Effects of a smartphone application on maternal health knowledge and dietary diversity among pregnant women in India: a randomized single center pilot study
# Background India contributes to one-fifth of infant and maternal deaths globally. Healthy lifestyles during pregnancy combined with good quality health care can help to avoid many maternal and neonatal deaths. Access to appropriate information is important for developing or maintaining a healthy...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Inishmore Laser Scientific Publishing Ltd
2022-11-01
|
| Series: | Journal of Global Health Reports |
| Online Access: | https://www.joghr.org/article/39604-effects-of-a-smartphone-application-on-maternal-health-knowledge-and-dietary-diversity-among-pregnant-women-in-india-a-randomized-single-center-pilo |
| _version_ | 1798017158053101568 |
|---|---|
| author | Charlotte Dieteren Subhanwita Sarkar Sumiti Saharan Igna Bonfrer |
| author_facet | Charlotte Dieteren Subhanwita Sarkar Sumiti Saharan Igna Bonfrer |
| author_sort | Charlotte Dieteren |
| collection | DOAJ |
| description | # Background
India contributes to one-fifth of infant and maternal deaths globally. Healthy lifestyles during pregnancy combined with good quality health care can help to avoid many maternal and neonatal deaths. Access to appropriate information is important for developing or maintaining a healthy lifestyle. The increased coverage of smartphones across low- and middle-income countries (LMICs) has given rise to smartphone apps supporting healthy pregnancies. The objective of this study is to evaluate the effects of the smartphone application *Together For Her* on maternal health knowledge and dietary diversity among pregnant Indian women.
# Methods
We ran a randomised single-centre pilot study in a private hospital in Maharashtra, India. We randomly selected pregnant women at ≤20 weeks of gestation who were invited to download the application, in addition to regular antenatal care. The control group only received regular antenatal care. Knowledge about a healthy lifestyle during pregnancy, self-reported dietary diversity and individual characteristics were collected via telephone interviews at baseline (T0), midline (T0 + 4 weeks) and endline (T0 + 12 weeks).
# Results
Complete data were collected for 179 respondents (intervention:94; control:85). Respondents in the intervention group showed larger increases in their knowledge over the 12-week study period, with an overall knowledge increase of 13.4 percentage points (P\<0.001). The largest effects were found in the modules anaemia, breastfeeding and skin-to-skin contact. Self-reported diversity in nutritional intake also improved significantly more in the intervention group than in the control group.
# Conclusions
Smartphone applications can effectively supplement antenatal care by increasing women's knowledge about a healthy lifestyle during pregnancy, which is likely to reduce the risk of adverse maternal health outcomes. Future research includes the roll-out of a larger multi-centre RCT to assess the effect of the smartphone application on health outcomes. |
| first_indexed | 2024-04-11T16:02:25Z |
| format | Article |
| id | doaj.art-37394a524a7e42fc92173e25d18bb604 |
| institution | Directory Open Access Journal |
| issn | 2399-1623 |
| language | English |
| last_indexed | 2024-04-11T16:02:25Z |
| publishDate | 2022-11-01 |
| publisher | Inishmore Laser Scientific Publishing Ltd |
| record_format | Article |
| series | Journal of Global Health Reports |
| spelling | doaj.art-37394a524a7e42fc92173e25d18bb6042022-12-22T04:14:56ZengInishmore Laser Scientific Publishing LtdJournal of Global Health Reports2399-16232022-11-016Effects of a smartphone application on maternal health knowledge and dietary diversity among pregnant women in India: a randomized single center pilot studyCharlotte DieterenSubhanwita SarkarSumiti SaharanIgna Bonfrer# Background India contributes to one-fifth of infant and maternal deaths globally. Healthy lifestyles during pregnancy combined with good quality health care can help to avoid many maternal and neonatal deaths. Access to appropriate information is important for developing or maintaining a healthy lifestyle. The increased coverage of smartphones across low- and middle-income countries (LMICs) has given rise to smartphone apps supporting healthy pregnancies. The objective of this study is to evaluate the effects of the smartphone application *Together For Her* on maternal health knowledge and dietary diversity among pregnant Indian women. # Methods We ran a randomised single-centre pilot study in a private hospital in Maharashtra, India. We randomly selected pregnant women at ≤20 weeks of gestation who were invited to download the application, in addition to regular antenatal care. The control group only received regular antenatal care. Knowledge about a healthy lifestyle during pregnancy, self-reported dietary diversity and individual characteristics were collected via telephone interviews at baseline (T0), midline (T0 + 4 weeks) and endline (T0 + 12 weeks). # Results Complete data were collected for 179 respondents (intervention:94; control:85). Respondents in the intervention group showed larger increases in their knowledge over the 12-week study period, with an overall knowledge increase of 13.4 percentage points (P\<0.001). The largest effects were found in the modules anaemia, breastfeeding and skin-to-skin contact. Self-reported diversity in nutritional intake also improved significantly more in the intervention group than in the control group. # Conclusions Smartphone applications can effectively supplement antenatal care by increasing women's knowledge about a healthy lifestyle during pregnancy, which is likely to reduce the risk of adverse maternal health outcomes. Future research includes the roll-out of a larger multi-centre RCT to assess the effect of the smartphone application on health outcomes.https://www.joghr.org/article/39604-effects-of-a-smartphone-application-on-maternal-health-knowledge-and-dietary-diversity-among-pregnant-women-in-india-a-randomized-single-center-pilo |
| spellingShingle | Charlotte Dieteren Subhanwita Sarkar Sumiti Saharan Igna Bonfrer Effects of a smartphone application on maternal health knowledge and dietary diversity among pregnant women in India: a randomized single center pilot study Journal of Global Health Reports |
| title | Effects of a smartphone application on maternal health knowledge and dietary diversity among pregnant women in India: a randomized single center pilot study |
| title_full | Effects of a smartphone application on maternal health knowledge and dietary diversity among pregnant women in India: a randomized single center pilot study |
| title_fullStr | Effects of a smartphone application on maternal health knowledge and dietary diversity among pregnant women in India: a randomized single center pilot study |
| title_full_unstemmed | Effects of a smartphone application on maternal health knowledge and dietary diversity among pregnant women in India: a randomized single center pilot study |
| title_short | Effects of a smartphone application on maternal health knowledge and dietary diversity among pregnant women in India: a randomized single center pilot study |
| title_sort | effects of a smartphone application on maternal health knowledge and dietary diversity among pregnant women in india a randomized single center pilot study |
| url | https://www.joghr.org/article/39604-effects-of-a-smartphone-application-on-maternal-health-knowledge-and-dietary-diversity-among-pregnant-women-in-india-a-randomized-single-center-pilo |
| work_keys_str_mv | AT charlottedieteren effectsofasmartphoneapplicationonmaternalhealthknowledgeanddietarydiversityamongpregnantwomeninindiaarandomizedsinglecenterpilotstudy AT subhanwitasarkar effectsofasmartphoneapplicationonmaternalhealthknowledgeanddietarydiversityamongpregnantwomeninindiaarandomizedsinglecenterpilotstudy AT sumitisaharan effectsofasmartphoneapplicationonmaternalhealthknowledgeanddietarydiversityamongpregnantwomeninindiaarandomizedsinglecenterpilotstudy AT ignabonfrer effectsofasmartphoneapplicationonmaternalhealthknowledgeanddietarydiversityamongpregnantwomeninindiaarandomizedsinglecenterpilotstudy |