43%), and inability to set up a reminder function 20 (57%).

conclusionThe MatHealth app is an acceptable and feasible intervention among illiterate women, in a resource limited setting. Future efforts should focus on optimized application design, spouse orientation, and incorporating economic support to overcome the challenges we encountered.

Indexed as

acceptabilityfeasibilityilliterate pregnant womenmaternal healthMobile phonesmultimedia videos/audio

Identifiers

PMID33717497
PMCPMC7917428
OpenAlexW3133941214

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.