Effect of a Social Media-based Health Education Program on Postnatal Care (PNC) Knowledge Among Pregnant Women Using Smartphones in Dhulikhel Hospital

Study Overview
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Brief Summary
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Its an interventional study conducted to assess the effect of social media-based health education program on PNC knowledge among pregnant women attending Dhulikhel hospital, Nepal.

Detailed Description
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The study is a two-arm open-label randomized controlled trial conducted among literate pregnant visiting Dhulikhel hospital for ANC check-up. A computer-based program allocated 229 pregnant women owning smartphone with internet connectivity in a 1:1 ratio to either intervention (n=109) or usual care (n=120). The investigators assessed PNC knowledge in the participants by interviewing in-person or via phone; questionnaire was adopted from the previous study conducted to determine the knowledge of postnatal care among postpartum mothers in Asmara; that contained 20 knowledge questions with a maximum possible score of 61. The questionnaire was translated and pretested in Nepali, with the Cronbach alpa of 0.83. The intervention group received a 16 minutes video developed by using Health belief model via social media and the participants were reminded to view the video every week via telephone for a month. Control group received usual care. The primary outcome of the study was PNC knowledge score. The investigators utilized intent-to-treat analysis and measured the effect of the intervention on PNC knowledge score using linear regression analysis.

Official Title
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Effect of a Social Media-based Health Education Program on Postnatal Care (PNC) Knowledge Among Pregnant Women Using Smartphones in Dhulikhel Hospital: a Randomized Controlled Trial

Conditions
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Unrecognized Condition

Intervention / Treatment
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* Other: Social media-based Health education program


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: literate pregnant women owned a smartphone used social media (either What's App, Viber, or Facebook) had internet connectivity (WIFI or mobile data) Exclusion Criteria: • learning difficulties(dementia) or vision impairment

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Other
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Social Media<br>social media based health education program developed using Health belief model | Other: Social media-based Health education program<br>* The social media-based health education program consist of 16 minute PNC video in Nepali language guided by Health Belief Model. The video provided general information on postnatal care including frequency, timing, and place providing postnatal care; danger signs of mother and newborn; different services provided at each PNC visit, and the importance of PNC visit. The researcher sent PNC videos through instant messaging (IM) software applications such as Viber, What's App, and Facebook messenger to the intervention group.<br>|
| No Intervention: Usual care<br>physical assessment of maternal and foetal wellbeing, screening, treatment, and receiving preventive measures | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| PNC knowledge assessment | The investigators adopted knowledge assessment questionnaire from the hospital-based cross-sectional study conducted to determine the knowledge of postnatal care among postpartum mothers during discharge in maternity hospitals in Asmara | 3 months |