WhatsApp-based intervention in urban Colombia to support the prevention of arboviral diseases: a feasibility study.

IF 4.9 4区 医学 Q1 PARASITOLOGY Pathogens and Global Health Pub Date : 2024-06-01 Epub Date: 2024-05-24 DOI:10.1080/20477724.2024.2358263
Maria Angelica Carrillo, Alisa Maria Gessler, Tatiana Rivera Ramirez, Rocío Cárdenas Sanchez, Jörg Lindenmeier, Winfried V Kern, Axel Kroeger
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Abstract

Arboviral diseases remain a significant health concern worldwide, with over half the world's population at risk for dengue alone. Without a vaccine or targeted treatment, the most effective strategy of prevention is vector management with community involvement. mHealth interventions, like WhatsApp, offer promising results for engaging communities and promoting healthier behaviors. This study explores the feasibility of integrating WhatsApp in vector control activities to improve arbovirus prevention in Colombia. A mixed-methods approach was employed to assess the WhatsApp-based intervention. WhatsApp messages were sent to 45 community women for 5 weeks to increase their knowledge and practices about dengue, Zika, and chikungunya. Pre-and-post surveys and focus group discussions were conducted in community settings to measure the feasibility and acceptability of this intervention. Chat reviews were done to assess the usability of users. A total of 1566 messages were exchanged in 45 WhatsApp chats. High acceptance and good usability (82% of users used the app for replying) were reported in this study. WhatsApp messages were perceived as short, clear, and enjoyable. Users liked the frequency, and design of messages. Pre- and post-surveys demonstrated improvements in the knowledge and practices of arboviral diseases. The intention to apply this knowledge in practice was reflected in a significant improvement, particularly in cleaning the laundry tank once a week (pre 62.1% to post 89.6%, p < 0.008). This study suggests that using WhatsApp as an additional tool could be a feasible, acceptable, and affordable strategy for improving the adoption of better practices in the prevention of arboviral diseases.

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在哥伦比亚城市开展基于 WhatsApp 的干预活动,支持预防虫媒病毒疾病:一项可行性研究。
虫媒病毒疾病仍然是全球关注的重大健康问题,仅登革热一项,全球就有一半以上的人口面临风险。在没有疫苗或针对性治疗的情况下,最有效的预防策略是有社区参与的病媒管理。移动医疗干预措施,如 WhatsApp,为社区参与和促进更健康的行为提供了可喜的成果。本研究探讨了将 WhatsApp 整合到病媒控制活动中的可行性,以改善哥伦比亚的虫媒病毒预防工作。研究采用混合方法评估基于 WhatsApp 的干预措施。向 45 名社区妇女发送了为期 5 周的 WhatsApp 消息,以增加她们对登革热、寨卡和基孔肯雅病毒的了解和实践。在社区环境中开展了前后调查和焦点小组讨论,以衡量这项干预措施的可行性和可接受性。还进行了聊天评论,以评估用户的可用性。在 45 个 WhatsApp 聊天中,共交换了 1566 条信息。研究结果表明,用户的接受度高,实用性强(82% 的用户使用该应用程序进行回复)。用户认为 WhatsApp 消息简短、清晰、愉快。用户喜欢信息的频率和设计。前后调查显示,用户对虫媒病毒疾病的认识和实践都有所提高。在实践中应用这些知识的意愿有了显著提高,尤其是在每周清洗一次洗衣槽方面(调查前为 62.1%,调查后为 89.6%,p<0.05)。
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来源期刊
Pathogens and Global Health
Pathogens and Global Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-PARASITOLOGY
CiteScore
6.00
自引率
0.00%
发文量
60
审稿时长
6-12 weeks
期刊介绍: Pathogens and Global Health is a journal of infectious disease and public health that focuses on the translation of molecular, immunological, genomics and epidemiological knowledge into control measures for global health threat. The journal publishes original innovative research papers, reviews articles and interviews policy makers and opinion leaders on health subjects of international relevance. It provides a forum for scientific, ethical and political discussion of new innovative solutions for controlling and eradicating infectious diseases, with particular emphasis on those diseases affecting the poorest regions of the world.
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