Applying user-centered design to enhance the usability and acceptability of an mHealth supervision tool for community health workers delivering an evidence-based intervention in rural Sierra Leone

Mobile health (mHealth) platforms have the potential to increase access to evidence-based interventions in low-resource settings. This study applied a user-centered design (UCD) approach to develop and evaluate an mHealth supervision tool for community health workers (CHWs) delivering an early child...

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Main Authors: Cara M. Antonaccio, Justin Preston, Chokdee Rutirasiri, Sunand Bhattacharya, Musu Moigua, Mahmoud Feika, Alethea Desrosiers
Format: Article
Language:English
Published: Cambridge University Press 2025-01-01
Series:Cambridge Prisms: Global Mental Health
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Online Access:https://www.cambridge.org/core/product/identifier/S205442512500038X/type/journal_article
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author Cara M. Antonaccio
Justin Preston
Chokdee Rutirasiri
Sunand Bhattacharya
Musu Moigua
Mahmoud Feika
Alethea Desrosiers
author_facet Cara M. Antonaccio
Justin Preston
Chokdee Rutirasiri
Sunand Bhattacharya
Musu Moigua
Mahmoud Feika
Alethea Desrosiers
author_sort Cara M. Antonaccio
collection DOAJ
description Mobile health (mHealth) platforms have the potential to increase access to evidence-based interventions in low-resource settings. This study applied a user-centered design (UCD) approach to develop and evaluate an mHealth supervision tool for community health workers (CHWs) delivering an early childhood development intervention in rural Sierra Leone. We engaged CHWs (N=8) and supervisors (N=4) in focus group discussions, user testing sessions and exit interviews to gather feedback on the mHealth supervision tool’s usability and acceptability. Mixed methods findings indicated that the tool was generally well-received and perceived as easy to use, but there were also challenges related to connectivity, phone charging and the need for more comprehensive training and support. Overall, this study suggests that a UCD approach can promote the usability of mHealth tools to support CHWs in delivering evidence-based interventions in low-resource settings, highlighting the importance of addressing contextual challenges and providing adequate training and support to ensure the effectiveness and sustainability of such tools.
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institution Kabale University
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language English
publishDate 2025-01-01
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series Cambridge Prisms: Global Mental Health
spelling doaj-art-9acf9477a98a406597cb3cfae009cff92025-08-20T03:32:14ZengCambridge University PressCambridge Prisms: Global Mental Health2054-42512025-01-011210.1017/gmh.2025.38Applying user-centered design to enhance the usability and acceptability of an mHealth supervision tool for community health workers delivering an evidence-based intervention in rural Sierra LeoneCara M. Antonaccio0https://orcid.org/0000-0003-0248-8735Justin Preston1Chokdee Rutirasiri2Sunand Bhattacharya3Musu Moigua4Mahmoud Feika5Alethea Desrosiers6https://orcid.org/0000-0003-2392-0371Alpert Medical School, Brown University, Providence, RI, USAAlpert Medical School, Brown University, Providence, RI, USASchool of Social Work, Boston College, Chestnut Hill, MA, USASchool of Social Work, Boston College, Chestnut Hill, MA, USACaritas Freetown, Freetown, Sierra LeoneCaritas Freetown, Freetown, Sierra LeoneAlpert Medical School, Brown University, Providence, RI, USAMobile health (mHealth) platforms have the potential to increase access to evidence-based interventions in low-resource settings. This study applied a user-centered design (UCD) approach to develop and evaluate an mHealth supervision tool for community health workers (CHWs) delivering an early childhood development intervention in rural Sierra Leone. We engaged CHWs (N=8) and supervisors (N=4) in focus group discussions, user testing sessions and exit interviews to gather feedback on the mHealth supervision tool’s usability and acceptability. Mixed methods findings indicated that the tool was generally well-received and perceived as easy to use, but there were also challenges related to connectivity, phone charging and the need for more comprehensive training and support. Overall, this study suggests that a UCD approach can promote the usability of mHealth tools to support CHWs in delivering evidence-based interventions in low-resource settings, highlighting the importance of addressing contextual challenges and providing adequate training and support to ensure the effectiveness and sustainability of such tools.https://www.cambridge.org/core/product/identifier/S205442512500038X/type/journal_articlemHealthearly childhood developmentglobal mental healthcommunity-based interventionuser-centered design
spellingShingle Cara M. Antonaccio
Justin Preston
Chokdee Rutirasiri
Sunand Bhattacharya
Musu Moigua
Mahmoud Feika
Alethea Desrosiers
Applying user-centered design to enhance the usability and acceptability of an mHealth supervision tool for community health workers delivering an evidence-based intervention in rural Sierra Leone
Cambridge Prisms: Global Mental Health
mHealth
early childhood development
global mental health
community-based intervention
user-centered design
title Applying user-centered design to enhance the usability and acceptability of an mHealth supervision tool for community health workers delivering an evidence-based intervention in rural Sierra Leone
title_full Applying user-centered design to enhance the usability and acceptability of an mHealth supervision tool for community health workers delivering an evidence-based intervention in rural Sierra Leone
title_fullStr Applying user-centered design to enhance the usability and acceptability of an mHealth supervision tool for community health workers delivering an evidence-based intervention in rural Sierra Leone
title_full_unstemmed Applying user-centered design to enhance the usability and acceptability of an mHealth supervision tool for community health workers delivering an evidence-based intervention in rural Sierra Leone
title_short Applying user-centered design to enhance the usability and acceptability of an mHealth supervision tool for community health workers delivering an evidence-based intervention in rural Sierra Leone
title_sort applying user centered design to enhance the usability and acceptability of an mhealth supervision tool for community health workers delivering an evidence based intervention in rural sierra leone
topic mHealth
early childhood development
global mental health
community-based intervention
user-centered design
url https://www.cambridge.org/core/product/identifier/S205442512500038X/type/journal_article
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