Zhang Donglan, Jin Lan, Liang Di, Geng Ruijin, Liu Yun, Ling Yu, Jiang Fan, Zhang Yunting
Department of Health Policy and Management, College of Public Health, University of Georgia, Athens, GA, United States.
Center for Intercultural Learning, Mentorship, Assessment and Research, Purdue University, West Lafayette, IN, United States.
JMIR Form Res. 2020 May 28;4(5):e17179. doi: 10.2196/17179.
Many children aged younger than 5 years living in low- and middle-income countries are at risk for poor development. Early child development (ECD) programs are cost-effective strategies to reduce poverty, crime, school dropouts, and socioeconomic inequality. With the spread of low-cost mobile phones and internet access in low- and middle-income countries, new service delivery models such as mobile phone-aided interventions have a great potential to improve early childhood development.
This study aimed to identify the beliefs on importance of ECD, feasibility of a proposed intervention using mobile phones and factors that may affect the usability of the intervention among mothers of newborns in a poverty-stricken area in southwestern China.
We conducted an in-depth, semistructured interview study of 25 low-income mothers of newborns recruited from two county hospitals in Yunnan Province. We applied the health belief model and cultural competence theories to identify the facilitators, barriers, and preferences among the target population for parenting knowledge.
The results showed that the participants had low health literacy and high perceived needs for learning ECD knowledge. At the same time, they experienced several barriers to learning parenting information and following evidence-based instructions including having limited time, limited financial resources, and different opinions on childcare among family members. Many participants preferred to receive personalized messages tailored to their specific needs and preferred videos or graphics to text only in the messages. Many favored a separate module to support postpartum mental health.
The study assessed the acceptability of an early childhood intervention using mobile phones to meet the needs of the target population based on their beliefs, traits, and preferences and provided suggestions to refine the intervention to improve its usability.
许多生活在低收入和中等收入国家的5岁以下儿童面临发育不良的风险。幼儿发展（ECD）项目是减少贫困、犯罪、辍学和社会经济不平等的具有成本效益的策略。随着低成本手机和互联网接入在低收入和中等收入国家的普及，诸如手机辅助干预等新的服务提供模式具有改善幼儿发展的巨大潜力。
本研究旨在确定中国西南部贫困地区新生儿母亲对幼儿发展重要性的看法、使用手机进行拟议干预的可行性以及可能影响该干预可用性的因素。
我们对从云南省两家县级医院招募的25名低收入新生儿母亲进行了深入的半结构化访谈研究。我们应用健康信念模型和文化能力理论来确定目标人群在育儿知识方面的促进因素、障碍和偏好。
结果显示，参与者的健康素养较低，对学习幼儿发展知识的感知需求较高。同时，她们在学习育儿信息和遵循循证指导方面遇到了一些障碍，包括时间有限、经济资源有限以及家庭成员在育儿方面存在不同意见。许多参与者更喜欢接收根据其特定需求定制的个性化信息，并且在信息中更喜欢视频或图形而不是纯文本。许多人赞成设立一个单独的模块来支持产后心理健康。
该研究评估了使用手机进行幼儿干预以满足目标人群基于其信念、特点和偏好的需求的可接受性，并提出了完善干预以提高其可用性的建议。
