Cargando…
mHealth for Anemia Reduction: Protocol for an Entertainment Education–Based Dual Intervention
BACKGROUND: More than half of the women of reproductive age (aged 15-49 years) are anemic in India. The uptake of and adherence to iron folic acid (IFA) supplements remain low despite sustained efforts to increase their use. With India’s burgeoning digital environment, mobile phones offer a potentia...
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
JMIR Publications
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8663628/ https://www.ncbi.nlm.nih.gov/pubmed/34812735 http://dx.doi.org/10.2196/26252 |
_version_ | 1784613682116820992 |
---|---|
author | Pant, Ichhya Rimal, Rajiv Yilma, Hagere Bingenheimer, Jeffrey Sedlander, Erica Behera, Sibabrata |
author_facet | Pant, Ichhya Rimal, Rajiv Yilma, Hagere Bingenheimer, Jeffrey Sedlander, Erica Behera, Sibabrata |
author_sort | Pant, Ichhya |
collection | PubMed |
description | BACKGROUND: More than half of the women of reproductive age (aged 15-49 years) are anemic in India. The uptake of and adherence to iron folic acid (IFA) supplements remain low despite sustained efforts to increase their use. With India’s burgeoning digital environment, mobile phones offer a potential medium for increasing their uptake, especially when combined with interactive voice messages that deliver entertaining stories infused with norms-based educational messages. OBJECTIVE: This study aims to investigate whether a norms-based entertainment education mobile health intervention can increase self-efficacy for IFA adherence among women of reproductive age in Odisha, India. METHODS: Mobile reduction in anemia through normative innovations (mRANI) is a randomized 2-arm study that includes assessments before and after the intervention. All study participants will be recruited from the intervention arm of the parent reduction in anemia through normative innovations trial only. Although the usual practice is to randomize participants either to a treatment arm or a usual care control arm, we will assign the mRANI control group to another entertainment education–based treatment group that is designed to improve bystander intervention to reduce violence against women. Data collection for the mRANI study is embedded in the parent trial and will include baseline and end line assessments. The primary outcomes are self-efficacy for IFA adherence and violence against women–related bystander intervention. The inclusion criteria for the mRANI study are participation in the parent trial and phone ownership. Women (approximately n=400) who meet the mRANI inclusion criteria will be randomly assigned to the IFA arm or the bystander arm. Ordinary least squares regression with robust SEs will be conducted to assess between-group comparisons at the end line. A mediation analysis will be conducted to examine whether social norms and interactivity mediate the relationship between intervention exposure and primary outcomes in both arms. Real-time monitoring data will offer insights into intervention receptivity and audience engagement. RESULTS: Data collection for the mRANI study is integrated within the parent trial. Household surveys were conducted between February and March of 2021. Responses on the mRANI study’s primary and secondary outcomes were collected from 381 participants. The data analysis is expected to be completed by October 2021. CONCLUSIONS: This study will provide evidence on whether a mobile health norms–based entertainment education intervention can increase self-efficacy for IFA adherence and violence against women–related bystander intervention. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): PRR1-10.2196/26252 |
format | Online Article Text |
id | pubmed-8663628 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | JMIR Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-86636282021-12-30 mHealth for Anemia Reduction: Protocol for an Entertainment Education–Based Dual Intervention Pant, Ichhya Rimal, Rajiv Yilma, Hagere Bingenheimer, Jeffrey Sedlander, Erica Behera, Sibabrata JMIR Res Protoc Protocol BACKGROUND: More than half of the women of reproductive age (aged 15-49 years) are anemic in India. The uptake of and adherence to iron folic acid (IFA) supplements remain low despite sustained efforts to increase their use. With India’s burgeoning digital environment, mobile phones offer a potential medium for increasing their uptake, especially when combined with interactive voice messages that deliver entertaining stories infused with norms-based educational messages. OBJECTIVE: This study aims to investigate whether a norms-based entertainment education mobile health intervention can increase self-efficacy for IFA adherence among women of reproductive age in Odisha, India. METHODS: Mobile reduction in anemia through normative innovations (mRANI) is a randomized 2-arm study that includes assessments before and after the intervention. All study participants will be recruited from the intervention arm of the parent reduction in anemia through normative innovations trial only. Although the usual practice is to randomize participants either to a treatment arm or a usual care control arm, we will assign the mRANI control group to another entertainment education–based treatment group that is designed to improve bystander intervention to reduce violence against women. Data collection for the mRANI study is embedded in the parent trial and will include baseline and end line assessments. The primary outcomes are self-efficacy for IFA adherence and violence against women–related bystander intervention. The inclusion criteria for the mRANI study are participation in the parent trial and phone ownership. Women (approximately n=400) who meet the mRANI inclusion criteria will be randomly assigned to the IFA arm or the bystander arm. Ordinary least squares regression with robust SEs will be conducted to assess between-group comparisons at the end line. A mediation analysis will be conducted to examine whether social norms and interactivity mediate the relationship between intervention exposure and primary outcomes in both arms. Real-time monitoring data will offer insights into intervention receptivity and audience engagement. RESULTS: Data collection for the mRANI study is integrated within the parent trial. Household surveys were conducted between February and March of 2021. Responses on the mRANI study’s primary and secondary outcomes were collected from 381 participants. The data analysis is expected to be completed by October 2021. CONCLUSIONS: This study will provide evidence on whether a mobile health norms–based entertainment education intervention can increase self-efficacy for IFA adherence and violence against women–related bystander intervention. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): PRR1-10.2196/26252 JMIR Publications 2021-11-22 /pmc/articles/PMC8663628/ /pubmed/34812735 http://dx.doi.org/10.2196/26252 Text en ©Ichhya Pant, Rajiv Rimal, Hagere Yilma, Jeffrey Bingenheimer, Erica Sedlander, Sibabrata Behera. Originally published in JMIR Research Protocols (https://www.researchprotocols.org), 22.11.2021. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Research Protocols, is properly cited. The complete bibliographic information, a link to the original publication on https://www.researchprotocols.org, as well as this copyright and license information must be included. |
spellingShingle | Protocol Pant, Ichhya Rimal, Rajiv Yilma, Hagere Bingenheimer, Jeffrey Sedlander, Erica Behera, Sibabrata mHealth for Anemia Reduction: Protocol for an Entertainment Education–Based Dual Intervention |
title | mHealth for Anemia Reduction: Protocol for an Entertainment Education–Based Dual Intervention |
title_full | mHealth for Anemia Reduction: Protocol for an Entertainment Education–Based Dual Intervention |
title_fullStr | mHealth for Anemia Reduction: Protocol for an Entertainment Education–Based Dual Intervention |
title_full_unstemmed | mHealth for Anemia Reduction: Protocol for an Entertainment Education–Based Dual Intervention |
title_short | mHealth for Anemia Reduction: Protocol for an Entertainment Education–Based Dual Intervention |
title_sort | mhealth for anemia reduction: protocol for an entertainment education–based dual intervention |
topic | Protocol |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8663628/ https://www.ncbi.nlm.nih.gov/pubmed/34812735 http://dx.doi.org/10.2196/26252 |
work_keys_str_mv | AT pantichhya mhealthforanemiareductionprotocolforanentertainmenteducationbaseddualintervention AT rimalrajiv mhealthforanemiareductionprotocolforanentertainmenteducationbaseddualintervention AT yilmahagere mhealthforanemiareductionprotocolforanentertainmenteducationbaseddualintervention AT bingenheimerjeffrey mhealthforanemiareductionprotocolforanentertainmenteducationbaseddualintervention AT sedlandererica mhealthforanemiareductionprotocolforanentertainmenteducationbaseddualintervention AT beherasibabrata mhealthforanemiareductionprotocolforanentertainmenteducationbaseddualintervention |