Abstract
Persuasive Technology (PT) as a field of research provides tremendous opportunities for helping people improve their health and wellbeing. This paper highlights opportunities for empowering rural female population through a simple text-based persuasive intervention. The study was performed in June 2019 in a remotely located population in North-Eastern Pakistan. The target population were young mothers who were frequent users of mobile phones and able to read text messages. The study investigated whether simple Mobile-based Text Messages based on Integrated Management of Childhood Illness (IMCI) could bring a positive behavior change in mothers such as breastfeeding, avoiding self-medication when a child is sick and having the child immunized regularly. For data collection, we opted to conduct Focus Group Discussions in order to gain richer insights. The findings revealed that a high majority of the participants found the text messages to be useful. More interestingly, just over the span of one month, these participants reported to have a natural change in their behaviors.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Orji, R., Moffatt, K.: Persuasive technology for health and wellness: state-of-the- art and emerging trends. Health Inf. J. 24(1), 66–91 (2018)
Karppinen, P., et al.: Opportunities and challenges of behavior change support systems for enhancing habit formation: a qualitative study. J. Biomed. Inf. 84, 82–92 (2018)
Kelders, S.M., Oinas-Kukkonen, H., Oörni, A., van Gemert-Pijnen, J.E.: Health behavior change support systems as a research discipline; a viewpoint. Int. J. Med. Inf. 96, 3–10 (2016)
Win, K.T., Oinas-Kukkonen, H.: Introduction to the minitrack on health behavior change support systems. In: Proceedings of the 51st Hawaii International Conference on System Sciences, January 2018
Matthews, J., Win, K.T., Oinas-Kukkonen, H., Freeman, M.: Persuasive technology in mobile applications promoting physical activity: a systematic review. J. Med. Syst. 40(3), 72 (2016)
Pollak, J., Gay, G., Byrne, S., Wagner, E., Retelny, D., Humphreys, L.: It’s time to eat! Using mobile games to promote healthy eating. IEEE Pervasive Comput. 9(3), 21–27 (2010)
Ghorai, K., Akter, S., Khatun, F., Ray, P.: mHealth for smoking cessation programs: a systematic review. J. Personal. Med. 4(3), 412–423 (2014)
Stibe, A., Cugelman, B.: Persuasive backfiring: when behavior change interventions trigger unintended negative outcomes. In: Meschtscherjakov, A., De Ruyter, B., Fuchsberger, V., Murer, M., Tscheligi, M. (eds.) PERSUASIVE 2016. LNCS, vol. 9638, pp. 65–77. Springer, Cham (2016). https://doi.org/10.1007/978-3-319-31510-2_6
Anderson, C.N., Noar, S.M., Rogers, B.D.: The persuasive power of oral health promotion messages: a theory of planned behavior approach to dental checkups among young adults. Health Commun. 28(3), 304–313 (2013)
Miranda, B., Jere, C., Alharbi, O., Lakshmi, S., Khouja, Y., Chatterjee, S.: Examining the efficacy of a persuasive technology package in reducing texting and driving behavior. In: Berkovsky, S., Freyne, J. (eds.) PERSUASIVE 2013. LNCS, vol. 7822, pp. 137–148. Springer, Heidelberg (2013). https://doi.org/10.1007/978-3-642-37157-8_17
Doherty, G., Coyle, D., Sharry, J.: Engagement with online mental health interventions: an exploratory clinical study of a treatment for depression. In: Proceedings of the SIGCHI Conference on Human Factors in Computing Systems, pp. 1421–1430. ACM,, May 2012
Durrani, H.M., Kumar, R., Durrani, S.M.: Recognizing the danger signs and health seeking behaviour of mothers in childhood illness in Karachi, Pakistan. Univers. J. Public Health 3(2), 49–54 (2015)
Jehan, I., et al.: Neonatal mortality, risk factors and causes: a prospective population-based cohort study in urban Pakistan. Bull. World Health Organ. 87, 130–138 (2009)
Liu, L., et al.: Global, regional, and national causes of child mortality in 2000–13, with projections to inform post- 2015 priorities: an updated systematic analysis. Lancet 385(9966), 430–440 (2015)
Mushi, D., Mpembeni, R., Jahn, A.: Effectiveness of community based safe motherhood promoters in improving the utilization of obstetric care. The case of Mtwara Rural District in Tanzania. BMC Pregnancy Childbirth 10(1), 14 (2010). https://doi.org/10.1186/1471-2393-10-14
Al-Araimi, F.A., Langrial, S.U.: A hypothetical model to predict nursing students’ perceptions of the usefulness of pre-service integrated management of childhood illness training. Sultan Qaboos Univ. Med. J. 16(4), e469 (2016)
World Health Organization. Implementation tools: package of essential noncommunicable (‎PEN)‎ disease interventions for primary health care in low-resource settings. World Health Organization (2013)
Gove, S.: Integrated management of childhood illness by outpatient health workers: technical basis and overview. The WHO working group on guidelines for integrated management of the sick child. Bull. World Health Organ. 75(1), 7 (1997)
Nicoll, A.: Integrated management of childhood illness in resource-poor countries: an initiative from the World Health Organization. Trans. Roy. Soc. Trop. Med. Hyg. 94(1), 9–11 (2000)
Shouly, B.A.J.M. Quality Assessment of Primary Health Care Delivered to Children Under 5 Years Old in North West-Bank/Palestine, Doctoral dissertation (2011)
Thompson, M.E., Harutyunyan, T.L.: Impact of a community-based integrated management of childhood illnesses (IMCI) programme in Gegharkunik, Armenia. Health Policy Plann. 24(2), 101–107 (2009)
Araimi, A., Fannah, F.A.: A hypothetical model to predict the potential impact of government and management support in implementing integrated management of childhood illness practices. Oman Med. J. 32(3), 221 (2017)
Fogg, B.J.: A behavior model for persuasive design. In: Proceedings of the 4th International Conference on Persuasive Technology, p. 40. ACM, April 2009
Kiplagat, A., Musto, R., Mwizamholya, D., Morona, D.: Factors influencing the implementation of integrated management of childhood illness (IMCI) by healthcare workers at public health centers & dispensaries in Mwanza, Tanzania. BMC Public Health 14(1), 277 (2014)
Kalu, N., Lufesi, N., Havens, D., Mortimer, K.: Implementation of World Health Organization Integrated Management of Childhood Illnesses (IMCI) guidelines for the assessment of pneumonia in the under 5Â s in rural Malawi. PLoS ONE 11(5), e0155830 (2016)
Chopra, M., Patel, S., Cloete, K., Sanders, D., Peterson, S.: Effect of an IMCI intervention on quality of care across four districts in Cape Town, South Africa. Arch. Dis. Child. 90(4), 397–401 (2005)
Maramagi, C.A., Lubanga, R.G., Kiguli, S., Ekwaru, P.J., Heggenhougen, K.: Health providers’ counselling of caregivers in the Integrated Management of Childhood Illness (IMCI) programme in Uganda. Afr. Health Sci. 4(1), 31–39 (2004)
Patwari, A.K., Raina, N.: Integrated Management of Childhood Illness (IMCI): a robust strategy. Indian J. Pediatr. 69(1), 41–48 (2002)
Agha, A., Younus, M., Kadir, M.M., Ali, S., Fatmi, Z.: Eight key household practices of Integrated Management of Childhood Illnesses (IMCI) amongst mothers of children aged 6 to 59 months in Gambat, Sindh, Pakistan. J. Pak. Med. Assoc. 57(6), 288 (2007)
Akber Pradhan, N., Rizvi, N., Sami, N., Gul, X.: Insight into implementation of facility-based integrated management of childhood illness strategy in a rural district of Sindh, Pakistan. Global Health Action 6(1), 20086 (2013)
Khan, A., et al.: Newborn survival in Pakistan: a decade of change and future implications. Health Policy Plann. 27(suppl_3), iii72–iii87 (2012)
Maheen, H., Hoban, E.: Rural women’s experience of living and giving birth in relief camps in Pakistan. PLoS Curr. 9 (2017)
Lappalainen, P., Langrial, S., Oinas-Kukkonen, H., Tolvanen, A., Lappalainen, R.: Web- based acceptance and commitment therapy for depressive symptoms with minimal support: a randomized controlled trial. Behav. Modif. 39(6), 805–834 (2015)
Kazi, A., et al.: Effect of mobile phone text message reminders on routine immunization uptake in Pakistan: randomized controlled trial. JMIR Public Health Surveill. 4(1), e20 (2018)
Langrial, S.U., Lappalainen, P.: Information systems for improving mental health: six emerging themes of research. In: Pacific Asia Conference On Information Systems (PACIS). Association for Information System (2016)
Fogg, B.J.: Creating persuasive technologies: an eight-step design process. In: Proceedings of the 4th international conference on persuasive technology, pp. 1–6 (2009)
Acknowledgements
We would like to thank all participants for their time and valuable feedback that made this study possible. Our special thanks to the local health care units for their support.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2020 Springer Nature Switzerland AG
About this paper
Cite this paper
Langrial, S.U., Ham, J. (2020). Mobile-based Text Messages for Improved Pediatric Health in Rural Areas of Pakistan: A Qualitative Study. In: Gram-Hansen, S., Jonasen, T., Midden, C. (eds) Persuasive Technology. Designing for Future Change. PERSUASIVE 2020. Lecture Notes in Computer Science(), vol 12064. Springer, Cham. https://doi.org/10.1007/978-3-030-45712-9_12
Download citation
DOI: https://doi.org/10.1007/978-3-030-45712-9_12
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-45711-2
Online ISBN: 978-3-030-45712-9
eBook Packages: Computer ScienceComputer Science (R0)