Department of Information Systems, Faculty of Commerce, University of Cape Town, Cape Town, South Africa.
Department of Computer Science and Information Technology, Malawi Institute of Technology, Malawi University of Science and Technology, Thyolo, Malawi.
JMIR Mhealth Uhealth. 2021 Oct 6;9(10):e22653. doi: 10.2196/22653.
Many maternal clients from poorly resourced communities die from preventable pregnancy-related complications. The situation is especially grave in sub-Saharan Africa. Mobile health (mHealth) interventions have the potential to improve maternal health outcomes. mHealth interventions are used to encourage behavioral change for health care-seeking by maternal clients. However, the appropriation of such interventions among maternal health clients is not always guaranteed.
This study aims to understand how maternal clients appropriate mHealth interventions and the factors that affect this appropriation.
This study used a hermeneutic literature review informed by the model of technology appropriation. We used data from three mHealth case studies in sub-Saharan Africa: Mobile Technology for Community Health, MomConnect, and Chipatala Cha Pa Foni. We used the search and acquisition hermeneutic circle to identify and retrieve peer-reviewed and gray literature from the Web of Science, Google Scholar, Google, and PubMed. We selected 17 papers for analysis. We organized the findings using three levels of the appropriation process: adoption, adaptation, and integration.
This study found that several factors affected how maternal clients appropriated mHealth interventions. The study noted that it is paramount that mHealth designers and implementers should consider the context of mHealth interventions when designing and implementing interventions. However, the usefulness of an mHealth intervention may enhance how maternal health clients appropriate it. Furthermore, a community of purpose around the maternal client may be vital to the success of the mHealth intervention.
The design and implementation of interventions have the potential to exacerbate inequalities within communities. To mitigate against inequalities during appropriation, it is recommended that communities of purpose be included in the design and implementation of maternal mHealth interventions.
许多来自资源匮乏社区的产妇客户因可预防的妊娠相关并发症而死亡。这种情况在撒哈拉以南非洲尤为严重。移动医疗（mHealth）干预措施有可能改善产妇健康结果。mHealth 干预措施用于鼓励产妇客户寻求医疗保健以改变行为。然而，并非总是能保证产妇健康客户采用这些干预措施。
本研究旨在了解产妇客户如何采用 mHealth 干预措施，以及影响这种采用的因素。
本研究使用了受技术采用模型启发的解释学文献综述。我们使用了来自撒哈拉以南非洲三个 mHealth 案例研究的数据：移动技术用于社区卫生、MomConnect 和 Chipatala Cha Pa Foni。我们使用搜索和获取解释学循环从 Web of Science、Google Scholar、Google 和 PubMed 中识别和检索同行评议和灰色文献。我们选择了 17 篇论文进行分析。我们使用采用、适应和整合三个层面来组织研究结果。
本研究发现，有几个因素影响了产妇客户如何采用 mHealth 干预措施。研究指出，mHealth 设计师和实施者在设计和实施干预措施时应考虑 mHealth 干预措施的背景。然而，mHealth 干预措施的有用性可能会增强产妇健康客户对其的采用。此外，围绕产妇客户的目的社区对于 mHealth 干预措施的成功至关重要。
干预措施的设计和实施有可能加剧社区内部的不平等。为了在采用过程中减轻不平等，建议在设计和实施产妇 mHealth 干预措施时纳入目的社区。
