The role of an mHealth intervention in improving knowledge and skills of accredited social health activists in tribal areas of Gujarat, India: a nested study within an implementation research trial
Aim To evaluate the effectiveness of an mHealth intervention in improving knowledge and skills of accredited social health activists in improving maternal, newborn and child health care in India. Methods This was a nested cross‐sectional study within a cluster randomised controlled trial. The interv...
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Veröffentlicht in: | Acta Paediatrica 2018-12, Vol.107 (S471), p.72-79 |
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creator | Shah, Shobha Shinde, Aakash Anand, Ankit Modi, Dhiren Desai, Gayatri Bhatt, Hardik Gopalan, Ravi Dholakia, Nishith Vaghela, Prakash Desai, Shrey Shah, Pankaj |
description | Aim
To evaluate the effectiveness of an mHealth intervention in improving knowledge and skills of accredited social health activists in improving maternal, newborn and child health care in India.
Methods
This was a nested cross‐sectional study within a cluster randomised controlled trial. The intervention was a mobile phone application which has inbuilt health education videos, algorithms to diagnose complications and training tools to educate accredited social health activists. A total of 124 were randomly selected from the control (n = 61) and intervention (n = 63) arms of the larger study after six months of training in Bharuch and Narmada districts of Gujarat.
Results
The knowledge of accredited social health activists regarding pregnancy (OR: 2.51, CI: 1.12–5.64) and newborn complications (OR: 2.57, CI: 1.12–5.92) was significantly higher in the intervention arm compared to the control arm. The knowledge of complications during delivery (OR: 1.36, CI: 0.62–2.98) and the postpartum (OR: 1.06, CI: 0.48–2.33) period was similar in both groups. The activists from the intervention arm demonstrated better skills for measuring temperature (OR: 4.25, CI: 1.66–10.89) of newborns compared to the control group.
Conclusion
The results suggest potential benefits of this mHealth intervention for improving knowledge and skills of accredited social health activists. |
doi_str_mv | 10.1111/apa.14322 |
format | Article |
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To evaluate the effectiveness of an mHealth intervention in improving knowledge and skills of accredited social health activists in improving maternal, newborn and child health care in India.
Methods
This was a nested cross‐sectional study within a cluster randomised controlled trial. The intervention was a mobile phone application which has inbuilt health education videos, algorithms to diagnose complications and training tools to educate accredited social health activists. A total of 124 were randomly selected from the control (n = 61) and intervention (n = 63) arms of the larger study after six months of training in Bharuch and Narmada districts of Gujarat.
Results
The knowledge of accredited social health activists regarding pregnancy (OR: 2.51, CI: 1.12–5.64) and newborn complications (OR: 2.57, CI: 1.12–5.92) was significantly higher in the intervention arm compared to the control arm. The knowledge of complications during delivery (OR: 1.36, CI: 0.62–2.98) and the postpartum (OR: 1.06, CI: 0.48–2.33) period was similar in both groups. The activists from the intervention arm demonstrated better skills for measuring temperature (OR: 4.25, CI: 1.66–10.89) of newborns compared to the control group.
Conclusion
The results suggest potential benefits of this mHealth intervention for improving knowledge and skills of accredited social health activists.</description><identifier>ISSN: 0803-5253</identifier><identifier>EISSN: 1651-2227</identifier><identifier>DOI: 10.1111/apa.14322</identifier><identifier>PMID: 30570790</identifier><language>eng</language><publisher>Norway: Wiley Subscription Services, Inc</publisher><subject>Accreditation ; accredited social health activist ; Activists ; Complications ; Implementation research ; Knowledge and skills ; Maternal, newborn and child health care ; mHealth ; Neonates ; Postpartum ; Pregnancy complications ; Skills ; Telemedicine</subject><ispartof>Acta Paediatrica, 2018-12, Vol.107 (S471), p.72-79</ispartof><rights>2018 World Health Organization; licensed by Foundation Acta Pædiatrica. Published by John Wiley & Sons Ltd</rights><rights>2018 World Health Organization; licensed by Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd.</rights><rights>2018 Foundation Acta Pædiatrica</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fapa.14322$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fapa.14322$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30570790$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Shah, Shobha</creatorcontrib><creatorcontrib>Shinde, Aakash</creatorcontrib><creatorcontrib>Anand, Ankit</creatorcontrib><creatorcontrib>Modi, Dhiren</creatorcontrib><creatorcontrib>Desai, Gayatri</creatorcontrib><creatorcontrib>Bhatt, Hardik</creatorcontrib><creatorcontrib>Gopalan, Ravi</creatorcontrib><creatorcontrib>Dholakia, Nishith</creatorcontrib><creatorcontrib>Vaghela, Prakash</creatorcontrib><creatorcontrib>Desai, Shrey</creatorcontrib><creatorcontrib>Shah, Pankaj</creatorcontrib><title>The role of an mHealth intervention in improving knowledge and skills of accredited social health activists in tribal areas of Gujarat, India: a nested study within an implementation research trial</title><title>Acta Paediatrica</title><addtitle>Acta Paediatr</addtitle><description>Aim
To evaluate the effectiveness of an mHealth intervention in improving knowledge and skills of accredited social health activists in improving maternal, newborn and child health care in India.
Methods
This was a nested cross‐sectional study within a cluster randomised controlled trial. The intervention was a mobile phone application which has inbuilt health education videos, algorithms to diagnose complications and training tools to educate accredited social health activists. A total of 124 were randomly selected from the control (n = 61) and intervention (n = 63) arms of the larger study after six months of training in Bharuch and Narmada districts of Gujarat.
Results
The knowledge of accredited social health activists regarding pregnancy (OR: 2.51, CI: 1.12–5.64) and newborn complications (OR: 2.57, CI: 1.12–5.92) was significantly higher in the intervention arm compared to the control arm. The knowledge of complications during delivery (OR: 1.36, CI: 0.62–2.98) and the postpartum (OR: 1.06, CI: 0.48–2.33) period was similar in both groups. The activists from the intervention arm demonstrated better skills for measuring temperature (OR: 4.25, CI: 1.66–10.89) of newborns compared to the control group.
Conclusion
The results suggest potential benefits of this mHealth intervention for improving knowledge and skills of accredited social health activists.</description><subject>Accreditation</subject><subject>accredited social health activist</subject><subject>Activists</subject><subject>Complications</subject><subject>Implementation research</subject><subject>Knowledge and skills</subject><subject>Maternal, newborn and child health care</subject><subject>mHealth</subject><subject>Neonates</subject><subject>Postpartum</subject><subject>Pregnancy complications</subject><subject>Skills</subject><subject>Telemedicine</subject><issn>0803-5253</issn><issn>1651-2227</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>WIN</sourceid><recordid>eNpdkctu1DAUhi0EokNhwQsgS2xYNK0vcS7sRhW9SJVgUdbRiXPS8dRxBtuZ0Twg74WTKSzwxj4-3_n12z8hHzm75GldwQ4ueS6FeEVWvFA8E0KUr8mKVUxmSih5Rt6FsGVMyDov3pIzyVTJypqtyO_HDVI_WqRjT8HR4Q7Bxg01LqLfo4tmdKmgZtj5cW_cE31248Fi94QJ72h4NtaGZVhrj52JmC5HbcDSzUkKdDR7E2KYdaI3bWqBR1imbqcteIgX9N51Br5SoA7DohGn7kgPJm7SFCwGLA7JECyWPAYErzezINj35E0PNuCHl_2c_Lz59nh9lz18v72_Xj9kW5krkWmBRa8wvR3ztlJC96WueS15j0qzNud9zZRWXVsIIZlo64pVva66EgpdCSnkOfly0k2f8WtKRpvBBI3WgsNxCo3gqpYiz4s8oZ__Q7fj5F1yN1OVquqSzYKfXqipHbBrdt4M4I_N34AScHUCDsbi8V-fs2ZOvknJN0vyzfrHejnIPxxBovA</recordid><startdate>201812</startdate><enddate>201812</enddate><creator>Shah, Shobha</creator><creator>Shinde, Aakash</creator><creator>Anand, Ankit</creator><creator>Modi, Dhiren</creator><creator>Desai, Gayatri</creator><creator>Bhatt, Hardik</creator><creator>Gopalan, Ravi</creator><creator>Dholakia, Nishith</creator><creator>Vaghela, Prakash</creator><creator>Desai, Shrey</creator><creator>Shah, Pankaj</creator><general>Wiley Subscription Services, Inc</general><scope>24P</scope><scope>WIN</scope><scope>NPM</scope><scope>7T5</scope><scope>7TK</scope><scope>7TM</scope><scope>7TS</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>7X8</scope></search><sort><creationdate>201812</creationdate><title>The role of an mHealth intervention in improving knowledge and skills of accredited social health activists in tribal areas of Gujarat, India: a nested study within an implementation research trial</title><author>Shah, Shobha ; Shinde, Aakash ; Anand, Ankit ; Modi, Dhiren ; Desai, Gayatri ; Bhatt, Hardik ; Gopalan, Ravi ; Dholakia, Nishith ; Vaghela, Prakash ; Desai, Shrey ; Shah, Pankaj</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-j3452-c2e6f5e570e4b852cf7c91931fe5c0b41f905c5db622302b9808fc8d7a6c82323</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Accreditation</topic><topic>accredited social health activist</topic><topic>Activists</topic><topic>Complications</topic><topic>Implementation research</topic><topic>Knowledge and skills</topic><topic>Maternal, newborn and child health care</topic><topic>mHealth</topic><topic>Neonates</topic><topic>Postpartum</topic><topic>Pregnancy complications</topic><topic>Skills</topic><topic>Telemedicine</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Shah, Shobha</creatorcontrib><creatorcontrib>Shinde, Aakash</creatorcontrib><creatorcontrib>Anand, Ankit</creatorcontrib><creatorcontrib>Modi, Dhiren</creatorcontrib><creatorcontrib>Desai, Gayatri</creatorcontrib><creatorcontrib>Bhatt, Hardik</creatorcontrib><creatorcontrib>Gopalan, Ravi</creatorcontrib><creatorcontrib>Dholakia, Nishith</creatorcontrib><creatorcontrib>Vaghela, Prakash</creatorcontrib><creatorcontrib>Desai, Shrey</creatorcontrib><creatorcontrib>Shah, Pankaj</creatorcontrib><collection>Wiley Online Library (Open Access Collection)</collection><collection>Wiley Online Library (Open Access Collection)</collection><collection>PubMed</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Physical Education Index</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>MEDLINE - Academic</collection><jtitle>Acta Paediatrica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Shah, Shobha</au><au>Shinde, Aakash</au><au>Anand, Ankit</au><au>Modi, Dhiren</au><au>Desai, Gayatri</au><au>Bhatt, Hardik</au><au>Gopalan, Ravi</au><au>Dholakia, Nishith</au><au>Vaghela, Prakash</au><au>Desai, Shrey</au><au>Shah, Pankaj</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The role of an mHealth intervention in improving knowledge and skills of accredited social health activists in tribal areas of Gujarat, India: a nested study within an implementation research trial</atitle><jtitle>Acta Paediatrica</jtitle><addtitle>Acta Paediatr</addtitle><date>2018-12</date><risdate>2018</risdate><volume>107</volume><issue>S471</issue><spage>72</spage><epage>79</epage><pages>72-79</pages><issn>0803-5253</issn><eissn>1651-2227</eissn><abstract>Aim
To evaluate the effectiveness of an mHealth intervention in improving knowledge and skills of accredited social health activists in improving maternal, newborn and child health care in India.
Methods
This was a nested cross‐sectional study within a cluster randomised controlled trial. The intervention was a mobile phone application which has inbuilt health education videos, algorithms to diagnose complications and training tools to educate accredited social health activists. A total of 124 were randomly selected from the control (n = 61) and intervention (n = 63) arms of the larger study after six months of training in Bharuch and Narmada districts of Gujarat.
Results
The knowledge of accredited social health activists regarding pregnancy (OR: 2.51, CI: 1.12–5.64) and newborn complications (OR: 2.57, CI: 1.12–5.92) was significantly higher in the intervention arm compared to the control arm. The knowledge of complications during delivery (OR: 1.36, CI: 0.62–2.98) and the postpartum (OR: 1.06, CI: 0.48–2.33) period was similar in both groups. The activists from the intervention arm demonstrated better skills for measuring temperature (OR: 4.25, CI: 1.66–10.89) of newborns compared to the control group.
Conclusion
The results suggest potential benefits of this mHealth intervention for improving knowledge and skills of accredited social health activists.</abstract><cop>Norway</cop><pub>Wiley Subscription Services, Inc</pub><pmid>30570790</pmid><doi>10.1111/apa.14322</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Accreditation accredited social health activist Activists Complications Implementation research Knowledge and skills Maternal, newborn and child health care mHealth Neonates Postpartum Pregnancy complications Skills Telemedicine |
title | The role of an mHealth intervention in improving knowledge and skills of accredited social health activists in tribal areas of Gujarat, India: a nested study within an implementation research trial |
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