Is health literacy related to health behaviors and cell phone usage patterns among the text4baby target population?

Simple item page
dc.contributor.authorPoorman, Elisabeth
dc.contributor.authorGazmararian, Julie
dc.contributor.authorElon, Lisa
dc.contributor.authorParker, Ruth
dc.date.accessioned2020-02-06T19:12:43Z
dc.date.available2020-02-06T19:12:43Z
dc.date.issued2014-05-29
dc.description.abstractBACKGROUND Text4baby provides educational text messages to pregnant and postpartum women and targets underserved women The primary purpose of this study is to examine the health behaviors and cell phone usage patterns of a text4baby target population and the associations with health literacy METHODS Pregnant and postpartum women were recruited from two Women Infant and Children clinics in Atlanta Women were asked about their demographics selected pregnancy or postpartum health behaviors and cell phone usage patterns Health literacy skills were measured with the English version of the Newest Vital Sign Multivariable logistic regression was used to examine health behaviors and cell usage patterns by health literacy classification controlling for commonly accepted confounders RESULTS Four hundred sixty eight women were recruited and 445 completed the Newest Vital Sign Of these 22 had inadequate health literacy 50 had intermediate health literacy and 28 had adequate health literacy skills Compared to adequate health literacy limited literacy was independently associated with not taking a daily vitamin during pregnancy OR 3 6 95 CI 1 6 8 5 and never breastfeeding their infant OR 1 4 95 CI 1 1 1 8 The majority 69 4 of respondents received nine or more text messages a day prior to enrollment one in four participants 24 6 had changed their number within the last six months and 7 0 of study participants shared a cell phone Controlling for potentially confounding factors those with limited health literacy were more likely to share a cell phone than those with adequate health literacy OR 2 57 95 CI 1 79 3 69 CONCLUSIONS Text4baby messages should be appropriate for low health literacy levels especially as this population may have higher prevalence of targeted unhealthy behaviors Text4baby and other mhealth programs targetting low health literacy populations should also be aware of the different ways that these populations use their cell phones including sharing cell phones which may mean participants will not receive messages or have special privacy concerns frequently changing cell phone numbers which could lead to higher drop off rates and the penetrance of text messages in a population that receives many messages daily
dc.identifier.urihttp://dx.doi.org/10.1186/2049-3258-72-13
dc.identifier.urihttps://lib.digitalsquare.io/xmlui/handle/123456789/7325
dc.relation.uriArchives of public health = Archives belges de santé publique
dc.subjectNewborn
dc.subjectInfant
dc.subjectAdult
dc.subjectChildren Under 5 years
dc.subjectWomen (only)
dc.subjectClient
dc.subjectCommunication roadblocks
dc.subjectAccess to information or data
dc.subjectAlignment with local norms
dc.subjectAddressing individual beliefs and practices
dc.subjectScaled program
dc.subjectOptimization
dc.subjectIndividual based
dc.subjectMaternal health
dc.subjectChild Health
dc.subjectPreventive
dc.subjectShort-term
dc.subjectHealth education or promotion
dc.subjectSMS
dc.subjectText
dc.titleIs health literacy related to health behaviors and cell phone usage patterns among the text4baby target population?en
dcterms.abstractBACKGROUND Text4baby provides educational text messages to pregnant and postpartum women and targets underserved women The primary purpose of this study is to examine the health behaviors and cell phone usage patterns of a text4baby target population and the associations with health literacy METHODS Pregnant and postpartum women were recruited from two Women Infant and Children clinics in Atlanta Women were asked about their demographics selected pregnancy or postpartum health behaviors and cell phone usage patterns Health literacy skills were measured with the English version of the Newest Vital Sign Multivariable logistic regression was used to examine health behaviors and cell usage patterns by health literacy classification controlling for commonly accepted confounders RESULTS Four hundred sixty eight women were recruited and 445 completed the Newest Vital Sign Of these 22 had inadequate health literacy 50 had intermediate health literacy and 28 had adequate health literacy skills Compared to adequate health literacy limited literacy was independently associated with not taking a daily vitamin during pregnancy OR 3 6 95 CI 1 6 8 5 and never breastfeeding their infant OR 1 4 95 CI 1 1 1 8 The majority 69 4 of respondents received nine or more text messages a day prior to enrollment one in four participants 24 6 had changed their number within the last six months and 7 0 of study participants shared a cell phone Controlling for potentially confounding factors those with limited health literacy were more likely to share a cell phone than those with adequate health literacy OR 2 57 95 CI 1 79 3 69 CONCLUSIONS Text4baby messages should be appropriate for low health literacy levels especially as this population may have higher prevalence of targeted unhealthy behaviors Text4baby and other mhealth programs targetting low health literacy populations should also be aware of the different ways that these populations use their cell phones including sharing cell phones which may mean participants will not receive messages or have special privacy concerns frequently changing cell phone numbers which could lead to higher drop off rates and the penetrance of text messages in a population that receives many messages daily
dcterms.contributorPoorman, Elisabeth
dcterms.contributorGazmararian, Julie
dcterms.contributorElon, Lisa
dcterms.contributorParker, Ruth
dcterms.identifierhttp://dx.doi.org/10.1186/2049-3258-72-13
dcterms.relationArchives of public health = Archives belges de santé publique
dcterms.subjectNewborn
dcterms.subjectInfant
dcterms.subjectAdult
dcterms.subjectChildren Under 5 years
dcterms.subjectWomen (only)
dcterms.subjectClient
dcterms.subjectCommunication roadblocks
dcterms.subjectAccess to information or data
dcterms.subjectAlignment with local norms
dcterms.subjectAddressing individual beliefs and practices
dcterms.subjectScaled program
dcterms.subjectOptimization
dcterms.subjectIndividual based
dcterms.subjectMaternal health
dcterms.subjectChild Health
dcterms.subjectPreventive
dcterms.subjectShort-term
dcterms.subjectHealth education or promotion
dcterms.subjectSMS
dcterms.subjectText
dcterms.titleIs health literacy related to health behaviors and cell phone usage patterns among the text4baby target population?en
Files
Collections
mhealth Evidence