Cell phones to collect pregnancy data from remote areas in Liberia.

School of Nursing, Division of Health Promotion and Risk Reduction, University of Michigan, Ann Arbor, MI, USA.
Journal of Nursing Scholarship (Impact Factor: 1.77). 06/2012; 44(3):294-301. DOI: 10.1111/j.1547-5069.2012.01451.x
Source: PubMed

ABSTRACT To report findings on knowledge and skill acquisition following a 3-day training session in the use of short message service (SMS) texting with non- and low-literacy traditional midwives.
A pre- and post-test study design was used to assess knowledge and skill acquisition with 99 traditional midwives on the use of SMS texting for real-time, remote data collection in rural Liberia, West Africa.
Paired sample t-tests were conducted to establish if overall mean scores varied significantly from pre-test to immediate post-test. Analysis of variance was used to compare means across groups. The nonparametric McNemar's test was used to determine significant differences between the pre-test and post-test values of each individual step involved in SMS texting. Pearson's chi-square test of independence was used to examine the association between ownership of cell phones within a family and achievement of the seven tasks.
The mean increase in cell phone knowledge scores was 3.67, with a 95% confidence interval ranging from 3.39 to 3.95. Participants with a cell phone in the family did significantly better on three of the seven tasks in the pre-test: "turns cell on without help" (χ(2) (1) = 9.15, p= .003); "identifies cell phone coverage" (χ(2) (1) = 5.37, p= .024); and "identifies cell phone is charged" (χ(2) (1) = 4.40, p= .042).
A 3-day cell phone training session with low- and nonliterate traditional midwives in rural Liberia improved their ability to use mobile technology for SMS texting.
Mobile technology can improve data collection accessibility and be used for numerous health care and public health issues. Cell phone accessibility holds great promise for collecting health data in low-resource areas of the world.

1 Follower
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Whereas mobile phone-based surveillance has the potential to provide real-time validated data for disease clustering and prompt respond and investigation, little evidence is available on current practice in sub-Sahara Africa. The objective of this review was to examine mobile phone-based mHealth interventions for Public Health surveillance in the region. We conducted electronic search in MEDLINE, EMBASE, IEE Xplore, African Index Medicus (AIM), BioMed Central, PubMed Central (PMC), the Public Library of Science (PLoS) and IRIS for publications used in the review. In all, a total of nine studies were included which focused on infectious disease surveillance of malaria (n = 3), tuberculosis (n = 1) and influenza-like illnesses (n = 1) as well as on non-infectious disease surveillance of child malnutrition (n = 2), maternal health (n = 1) and routine surveillance of various diseases and symptoms (n = 1). Our review revealed that mobile phone-based surveillance projects in the sub-Saharan African countries are on small scale, fragmented and not well documented. We conclude by advocating for a strong drive for more research in the applied field as well as a better reporting of lessons learned in order to create an epistemic community to help build a more evidence-based field of practice in mHealth surveillance in the region.
    International Journal of Environmental Research and Public Health 11/2014; 11(11):11559-11582. DOI:10.3390/ijerph111111559 · 1.99 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: Health threats, such as HIV/AIDS, maternal health and SARS, are global in nature, as their impact goes beyond the borders of any one nation. This has compelled a global approach to combating these threats, commonly by multinational partnerships among many different types of institutions. Although diffusion of mobile technology in the developing world has been successful, and personal health records on mobile devices (mPHRs) have shown effectiveness in certain health-related contexts, they have not been widely used to address health threats globally. The purpose of this article is to discuss six areas in which research on mPHRs can be used to address global health issues.
    Proceedings of the 2014 47th Hawaii International Conference on System Sciences; 01/2014
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Clinical trials are increasingly being conducted as new products seek to enter the market. Deployment of such interventions is based on evidence obtained mainly from the gold standard of randomized controlled clinical trials (RCCT). A crucial factor in the ability of RCCTs to provide credible and generalisable data is sample size and retention of the required number of subjects at completion of the follow-up period. However, recruitment and retention in clinical trials are hindered by prevalent peculiar challenges in Africa that need to be circumvented. This article shares experiences from a phase II trial that recorded a high retention rate at 14 months follow-up at a new clinical trial site.
    BMC Research Notes 10/2014; 7(1):706. DOI:10.1186/1756-0500-7-706