Designing and developing a mobile app (BeBo) in a randomized controlled trial study to promote breastfeeding among Vietnamese mothers.

Autor: Doan TTD; Faculty of Social Sciences, Behaviour and Health Education, Hanoi University of Public Health, 1A Duc Thang Street, Bac Tu Liem District, Hanoi, 10000, Vietnam. dttd@huph.edu.vn.; School of Public Health, Curtin University, Bentley, Western Australia, 6102, Australia. dttd@huph.edu.vn., Tran TC; Faculty of Information Technology, Department of Hanoi University of Mining and Geology, 18 Vien Street - Bac Tu Liem District, Hanoi, 10000, Vietnam., Pham NM; School of Public Health, Curtin University, Bentley, Western Australia, 6102, Australia.; Thai Nguyen University of Medicine and Pharmacy, Thai Nguyen City, 250000, Vietnam., Zhao Y; School of Public Health, Curtin University, Bentley, Western Australia, 6102, Australia., Dinh TPH; Faculty of Social Sciences, Behaviour and Health Education, Hanoi University of Public Health, 1A Duc Thang Street, Bac Tu Liem District, Hanoi, 10000, Vietnam., Hoai NX; Faculty of Information Technology, HUTECH University, Ho Chi Minh City, 700000, Vietnam., Lee A; School of Public Health, Curtin University, Bentley, Western Australia, 6102, Australia., Binns C; School of Public Health, Curtin University, Bentley, Western Australia, 6102, Australia. C.Binns@curtin.edu.au., Bui TTH; Faculty of Social Sciences, Behaviour and Health Education, Hanoi University of Public Health, 1A Duc Thang Street, Bac Tu Liem District, Hanoi, 10000, Vietnam.
Jazyk: angličtina
Zdroj: International breastfeeding journal [Int Breastfeed J] 2023 Jan 19; Vol. 18 (1), pp. 7. Date of Electronic Publication: 2023 Jan 19.
DOI: 10.1186/s13006-023-00543-7
Abstrakt: Background: Breastfeeding should begin as soon as possible after birth and continue exclusively to 6 months of age. In Vietnam, as in many other countries, breastfeeding is decreasing because of modern lifestyles and the promotion of infant formula. It is important to provide mothers, family members, and the community with the knowledge and strategies to improve breastfeeding rates. Smartphones are almost ubiquitous in Vietnam and of the potential to provide information about breastfeeding. This study aimed to document the process of designing and developing a mobile app to increase breastfeeding rates in Vietnamese women.
Methods: We used a four-step mixed methods approach with a literature review, formative research (22 in-depth interviews and 49 self-administered online questionnaires), and testing of prototype apps (3 focus groups discussion and external experts). Formative research and focus group discussion involved 99 participants. Finally, the revisions of the app were tested. All of the formative research was undertaken in Hanoi in 2019-2020. Target behaviors followed by key determinants, to improve breastfeeding self-efficacy were studied and this information was then applied in developing the messages and library content. Barriers and facilitators to breastfeeding were identified from literature reviews and qualitative research. The messages were targeted at not only mothers but also included fathers, mothers-in-law, or families.
Results: Mothers were mostly concerned about the initiation of breastfeeding, preventing and reducing difficulties encountered during breastfeeding, and nutrition for breastfeeding mothers. Mental health and well-being in the postnatal period are also concerns. Three key features to be included in the app were identified from the formative research: (1) notifications; (2) an information library; and (3) a searching function. The research found that the app should be installed during pregnancy rather than after delivery (81% vs 17%, respectively). Notifications that convey breastfeeding messages should be sent 2-3 times per week.
Conclusion: The development of the app followed a best practice approach, including the involvement of stakeholders and grounding in behavior change theory. The next step is to evaluate the effectiveness of the BeBo mobile app in a well-conducted randomized controlled trial.
Trial Registration: ACTRN12619000531112.
(© 2023. The Author(s).)
Databáze: MEDLINE
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