Concordance between GPS-based smartphone app for continuous location tracking and mother's recall of care-seeking for child illness in India.
Background: Traditionally, health care-seeking behaviour for child illness is assessed through population-based national demographic and health surveys. GPS-based technologies are increasingly used in human behavioural research including tracking human mobility and spatial behaviour. This paper asse...
| Publicado en: | Journal of Global Health Vol. 8; no. 2; pp. 1 - 15 |
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| Autores principales: | , , , , , , , |
| Formato: | research randomized controlled trial Journal Article |
| Publicado: |
Edinburgh University Global Health Society
Dec2018
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=135652234&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 135652234 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 20472978 DBQG jtl: Journal of Global Health issn: 20472978 maglogo: N pubinfo: dt: Dec2018 vid: 8 iid: 2 pid: 72708 pub: Edinburgh University Global Health Society artinfo: ui: 135652234 135652234 NLM30410742 135652234 10.7189/jogh.08.020802 NLM30410742 135652234 ppf: 1 ppct: 14 formats: fmt: @attributes: type: P tig: atl: Concordance between GPS-based smartphone app for continuous location tracking and mother's recall of care-seeking for child illness in India. aug: au: Hirve, Siddhivinayak Marsh, Andrew Lele, Pallavi Chavan, Uddhavi Bhattacharjee, Tathagata Nair, Harish Campbell, Harry Juvekar, Sanjay affil: KEM Hospital Research Centre, Pune, India sug: subj: Mothers Psychosocial Factors Patient Attitudes Child Health Services Utilization Mobile Applications Geographic Information Systems Memory Mothers Statistics and Numerical Data Infant Adult India Female Child, Preschool Young Adult Infant, Newborn Adolescence Reproducibility of Results Human Middle Age Validation Studies Comparative Studies Evaluation Research Multicenter Studies Randomized Controlled Trials Infant: 1-23 months Adult: 19-44 years Child, Preschool: 2-5 years Infant, Newborn: birth-1 month Adolescent: 13-18 years Middle Aged: 45-64 years Female ab: Background: Traditionally, health care-seeking behaviour for child illness is assessed through population-based national demographic and health surveys. GPS-based technologies are increasingly used in human behavioural research including tracking human mobility and spatial behaviour. This paper assesses how well a care-seeking event to a health care facility for child illness, as recalled by the mother in a survey setting using questions sourced from Demographic and Health Surveys, concurs with one that is identified by TrackCare, a GPS-based location-aware smartphone application.Methods: Mothers residing in the Vadu HDSS area in Pune district, India having at least one young child were randomly assigned to receive a GPS-enabled smartphone with a pre-installed TrackCare app configured to record the device location data at one-minute intervals over a 6-month period. Spatio-temporal parameters were derived from the location data and used to detect a care-seeking event to any of the health care facilities in the area. Mothers were asked to recall a child illness and if, where and when care was sought, using a questionnaire during monthly visits over a 6-month period. Concordance between the mother's recall and the TrackCare app to identify a care-seeking event was estimated according to percent positive agreement.Results: Mean concordance for a care-seeking event between the two methods (mother's recall and TrackCare location data) ranged up to 45%, was significantly higher (P-value <0.001) for care-seeking at a hospital as compared to a clinic and for a health care facility in the private sector compared to that in the public sector. Overall, the proportion of disagreement for a care-seeking event not detected by TrackCare but reported by mother ranged up to 77% and was significantly higher (P-value <0.001) compared to those not reported by mother but detected by TrackCare.Conclusions: Given the uncertainty and limitations in use of continuous location tracking data in a field setting and the complexity of classifying human activity patterns, additional research is needed before continuous location tracking can serve as a gold standard substitute for other methods to determine health care-seeking behaviour. Future performance may be improved by incorporating other smartphone-based sensors, such as Wi-Fi and Bluetooth, to obtain more precise location estimates in areas where GPS signal is weakest. pubtype: Academic Journal doctype: research randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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