传播和实施, 近东救济工程处新发布的母婴健康移动应用程序：一项横断面研究。
Dissemination and implementation of the , UNRWA's newly released maternal and child health mobile application: a cross-sectional study.
机构信息
University of Nebraska Medical Center, Omaha, Nebraska, USA.
Health Department, United Nations Relief and Works Agency for Palestine Refugees in the Near East, Amman, Jordan.
出版信息
BMJ Open. 2020 Mar 9;10(3):e034885. doi: 10.1136/bmjopen-2019-034885.
OBJECTIVES
In April 2017, the United Nations Relief and Works Agency for Palestine Refugees in the Near East (UNRWA) released the electronic the application. One of the first mobile health (m-Health) interventions in a refugee setting, the application gives pregnant women and mothers access to educational information and health records on smartphones. This study investigated factors associated with the dissemination and implementation of m-Health in the refugee setting.
SETTING AND PARTICIPANTS
A cross-sectional study was conducted in 9 of 25 UNRWA health centres for Palestine refugees in Jordan. Self-administered questionnaires were distributed for 1 week to pregnant women and mothers with children aged 0-5 years.
OUTCOME MEASURES
The outcomes were whether participants knew about, downloaded or used the application. Multiple regression analyses were conducted to determine factors associated with application download and usage.
RESULTS
1042 participants were included in the analysis. 979 (95.5%) had a mobile phone and 862 (86.9%) had a smartphone. 499 (51.3%) knew about, 235 (23.8%) downloaded and 172 (17.4%) used the application. Having other mobile applications (OR 6.17, p<0.01), staff knowledge of the application (OR 11.82, p<0.01), using the internet as a source of medical information (OR 1.63, p=0.01) and having internet access at home (OR 1.46, p=0.05) were associated with application download. The age of the husband was associated with application usage (OR 1.04, p=0.11).
CONCLUSIONS
Though m-Health may be a promising means of promoting health in refugees, multiple barriers may exist to its dissemination and implementation. Those who regularly use mobile applications and get medical information from the internet are potential targets of m-Health dissemination. For successful implementation of a m-Health intervention, health staff should have thorough knowledge of the application and users should have access to the internet. Husband-related factors may also play a role.
目的
2017 年 4 月，联合国近东巴勒斯坦难民救济和工程处（近东救济工程处）发布了该电子应用程序。这是难民环境中首次使用移动医疗（mHealth）干预措施之一，该应用程序使孕妇和母亲能够在智能手机上获取教育信息和健康记录。本研究调查了与 mHealth 在难民环境中的传播和实施相关的因素。
背景和参与者
在约旦的 25 个近东救济工程处巴勒斯坦难民营卫生中心中的 9 个中心进行了横断面研究。向怀孕的妇女和 0-5 岁儿童的母亲发放了为期一周的自我管理问卷。
结果
1042 名参与者纳入分析。979 名（95.5%）有移动电话，862 名（86.9%）有智能手机。499 名（51.3%）知道该应用程序，235 名（23.8%）下载了该应用程序，172 名（17.4%）使用了该应用程序。拥有其他移动应用程序（OR 6.17，p<0.01）、工作人员了解该应用程序（OR 11.82，p<0.01）、将互联网用作医疗信息来源（OR 1.63，p=0.01）和在家中上网（OR 1.46，p=0.05）与应用程序下载相关。丈夫的年龄与应用程序的使用相关（OR 1.04，p=0.11）。
结论
尽管移动医疗可能是促进难民健康的一种有前途的手段，但在其传播和实施方面可能存在多种障碍。那些经常使用移动应用程序并从互联网获取医疗信息的人是移动医疗传播的潜在目标。为了成功实施移动医疗干预措施，卫生工作人员应该对应用程序有深入的了解，用户应该能够访问互联网。与丈夫有关的因素也可能起作用。
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