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James Peng¹, Erica Wetzler², Brenda Wandika³

¹Department of Biostatistics, University of Washington, Seattle, Washington, United States of America.

PLOS digital health

|August 7, 2025

概括

移动卫生干预措施改善了低收入国家的新生儿护理. 在基于文本的程序中增加参与者消息传递与更好的危险标志知识和延迟母乳养的几率较低有关.

科学领域:

全球健康全球健康
数字健康数字健康
孕产妇和儿童的健康

背景情况:

新生儿死亡率在低收入和中等收入国家仍然很高,尽管全球减少.
移动健康 (mHealth) 干预措施在促进早期新生儿护理 (ENC) 和改善新生儿健康结果方面表现有前途.
短信干预可以促进沟通和对产周护理的支持.

研究的目的:

分析参与者与短信干预的参与 (移动WACh NEO试验).
调查参与者参与与肯尼亚母亲和新生儿健康结果之间的关联.
为了确定更多地参与mHealth计划的母亲的特征.

主要方法:

移动WACh NEO随机对照试验 (2020-2023) 的二次分析.
在分娩后6周内,特征性参与者参与 (发送/接收消息,护士反应).
检查了参与度指标和新生儿危险信号知识和母乳养开始之间的关联.

主要成果:

2,470名参与者收到了自动化消息,并可以发短信给一名护士,提供了中位参与度指标.
年轻,受过更高教育,未婚,失业和第一次成为母亲的女性发送的信息更多.
增加参与者信息与改善新生儿危险标志知识和早期开始母乳养的几率降低相关.

结论:

参与mHealth计划的参与者参与与改善的母婴健康知识和行为有关.
了解参与模式可以帮助定制移动健康干预措施,以获得更大的影响.
移动健康干预措施,如短信,可以成为改善早期新生儿护理实践的有效工具.

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