scholarly journals A cost study for mobile phone health surveys using interactive voice response for assessing risk factors of noncommunicable diseases

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Andres I. Vecino-Ortiz ◽  
Madhuram Nagarajan ◽  
Kenneth Roger Katumba ◽  
Shamima Akhter ◽  
Raymond Tweheyo ◽  
...  
Keyword(s):  
Risk Factors ◽  
Mobile Phone ◽  
Sample Size ◽  
Interactive Voice Response ◽  
Noncommunicable Diseases ◽  
Fixed Costs ◽  
Representative Survey ◽  
Face To Face ◽  
Costing Study ◽  
Nationally Representative

Abstract Background This is the first study to examine the costs of conducting a mobile phone survey (MPS) through interactive voice response (IVR) to collect information on risk factors for noncommunicable diseases (NCD) in three low- and middle-income countries (LMIC); Bangladesh, Colombia, and Uganda. Methods This is a micro-costing study conducted from the perspective of the payer/funder with a 1-year horizon. The study evaluates the fixed costs and variable costs of implementing one nationally representative MPS for NCD risk factors of the adult population. In this costing study, we estimated the sample size of calls required to achieve a population-representative survey and associated incentives. Cost inputs were obtained from direct economic costs incurred by a central study team, from country-specific collaborators, and from platform developers who participated in the deployment of these MPS during 2017. Costs were reported in US dollars (USD). A sensitivity analysis was conducted assessing different scenarios of pricing and incentive strategies. Also, costs were calculated for a survey deployed targeting only adults younger than 45 years. Results We estimated the fixed costs ranging between $47,000 USD and $74,000 USD. Variable costs were found to be between $32,000 USD and $129,000 USD per nationally representative survey. The main cost driver was the number of calls required to meet the sample size, and its variability largely depends on the extent of mobile phone coverage and access in the country. Therefore, a larger number of calls were estimated to survey specific harder-to-reach sub-populations. Conclusion Mobile phone surveys have the potential to be a relatively less expensive and timely method of collecting survey information than face-to-face surveys, allowing decision-makers to deploy survey-based monitoring or evaluation programs more frequently than it would be possible having only face-to-face contact. The main driver of variable costs is survey time, and most of the variability across countries is attributable to the sampling differences associated to reaching out to population subgroups with low mobile phone ownership or access.

scholarly journals Acceptability and Use of Interactive Voice Response Mobile Phone Surveys for Noncommunicable Disease Behavioral Risk Factor Surveillance in Rural Uganda: Qualitative Study (Preprint)

2019 ◽  
Author(s):  
Charles Ssemugabo ◽  
Elizeus Rutebemberwa ◽  
Dan Kajungu ◽  
George W Pariyo ◽  
Adnan A Hyder ◽  
...  
Keyword(s):  
Risk Factors ◽  
Qualitative Study ◽  
Mobile Phone ◽  
Rural Areas ◽  
Urban Areas ◽  
Interactive Voice Response ◽  
Noncommunicable Disease ◽  
Behavioral Risk Factors ◽  
Behavioral Risk ◽  
Community Members

BACKGROUND There is need for more timely data to inform interventions that address the growing noncommunicable disease (NCD) epidemic. With a global increase in mobile phone ownership, mobile phone surveys can bridge this gap. OBJECTIVE This study aimed to explore the acceptability and use of interactive voice response (IVR) surveys for surveillance of NCD behavioral risk factors in rural Uganda. METHODS This qualitative study employed user group testing (UGT) with community members. The study was conducted at the Iganga-Mayuge Health and Demographic Surveillance Site (IM-HDSS) in Eastern Uganda. We conducted four UGTs which consisted of different categories of HDSS members: females living in urban areas, males living in urban areas, females living in rural areas, and males living in rural areas. Participants were individually sent an IVR survey, then were brought in for a group discussion using a semistructured guide. Data were analyzed thematically using directed content analysis. RESULTS Participants perceived that IVR surveys may be useful in promoting confidentiality, saving costs, and raising awareness on NCD behavioral risk factors. Due to the clarity and delivery of questions in the local language, the IVR survey was perceived as easy to use. Community members suggested scheduling surveys on specific days and sending reminders as ways to improve their use for surveillance. Social issues such as domestic violence and perceptions toward unknown calls, technological factors including poor network connections and inability to use phones, and personal issues such as lack of access to phones and use of multiple networks were identified as barriers to the acceptability and use of mobile phone surveys. However, incentives were reported to motivate people to complete the survey. CONCLUSIONS Community members reflected on contextual and sociological implications of using mobile phones for surveillance of NCD behavioral risk factors. The opportunities and challenges that affect acceptability and use of IVR surveys should be considered in designing and implementing surveillance programs for NCD risk factors.

scholarly journals Adaptation of a mobile phone health survey for risk factors for noncommunicable diseases in Colombia: a qualitative study

2020 ◽  
Vol 13 (1) ◽  
pp. 1809841
Author(s):  
Angelica Torres-Quintero ◽  
Angela Vega ◽  
Dustin G. Gibson ◽  
Mariana Rodriguez-Patarroyo ◽  
Stephanie Puerto ◽  
...  
Keyword(s):  
Risk Factors ◽  
Qualitative Study ◽  
Mobile Phone ◽  
Health Survey ◽  
Noncommunicable Diseases

Does Relation Between Women’s Justification of Wife Beating and Intimate Partner Violence Differ in Context of Husband’s Controlling Attitudes in Nigeria?

2019 ◽  
Vol 41 (1) ◽  
pp. 85-108 ◽  
Author(s):  
Adegbenga M. Sunmola ◽  
Olusegun A. Mayungbo ◽  
Gregory A. Ashefor ◽  
Luqman A. Morakinyo
Keyword(s):  
Risk Factors ◽  
Partner Violence ◽  
Intimate Partner ◽  
Married Women ◽  
Wife Beating ◽  
Regression Analyses ◽  
Face To Face ◽  
Nationally Representative ◽  
Relationship Of ◽  
The Relationship

Controlling and domineering attitudes of husbands are risk factors for women’s experience of physical, sexual, and emotional violence in Nigeria. Other studies imply that husband’s attitudes may also influence the risk of women’s justification of wife beating. Consistently, it was hypothesized that husband’s controlling and domineering attitudes would influence the relationship between women’s justification of wife beating and the three types of violence experience. Participants were 19,360 nationally representative sample of married women in Nigeria. Data were collected through face-to-face interviews. Regression analyses were conducted to analyze the contributions of justification of wife beating and husband attitudes to the three types of women’s violence experience. Findings showed that women who justified wife beating experienced more physical, sexual, and emotional violence. The relationship of justification of wife beating still persisted with sexual and emotional violence in the context of husband’s controlling and domineering attitudes. Implications of study findings were discussed.

scholarly journals User Perceptions and Experiences of an Interactive Voice Response Mobile Phone Survey Pilot in Uganda: Qualitative Study (Preprint)

2020 ◽  
Author(s):  
Raymond Tweheyo ◽  
Hannah Selig ◽  
Dustin G Gibson ◽  
George William Pariyo ◽  
Elizeus Rutebemberwa
Keyword(s):  
Qualitative Study ◽  
Mobile Phone ◽  
Vegetable Consumption ◽  
Interactive Voice Response ◽  
World Health ◽  
Survey Study ◽  
Noncommunicable Diseases ◽  
Semistructured Interview ◽  
User Perceptions ◽  
Voice Response

BACKGROUND With the growing burden of noncommunicable diseases in low- and middle- income countries, the World Health Organization recommended a stepwise approach of surveillance for noncommunicable diseases. This is expensive to conduct on a frequent basis and using interactive voice response mobile phone surveys has been put forth as an alternative. However, there is limited evidence on how to design and deliver interactive voice response calls that are robust and acceptable to respondents. OBJECTIVE This study aimed to explore user perceptions and experiences of receiving and responding to an interactive voice response call in Uganda in order to adapt and refine the instrument prior to national deployment. METHODS A qualitative study design was used and comprised a locally translated audiorecorded interactive voice response survey delivered in 4 languages to 59 purposively selected participants' mobile phones in 5 survey rounds guided by data saturation. The interactive voice response survey had modules on sociodemographic characteristics, physical activity, fruit and vegetable consumption, diabetes, and hypertension. After the interactive voice response survey, study staff called participants back and used a semistructured interview to collect information on the participant’s perceptions of interactive voice response call audibility, instruction clarity, interview pace, language courtesy and appropriateness, the validity of questions, and the lottery incentive. Descriptive statistics were used for the interactive voice response survey, while a framework analysis was used to analyze qualitative data. RESULTS Key findings that favored interactive voice response survey participation or completion included preference for brief surveys of 10 minutes or shorter, preference for evening calls between 6 PM and 10 PM, preference for courteous language, and favorable perceptions of the lottery-type incentive. While key findings curtailing participation were suspicion about the caller’s identity, unclear voice, confusing skip patterns, difficulty with the phone interface such as for selecting inappropriate digits for both ordinary and smartphones, and poor network connectivity for remote and rural participants. CONCLUSIONS Interactive voice response surveys should be as brief as possible and considerate of local preferences to increase completion rates. Caller credibility needs to be enhanced through either masking the caller or prior community mobilization. There is need to evaluate the preferred timing of interactive voice response calls, as the finding of evening call preference is inconclusive and might be contextual.

Effect of Face-to-Face Education on Knowledge, Attitudes, and Practices Toward “Traffic Light” Food Labeling in Isfahan Society, Iran

2020 ◽  
pp. 0272684X2091661
Author(s):  
Zahra Esfandiari ◽  
Maryam Mirlohi ◽  
Jila M Tanha ◽  
Marjan Hadian ◽  
Sayed Isa Mossavi ◽  
...  
Keyword(s):  
Risk Factors ◽  
Premature Mortality ◽  
Wilcoxon Test ◽  
Food Labeling ◽  
Noncommunicable Diseases ◽  
Traffic Light ◽  
Face To Face ◽  
Attitudes And Practices ◽  
The Impact ◽  
Knowledge Attitudes And Practices

Emerging noncommunicable diseases (NCDs) with premature mortality are one of the major concerns in health supervising organizations of the world. High intake of energy, salt, sugar, fat, and trans fatty acids are introduced as dietary risk factors of NCDs. The status of food risk factors is presented in Traffic Light (TL) food labeling through colors of red, yellow, and green as the signs of stop, wait and watch and go, respectively. This stepwise interventional study examined whether TL education can result in choosing healthier food via assessing the impact of face-to-face educational sessions on knowledge, attitudes, and practices of 673 respondents toward TL food labeling through a self-administered and structured questionnaire. Paired t test or alternatively Wilcoxon test was used to evaluate the influence of education in total scores of knowledge, attitudes, and practices in test–retest. Results indicated that before education, the average of the scores for the knowledge, attitudes, and practices was 1.003 ± 0.69, 10.97 ± 1.86, and 1.60 ± 1.84, respectively. After education, the scores were increased to 8.72 ± 3.11, 15.95 ± 2.64, and 8.42 ± 1.69. Significant differences in the scores of the respondents were observed before and after education ( p < .05). This study revealed that the intervention of education had positive effect on the knowledge, attitudes, and practices of the studied population. Even though general awareness about the food risk factors of NCDs existed, special education is required to make public TL and food labeling information usage as an actual guidance for every food item in Iran.

scholarly journals Personality and individual attitudes toward vaccination: a nationally representative survey in the United States

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Fang-Yu Lin ◽  
Ching-Hsing Wang
Keyword(s):  
United States ◽  
Personality Traits ◽  
Health Benefits ◽  
The United States ◽  
Emotional Stability ◽  
Representative Survey ◽  
Face To Face ◽  
Point Increase ◽  
Nationally Representative

Abstract Background Although past studies have identified factors associated with individual perceptions of vaccination, limited attention has been paid to the role of personality in individual attitudes toward vaccination. This study aimed to evaluate the effect of personality as measured by the Big Five personality traits on individual attitudes toward vaccination using a nationally representative survey in the United States. Methods A cross-sectional study was conducted with a sample of 3276 American citizens who were aged 18 and above and lived in 50 U.S. states and Washington D.C. from the American National Election Studies. The survey was collected through face-to-face and online interviews using structured questionnaires in 2016. The multistage stratified cluster sampling procedure was used for face-to-face interview, whereas the USPS DSF was used to select the sample for online interview. Multivariable ordinal logistic regression was used to assess how personality traits (extraversion, agreeableness, conscientiousness, emotional stability, and openness to experience) as main explanatory variables influence the outcome variables – individual attitudes toward health benefits of vaccination and support for school vaccination. Results More than two-thirds of respondents perceive health benefit of vaccination and support vaccination requirements for school entry, whereas about one-tenth of respondents have safety concerns about vaccination and oppose the vaccination requirements. After adjusting for ideology, insurance status, and demographic variables, the traits of agreeableness, conscientiousness and emotional stability remain significantly associated with attitude toward vaccination; conscientiousness is significantly associated with support for school vaccination. The odds of reporting health benefits of vaccination associated with one-point increase in agreeableness, conscientiousness and emotional stability are 1.05 (95% confidence intervals [CI] = 1.01–1.08), 1.05 (95% CI = 1.02–1.09) and 1.03 (95% CI = 1.00–1.06), respectively. For a one-point increase in conscientiousness, the odds of supporting school vaccination increase by 1.08 (95% CI = 1.05–1.12). Conclusions People high in agreeableness, conscientiousness and emotional stability are more likely to regard vaccination as beneficial, whereas those high in conscientiousness are more likely to support school-based vaccine requirement. This study highlights the importance of personality in shaping individual attitudes toward vaccination. More research is needed to understand the role of personality in individual health attitudes and behavior.

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