Ansari Umaira, Omer Khalid, Aziz Amar, Gidado Yagana, Mudi Hadiza, Jamaare Ibrahim Sabo, Andersson Neil, Cockcroft Anne
Centro de Investigación de Enfermedades Tropicales, Universidad Autónoma de Guerrero, Acapulco, Mexico.
Federation of Muslim Women's Association of Nigeria, Bauchi, Nigeria.
Digit Health. 2024 Feb 13;10:20552076241228408. doi: 10.1177/20552076241228408. eCollection 2024 Jan-Dec.
A trial of evidence-based health promotion home visits to pregnant women and their spouses in northern Nigeria found significant improvements in maternal and child health outcomes. This study tested the added value for these outcomes of including video edutainment in the visits.
In total, 19,718 households in three randomly allocated intervention wards (administrative areas) received home visits including short videos on android handsets to spark discussion about local risk factors for maternal and child health; 16,751 households in three control wards received visits with only verbal discussion about risk factors. We compared outcomes between wards with and without videos in the visits, calculating the odds ratio (OR) and 95% confidence interval (95%CI) of differences, in bivariate and then multivariate analysis adjusting for socio-economic differences between the video and non-video wards.
Pregnant women from video wards were more likely than those from non-video wards to have discussed pregnancy and childbirth often with their husbands (OR 2.22, 95%CI 1.07-4.59). Male spouses in video wards were more likely to know to give more fluids and continued feeding to a child with diarrhoea (OR 1.61, 95%CI 1.21-2.13). For most outcomes there was no significant difference between video and non-video wards. The home visitors who shared videos considered they helped pregnant women and their spouses to appreciate the information about risk factors.
The lack of added value of the videos in the context of a research study may reflect the intensive training of home visitors and the effective evidence-based discussions included in all the visits. Further research could rollout routine home visits with and without videos and test the impact of video edutainment added to home visits carried out in a routine service context.
在尼日利亚北部对孕妇及其配偶进行的基于证据的健康促进家访试验发现，母婴健康结局有显著改善。本研究测试了在这些家访中加入视频教育娱乐对这些结局的附加价值。
在三个随机分配的干预病房（行政区）中，共有19718户家庭接受了家访，其中包括在安卓手机上播放短视频，以引发关于母婴健康的当地风险因素的讨论；三个对照病房中的16751户家庭接受了仅关于风险因素的口头讨论的家访。我们比较了家访中有视频和无视频的病房之间的结局，在双变量分析中计算差异的比值比（OR）和95%置信区间（95%CI），然后在多变量分析中调整视频病房和非视频病房之间的社会经济差异。
来自有视频病房的孕妇比来自无视频病房的孕妇更有可能经常与丈夫讨论怀孕和分娩（OR 2.22，95%CI 1.07 - 4.59）。有视频病房中的男性配偶更有可能知道给腹泻儿童补充更多液体并继续喂食（OR 1.61，95%CI 1.21 - 2.13）。对于大多数结局，有视频病房和无视频病房之间没有显著差异。分享视频的家访人员认为这些视频有助于孕妇及其配偶了解有关风险因素的信息。
在一项研究背景下，视频缺乏附加价值可能反映了家访人员的强化培训以及所有家访中都包含的有效的基于证据的讨论。进一步的研究可以开展有视频和无视频的常规家访，并测试在常规服务背景下进行家访时添加视频教育娱乐的影响。
