Evidence map›Paper›PMID 34889763›Full record

ArticleJMIR pediatrics and parenting2021

Caregiver Acceptability of Mobile Phone Use for Pediatric Cancer Care in Tanzania: Cross-sectional Questionnaire Study.

Kristin Schroeder, James Maiarana, Mwitasrobert Gisiri, Emma Joo, Charles Muiruri, Leah Zullig, Nestory Masalu, Lavanya Vasudevan

Abstract read
In one paragraph

Article in JMIR pediatrics and parenting, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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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

8 authors.

Kristin SchroederDepartment of Pediatric Oncology, Duke University Medical Center, Durham, NC, United States.ORCID https://orcid.org/0000-0002-6433-6174
James MaiaranaDepartment of Pediatrics, Vanderbilt University Medical Center, Nashville, TN, United States.ORCID https://orcid.org/0000-0002-3084-9780
Mwitasrobert GisiriDepartment of Oncology, Bugando Medical Centre, Mwanza, United Republic of Tanzania.ORCID https://orcid.org/0000-0001-9480-0073
Emma JooDuke Global Health Institute, Durham, NC, United States.ORCID https://orcid.org/0000-0001-6126-784X
Charles MuiruriDuke Global Health Institute, Durham, NC, United States.ORCID https://orcid.org/0000-0003-0213-0362
Leah ZulligDepartment of Population Health Sciences, Duke University, Durham, NC, United States.ORCID https://orcid.org/0000-0002-6638-409X
Nestory MasaluDepartment of Oncology, Bugando Medical Centre, Mwanza, United Republic of Tanzania.ORCID https://orcid.org/0000-0001-6651-9014
Lavanya VasudevanDuke Global Health Institute, Durham, NC, United States.ORCID https://orcid.org/0000-0003-2900-6070

Funding

Institutional Career Development CoreKL2TR002554 · NCATS · DUKE UNIVERSITY · PI SVETKEY, LAURA P · 2018 to 2022
$8.2M
Addressing barriers to anti-hypertensive medication adherence among persons living who have achieved viral suppressionK01HL159052 · NHLBI · DUKE UNIVERSITY · PI MUIRURI, CHARLES · 2021 to 2025
$736k
NCATS NIH HHS KL2 TR002554NHLBI NIH HHS K01 HL159052
6 · The paper itself

Abstract

backgroundThere is a 60% survival gap between children diagnosed with cancer in low- and middle-income countries (LMICs) and those in high-income countries. Low caregiver knowledge about childhood cancer and its treatment results in presentation delays and subsequent treatment abandonment in LMICs. However, in-person education to improve caregiver knowledge can be challenging due to health worker shortages and inadequate training. Due to the rapid expansion of mobile phone use worldwide, mobile health (mHealth) technologies offer an alternative to delivering in-person education.

objectiveThe aim of this study is to assess patterns of mobile phone ownership and use among Tanzanian caregivers of children diagnosed with cancer as well as their acceptability of an mHealth intervention for cancer education, patient communication, and care coordination.

methodsIn July 2017, caregivers of children <18 years diagnosed with cancer and receiving treatment at Bugando Medical Centre (BMC) were surveyed to determine mobile phone ownership, use patterns, technology literacy, and acceptability of mobile phone use for cancer education, patient communication, and care coordination. Descriptive statistics were generated from the survey data by using mean and SD values for continuous variables and percentages for binary or categorical variables.

resultsAll eligible caregivers consented to participate and completed the survey. Of the 40 caregivers who enrolled in the study, most used a mobile phone (n=34, 85%) and expressed high acceptability in using these devices to communicate with a health care provider regarding treatment support (n=39, 98%), receiving laboratory results (n=37, 93%), receiving reminders for upcoming appointments (n=38, 95%), and receiving educational information on cancer (n=35, 88%). Although only 9% (3/34) of mobile phone owners owned phones with smartphone capabilities, about 74% (25/34) self-reported they could view and read SMS text messages.

conclusionsTo our knowledge, this is the first study to assess patterns of mobile phone ownership and use among caregivers of children with cancer in Tanzania. The high rate of mobile phone ownership and caregiver acceptability for a mobile phone-based education and communication strategy suggests that a mobile phone-based intervention, particularly one that utilizes SMS technology, could be feasible in this setting.

Indexed as

cancercaregiverschildrencommunicationdeveloping countrieseducationknowledge transferliteracymHealthmobile healthparentspediatric cancerpediatricssmartphonesmartphone useSMS

Identifiers

PMID34889763
PMCPMC8701707

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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.