DOCSLIB.ORG

Mobile Phone Text Messaging Data Collection on Care-Seeking for Childhood Diarrhoea and Pneumonia in Rural China: a Mixed Methods Study

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Mobile Phone Text Messaging Data Collection on Care-Seeking for Childhood Diarrhoea and Pneumonia in Rural China: a Mixed Methods Study Mobile phone text messaging data collection on care-seeking for childhood diarrhoea and pneumonia in rural China: a mixed methods study Helena Maria Marcella Theodora van Velthoven Global eHealth Unit Department of Primary Care and Public Health School of Public Health Imperial College London A thesis submitted for the degree of Doctor of Philosophy 2014 2 3 Abstract Background. Health information systems are inadequate in many countries. For childhood diarrhoea and pneumonia specifically, the leading infectious causes of child mortality worldwide, current data collection methods are not providing sufficient information for surveillance. The collection of health data could be greatly assisted with the use of mobile devices (mHealth). Mobile phone text messaging is widely used, but its potential for health data collection has not yet been realised. Aim. To explore the application of mHealth-based collection of information relevant to childhood diarrhoea and pneumonia in rural China. Methods. A mixed methods approach was used: (i) a survey and semi-structured interviews to assess the usage of mobile phones by caregivers of young children; (ii) cognitive interviews, usability testing and a cluster randomised cross-over study to determine the validity of a text messaging survey on care-seeking for childhood diarrhoea and pneumonia; and (iii) researchers’ observations and structured interviews with participants of the cross-over study to evaluate factors influencing participation in mHealth-based studies. Results. Many of the 1854 survey participants (1620; 87.4%) used mobile phones. Of 1014 participants in the cross-over study, 662 (65.3%) responded to the first text message. Of 651 participants willing to participate, 356 (54.7%) completed the text messaging survey. Overall, text message data were moderately to substantially equivalent to face-to-face data. The text messaging survey was acceptable to parents, but grandparents were often unable to use text messages. Among many factors influencing participation were trust, perceived usefulness and ease of use. Conclusions. Text messaging can be applied to collect data on care-seeking for childhood diarrhoea and pneumonia in rural China, but several questions remain, including how to improve accuracy and response rates. Further work needs to advance innovative mHealth-based data collection methods that can improve health surveillance, enhance implementation of appropriate interventions and ultimately save children’s lives. 4 5 Table of contents OVERVIEW OF THESIS ................................................................................................. 29 1 BACKGROUND TO THESIS.................................................................................... 33 2 RATIONALE FOR THESIS ...................................................................................... 89 3 STUDY CONTEXT ................................................................................................ 105 4 PREVALENCE AND FACTORS INFLUENCING USAGE OF MOBILE PHONES BY CAREGIVERS: STUDY METHODS................................................................................ 135 5 PREVALENCE AND FACTORS INFLUENCING USAGE OF MOBILE PHONES BY CAREGIVERS: STUDY RESULTS AND DISCUSSION ................................................... 157 6 VALIDITY OF A TEXT MESSAGING SURVEY ON CARE-SEEKING FOR CHILDHOOD DIARRHOEA AND PNEUMONIA: STUDY METHODS ........................... 201 7 VALIDITY OF A TEXT MESSAGING SURVEY ON CARE-SEEKING FOR CHILDHOOD DIARRHOEA AND PNEUMONIA: STUDY RESULTS AND DISCUSSION …………………………………………………………………………………………………………………241 8 FACTORS INFLUENCING PARTICIPATION IN MHEALTH-BASED STUDIES: STUDY METHODS ....................................................................................................... 265 9 FACTORS INFLUENCING PARTICIPATION IN MHEALTH-BASED STUDIES: STUDY RESULTS AND DISCUSSION .......................................................................... 273 10 IDEAS FOR MHEALTH-BASED DATA COLLECTION ........................................... 305 11 OVERALL DISCUSSION AND CONCLUSIONS ...................................................... 317 REFERENCES .............................................................................................................. 337 APPENDICES .............................................................................................................. 381 Please see next pages for a Detailed table of contents. 6 Detailed table of contents ABSTRACT ...................................................................................................................... 3 DECLARATION OF ORIGINALITY ................................................................................ 14 COPYRIGHT DECLARATION .........................................................................................15 LIST OF ABBREVIATIONS ............................................................................................ 16 LIST OF DEFINITIONS ................................................................................................... 17 LIST OF TABLES ........................................................................................................... 18 LIST OF FIGURES ......................................................................................................... 20 LIST OF PHOTOGRAPHS .............................................................................................. 21 ACKNOWLEDGEMENTS ............................................................................................... 22 PAPERS RELEVANT TO THE CONTENT OF THIS THESIS ........................................... 24 OVERVIEW OF THESIS ................................................................................................. 29 1 BACKGROUND TO THESIS.................................................................................... 33 OVERVIEW OF CHAPTER ............................................................................................................................ 33 1.1 THE POTENTIAL MOBILE PHONES OFFER TO INCREASE THE QUANTITY AND QUALITY OF HEALTH INFORMATION IN LOW- AND MIDDLE-INCOME COUNTRIES ........................................................................ 34 Overview of section ........................................................................................................................... 34 1.1.1 Opportunities for mobile phones to improve health ......................................................... 34 1.1.2 Scope of mHealth ................................................................................................................. 36 1.1.3 mHealth-based data collection........................................................................................... 38 Structured summary of section ........................................................................................................ 41 1.2 GAPS IN INFORMATION ON CARE-SEEKING FOR CHILDHOOD DIARRHOEA AND PNEUMONIA IN LOW- AND MIDDLE-INCOME COUNTRIES ............................................................................................................. 42 Overview of section ........................................................................................................................... 42 1.2.1 Progress in child health in low- and middle-income countries ....................................... 42 1.2.2 A brief introduction to childhood diarrhoea and pneumonia ......................................... 43 1.2.3 Reducing the burden of childhood diarrhoea and pneumonia ........................................ 45 1.2.4 Care-seeking for childhood diarrhoea and pneumonia as research priority ................. 47 Structured summary of section ....................................................................................................... 50 1.3 TEXT MESSAGING AS A NOVEL METHOD FOR HOUSEHOLD SURVEY DATA COLLECTION ON CARE- SEEKING FOR CHILDHOOD DIARRHOEA AND PNEUMONIA IN CHINA ............................................................ 51 Overview of section ............................................................................................................................ 51 1.3.1 Current household survey data collection .......................................................................... 51 1.3.2 Challenges of household survey data collection ............................................................... 54 1.3.3 Considering alternative data collection methods ............................................................. 56 Structured summary of section ....................................................................................................... 63 7 1.4 A REVIEW OF MHEALTH-BASED DATA COLLECTION USING TEXT MESSAGING .................................... 64 Overview of section ........................................................................................................................... 64 1.4.1 Scope of review .................................................................................................................... 64 1.4.2 Description of studies .......................................................................................................... 65 1.4.3 Outcomes of studies ............................................................................................................. 69 1.4.4 Conclusions .......................................................................................................................... 78 Structured summary of section ........................................................................................................79
Load more

Recommended publications
  • Renao (Heat-Noise), Deities’ Efficacy, and Temple Festivals in Central and Southern Hebei Provincel
    View metadata, citation and similar papers at core.ac.uk brought to you by CORE provided by Apollo Journal of Cambridge Studies 1 Renao (Heat-noise), Deities’ Efficacy, and Temple Festivals in Central and Southern Hebei Provincel Zhiya HUA School of Social Administration, Shanghai University of Political Science and Law, PRC [email protected] Abstract: There is a tradition of holding temple festivals in villages in central and southern Hebei Province. This tradition was once suspended after the establishment of P.R.C., but it revived and thrived after the reform and opening-up. Temple festivals are a kind of renao (热闹, heat-noise) events in rural life, and the organizers of temple festivals pursue the effect of renao as much as possible. Renao is a popular life condition welcomed by people; meanwhile, it can be regarded as an important exterior indicator of the efficacy of deities. Hence holding temple festivals and make renao at them provides an opportunity not only for people to experience and enjoy renao, but to acknowledge, publicize, and even produce the efficacy of deities. These sacred and secular rewards can partly account for the enduring resilience and vitality of the local tradition of holding temple festivals. Key Words: Temple festivals, Renao, Efficacy, Folk religion, Central and Southern Hebei Province This article is based on a part of the author’s Ph.D. dissertation. The author is grateful to Prof. Graeme Lang for his instruction and criticism. In addition, the author wants to thank Dr. Yue Yongyi for his criticism and help. This article is also one of the outcomes of a research project sponsored by Shanghai Pujiang Program (No.
    [Show full text]
  • Deities' Efficacy, and Temple Festivals in Central and Southern Hebei
    Journal of Cambridge Studies 1 Renao (Heat-noise), Deities’ Efficacy, and Temple Festivals in Central and Southern Hebei Provincel Zhiya HUA School of Social Administration, Shanghai University of Political Science and Law, PRC [email protected] Abstract: There is a tradition of holding temple festivals in villages in central and southern Hebei Province. This tradition was once suspended after the establishment of P.R.C., but it revived and thrived after the reform and opening-up. Temple festivals are a kind of renao (热闹, heat-noise) events in rural life, and the organizers of temple festivals pursue the effect of renao as much as possible. Renao is a popular life condition welcomed by people; meanwhile, it can be regarded as an important exterior indicator of the efficacy of deities. Hence holding temple festivals and make renao at them provides an opportunity not only for people to experience and enjoy renao, but to acknowledge, publicize, and even produce the efficacy of deities. These sacred and secular rewards can partly account for the enduring resilience and vitality of the local tradition of holding temple festivals. Key Words: Temple festivals, Renao, Efficacy, Folk religion, Central and Southern Hebei Province This article is based on a part of the author’s Ph.D. dissertation. The author is grateful to Prof. Graeme Lang for his instruction and criticism. In addition, the author wants to thank Dr. Yue Yongyi for his criticism and help. This article is also one of the outcomes of a research project sponsored by Shanghai Pujiang Program (No. 13PJC099). Volume 8, No.
    [Show full text]
  • Mhealth Series
    Edinburgh Research Explorer mHealth Series Citation for published version: van Velthoven, MH, Li, Y, Wang, W, Du, X, Wu, Q, Chen, L, Majeed, A, Rudan, I, Zhang, Y & Car, J 2013, 'mHealth Series: mHealth project in Zhao County, rural China - Description of objectives, field site and methods', Journal of Global Health, vol. 3, no. 2, pp. 20401. https://doi.org/10.7189/jogh.03.020401 Digital Object Identifier (DOI): 10.7189/jogh.03.020401 Link: Link to publication record in Edinburgh Research Explorer Document Version: Publisher's PDF, also known as Version of record Published In: Journal of Global Health Publisher Rights Statement: Copyright © 2013 by the Journal of Global Health. All rights reserved. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. General rights Copyright for the publications made accessible via the Edinburgh Research Explorer is retained by the author(s) and / or other copyright owners and it is a condition of accessing these publications that users recognise and abide by the legal requirements associated with these rights. Take down policy The University of Edinburgh has made every reasonable effort to ensure that Edinburgh Research Explorer content complies with UK legislation. If you believe that the public display of this file breaches copyright please contact [email protected] providing details, and we will remove access to the work immediately and investigate your claim. Download date: 11. Oct. 2021 journal of Electronic supplementary material: The online version of this article contains supplementary material.
    [Show full text]
  • Jogh.03.020401 , Josipcar 1 , Igorrudan 2 , Lichen
    journal of Electronic supplementary material: The online version of this article contains supplementary material. global health mHealth Series: mHealth project in Zhao County, rural China – Description of objectives, field site and methods PAPERS VIEWPOINTS Michelle Helena van Velthoven1, Background We set up a collaboration between researchers in China Ye Li2, Wei Wang2, Xiaozhen Du2, and the UK that aimed to explore the use of mHealth in China. This 2 2 Qiong Wu , Li Chen , Azeem is the first paper in a series of papers on a large mHealth project part 1 3 Majeed , Igor Rudan , Yanfeng of this collaboration. This paper included the aims and objectives of Zhang2, Josip Car1 the mHealth project, our field site, and the detailed methods of two studies. 1 Global eHealth Unit, Department of Primary Care and Public Health, Imperial College Field site The field site for this mHealth project was Zhao County, London, London, UK which lies 280 km south of Beijing in Hebei Province, China. 2 Department of Integrated Early Childhood Methods We described the methodology of two studies: (i) a mixed Development, Capital Institute of Paediatrics, methods study exploring factors influencing sample size calculations Beijing, China for mHealth–based health surveys and (ii) a cross–over study deter- 3 Centre for Population Health Sciences mining validity of an mHealth text messaging data collection tool. The and Global Health Academy, University first study used mixed methods, both quantitative and qualitative, in- of Edinburgh Medical School, Edinburgh, Scotland, UK cluding: (i) two surveys with caregivers of young children, (ii) inter- views with caregivers, village doctors and participants of the cross– over study, and (iii) researchers’ views.
    [Show full text]
  • Miaohui, the Temples Meeting Festival in a North China Area
    chiINFORMATION na Miaohui, the Temples XX1 (3) 10.1177/0920203X07083323 Vol 455–477 [DOI: The Documentation and Research Centre Copyright for ModernLeiden © University. 2007, China, Meeting Festival in a North China Area X udo N G Z H AO A N D D ur A N B E ll Abstract We examine the multiple purposes and modalities that convergeY during a circuit of festivals, miaohui, that temples organize in recognition of local gods and which are attended reciprocally by temple representatives fromL the surrounding area in North China. The festivals involve intense expressions of devotion to one or more deities, while offering an opportunity for representatives of other villages to seek recognition through rather boisterous drumming and prolonged choreographed dancing. We note also the emergenceN of Mao as a great god whose legacy as Chairman of the CCP is projected in order to legitimate current Party leadership and their policy of reform while concurrently acting as a powerful denial of those same policies from the perspectiveO of villagers. Keywords miaohui, popular religion, ritual, Mao cult, North China Authors’ affiliation Zhao Xudong is an associate professor at the Department of Sociology, College of Humanities and Development, China Agricultural University, People’s Republic of China. DuranF Bell is a professor at the Department of Economics, University of California, Irvine, USA. O In this article, we consider a ritual that is annually practiced in many villages of North China, miaohui (庙会). Our points of observation are Fanzhuang and a number of neighboring villages in the south of Hebei Province. In Fanzhuang, miaohui is celebratedO for several days during the early part of the second lunar month.
    [Show full text]