Development of an intervention delivered by mobile phone aimed at decreasing unintended pregnancy among young people in three lower middle income countries

Abstract Background Unintended pregnancies can result in poorer health outcomes for women, children and families. Young people in low and middle income countries are at particular risk of unintended pregnancies and could benefit from innovative contraceptive interventions. There is growing evidence...

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Main Authors: Ona L McCarthy, Ola Wazwaz, Veronica Osorio Calderon, Iman Jado, Salokhiddin Saibov, Amina Stavridis, Jhonny López Gallardo, Ravshan Tokhirov, Samia Adada, Silvia Huaynoca, Shelly Makleff, Marieka Vandewiele, Sarah Standaert, Caroline Free
Format: Article
Language:English
Published: BMC 2018-05-01
Series:BMC Public Health
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12889-018-5477-7
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author Ona L McCarthy
Ola Wazwaz
Veronica Osorio Calderon
Iman Jado
Salokhiddin Saibov
Amina Stavridis
Jhonny López Gallardo
Ravshan Tokhirov
Samia Adada
Silvia Huaynoca
Shelly Makleff
Marieka Vandewiele
Sarah Standaert
Caroline Free
author_facet Ona L McCarthy
Ola Wazwaz
Veronica Osorio Calderon
Iman Jado
Salokhiddin Saibov
Amina Stavridis
Jhonny López Gallardo
Ravshan Tokhirov
Samia Adada
Silvia Huaynoca
Shelly Makleff
Marieka Vandewiele
Sarah Standaert
Caroline Free
author_sort Ona L McCarthy
collection DOAJ
description Abstract Background Unintended pregnancies can result in poorer health outcomes for women, children and families. Young people in low and middle income countries are at particular risk of unintended pregnancies and could benefit from innovative contraceptive interventions. There is growing evidence that interventions delivered by mobile phone can be effective in improving a range of health behaviours. This paper describes the development of a contraceptive behavioural intervention delivered by mobile phone for young people in Tajikistan, Bolivia and Palestine, where unmet need for contraception is high among this group. Methods Guided by Intervention Mapping, the following steps contributed to the development of the interventions: (1) needs assessment; (2) specifying behavioural change to result from the intervention; (3) selecting behaviour change methods to include in the intervention; (4) producing and refining the intervention content. Results The results of the needs assessment produced similar interventions across the countries. The interventions consist of short daily messages delivered over 4 months (delivered by text messaging in Palestine and mobile phone application instant messages in Bolivia and Tajikistan). The messages provide information about contraception, target attitudes that are barriers to contraceptive uptake and support young people in feeling that they can influence their reproductive health. The interventions each contain the same ten behaviour change methods, adapted for delivery by mobile phone. Conclusions The development resulted in a well-specified, theory-based intervention, tailored to each country. It is feasible to develop an intervention delivered by mobile phone for young people in resource-limited settings.
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spelling doaj.art-40274c1144a540a2816375111fbbeabf2022-12-21T17:44:54ZengBMCBMC Public Health1471-24582018-05-0118111510.1186/s12889-018-5477-7Development of an intervention delivered by mobile phone aimed at decreasing unintended pregnancy among young people in three lower middle income countriesOna L McCarthy0Ola Wazwaz1Veronica Osorio Calderon2Iman Jado3Salokhiddin Saibov4Amina Stavridis5Jhonny López Gallardo6Ravshan Tokhirov7Samia Adada8Silvia Huaynoca9Shelly Makleff10Marieka Vandewiele11Sarah Standaert12Caroline Free13Department of Population Health, Faculty of Epidemiology and Population Health, London School of Hygiene & Tropical MedicinePalestinian Family Planning & Protection AssociationCentro de Investigación, Educación y Servicios – Salud Sexual Salud ReproductivaPalestinian Family Planning & Protection AssociationTajik Family Planning AssociationPalestinian Family Planning & Protection AssociationCentro de Investigación, Educación y Servicios – Salud Sexual Salud ReproductivaTajik Family Planning AssociationInternational Planned Parenthood Federation, Arab World Regional OfficeInternational Planned Parenthood Federation, Western Hemisphere RegionInternational Planned Parenthood Federation, Western Hemisphere RegionInternational Planned Parenthood Federation European NetworkInternational Planned Parenthood Federation European NetworkDepartment of Population Health, Faculty of Epidemiology and Population Health, London School of Hygiene & Tropical MedicineAbstract Background Unintended pregnancies can result in poorer health outcomes for women, children and families. Young people in low and middle income countries are at particular risk of unintended pregnancies and could benefit from innovative contraceptive interventions. There is growing evidence that interventions delivered by mobile phone can be effective in improving a range of health behaviours. This paper describes the development of a contraceptive behavioural intervention delivered by mobile phone for young people in Tajikistan, Bolivia and Palestine, where unmet need for contraception is high among this group. Methods Guided by Intervention Mapping, the following steps contributed to the development of the interventions: (1) needs assessment; (2) specifying behavioural change to result from the intervention; (3) selecting behaviour change methods to include in the intervention; (4) producing and refining the intervention content. Results The results of the needs assessment produced similar interventions across the countries. The interventions consist of short daily messages delivered over 4 months (delivered by text messaging in Palestine and mobile phone application instant messages in Bolivia and Tajikistan). The messages provide information about contraception, target attitudes that are barriers to contraceptive uptake and support young people in feeling that they can influence their reproductive health. The interventions each contain the same ten behaviour change methods, adapted for delivery by mobile phone. Conclusions The development resulted in a well-specified, theory-based intervention, tailored to each country. It is feasible to develop an intervention delivered by mobile phone for young people in resource-limited settings.http://link.springer.com/article/10.1186/s12889-018-5477-7Intervention developmentIntervention mappingmHealthTajikistanBoliviaPalestine
spellingShingle Ona L McCarthy
Ola Wazwaz
Veronica Osorio Calderon
Iman Jado
Salokhiddin Saibov
Amina Stavridis
Jhonny López Gallardo
Ravshan Tokhirov
Samia Adada
Silvia Huaynoca
Shelly Makleff
Marieka Vandewiele
Sarah Standaert
Caroline Free
Development of an intervention delivered by mobile phone aimed at decreasing unintended pregnancy among young people in three lower middle income countries
BMC Public Health
Intervention development
Intervention mapping
mHealth
Tajikistan
Bolivia
Palestine
title Development of an intervention delivered by mobile phone aimed at decreasing unintended pregnancy among young people in three lower middle income countries
title_full Development of an intervention delivered by mobile phone aimed at decreasing unintended pregnancy among young people in three lower middle income countries
title_fullStr Development of an intervention delivered by mobile phone aimed at decreasing unintended pregnancy among young people in three lower middle income countries
title_full_unstemmed Development of an intervention delivered by mobile phone aimed at decreasing unintended pregnancy among young people in three lower middle income countries
title_short Development of an intervention delivered by mobile phone aimed at decreasing unintended pregnancy among young people in three lower middle income countries
title_sort development of an intervention delivered by mobile phone aimed at decreasing unintended pregnancy among young people in three lower middle income countries
topic Intervention development
Intervention mapping
mHealth
Tajikistan
Bolivia
Palestine
url http://link.springer.com/article/10.1186/s12889-018-5477-7
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