Browsing by Author "Jones, Rachel"
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- ItemProviding support to pregnant women and new mothers through moderated WhatsApp groups: a feasibility study.(0000-00-00) Patel, Suha J; Subbiah, Shalini; Jones, Rachel; Muigai, Faith; Rothschild, Claire Watt; Omwodo, Lucille; Ogolla, Teresa; Kimenju, Grace; Pearson, Nick; Meadows, Audra; Nour, Nawal MBackground Group based health services can improve maternal and newborn health outcomes Group antenatal care and participatory learning and action cycles PLA with women s groups have been cited by the WHO as health systems interventions that can lead to improvements in adherence to care and health outcomes in pregnancy and the postpartum period Methods We used a mixed methods approach to assess the feasibility of a light touch group based support intervention using the WhatsApp text messaging platform Pregnant women were enrolled at Jacaranda Health JH a maternity center in peri urban Kiambu County Kenya Their phone numbers were added to WhatsApp groups consisting of participants with similar estimated due dates The WhatsApp group administrator was a JH employee Acceptability demand implementation and practicality of this service were evaluated through in depth interviews IDIs surveys chart review and analysis of group chats Limited analysis of program efficacy ANC visits any PNC and post partum family planning uptake was assessed by comparing participant data collected through chart review using a concurrent comparison of the general JH patient population Results Fifty women 88 of 57 eligible women who were approached to participate enrolled in the study Five WhatsApp groups were created A total of 983 messages were exchanged over 38 weeks No harms or negative interactions were reported Participants reported several benefits Participants had differing expectations of the level of the group administrator s activity in the groups ANC and PNC attendance were in line with the hospital s metrics for the rest of JH s patient population Higher rates of postpartum long acting reversible contraception LARC uptake were observed among participants relative to the general patient population Conclusions A moderated mobile based support group service for pregnant women and new mothers is safe and feasible Additional research using experimental designs to strengthen evidence of the effectiveness of the support intervention is warranted
- ItemA randomized controlled trial of soap opera videos streamed to smartphones to reduce risk of sexually transmitted human immunodeficiency virus (HIV) in young urban African American women.(2013-07-15) Jones, Rachel; Hoover, Donald R; Lacroix, Lorraine JBACKGROUND Love Sex and Choices LSC is a soap opera video series created to reduce HIV sex risk in women METHODS LSC was compared to text messages in a randomized trial in 238 high risk mostly Black young urban women 117 received 12 weekly LSC videos 121 received 12 weekly HIV prevention messages on smartphones Changes in unprotected sex with high risk partners were compared by mixed models RESULTS Unprotected sex with high risk men significantly declined over 6 months post intervention for both arms from 21 22 acts to 5 6 p Under 0 001 This reduction was 18 greater in the video over the text arm though this difference was not statistically significant However the LSC was highly popular and viewers wanted the series to continue CONCLUSION This is the first study to report streaming soap opera video episodes to reduce HIV risk on smartphones LSC holds promise as an Internet intervention that could be scaled up and combined with HIV testing
- ItemSoap opera video on handheld computers to reduce young urban women's HIV sex risk.(2008-10-13) Jones, RachelThe purpose of this study was to develop a soap opera video A Story about Toni Mike and Valerie designed to communicate HIV risk reduction themes The study evaluated viewing the video and responding to audio computer assisted self interview ACASI on a handheld computer The sample was 76 predominately African American women aged 18 29 in sexual relationships with men Data were collected in urban neighborhoods in the northeastern United States A pretest posttest control group design with systematic assignment indicated statistically significant reduction in expectations to engage in unprotected sex in the experimental group The handheld computer was found to be acceptable to view the near feature length video and complete ACASI To date no study has reported on use of video and ACASI on a handheld device to reduce HIV risk The significance is the potential to stream health promotion videos to personal devices such as cell phones
- ItemStreaming weekly soap opera video episodes to smartphones in a randomized controlled trial to reduce HIV risk in young urban African American/black women.(2012-05-17) Jones, Rachel; Lacroix, Lorraine JLove Sex and Choices is a 12 episode soap opera video series created as an intervention to reduce HIV sex risk The effect on women s HIV risk behavior was evaluated in a randomized controlled trial in 238 high risk predominately African American young adult women in the urban Northeast To facilitate on demand access and privacy the episodes were streamed to study provided smartphones Here we discuss the development of a mobile platform to deliver the 12 weekly video episodes or weekly HIV risk reduction written messages to smartphones including the technical requirements development and evaluation Popularity of the smartphone and use of the Internet for multimedia offer a new channel to address health disparities in traditionally underserved populations This is the first study to report on streaming a serialized video based intervention to a smartphone The approach described here may provide useful insights in assessing advantages and disadvantages of smartphones to implement a video based intervention