scholarly journals A Community-Based Short Message Service Intervention to Improve Mothers’ Feeding Practices for Obesity Prevention: Quasi-Experimental Study (Preprint)

2019 ◽  
Author(s):  
Hong Jiang ◽  
Mu Li ◽  
Li Ming Wen ◽  
Louise Baur ◽  
Gengsheng He ◽  
...  

BACKGROUND The prevalence of childhood obesity is increasing in China, and the effect of mobile phone short message service (SMS) interventions to prevent early childhood obesity needs to be evaluated. OBJECTIVE The objective of this study was to assess the effect of an SMS intervention on the prevention of obesity in young children. METHODS A quasi-experimental design SMS intervention was carried out in 4 community health centers (CHCs) in Shanghai, China. A total of 2 CHCs were assigned to the intervention group, and 2 CHCs were assigned to the control group. Mothers in the intervention group received weekly SMS messages on breastfeeding and infant feeding from the third trimester to 12 months postpartum. The primary outcomes were children’s body mass index (BMI), BMI z-score, and weight-for-length z-score at 12 and 24 months. Factors associated with higher BMI and weight-for-length z-score at 24 months were also assessed. RESULTS A total of 582 expectant mothers were recruited at the beginning of the third gestational trimester. 477 (82.0%) and 467 (80.2%) mothers and their children were followed up to 12 and 24 months postpartum, respectively. There were no significant differences in children’s BMI, BMI z-score, and weight-for-length z-score at 12 and 24 months between the 2 groups. Factors associated with higher BMI, BMI z-score, and weight-for-length z-score at 24 months included higher birth weight, introduction of solid foods before 4 months, and taking a bottle to bed at 12 months. CONCLUSIONS The SMS intervention did not show a significant effect on children’s BMI, BMI z-score, or weight-for-length z-score at 12 and 24 months. Introduction of solid foods before 4 months and taking a bottle to bed at 12 months were significantly and positively correlated with a higher BMI, BMI z-score, and weight-for-length z-score at 24 months. Further studies with more rigorous design are needed to evaluate the effect of SMS interventions on preventing early childhood obesity.

2017 ◽  
Vol 33 (5) ◽  
pp. 261
Author(s):  
Zly Wahyuni ◽  
Theodola Baning Rahayujati ◽  
Mohammad Hakimi

Effect of short message service toward knowledge and breastfeeding intention in Purbalingga district, Central JavaPurposeThis study aimed to determine the effect of short message service on improving mother's knowledge and intention in breastfeeding.MethodsThis study used a quasi-experimental design with non equivalent control group and pretest and posttest conducted with 36 breastfeeding mothers who received a breastfeeding brochure with short message service in the intervention group and 32 breastfeeding mothers who received only the brochure in the control group. The breastfeeding mothers all had an infant less than 2 months old and had a handphone. Data were processed by stata 12.0 using paired t-test, unpaired t-test and linear regression tests.ResultsThe pretest-posttest scores showed increase of knowledge about breastfeeding after delivering information of breastfeeding through short message service (p<0.05). It showed no effect of increasing breastfeeding intention after delivering information of breastfeeding through short message service (p> 0.05).ConclusionShort message service was effective to improve knowledge of breastfeeding mothers, however it had no effect in improving breastfeeding intentions.


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Aliyu Mohammed ◽  
Princess Ruhama Acheampong ◽  
Easmon Otupiri ◽  
Francis Adjei Osei ◽  
Roderick Larson-Reindorf ◽  
...  

2012 ◽  
Vol 31 (6) ◽  
pp. 797-805 ◽  
Author(s):  
Judith de Niet ◽  
Reinier Timman ◽  
Stephanie Bauer ◽  
Erica van den Akker ◽  
Cora de Klerk ◽  
...  

2017 ◽  
Vol 08 (02) ◽  
pp. 541-559 ◽  
Author(s):  
Brandi Pernell ◽  
Michael DeBaun ◽  
Kathleen Becker ◽  
Mark Rodeghier ◽  
Valencia Bryant ◽  
...  

SummaryIntroduction: Sickle cell disease (SCD) is a childhood and adult disease that primarily affects African Americans, characterized by life threatening sequelae mitigated by medications. One-way and two-way short message service (SMS) medication reminders have differing efficacy in chronic diseases. There is limited literature about SMS medication reminders in SCD.Objective: The goal of this study was to test the feasibility, defined by recruitment/acceptance, retention/attrition, and technology utilization, of two-way SMS medication reminders in individuals with SCD with and without asthma.Materials and Methods: Participants were randomly allocated to standard care or reminders. Two-way SMS reminders were automated using Research Electronic Data Capture (REDCap) for hydroxyurea, fluticasone, budesonide and montelukast. Adherence was measured using the Morisky Medication Adherence Scale-8 (MMAS-8). Asthma control was assessed using the Childhood and Adult-Asthma Control Tests (ACT). Participants were enrolled 28 to 60 days with a common termination date.Results: The recruitment rate was 95% (47/49) and 82.9% completed the study. Among the 47 study participants enrolled, 51.1% were male, 61.7% were adults, median age was 20 (range: 3 to 59), and 98% were African Americans. Of the 26 participants receiving messages, 20% responded on over 95% of the days and usage varied with an average response rate of 33%, ranging from 21% to 46%. Medication adherence scores improved significantly in the intervention group (3.42 before, 5.46 after; p=0.002), but not in the control group (3.90 before, 4.75 after; p=0.080). Childhood-ACT scores improved in the intervention group (19.20 before, 24.25 after). Adult-ACT scores within the intervention arm were unchanged (21.0 before, 22.0 after. ACT scores did not improve significantly.Conclusion: This study demonstrated the feasibility for two-way SMS medication reminders to improve medication adherence in a high-risk population where daily medication adherence is critical to health outcomes and quality of life.Citation: Pernell BM, DeBaun MR, Becker K, Rodeghier M, Bryant V, Cronin RM. Improving medication adherence with two-way short message service reminders in sickle cell disease and asthma: A feasibility randomized controlled trial. Appl Clin Inform 2017; 8: 541–559 https://doi.org/10.4338/ACI-2016-12-RA-0203


2016 ◽  
Vol 2016 ◽  
pp. 1-8 ◽  
Author(s):  
Carlos K. H. Wong ◽  
Fang-Fang Jiao ◽  
Shing-Chung Siu ◽  
Colman S. C. Fung ◽  
Daniel Y. T. Fong ◽  
...  

Aims. To investigate the costs and cost-effectiveness of a short message service (SMS) intervention to prevent the onset of type 2 diabetes mellitus (T2DM) in subjects with impaired glucose tolerance (IGT).Methods. A Markov model was developed to simulate the cost and effectiveness outcomes of the SMS intervention and usual clinical practice from the health provider’s perspective. The direct programme costs and the two-year SMS intervention costs were evaluated in subjects with IGT. All costs were expressed in 2011 US dollars. The incremental cost-effectiveness ratio was calculated as cost per T2DM onset prevented, cost per life year gained, and cost per quality adjusted life year (QALY) gained.Results. Within the two-year trial period, the net intervention cost of the SMS group was $42.03 per subject. The SMS intervention managed to reduce 5.05% onset of diabetes, resulting in saving $118.39 per subject over two years. In the lifetime model, the SMS intervention dominated the control by gaining an additional 0.071 QALY and saving $1020.35 per person. The SMS intervention remained dominant in all sensitivity analyses.Conclusions. The SMS intervention for IGT subjects had the superiority of lower monetary cost and a considerable improvement in preventing or delaying the T2DM onset. This trial is registered with ClinicalTrials.govNCT01556880.


2019 ◽  
Vol 12 (1) ◽  
Author(s):  
Judith R. M. Mwansa-Kambafwile ◽  
Charles Chasela ◽  
Nazir Ismail ◽  
Colin Menezes

Abstract Introduction Tuberculosis (TB) is a problem in South Africa. Initial loss to follow up (LTFU) among TB patients is high varying between 14.9 and 18%. Some of the reasons for this are: lack of proper communication between patient and staff on next steps after testing, not aware that results are ready; and other competing priorities. Receiving reminder messages that result is ready is an intervention that can be explored to reduce initial LTFU. This can be through either receiving a note from the Ward-Based Outreach Teams (WBOTs) or via short message service (SMS) advising the patient to collect test result at the facility. This proposal aims to assess the effectiveness of WBOTs or SMS technology in reducing TB initial LTFU. Methods This will be a mixed methods approach. In depth interviews with WBOT Managers and TB Program Managers will be conducted. Focus group discussions with WBOT members will also be conducted. Two interventions (enhanced WBOTs/SMS technology) will be tested using a 3 arm randomized controlled trial (standard of care, SMS technology or enhanced WBOTs). The WBOTs will deliver paper note reminders while SMS intervention will entail sending reminder SMS messages to patients as soon as TB results are ready.


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