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Trude ACB, Martins RC, Martins-Silva T, Blumenberg C, Carpena MX, Del-Ponte B, Loret de Mola C. A WhatsApp-Based Intervention to Improve Maternal Social Support and Maternal-Child Health in Southern Brazil: The Text-Message Intervention to Enhance Social Support (TIES) Feasibility Study. INQUIRY: The Journal of Health Care Organization, Provision, and Financing 2021; 58:469580211048701. [PMID: 34619999 PMCID: PMC8504647 DOI: 10.1177/00469580211048701] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Participatory learning and action cycles with women’s groups have been recommended by the WHO to promote maternal and newborn health, but few studies have tested its feasibility and acceptability in mobile health (mHealth) interventions among mothers of toddlers. This was a mixed-method feasibility assessment of an 8-week WhatsApp-based maternal support group for mothers of toddlers (12–18 months of age) enrolled in a birth cohort study in Southern Brazil. Daily messages and weekly activities were sent by moderators to promote maternal–child outcomes: child nutrition, child sleep, nurturing care, and maternal psychosocial well-being (assessed pre- and post-intervention via self-reported questionnaire). The implementation and engagement of the mothers in the program were assessed by message extraction. Acceptability was evaluated through in-depth interviews (n = 5) and open-ended surveys (n = 10). 1481 messages were exchanged in 3 WhatsApp groups (n = 30 mothers). Mothers were most active on weekdays (68.6% of messages sent on Tuesdays and 72.6% on Thursdays), afternoons (2:00–4:00pm), and evenings (9:00–11:00 pm). Engagement was higher at weeks 1–4. Mothers enjoyed and considered topics relevant. Group interaction was perceived as low, which influenced their participation. The prevalence of depression symptoms decreased from pre- to post-intervention (9% to 5%; P = .04). A moderated mobile-based support group for mothers of toddlers was feasible. mHealth services to promote maternal support are a promising strategy to improve maternal–child outcomes, but engagement and use of the service remains a challenge. Program managers should work with community members to identify ways to support engagement and participation throughout the intervention.
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Affiliation(s)
- Angela C B Trude
- Growth and Nutrition Division, Department of Pediatrics, School of Medicine, 12264University of Maryland Baltimore, Baltimore, MD, USA
| | - Rafaela Costa Martins
- Post-graduation Program in Epidemiology, 37902Federal University of Pelotas, Pelotas, Brazi.,Innovation in Health Research Group, 67820Federal University of Rio Grande (FURG), Rio Grande, Brazil.,Human Development and Violence Research Centre (DOVE), 37902Federal University of Pelotas, Pelotas, Brazil
| | - Thais Martins-Silva
- Post-graduation Program in Epidemiology, 37902Federal University of Pelotas, Pelotas, Brazi.,Innovation in Health Research Group, 67820Federal University of Rio Grande (FURG), Rio Grande, Brazil.,Human Development and Violence Research Centre (DOVE), 37902Federal University of Pelotas, Pelotas, Brazil
| | - Cauane Blumenberg
- Post-graduation Program in Epidemiology, 37902Federal University of Pelotas, Pelotas, Brazi.,Innovation in Health Research Group, 67820Federal University of Rio Grande (FURG), Rio Grande, Brazil
| | - Marina X Carpena
- Innovation in Health Research Group, 67820Federal University of Rio Grande (FURG), Rio Grande, Brazil.,Post-graduation Program in Developmental Disorder, Presbyterian University Mackenzie, Sao Paulo, Brazil
| | - Bianca Del-Ponte
- Post-graduation Program in Epidemiology, 37902Federal University of Pelotas, Pelotas, Brazi
| | - Christian Loret de Mola
- Innovation in Health Research Group, 67820Federal University of Rio Grande (FURG), Rio Grande, Brazil.,Post-graduation Program in Public Health, 67820FURG, Rio Grande, Brazil
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da Costa ED, Pinelli C, da Silva Tagliaferro EP, Corrente JE, Ambrosano GMB. Development and validation of a questionnaire to evaluate infection control in oral radiology. Dentomaxillofac Radiol 2017; 46:20160338. [PMID: 28112553 PMCID: PMC5595002 DOI: 10.1259/dmfr.20160338] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2016] [Revised: 01/05/2017] [Accepted: 01/16/2017] [Indexed: 11/05/2022] Open
Abstract
OBJECTIVES To create and validate a questionnaire to evaluate infection control in oral radiology. METHODS The questionnaire was developed after review of the literature, which included published articles and the biosafety protocols available from healthcare agencies. The initial version of the questionnaire was composed of 14 multiple choice questions and was divided into 3 domains on handwashing, disinfection/protection of surfaces and disinfectant used. Content validity was assessed by two expert committees, which reviewed the content and scope of the questionnaire and the relevance of each item, respectively. Reliability was evaluated using test-retest and internal consistency methods with 115 undergraduate dentistry students. Construct validity was assessed using the known-groups technique and factor analysis. The known-groups technique involved 641 undergraduate dentistry students, 20 PhD students and 15 oral radiology professors. In the factor analysis, 3 radiology technicians also participated in addition to the 641 undergraduates, 20 PhD students and 15 oral radiology professors. RESULTS The content validity results were found to be satisfactory to excellent for the ordinal variables (intraclass correlation coefficient = 0.722-1.000) and good to great for the yes/no questions (kappa = 0.662-0.913) in terms of reliability and good internal consistency (Cronbach's alpha = 0.88). After a factor analysis, some questions were excluded, and the questions were grouped into new domains. Significant differences were observed between answers from different groups. The final version of the questionnaire was composed of nine domains. CONCLUSIONS The questionnaire created was found to exhibit good psychometric properties for assessing infection control in oral radiology.
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Affiliation(s)
- Eliana D da Costa
- Department of Oral Diagnosis, Division of Oral Radiology, Piracicaba Dental School, State University of Campinas, Piracicaba, Brazil
| | - Camila Pinelli
- Department of Social Dentistry, Araraquara School of Dentistry, Univ Estadual Paulista, UNESP, Araraquara, Brazil
| | | | - José E Corrente
- Department of Biostatistics, Bioscience Institute, Univ Estadual Paulista, UNESP, Botucatu, São Paulo, Brazil
| | - Glaucia M B Ambrosano
- Department of Community Dentistry, Piracicaba Dental School, University of Campinas, Piracicaba, Brazil
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