Gelano Tilayie Feto, Assefa Nega, Bacha Yadeta Dessie, Mahamed Afendi Abdi, Roba Kedir Teji, Hambisa Mitiku Teshome
Department of Pediatrics and Neonatal Nursing, School of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya University, Harar, PO Box 235, Ethiopia.
School of Nursing and Midwifery, Department of Public Health, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
Trials. 2018 Feb 12;19(1):102. doi: 10.1186/s13063-018-2446-5.
Globally, the rapid development of mobile technology has created new ways of addressing public health challenges and shifted the paradigm of health care access and delivery. The primary aim of this study is to examine the effectiveness of Mobile-health on maternal health care service utilization in Eastern Ethiopia.
METHODS/DESIGN: Through, a cluster-randomized controlled trial, 640 participants will be selected based on their districts and respective health centers as the unit of randomization. All pregnant mothers who fulfill the inclusion criteria will be allocated to a mobile-phone-based intervention and existing standard of care or control with a 1:1 allocation ratio. The intervention consists of a series of 24 voice messages which will be sent every 2 weeks from the date of enrollment until the close-out time. The control group will receive existing standard of care without voice messages. Data related to outcome variables will be assessed at three phases of the data collection periods. The primary outcome measures will be the proportion of antenatal care visits and institutional delivery, whereas the secondary outcome measures will consist of the proportion of postnatal care visits and pregnancy outcomes. Risk ratios will be used to a measure the effect of intervention on the outcomes which will be estimated with 95% confidence interval and all the analyses will be done with consideration of clustering effect.
This study should generate evidence on the effectiveness of mobile-phone-based voice messages for the early initiation of maternal health care service use and its uptake. It has been carefully designed with the assumption of obtaining higher levels of maternal health care service use among the treatment group as compared to the control.
Pan African Clinical Trial Registry, www.panctr.org , ID: PACTR201704002216259 . Registered on 28 April 2017.
在全球范围内，移动技术的迅速发展创造了应对公共卫生挑战的新方式，并改变了医疗保健获取和提供的模式。本研究的主要目的是检验移动健康对埃塞俄比亚东部孕产妇保健服务利用情况的有效性。
方法/设计：通过一项整群随机对照试验，将以地区及其各自的健康中心作为随机分组单位，选取640名参与者。所有符合纳入标准的孕妇将按1:1的分配比例被分配到基于手机的干预组和现有的标准护理组或对照组。干预措施包括一系列24条语音信息，从登记之日起每两周发送一次，直至结束期。对照组将接受没有语音信息的现有标准护理。与结果变量相关的数据将在数据收集期的三个阶段进行评估。主要结果指标将是产前检查就诊率和机构分娩率，而次要结果指标将包括产后检查就诊率和妊娠结局。风险比率将用于衡量干预对结果的影响，将以95%的置信区间进行估计，所有分析将在考虑聚类效应的情况下进行。
本研究应能提供证据，证明基于手机的语音信息在早期启动孕产妇保健服务使用及其接受方面的有效性。该研究经过精心设计，假设与对照组相比，治疗组的孕产妇保健服务使用率更高。
泛非临床试验注册中心，网址：www.panctr.org ，编号：PACTR201704002216259 。于2017年4月28日注册。
