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People Welcomed This Innovation with Two Hands: A Qualitative Report of an mHealth Intervention for Community Case Management in Malawi Cover

People Welcomed This Innovation with Two Hands: A Qualitative Report of an mHealth Intervention for Community Case Management in Malawi

Open Access
|Apr 2019

Figures & Tables

Table 1

Themes and Categories for Analysis.

THEMETheme DefinitionCATEGORYCategory Definition
HSA Acceptability and BeliefsHSAs’ overall perceptions of the App and trust in the App to correctly direct clinical managementEvidence strength and quality*HSAs’ perceptions of the quality and validity of evidence supporting beliefs that the App will produce desired outcomes
Tension for change*Degree to which participants perceive current paper CCM methods as intolerable or needing change
Caregiver Acceptability and BeliefsCaregivers’ views on technology, their level of trust in the App, and any concerns about the interventionEvidence strength and quality*Caregivers’ perceptions of the quality and validity of evidence supporting beliefs that the App will produce desired outcomes
Knowledge and beliefs about the App*Caregivers’ attitudes toward and value placed on the App as well as familiarity with facts, truths, and principles related to the intervention
Mistrust, myths, and rumorsMyths or rumors reported in the community regarding the SL project
Technical and Clinical Characteristics of the AppFeatures of the App that affect the service delivery processImpact on the conduct of clinical assessmentsApp features that aid HSAs in their clinical assessment of patients
(Only includes categories which are directly related to the App, not the phone or other aspects)Impact on the referral processChanges to the referral process due to the App
Learning curveReports on HSAs’ perceptions of training and their ability to learn to use the App
Missing or desired features of the AppMissing or desired features that make the App less desirable compared to standard care
Relative advantage of the App over standard care*Usability features of the App that are perceived as advantages over standard care
Indirect Benefits and Challenges of the interventionChallenges and benefits reported as indirect results of the intervention (i.e. the technology and study procedures)
(includes challenges not directly related to app)
Challenges to sustained or continued use of the interventionConcerns or difficulties perceived to using the App on an ongoing basis, or challenges to its sustainability.
Additional benefits from the intervention*Perception of benefits or advantages from participating in the intervention, above and beyond any impacts on their clinical care provided.
Caregiver-HSA relationsAny reported changes to the relationship between HSA and caregiver due to the intervention

[i] * Categories taken from CFIR constructs. The names may have been slightly adapted.

DOI: https://doi.org/10.5334/aogh.919 | Journal eISSN: 2214-9996
Language: English
Published on: Apr 25, 2019
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2019 Nicole Ide, Victoria Hardy, Griphin Chirambo, Ciara Heavin, Yvonne O’Connor, John O’Donoghue, Nikolaos Mastellos, Kanika Dharmayat, Bo Andersson, Sven Carlsson, Adamson Muula, Matthew Thompson, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.