Abdissa Hordofa Gutema, Duguma Gebeyehu Bulcha, Gerbaba Mulusew, Noll Josef, Sori Demisew Amenu, Koricha Zewdie Birhanu
Department of Health, Behavior and Society, Faculty of Public Health, Institutes of Health, Jimma University, Jimma P.O. Box 378, Ethiopia.
Data Science and Evaluation, African Population and Health Research Center, Nairobi 00100, Kenya.
Int J Environ Res Public Health. 2025 May 31;22(6):864. doi: 10.3390/ijerph22060864.
There is limited evidence on key implementation outcomes for mHealth interventions that target maternal and newborn health. Hence, this study aimed to evaluate the acceptability, feasibility, and appropriateness of a mobile phone messaging-based message-framing intervention. A cross-sectional study was conducted, involving 397 mothers who participated in the mobile phone messaging-based intervention. Multivariate general linear modeling was carried out to identify factors that were associated with the acceptability, feasibility, and appropriateness of the intervention. The statistical significance level was declared at a 95% confidence interval and -value of <0.05. The mean scores of acceptability, feasibility, and appropriateness were 27.9, 23.8, and 22.5, respectively. Acceptability was significantly affected by living in a rural area, being rich, receiving messages at night, self-efficacy, and engagement. Feasibility was affected by living in rural area, educational status, being a merchant, being rich, receiving messages at night, self-efficacy, engagement, and satisfaction. Meanwhile, appropriateness was influenced by living in a rural area, being a merchant, being a government employee, and satisfaction. The mobile phone messaging-based intervention was highly acceptable, feasible, and appropriate. Focusing on self-efficacy, engagement, satisfaction, the timing for sending messages, and sociodemographic factors would facilitate the implementation and utilization of mobile phone messaging-based interventions.
关于针对孕产妇和新生儿健康的移动健康干预措施的关键实施成果，证据有限。因此，本研究旨在评估基于手机短信的信息框架干预措施的可接受性、可行性和适宜性。开展了一项横断面研究，涉及397名参与基于手机短信干预措施的母亲。进行了多变量一般线性建模，以确定与该干预措施的可接受性、可行性和适宜性相关的因素。统计显著性水平设定为95%置信区间且P值<0.05。可接受性、可行性和适宜性的平均得分分别为27.9、23.8和22.5。居住在农村地区、富裕、在夜间接收信息、自我效能感和参与度对可接受性有显著影响。居住在农村地区、教育程度、职业为商人、富裕、在夜间接收信息、自我效能感、参与度和满意度对可行性有影响。同时，居住在农村地区、职业为商人、政府雇员身份和满意度对适宜性有影响。基于手机短信的干预措施具有高度的可接受性、可行性和适宜性。关注自我效能感、参与度、满意度、信息发送时间以及社会人口统计学因素将有助于基于手机短信干预措施的实施和应用。
