View in EDS HTML Full Text PDF Full Text

An mHealth SMS intervention on Postpartum Contraceptive Use Among Women and Couples in Kenya: A Randomized Controlled Trial.

Saved in:
Bibliographic Details
Title: An mHealth SMS intervention on Postpartum Contraceptive Use Among Women and Couples in Kenya: A Randomized Controlled Trial.
Authors: Harrington, Elizabeth K. (AUTHOR), Drake, Alison L. (AUTHOR), Matemo, Daniel (AUTHOR), Ronen, Keshet (AUTHOR), Osoti, Alfred O. (AUTHOR), John-Stewart, Grace (AUTHOR), Kinuthia, John (AUTHOR), Unger, Jennifer A. (AUTHOR)
Source: American Journal of Public Health. Jun2019, Vol. 109 Issue 6, p934-941. 8p.
Subjects: Contraceptives, Puerperium, Women's sexual behavior, Couples, Health care intervention (Social services), Family planning
Geographic Terms: Kenya
Abstract: Objectives. To assess the effect of 2-way short message service (SMS) with a nurse on postpartum contraceptive use among individual women and couples. Methods. From 2016 to 2017, we conducted a randomized controlled trial at 2 public hospitals in western Kenya. We assigned eligible pregnant women to receive 2-way SMS with a nurse or no SMS, with the option to include male partners. We delivered automated family planning–focused SMS messages weekly until 6 months postpartum. Women and men receiving SMS could interact with nurses via SMS. In intention-to-treat analysis, we compared highly effective contraceptive (HEC) use at 6 months postpartum between groups using the χ2 test. We used Poisson regression in adjusted analysis. Results. We randomized 260 women to 2-way SMS or control, and we enrolled 103 male partners. At 6 months postpartum, 69.9% women receiving SMS reported HEC use, compared with 57.4% in control (relative risk = 1.22; 95% confidence interval [CI] = 1.01, 1.47; P =.04). In analysis adjusted for baseline demographic differences, the adjusted relative risk for HEC use in the SMS group was 1.26 (95% CI = 1.04, 1.52; P =.02). Conclusions. Two-way SMS with a nurse, including optional male participation, increased postpartum contraceptive use. Trial Registration. ClinicalTrials.gov; identifier: NCT02781714. [ABSTRACT FROM AUTHOR]
Copyright of American Journal of Public Health is the property of American Public Health Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
Full text is not displayed to guests.
FullText Links:
  – Type: pdflink
Text:
  Availability: 1
Header DbId: pbh
DbLabel: Psychology and Behavioral Sciences Collection
An: 136340651
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: An mHealth SMS intervention on Postpartum Contraceptive Use Among Women and Couples in Kenya: A Randomized Controlled Trial.
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Harrington%2C+Elizabeth+K%2E%22">Harrington, Elizabeth K.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Drake%2C+Alison+L%2E%22">Drake, Alison L.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Matemo%2C+Daniel%22">Matemo, Daniel</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ronen%2C+Keshet%22">Ronen, Keshet</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Osoti%2C+Alfred+O%2E%22">Osoti, Alfred O.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22John-Stewart%2C+Grace%22">John-Stewart, Grace</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kinuthia%2C+John%22">Kinuthia, John</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Unger%2C+Jennifer+A%2E%22">Unger, Jennifer A.</searchLink> (AUTHOR)
– Name: TitleSource
  Label: Source
  Group: Src
  Data: <searchLink fieldCode="JN" term="%22American+Journal+of+Public+Health%22">American Journal of Public Health</searchLink>. Jun2019, Vol. 109 Issue 6, p934-941. 8p.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Contraceptives%22">Contraceptives</searchLink><br /><searchLink fieldCode="DE" term="%22Puerperium%22">Puerperium</searchLink><br /><searchLink fieldCode="DE" term="%22Women's+sexual+behavior%22">Women's sexual behavior</searchLink><br /><searchLink fieldCode="DE" term="%22Couples%22">Couples</searchLink><br /><searchLink fieldCode="DE" term="%22Health+care+intervention+%28Social+services%29%22">Health care intervention (Social services)</searchLink><br /><searchLink fieldCode="DE" term="%22Family+planning%22">Family planning</searchLink>
– Name: SubjectGeographic
  Label: Geographic Terms
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Kenya%22">Kenya</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Objectives. To assess the effect of 2-way short message service (SMS) with a nurse on postpartum contraceptive use among individual women and couples. Methods. From 2016 to 2017, we conducted a randomized controlled trial at 2 public hospitals in western Kenya. We assigned eligible pregnant women to receive 2-way SMS with a nurse or no SMS, with the option to include male partners. We delivered automated family planning–focused SMS messages weekly until 6 months postpartum. Women and men receiving SMS could interact with nurses via SMS. In intention-to-treat analysis, we compared highly effective contraceptive (HEC) use at 6 months postpartum between groups using the χ2 test. We used Poisson regression in adjusted analysis. Results. We randomized 260 women to 2-way SMS or control, and we enrolled 103 male partners. At 6 months postpartum, 69.9% women receiving SMS reported HEC use, compared with 57.4% in control (relative risk = 1.22; 95% confidence interval [CI] = 1.01, 1.47; P =.04). In analysis adjusted for baseline demographic differences, the adjusted relative risk for HEC use in the SMS group was 1.26 (95% CI = 1.04, 1.52; P =.02). Conclusions. Two-way SMS with a nurse, including optional male participation, increased postpartum contraceptive use. Trial Registration. ClinicalTrials.gov; identifier: NCT02781714. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of American Journal of Public Health is the property of American Public Health Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=136340651
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.2105/AJPH.2019.305051
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 8
        StartPage: 934
    Subjects:
      – SubjectFull: Contraceptives
        Type: general
      – SubjectFull: Puerperium
        Type: general
      – SubjectFull: Women's sexual behavior
        Type: general
      – SubjectFull: Couples
        Type: general
      – SubjectFull: Health care intervention (Social services)
        Type: general
      – SubjectFull: Family planning
        Type: general
      – SubjectFull: Kenya
        Type: general
    Titles:
      – TitleFull: An mHealth SMS intervention on Postpartum Contraceptive Use Among Women and Couples in Kenya: A Randomized Controlled Trial.
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Harrington, Elizabeth K.
      – PersonEntity:
          Name:
            NameFull: Drake, Alison L.
      – PersonEntity:
          Name:
            NameFull: Matemo, Daniel
      – PersonEntity:
          Name:
            NameFull: Ronen, Keshet
      – PersonEntity:
          Name:
            NameFull: Osoti, Alfred O.
      – PersonEntity:
          Name:
            NameFull: John-Stewart, Grace
      – PersonEntity:
          Name:
            NameFull: Kinuthia, John
      – PersonEntity:
          Name:
            NameFull: Unger, Jennifer A.
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 06
              Text: Jun2019
              Type: published
              Y: 2019
          Identifiers:
            – Type: issn-print
              Value: 00900036
          Numbering:
            – Type: volume
              Value: 109
            – Type: issue
              Value: 6
          Titles:
            – TitleFull: American Journal of Public Health
              Type: main
ResultId 1