Smith Chris, Ly Sokhey, Uk Vannak, Warnock Ruby, Free Caroline
Department of Population Health, London School of Hygiene and Tropical Medicine, Room 150, Keppel Street, London, WC1E 7HT, UK.
Marie Stopes International, Phnom Penh, Cambodia.
Reprod Health. 2017 Jun 12;14(1):72. doi: 10.1186/s12978-017-0329-y.
The MObile Technology for Improved Family Planning (MOTIF) trial assessed a mobile phone-based intervention comprising voice messages and counsellor support to increase post-abortion contraception at four Marie Stopes International clinics in Cambodia. The aim of this process evaluation was to assess women's views and experiences of receiving the MOTIF intervention, gain insights into the mechanism of action of the intervention and seek recommendations for improvements.
We conducted a qualitative study comprising15 semi-structured interviews with women who had received the intervention and undertook a simple thematic analysis.
We identified themes relating to communication via mobile phone, supporting contraception use, broader post-abortion care, interaction with family and friends and suggestions for improvement. The majority of women were positive about the mobile phone-based intervention to support contraception use and reported it to be a convenient way to ask questions or get advice without going to a health centre, although a few women found the voice messages intrusive. The intervention supported contraception use by provision of information, encouragement, reminders to return to clinic, reassurance and advice for problems and had a positive effect on contraceptive uptake and continuation. Women reported a sense of being cared for and received support for additional physical and emotional issues. Most women thought that the duration of the intervention and frequency of messages were acceptable.
The majority of women were positive about the mobile phone-based intervention which provided support for contraception use as well as additional physical and emotional issues. The study provides some insights into how the intervention might have worked and considers how the intervention could be improved.
改善计划生育的移动技术（MOTIF）试验评估了一种基于手机的干预措施，该措施包括语音信息和咨询支持，以提高柬埔寨4家玛丽斯特普国际诊所的流产后避孕率。本过程评估的目的是评估女性对接受MOTIF干预的看法和体验，深入了解干预措施的作用机制，并寻求改进建议。
我们开展了一项定性研究，对15名接受过该干预措施的女性进行了半结构化访谈，并进行了简单的主题分析。
我们确定了与通过手机进行沟通、支持避孕措施使用、更广泛的流产后护理、与家人和朋友的互动以及改进建议相关的主题。大多数女性对基于手机的避孕支持干预措施持积极态度，并表示这是一种无需前往健康中心就能提问或获取建议的便捷方式，不过少数女性觉得语音信息侵扰性较强。该干预措施通过提供信息、鼓励、提醒复诊、安抚以及针对问题提供建议来支持避孕措施的使用，并对避孕措施的采用和持续使用产生了积极影响。女性报告称感受到了关怀，并在其他身体和情感问题上得到了支持。大多数女性认为干预措施的持续时间和信息发送频率是可以接受的。
大多数女性对基于手机的干预措施持积极态度，该措施为避孕措施的使用以及其他身体和情感问题提供了支持。该研究对干预措施的作用方式提供了一些见解，并考虑了如何改进该干预措施。
