Behaviour Change Communication Using Mobile Phones: Implications for Infant and Young Child Feeding Interventions
Notice bibliographique
Résumé
Background Improving infant and young child feeding (IYCF) practices is critical to reducing the burden of preventable malnutrition, morbidity and mortality in low‐ and middle‐income countries (LMIC). Breastfeeding and complementary feeding practices can be improved through contextualized behaviour change communication (BCC), but access is limited. The proliferation of mobile phones in LMIC offers new opportunities for BCC delivery, with potential for large scale implementation. There is need for delivery science to determine how best to leverage mobile phones to support IYCF, and how to optimize the relevance and quality of such “mHealth” innovations. Objectives A scoping review was designed to identify and map current knowledge on IYCF BCC delivery using mobile phones, and to identify priorities for further research and programming. Methods Following the methodology proposed by Arksey & O'Malley (2005), we identified, extracted and synthesized data from searches of the published and grey literature, and consultation with mHealth researchers and implementers. We selected for analysis published articles and programmatic documents reporting on the feasibility, effectiveness or implementation lessons learned related to the use of mobile phones for BCC addressing maternal, newborn and child health (MNCH) practices in LMIC. We summarized, assessed and classified current evidence according to the main BCC delivery approach and the application of seven BCC techniques, based on the categories proposed by Briscoe & Aboud (2012). Results Seventeen published studies and nineteen grey literature reports met inclusion criteria, including eight effectiveness studies with at least one IYCF indicator. Four mobile phone‐based BCC delivery approaches were identified: direct messaging, job aid applications, voice counseling and interactive media. These approaches differ markedly in intervention intensity and utilization of interpersonal communication and problem solving support, two BCC techniques critical for improving IYCF. Individual trials of interventions using direct messaging, voice counseling or a combination have shown positive effects on exclusive breastfeeding. Mhealth approaches to deliver BCC addressing multiple MNCH topics have shown limited effects on IYCF practices, but the evidence base is small. Conclusions The four BCC delivery approaches can support interpersonal communication for improved IYCF practices in LMIC, but vary considerably in implementation elements. Both content development and selection of delivery approaches should be contextualized, guided by formative research. Interventions that explicitly target specific IYCF practices and emphasize personalized problem solving support are likely to be most effective. Further research on effectiveness, implementation pathways and cost‐effectiveness of specific BCC delivery approaches is needed. Support or Funding Information This work was carried out with the aid of a grant from the Micronutrient Initiative, Ottawa, Canada through the financial assistance of the Government of Canada through the Department of Foreign Affairs, Trade and Development Canada
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,006 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».