Feasibility of a Touch Screen Computer Based Breastfeeding Educational Support
Project Final Report (PDF, 1.12 MB) Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ. No statement in this report should be construed as an official position of AHRQ or of the U.S. Department of Health and Human Services.
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Project Details -
Completed
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Grant NumberR21 HS021321
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AHRQ Funded Amount$295,797
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Principal Investigator(s)
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Organization
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LocationNew York CityNew York
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Project Dates09/30/2012 - 09/29/2015
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Technology
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Care Setting
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Medical Condition
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Population
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Type of Care
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Health Care Theme
Human breast milk not only provides complete nutrition for healthy physical and mental development in the first months of life, it also protects against common childhood infections and diseases. Despite the benefits of breastfeeding, less than a third of 3-month-old infants in the United States are exclusively breastfed. Mothers with less education and income, and those living in rural areas are less likely to exclusively breastfeed.
This pilot project tested the impact of an interactive bilingual touchscreen education program to improve breastfeeding knowledge, self-efficacy, and intent to breastfeed among Hispanic mothers living in rural areas. The educational materials were delivered using a multi-media format that included audio, text, images, and video.
The specific aims of this project were as follows:
- Examine factors that affect the decision to continue breastfeeding in Hispanic rural women using focus groups.
- Design and develop a bilingual, interactive, touchscreen program for breastfeeding education among Hispanic rural women.
- Pilot test the acceptance of a computer-based breastfeeding educational support program and explore its effect on breastfeeding knowledge, breastfeeding self-efficacy, and partial or exclusive breastfeeding among Hispanic rural women.
A repeated-measure quasi-experimental study randomly assigned women to the touchscreen intervention study arm or the control arm, which received bilingual printed education materials. After 6 months, there were improvements in breastfeeding knowledge, self-efficacy, and intent to breastfeed. Additionally, the proportion of women who breastfeed their babies the recommended 10 times per day was greater in the intervention group after the first week of the study through the end of the study. Focus group participants reported that their decision to breastfeed was influenced by the health benefits for the baby and advice from family members. The study concluded that the touchscreen technology has potential to improve breastfeeding practices.
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Citation: Joshi A, Amadi C, Meza J, et al. Evaluation of a computer-based bilingual breastfeeding educational program on breastfeeding knowledge, self-efficacy and intent to breastfeed among rural Hispanic women. Int J Med Inform 2016 Jul;91:10-9. PMID: 27185505.
Principal Investigator: Joshi, Ashish
Document Type: Journal Publication
Research Method: Interview, Mixed Methods, Time Series
Technology: Kiosk
Population: Hispanic or Latino, Rural Populations, Women
Citation: Aguirre TM, Koehler AE, Joshi A, et al. Recruitment and retention challenges and successes. Ethn Health 2016 Oct 21:1-9. PMID: 27764955.
Principal Investigator: Joshi, Ashish
Document Type: Journal Publication
Population: Hispanic or Latino, Rural Populations, Women
Citation: Joshi A, Amadl C, Meza J et al. Comparison of socio-demographic characteristics of a computer based breastfeeding educational intervention among rural hispanic women. J Community Health 2015 Oct;40(5):993-1001. PMID: 25868495.
Principal Investigator: Joshi, Ashish
Document Type: Journal Publication
Research Method: Quantitative, Usability Assessment
Technology: Kiosk
Population: Minority Populations
Citation: Joshi A, Perin DMP, Amadi C, et al. Evaluating the usability of an interactive, bi-lingual, touchscreen-enabled breastfeeding educational programme: application of Nielson’s heuristics. J Innov Heal informatics 2015;22(2):265–74. PMID: 26245240.
Principal Investigator: Joshi, Ashish
Document Type: Journal Publication
Research Method: Quantitative, Usability Assessment
Technology: Kiosk
Population: Minority Populations
Citation: Joshi A, Trout KE, Aguirre T, et al. Exploration of factors influencing initiation and continuation of breastfeeding among Hispanic women living in rural settings: a multi-methods study. Rural Remote Health 2014;14(3):2955. PMID: 25170852.
Principal Investigator: Joshi, Ashish
Document Type: Journal Publication
Research Method: Focus Group, Mixed Methods
Technology: Kiosk
Population: Minority Populations
Citation: Joshi A. Feasibility of a Touch Screen Computer Based Breastfeeding Educational Support - Final Report. (Prepared by the University of Nebraska Medical Center under Grant No. R21 HS021321). Rockville, MD: Agency for Healthcare Research and Quality, 2014.
Link:
r21hs021321-joshi-final-report-2014.pdf
(1.12 MB)
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ. No statement in this report should be construed as an official position of AHRQ or of the U.S. Department of Health and Human Services.
Principal Investigator: Joshi, Ashish
Document Type: Report
Technology: Kiosk
Population: Female, Hispanic or Latino, Rural Populations, Women
Citation: Joshi A, Wilhelm S, Aguirre T, et al. An interactive, bilingual touch screen program to promote breastfeeding among hispanic rural women: usability study. JMIR Res Protoc 2013 Nov; 2(2):e47.
Principal Investigator: Joshi, Ashish
Document Type: Journal Publication
Research Method: Usability Assessment
Technology: Kiosk
Population: Minority Populations
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