The Effectiveness of Smartphone-Based Nutrition Education Intervention in Successful Practice of Exclusively Breastfeeding: A Meta-Analysis
Efektifitas Intervensi Edukasi Gizi Berbasis Smartphone dalam Keberhasilan Praktik ASI Eksklusif: Meta Analisis
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Background: Exclusive breastfeeding is the cornerstone of infant health and one of the 2030 Sustainable Development Goals (SDGs). The advancement of information technology can be used to promote health, and providing information through messages on smartphone applications can improve breastfeeding awareness and adherence.
Objectives: To determine which social media platforms effectively promote exclusive breastfeeding through nutrition education interventions.
Methods: This study employed a meta-analysis method. The terms "breastfeeding,” "social media,” and "smartphone” were used to search for articles in multiple electronic journals, such as Scopus, PubMed, ScienceDirect, and Google Scholar. Articles that provide an intervention using smartphone media for groups of expectant mothers who wish to breastfeed their babies and mothers who have ceased breastfeeding and want to resume were selected. Forest plot analysis was performed using the STATA 12.
Results: From 2018 to 2021, seven articles were obtained, with research conducted in the United States, India, Indonesia, Israel, and Brazil. The study's findings revealed that a nutritional education intervention using Smartphones led to an average success rate of exclusive breastfeeding between the intervention group and the control group of 1.23 (7 studies), 95% CI (1.08 - 1.39); P = 0.000; and I2 = 97.1%.
Conclusions: Intervention using smartphones by sending short messages daily and counselling by telephone every week can increase mothers' knowledge and ability to provide exclusive breastfeeding to their infants. An intervention using smartphones to transmit daily text messages and weekly telephone counselling could enhance mothers' knowledge and ability to breastfeed their children exclusively.
WHO. Global Nutrition Targets 2025 Breastfeeding Policy Brief. (2017).
WHO. Continued Breasfeeding For Healthy Growth and Development of Children. (2019).
UNICEF. Breastfeeding: A Mother's Gift, for Every Child. (2018).
UNICEF. Breastfeeding is Key to The Comprehensive Development of Children, Their Mothers and Society. (2020).
Cauble, J. S. et al. A prenatal group based phone counseling intervention to improve breastfeeding rates and complementary feeding: a randomized, controlled pilot and feasibility trial. BMC Pregnancy Childbirth 21, 521 (2021).
Niela-Vilén, H., Axelin, A., Melender, H.-L., Löyttyniemi, E. & Salanterä, S. Breastfeeding preterm infants - a randomized controlled trial of the effectiveness of an Internet-based peer-support group. J Adv Nurs 72, 2495–2507 (2016).
Gewa, C. A. & Chepkemboi, J. Maternal knowledge, outcome expectancies and normative beliefs as determinants of cessation of exclusive breastfeeding: a cross-sectional study in rural Kenya. BMC Public Health 16, 243 (2016).
Merita, M., Iswanto, I., Kasyani, K., Fitriana, R. & Wahyu, Z. SMS Gateway as a Media to Improve Awareness and Dietary Compliance of Hypertensive Patients. Jurnal Kesehatan Masyarakat 15, 286–294 (2019).
Perdana, F., Madanijah, S. & Ekayanti, I. Pengembangan media edukasi gizi berbasis android dan website serta pengaruhnya terhadap perilaku tentang gizi seimbang siswa sekolah dasar. Jurnal Gizi dan Pangan 12, 169–178 (2017).
Elliana, D. & Kurniawati, T. PERBEDAAN PENGETAHUAN DAN PERSEPSI IBU HAMIL TERHADAP PENERAPAN MODEL SMS GATEWAY. Jurnal Kesehatan Masyarakat 10, 203 (2015).
WHO. Global Diffusion of eHealth: Making Universal Health Coverage Achievable. Report of The Third Global Survey on eHealth. (2016).
Patel, A. et al. Effectiveness of weekly cell phone counselling calls and daily text messages to improve breastfeeding indicators. BMC Pediatr 18, 337 (2018).
Alam, M., D'Este, C., Banwell, C. & Lokuge, K. The impact of mobile phone based messages on maternal and child healthcare behaviour: a retrospective cross-sectional survey in Bangladesh. BMC Health Serv Res 17, 434 (2017).
Mulyani, S. & Subandi, A. Efektifitas Pendidikan Kesehatan Melalui Group Whasapp Reminder Berkala Dengan Metode Ceramah Terhadap Pemberian Asi Eksklusif Pada Ibu Pasca Seksio Sesarea. Jurnal Ilmiah Ilmu Terapan Universitas Jambi|JIITUJ| 4, 187–203 (2020).
Hall, A. K., Cole-Lewis, H. & Bernhardt, J. M. Mobile Text Messaging for Health: A Systematic Review of Reviews. Annu Rev Public Health 36, 393–415 (2015).
Beratarrechea, A. et al. The Impact of Mobile Health Interventions on Chronic Disease Outcomes in Developing Countries: A Systematic Review. Telemedicine and e-Health 20, 75–82 (2014).
Bossman, E., Johansen, M. A. & Zanaboni, P. mHealth interventions to reduce maternal and child mortality in Sub-Saharan Africa and Southern Asia: A systematic literature review. Front Glob Womens Health 3, (2022).
Pendse, R. S. et al. Access to and Use of Mobile Phone by Postpartum, Married Women in Punjab, India: Secondary Analysis of mHealth Intervention Pilot Data. JMIR Form Res 6, e34852 (2022).
FAO. Summary of the Nutrition Education Intervention: Improving Food Security and Market Linkages for Smallholders (MALIS). (2015).
Mohammed, E. A. I., Taha, Z., Eldam, A. A. A. G., Shommo, S. A. M. & El hidai, M. M. Effectiveness of a Nutrition Education Program in Improving Mothers' Knowledge and Feeding Practices of Infants and Young Children in Sudan. Open Access Maced J Med Sci 10, 776–782 (2022).
Sudfeld, C. R., Fawzi, W. W. & Lahariya, C. Peer Support and Exclusive Breastfeeding Duration in Low and Middle-Income Countries: A Systematic Review and Meta-Analysis. PLoS One 7, e45143 (2012).
Wei, X. et al. Identification of Sequence Variants in Genetic Disease-Causing Genes Using Targeted Next-Generation Sequencing. PLoS One 6, e29500 (2011).
Arnold, A. E. et al. A Phylogenetic Estimation of Trophic Transition Networks for Ascomycetous Fungi: Are Lichens Cradles of Symbiotrophic Fungal Diversification? Syst Biol 58, 283–297 (2009).
Cavalcanti, D. S., Cabral, C. S., Toledo Vianna, R. P. & Osório, M. M. Online participatory intervention to promote and support exclusive breastfeeding: Randomized clinical trial. Matern Child Nutr 15, (2019).
Rosa, E. F. Konseling Menyusui Berbasis Android terhadap Keberhasilan Asi Eksklusif di Masa Pandemi Covid-19. Jurnal Keperawatan Silampari 5, 659–668 (2022).
Lewkowitz, A. K. et al. Effect of a Novel Smartphone Application on Breastfeeding Rates Among Low-Income, First-Time Mothers Intending to Exclusively Breastfeed: Secondary Analysis of a Randomized Controlled Trial. Breastfeeding Medicine 16, 59–67 (2021).
Miremberg, H. et al. Smartphone-based counseling and support platform and the effect on postpartum lactation: a randomized controlled trial. Am J Obstet Gynecol MFM 4, 100543 (2022).
Oktaviani, O. & Hariteluna, M. Linking ASI-Mobile Android-Based App on Mothers Attitude and Behavior on Exclusive Breastfeed. Jurnal Kesehatan Masyarakat 16, 348–355 (2021).
Imdad, A., Yakoob, M. Y. & Bhutta, Z. A. Effect of breastfeeding promotion interventions on breastfeeding rates, with special focus on developing countries. BMC Public Health 11, S24 (2011).
Rahmawati, A. & Susilowati, B. DUKUNGAN SUAMI TERHADAP PEMBERIAN ASI EKSKLUSIF PADA BAYI USIA 6-12 BULAN. Jurnal PROMKES 5, 27 (2018).
Laksono, A. D., Wulandari, R. D., Ibad, M. & Kusrini, I. The effects of mother's education on achieving exclusive breastfeeding in Indonesia. BMC Public Health 21, 14 (2021).
Illahi, F. K., Romadhon, Y. A., Kurniati, Y. P. & Agustina, T. KORELASI PENDAPATAN KELUARGA DAN PENDIDIKAN IBU TERHADAP PEMBERIAN ASI EKSKLUSIF. Herb-Medicine Journal 3, 52 (2020).
ZieliÅ„ska, M. A., Sobczak, A. & HamuÅ‚ka, J. Breastfeeding knowledge and exclusive breastfeeding of infants in first six months of life. Rocz Panstw Zakl Hig 68, 51–59 (2017).
Brown, A. & Davies, R. Fathers' experiences of supporting breastfeeding: challenges for breastfeeding promotion and education. Matern Child Nutr 10, 510–526 (2014).
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