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Characterizing Engagement Measures and Profiles in a Mobile Health Intervention, SMS4dads.
Jennifer Stgeorge1, Jason Dizon2, Lucy Leigh2
1School of Health Sciences, University of Newcastle, Callaghan, Australia.
Journal of Health Communication
|March 24, 2025
Summary
Mobile health (mHealth) engagement can be measured using a new metric. This metric identified factors like Indigenous status and education level that influence men
Area of Science:
- Digital Health
- Public Health
- Men's Health
Background:
- Mobile health (mHealth) interventions effectively disseminate health information but assessing user engagement remains challenging.
- Previous work has focused on developing mHealth engagement indices.
- Understanding engagement is crucial for optimizing digital health interventions.
Purpose of the Study:
- To develop and validate an engagement metric for the SMS4dads mHealth program.
- To identify characteristics associated with varying levels of engagement among new fathers.
- To inform tailored digital health strategies for diverse male populations.
Main Methods:
- Developed a quantitative engagement metric based on interaction proportions (links, texts) from 3261 Australian fathers.
- Utilized hazard ratios for dropout to assess external validity.
- Explored demographic, socioeconomic, and health-related factors associated with engagement scores.
Main Results:
- Engagement scores varied significantly based on Indigenous status, education, first-child status, antenatal enrollment, smoking, alcohol use, and psychological distress.
- No significant difference in engagement was observed between rural and urban fathers.
- A wide range of engagement levels was noted, from minimal to near-complete interaction.
Conclusions:
- The developed metric provides a quantifiable measure of mHealth engagement in new fathers.
- Specific characteristics are linked to higher or lower engagement, highlighting potential for targeted interventions.
- Understanding these factors can enhance the precision and effectiveness of digital health programs for men transitioning to fatherhood.
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