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Effectiveness and Appropriateness of mHealth Interventions for Maternal and Child Health: Systematic Review
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Abstract
BACKGROUND The application of mobile health (mHealth) technology in reproductive, maternal, newborn, and child health (RMNCH) is increasing worldwide. However, best practice and the most effective mHealth interventions have not been reviewed systematically. OBJECTIVE A systematic review and meta-analysis of studies of mHealth interventions for RMNCH around the world were conducted to investigate their characteristics as well as the features and effectiveness of mHealth interventions. METHODS Studies of mHealth interventions for RMNCH between January 2011 and December 2016 were retrieved from 6 databases (PubMed, EMBASE, Global Health, China National Knowledge Infrastructure, VIP Database for Chinese Technical Periodicals, and Wanfang Data Knowledge Service Medium). Comparable studies were included in a random-effects meta-analysis for both exclusive breastfeeding (EBF) and antenatal checks (ANC). Descriptive analyses were conducted for mHealth studies with a range of study designs. RESULTS Analyses of 245 studies were included, including 51 randomized controlled trials (RCTs). Results showed that there are increasing numbers of studies on mHealth interventions for RMNCH. Although 2 meta-analysis, one with 2 RCTs on EBF (odds ratio [OR] 2.03, 95% CI 1.34-3.08, I2=25%) and the other with 3 RCTs on ANC (OR 1.43, 95% CI 1.13-1.79, I2=78%), showed that mHealth interventions are more effective than usual care, almost half (43%) of RCTs showed negative or unclear results on mHealth interventions. Functions described in mHealth interventions were diverse, and the health stages covered were broad. However, single function or single stage appeared to be dominant among mHealth interventions compared with multiple functions or stages. CONCLUSIONS More rigorous evaluations are needed to draw consistent conclusions and to analyze mHealth products with multiple functions, especially those popular in the app markets.
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“Short message service (SMS) text messaging, in particular, has been shown to be a simple and effective intervention for improving health service delivery in pregnant women [9,10], infectious disease cases [11,12], weight loss cases [13], and diabetes cases [14] and increasingly for smoking cessation support [15-18].”
From Assessing the Cross-Cultural Adaptation and Translation of a Text-Based Mobile Smoking Cessation Program in Samoa (TXTTaofiTapaa): Pilot Study (2018) · cites this paper as [10]
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Metadata
- Authors
- Chen, H., Chai, Y., Dong, L., Niu, W., & Zhang, P.
- Affiliations
- Peking University (CN)
- Hebei Medical University (CN)
- Corresponding author
- Zhang, Puhong
- Venue
- JMIR mHealth and uHealth
- Publisher
- JMIR Publications Inc.
- Published
- 2018-01-09
- Volume
- 6
- Issue
- 1
- Pages
- e7
- ISSN
- 2291-5222 (ISSN-L)
- PMC
- PMC5780618
- OpenAlex
- W2783413804
- Cited by
- 161
- References
- 29
- Citations by year
- 2026: 13 · 2025: 13 · 2024: 26 · 2023: 19 · 2022: 22 · 2021: 12 · 2020: 32 · 2019: 13 · 2018: 11
- FWCI
- 3.10
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- JMIR mhealth and uhealth (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Physical Sciences › Computer Science › Information Systems › Mobile Learning in Education
- Physical Sciences › Computer Science › Information Systems › ICT in Developing Communities
- Keywords
- mobile health, mobile health intervention, maternal and child health, reproductive, maternal, newborn and child health, exclusive breastfeeding, prenatal care, intervention effectiveness, intervention appropriateness
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