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Mobile Phone-Based Nutrition Education Targeting Pregnant and Nursing Mothers in Sri Lanka

Introduction: A woman’s nutrition during pregnancy and nursing affects the mother and the growing child. Similarly, the first two years of a child’s life are critical to their growth and development and are facilitated by optimum nutrition. Women’s nutrition-related knowledge, attitudes, and practic...

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Autores principales: Peiris, Dilka Rashmi, Wijesinghe, Millawage Supun Dilara, Gunawardana, Balangoda Muhamdiramlage Indika, Weerasinghe, Weerasinghe Mudiyanselage Prasad Chathuranga, Rajapaksha, Rajapaksha Mudiyanselage Nayani Umesha, Rathnayake, Kumari M., Ranathunga, Nayomi, Kalupahana, Saman, Supun, Yakupitiyage Asanka, Deshpande, Sameer, Ahmed, Faruk
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9916292/
https://www.ncbi.nlm.nih.gov/pubmed/36767691
http://dx.doi.org/10.3390/ijerph20032324
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author Peiris, Dilka Rashmi
Wijesinghe, Millawage Supun Dilara
Gunawardana, Balangoda Muhamdiramlage Indika
Weerasinghe, Weerasinghe Mudiyanselage Prasad Chathuranga
Rajapaksha, Rajapaksha Mudiyanselage Nayani Umesha
Rathnayake, Kumari M.
Ranathunga, Nayomi
Kalupahana, Saman
Supun, Yakupitiyage Asanka
Deshpande, Sameer
Ahmed, Faruk
author_facet Peiris, Dilka Rashmi
Wijesinghe, Millawage Supun Dilara
Gunawardana, Balangoda Muhamdiramlage Indika
Weerasinghe, Weerasinghe Mudiyanselage Prasad Chathuranga
Rajapaksha, Rajapaksha Mudiyanselage Nayani Umesha
Rathnayake, Kumari M.
Ranathunga, Nayomi
Kalupahana, Saman
Supun, Yakupitiyage Asanka
Deshpande, Sameer
Ahmed, Faruk
author_sort Peiris, Dilka Rashmi
collection PubMed
description Introduction: A woman’s nutrition during pregnancy and nursing affects the mother and the growing child. Similarly, the first two years of a child’s life are critical to their growth and development and are facilitated by optimum nutrition. Women’s nutrition-related knowledge, attitudes, and practices influence household food and nutrition security. Mobile health (mHealth) is a potentially effective health intervention in pandemic situations when physical gatherings are restricted. Objectives: To examine the effectiveness of a mobile phone-based nutrition education intervention targeting pregnant and nursing mothers in six Sri Lankan divisional secretariat areas. Method: This intervention was evaluated using a before and after within-subjects design. The intervention included 19 messages over four weeks sent via mobile phone, covering nutrition themes such as pregnancy care, infant and young child-feeding, diet, family care for mother and child, and cash management. The intervention was evaluated based on a quantitative survey using a structured interviewer-administered questionnaire and qualitative interviews using a semi-structured questionnaire. The study population was pregnant and nursing mothers. The objective of the qualitative interviews was to identify how respondents used messages and how satisfied they were with the project. The outcome measures were awareness/knowledge, attitudes, social norms, self-efficacy, behaviour intentions, and practices of pregnant and nursing mothers. Trained enumerators collected data using a mobile phone. Results: A total of 996 pregnant and nursing mothers participated in the pre-assessment survey, of which 720 completed the post-assessment. Most were nursing mothers (84.2% pre- and 78.9% post-assessment). Participants provided positive feedback on the intervention. Knowledge/awareness (t = −18.70, p < 0.01) and attitudes (t = −2.00, p < 0.05) increased when exposed to the intervention. Favourable improvements in the practices were also observed. Mothers’ practices related to breastfeeding and 24-h dietary diversity showed a statistically significant improvement. However, social norms and behaviour intentions did not significantly improve. The qualitative component also revealed favourable responses. Conclusion and Recommendations: The mobile intervention improved participants’ knowledge, awareness, attitude, and practices, but not social norms or behaviour intentions. This approach is recommended to be used on a larger scale in community settings. In addition, mobile technology could drive intervention in pandemic-related situations.
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spelling pubmed-99162922023-02-11 Mobile Phone-Based Nutrition Education Targeting Pregnant and Nursing Mothers in Sri Lanka Peiris, Dilka Rashmi Wijesinghe, Millawage Supun Dilara Gunawardana, Balangoda Muhamdiramlage Indika Weerasinghe, Weerasinghe Mudiyanselage Prasad Chathuranga Rajapaksha, Rajapaksha Mudiyanselage Nayani Umesha Rathnayake, Kumari M. Ranathunga, Nayomi Kalupahana, Saman Supun, Yakupitiyage Asanka Deshpande, Sameer Ahmed, Faruk Int J Environ Res Public Health Article Introduction: A woman’s nutrition during pregnancy and nursing affects the mother and the growing child. Similarly, the first two years of a child’s life are critical to their growth and development and are facilitated by optimum nutrition. Women’s nutrition-related knowledge, attitudes, and practices influence household food and nutrition security. Mobile health (mHealth) is a potentially effective health intervention in pandemic situations when physical gatherings are restricted. Objectives: To examine the effectiveness of a mobile phone-based nutrition education intervention targeting pregnant and nursing mothers in six Sri Lankan divisional secretariat areas. Method: This intervention was evaluated using a before and after within-subjects design. The intervention included 19 messages over four weeks sent via mobile phone, covering nutrition themes such as pregnancy care, infant and young child-feeding, diet, family care for mother and child, and cash management. The intervention was evaluated based on a quantitative survey using a structured interviewer-administered questionnaire and qualitative interviews using a semi-structured questionnaire. The study population was pregnant and nursing mothers. The objective of the qualitative interviews was to identify how respondents used messages and how satisfied they were with the project. The outcome measures were awareness/knowledge, attitudes, social norms, self-efficacy, behaviour intentions, and practices of pregnant and nursing mothers. Trained enumerators collected data using a mobile phone. Results: A total of 996 pregnant and nursing mothers participated in the pre-assessment survey, of which 720 completed the post-assessment. Most were nursing mothers (84.2% pre- and 78.9% post-assessment). Participants provided positive feedback on the intervention. Knowledge/awareness (t = −18.70, p < 0.01) and attitudes (t = −2.00, p < 0.05) increased when exposed to the intervention. Favourable improvements in the practices were also observed. Mothers’ practices related to breastfeeding and 24-h dietary diversity showed a statistically significant improvement. However, social norms and behaviour intentions did not significantly improve. The qualitative component also revealed favourable responses. Conclusion and Recommendations: The mobile intervention improved participants’ knowledge, awareness, attitude, and practices, but not social norms or behaviour intentions. This approach is recommended to be used on a larger scale in community settings. In addition, mobile technology could drive intervention in pandemic-related situations. MDPI 2023-01-28 /pmc/articles/PMC9916292/ /pubmed/36767691 http://dx.doi.org/10.3390/ijerph20032324 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Peiris, Dilka Rashmi
Wijesinghe, Millawage Supun Dilara
Gunawardana, Balangoda Muhamdiramlage Indika
Weerasinghe, Weerasinghe Mudiyanselage Prasad Chathuranga
Rajapaksha, Rajapaksha Mudiyanselage Nayani Umesha
Rathnayake, Kumari M.
Ranathunga, Nayomi
Kalupahana, Saman
Supun, Yakupitiyage Asanka
Deshpande, Sameer
Ahmed, Faruk
Mobile Phone-Based Nutrition Education Targeting Pregnant and Nursing Mothers in Sri Lanka
title Mobile Phone-Based Nutrition Education Targeting Pregnant and Nursing Mothers in Sri Lanka
title_full Mobile Phone-Based Nutrition Education Targeting Pregnant and Nursing Mothers in Sri Lanka
title_fullStr Mobile Phone-Based Nutrition Education Targeting Pregnant and Nursing Mothers in Sri Lanka
title_full_unstemmed Mobile Phone-Based Nutrition Education Targeting Pregnant and Nursing Mothers in Sri Lanka
title_short Mobile Phone-Based Nutrition Education Targeting Pregnant and Nursing Mothers in Sri Lanka
title_sort mobile phone-based nutrition education targeting pregnant and nursing mothers in sri lanka
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9916292/
https://www.ncbi.nlm.nih.gov/pubmed/36767691
http://dx.doi.org/10.3390/ijerph20032324
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