Cargando…
Developing Content for a mHealth Intervention to Promote Postpartum Retention in Prevention of Mother-To-Child HIV Transmission Programs and Early Infant Diagnosis of HIV: A Qualitative Study
BACKGROUND: Maternal attendance at postnatal clinic visits and timely diagnosis of infant HIV infection are important steps for prevention of mother-to-child transmission (PMTCT) of HIV. We aimed to use theory-informed methods to develop text messages targeted at facilitating these steps. METHODS: W...
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2014
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4152282/ https://www.ncbi.nlm.nih.gov/pubmed/25181408 http://dx.doi.org/10.1371/journal.pone.0106383 |
_version_ | 1782333118404886528 |
---|---|
author | Odeny, Thomas A. Newman, Maya Bukusi, Elizabeth A. McClelland, R. Scott Cohen, Craig R. Camlin, Carol S. |
author_facet | Odeny, Thomas A. Newman, Maya Bukusi, Elizabeth A. McClelland, R. Scott Cohen, Craig R. Camlin, Carol S. |
author_sort | Odeny, Thomas A. |
collection | PubMed |
description | BACKGROUND: Maternal attendance at postnatal clinic visits and timely diagnosis of infant HIV infection are important steps for prevention of mother-to-child transmission (PMTCT) of HIV. We aimed to use theory-informed methods to develop text messages targeted at facilitating these steps. METHODS: We conducted five focus group discussions with health workers and women attending antenatal, postnatal, and PMTCT clinics to explore aspects of women's engagement in postnatal HIV care and infant testing. Discussion topics were informed by constructs of the Health Belief Model (HBM) and prior empirical research. Qualitative data were coded and analyzed according to the construct of the HBM to which they related. Themes were extracted and used to draft intervention messages. We carried out two stages of further messaging development: messages were presented in a follow-up focus group in order to develop optimal phrasing in local languages. We then further refined the messages, pretested them in individual cognitive interviews with selected health workers, and finalized the messages for the intervention. RESULTS: Findings indicated that brief, personalized, caring, polite, encouraging, and educational text messages would facilitate women bringing their children to clinic after delivery, suggesting that text messages may serve as an important “cue to action.” Participants emphasized that messages should not mention HIV due to fear of HIV testing and disclosure. Participants also noted that text messages could capitalize on women's motivation to attend clinic for childhood immunizations. CONCLUSIONS: Applying a multi-stage content development approach to crafting text messages – informed by behavioral theory – resulted in message content that was consistent across different focus groups. This approach could help answer “why” and “how” text messaging may be a useful tool to support maternal and child health. We are evaluating the effect of these messages on improving postpartum PMTCT retention and infant HIV testing in a randomized trial. |
format | Online Article Text |
id | pubmed-4152282 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-41522822014-09-05 Developing Content for a mHealth Intervention to Promote Postpartum Retention in Prevention of Mother-To-Child HIV Transmission Programs and Early Infant Diagnosis of HIV: A Qualitative Study Odeny, Thomas A. Newman, Maya Bukusi, Elizabeth A. McClelland, R. Scott Cohen, Craig R. Camlin, Carol S. PLoS One Research Article BACKGROUND: Maternal attendance at postnatal clinic visits and timely diagnosis of infant HIV infection are important steps for prevention of mother-to-child transmission (PMTCT) of HIV. We aimed to use theory-informed methods to develop text messages targeted at facilitating these steps. METHODS: We conducted five focus group discussions with health workers and women attending antenatal, postnatal, and PMTCT clinics to explore aspects of women's engagement in postnatal HIV care and infant testing. Discussion topics were informed by constructs of the Health Belief Model (HBM) and prior empirical research. Qualitative data were coded and analyzed according to the construct of the HBM to which they related. Themes were extracted and used to draft intervention messages. We carried out two stages of further messaging development: messages were presented in a follow-up focus group in order to develop optimal phrasing in local languages. We then further refined the messages, pretested them in individual cognitive interviews with selected health workers, and finalized the messages for the intervention. RESULTS: Findings indicated that brief, personalized, caring, polite, encouraging, and educational text messages would facilitate women bringing their children to clinic after delivery, suggesting that text messages may serve as an important “cue to action.” Participants emphasized that messages should not mention HIV due to fear of HIV testing and disclosure. Participants also noted that text messages could capitalize on women's motivation to attend clinic for childhood immunizations. CONCLUSIONS: Applying a multi-stage content development approach to crafting text messages – informed by behavioral theory – resulted in message content that was consistent across different focus groups. This approach could help answer “why” and “how” text messaging may be a useful tool to support maternal and child health. We are evaluating the effect of these messages on improving postpartum PMTCT retention and infant HIV testing in a randomized trial. Public Library of Science 2014-09-02 /pmc/articles/PMC4152282/ /pubmed/25181408 http://dx.doi.org/10.1371/journal.pone.0106383 Text en © 2014 Odeny et al http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly credited. |
spellingShingle | Research Article Odeny, Thomas A. Newman, Maya Bukusi, Elizabeth A. McClelland, R. Scott Cohen, Craig R. Camlin, Carol S. Developing Content for a mHealth Intervention to Promote Postpartum Retention in Prevention of Mother-To-Child HIV Transmission Programs and Early Infant Diagnosis of HIV: A Qualitative Study |
title | Developing Content for a mHealth Intervention to Promote Postpartum Retention in Prevention of Mother-To-Child HIV Transmission Programs and Early Infant Diagnosis of HIV: A Qualitative Study |
title_full | Developing Content for a mHealth Intervention to Promote Postpartum Retention in Prevention of Mother-To-Child HIV Transmission Programs and Early Infant Diagnosis of HIV: A Qualitative Study |
title_fullStr | Developing Content for a mHealth Intervention to Promote Postpartum Retention in Prevention of Mother-To-Child HIV Transmission Programs and Early Infant Diagnosis of HIV: A Qualitative Study |
title_full_unstemmed | Developing Content for a mHealth Intervention to Promote Postpartum Retention in Prevention of Mother-To-Child HIV Transmission Programs and Early Infant Diagnosis of HIV: A Qualitative Study |
title_short | Developing Content for a mHealth Intervention to Promote Postpartum Retention in Prevention of Mother-To-Child HIV Transmission Programs and Early Infant Diagnosis of HIV: A Qualitative Study |
title_sort | developing content for a mhealth intervention to promote postpartum retention in prevention of mother-to-child hiv transmission programs and early infant diagnosis of hiv: a qualitative study |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4152282/ https://www.ncbi.nlm.nih.gov/pubmed/25181408 http://dx.doi.org/10.1371/journal.pone.0106383 |
work_keys_str_mv | AT odenythomasa developingcontentforamhealthinterventiontopromotepostpartumretentioninpreventionofmothertochildhivtransmissionprogramsandearlyinfantdiagnosisofhivaqualitativestudy AT newmanmaya developingcontentforamhealthinterventiontopromotepostpartumretentioninpreventionofmothertochildhivtransmissionprogramsandearlyinfantdiagnosisofhivaqualitativestudy AT bukusielizabetha developingcontentforamhealthinterventiontopromotepostpartumretentioninpreventionofmothertochildhivtransmissionprogramsandearlyinfantdiagnosisofhivaqualitativestudy AT mcclellandrscott developingcontentforamhealthinterventiontopromotepostpartumretentioninpreventionofmothertochildhivtransmissionprogramsandearlyinfantdiagnosisofhivaqualitativestudy AT cohencraigr developingcontentforamhealthinterventiontopromotepostpartumretentioninpreventionofmothertochildhivtransmissionprogramsandearlyinfantdiagnosisofhivaqualitativestudy AT camlincarols developingcontentforamhealthinterventiontopromotepostpartumretentioninpreventionofmothertochildhivtransmissionprogramsandearlyinfantdiagnosisofhivaqualitativestudy |