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PRENACEL partner - use of short message service (SMS) to encourage male involvement in prenatal care: a cluster randomized trial
Reproductive Health ( IF 3.6 ) Pub Date : 2020-04-06 , DOI: 10.1186/s12978-020-0859-6
Lívia Pimenta Bonifácio , Ana Carolina Arruda Franzon , Fabiani Spessoto Zaratini , Fernanda Bergamini Vicentine , Francisco Barbosa-Júnior , Giordana Campos Braga , Jazmin Andrea Cifuentes Sanchez , Lívia Oliveira-Ciabati , Magna Santos Andrade , Mariana Fernandes , Suzi Volpato Fabio , Geraldo Duarte , Vicky Nogueira Pileggi , João Paulo Souza , Elisabeth Meloni Vieira

The partner has an important role when he participates of the prenatal care as showed in the positive results relate to the mother and the child health. For this reason it is an important strategy to bring future fathers closer to health services and to improve their link with paternity. To evaluate whether the implementation of SMS technology, through the PRENACEL program for the partner as a health education program, is a useful supplement to the standard prenatal monitoring. A parallel cluster randomized trial was carried out, with the clusters representing primary care health units. The 20 health units with the largest number of pregnant women in 2013 were selected for the study. There was a balance of the health units according to the size of the affiliated population and the vulnerability situation and these were allocated in intervention and control health units by the randomization. The partners of the pregnant women who started prenatal care prior to the 20th week of gestation were the study population of the intervention group. The participants received periodic short text messages via mobile phone with information about the pregnancy and birth. In the control group units the partners, together with the women, received the standard prenatal care. One hundred eighty-six partners were interviewed, 62 from the PRENACEL group, 73 from the intervention group that did not opt ​​for PRENACEL and 51 from the control group. A profile with a mean age of 30 years was found and the majority of respondents (51.3%) declared themselves as brown race/color. The interviewees presented a mean of 9.3 years of study. The majority of the men (95.2%) cohabited with their partner and 63.7% were classified as socioeconomic class C. The adherence to the PRENACEL program was 53.4%. In relation to the individual results, there was a greater participation of the PRENACEL partners in the prenatal consultations, as well as a greater presence of them accompanying the woman at the moment of the childbirth when compared to the other groups. The study showed that a health education strategy using communication technology seems to be a useful prenatal care supplement; the intervention had a good acceptability and has a promising role in men’s involvement in prenatal, labour and postpartum care of their partners. Clinical trial registry: RBR-54zf73, U1111–1163-7761.

中文翻译:

PRENACEL合作伙伴-使用短信服务(SMS)鼓励男性参与产前保健:一项整群随机试验

该伴侣在参加产前保健时发挥着重要作用,这与母亲和儿童的健康有关。因此,这是一项重要的战略,使未来的父亲更接近医疗服务,并改善他们与亲子关系的联系。通过作为健康教育计划的伙伴的PRENACEL计划来评估SMS技术的实施是否是对标准产前监测的有用补充。进行了一项平行分组随机试验,该分组代表初级保健单位。该研究选择了2013年孕妇人数最多的20个卫生部门。根据附属人口的数量和脆弱性状况,卫生部门之间保持平衡,并通过随机分配将这些分配给干预和控制卫生部门。在妊娠第20周之前开始进行产前检查的孕妇的伴侣是干预组的研究人群。参与者通过手机定期收到有关怀孕和出生的信息的短文本消息。在对照组,伴侣和妇女一起接受了标准的产前检查。接受了186位合作伙伴的采访,来自PRENACEL组的62位,未选择PRENACEL的干预组的73位,以及来自对照组的51位。调查发现平均年龄为30岁,大多数受访者(51。3%)宣称自己是棕色种族/肤色。受访者平均学习了9.3年。与伴侣同居的大多数男性(95.2%)和63.7%被归为社会经济C类。对PRENACEL计划的遵守率为53.4%。关于个人结果,与其他组相比,PRENACEL合作伙伴更多地参与了产前检查,并且在分娩时陪同该妇女的妇女也更多。研究表明,使用通讯技术的健康教育策略似乎是一种有用的产前保健补充;该干预措施具有良好的可接受性,并且在男性参与其伴侣的产前,分娩和产后护理中发挥着有希望的作用。临床试验注册表:RBR-54zf73,U1111–1163-7761。
更新日期:2020-04-22
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