Added value of video edutainment on android handsets in home visits to improve maternal and child health in Bauchi State, Nigeria: Secondary analysis from a cluster randomised controlled trial
Objective 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. Methods In...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2024-02-01
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| Series: | Digital Health |
| Online Access: | https://doi.org/10.1177/20552076241228408 |
| _version_ | 1797310823888060416 |
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| author | Umaira Ansari Khalid Omer Amar Aziz Yagana Gidado Hadiza Mudi Ibrahim Sabo Jamaare Neil Andersson Anne Cockcroft |
| author_facet | Umaira Ansari Khalid Omer Amar Aziz Yagana Gidado Hadiza Mudi Ibrahim Sabo Jamaare Neil Andersson Anne Cockcroft |
| author_sort | Umaira Ansari |
| collection | DOAJ |
| description | Objective 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. Methods 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. Results 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. Conclusion 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. |
| first_indexed | 2024-03-08T01:49:34Z |
| format | Article |
| id | doaj.art-fd9eeb6969fa4ea4895eab40577029f3 |
| institution | Directory Open Access Journal |
| issn | 2055-2076 |
| language | English |
| last_indexed | 2024-03-08T01:49:34Z |
| publishDate | 2024-02-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Digital Health |
| spelling | doaj.art-fd9eeb6969fa4ea4895eab40577029f32024-02-14T11:03:53ZengSAGE PublishingDigital Health2055-20762024-02-011010.1177/20552076241228408Added value of video edutainment on android handsets in home visits to improve maternal and child health in Bauchi State, Nigeria: Secondary analysis from a cluster randomised controlled trialUmaira Ansari0Khalid Omer1Amar Aziz2Yagana Gidado3Hadiza Mudi4Ibrahim Sabo Jamaare5Neil Andersson6Anne Cockcroft7 Centro de Investigación de Enfermedades Tropicales, , Acapulco, Mexico Centro de Investigación de Enfermedades Tropicales, , Acapulco, Mexico Centro de Investigación de Enfermedades Tropicales, , Acapulco, Mexico Federation of Muslim Women's Association of Nigeria, Bauchi, Nigeria Federation of Muslim Women's Association of Nigeria, Bauchi, Nigeria Bauchi State Primary Health Care Development Agency, Bauchi, Nigeria CIET-PRAM, Department of Family Medicine, , Montreal, Canada CIET-PRAM, Department of Family Medicine, , Montreal, CanadaObjective 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. Methods 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. Results 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. Conclusion 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.https://doi.org/10.1177/20552076241228408 |
| spellingShingle | Umaira Ansari Khalid Omer Amar Aziz Yagana Gidado Hadiza Mudi Ibrahim Sabo Jamaare Neil Andersson Anne Cockcroft Added value of video edutainment on android handsets in home visits to improve maternal and child health in Bauchi State, Nigeria: Secondary analysis from a cluster randomised controlled trial Digital Health |
| title | Added value of video edutainment on android handsets in home visits to improve maternal
and child health in Bauchi State, Nigeria: Secondary analysis from a cluster randomised controlled trial |
| title_full | Added value of video edutainment on android handsets in home visits to improve maternal
and child health in Bauchi State, Nigeria: Secondary analysis from a cluster randomised controlled trial |
| title_fullStr | Added value of video edutainment on android handsets in home visits to improve maternal
and child health in Bauchi State, Nigeria: Secondary analysis from a cluster randomised controlled trial |
| title_full_unstemmed | Added value of video edutainment on android handsets in home visits to improve maternal
and child health in Bauchi State, Nigeria: Secondary analysis from a cluster randomised controlled trial |
| title_short | Added value of video edutainment on android handsets in home visits to improve maternal
and child health in Bauchi State, Nigeria: Secondary analysis from a cluster randomised controlled trial |
| title_sort | added value of video edutainment on android handsets in home visits to improve maternal and child health in bauchi state nigeria secondary analysis from a cluster randomised controlled trial |
| url | https://doi.org/10.1177/20552076241228408 |
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