for females ages 18-50 (full criteria)
study started
estimated completion
Principal Investigator
by Alison El AyadiNadia G Diamond-Smith, PhD



This study is a six-week exploratory developmental phase (phase 1) of a larger project to develop an mHealth intervention targeting health education and social support for Indian women in the postnatal period. Phase 1 of the trial exposes study participants to various intervention modalities and seeks to understand their experiences and perspectives on these using mixed-methods. Results from this trial will inform modifications to the intervention to be tested in Phase 2.

Official Title

Development and Pilot Test of an mHealth Interactive Education and Social Support Intervention for Improving Postnatal Health - Phase 1


Most mHealth interventions for maternal and child health (MCH) in low and middle-income countries, including India, have focused on unidirectional and non-interactive approaches, primarily text messaging. However, ample evidence suggests that provider-led, interactive educational programming and social support are key for improving health behaviors and outcomes. Thus innovative mHealth approaches that promote interactive education and facilitate social support have great potential to improve MCH outcomes. The two-phase development of MeSSSSage will include Phase 1: exploratory development on functions and platforms and Phase 2: a mixed-methods randomized pilot study using a factorial design of specific intervention functions and platforms confirmed in Phase 1. Study activities described herein are associated with Phase 1. The study's specific aim is: To develop optimal intervention functions, processes, and mHealth platforms for education and peer support among postnatal women in rural India. In Phase 1, the investigators will explore potential interactive education and peer support group intervention functions (education, emotional support, instrumental support, referrals, linkages, follow-up on postnatal visits), processes (group interactions; frequency, length and timing of groups; engagement opportunities, participant profiles) and mHealth delivery platforms (voice, text chat, app options, interaction features). This six-week developmental component will include up to four groups (n=48; 12 per group) to assess different modalities and functions. The investigators will ascertain women's preferences for functions, processes, and platform features using survey and in-depth interviews (IDIs), and capture levels of engagement via back-end data. This process will also inform the intervention's health information content. Findings will be used to formalize the group mobile intervention details to be examined in Phase 2.


Health Attitude Knowledge, Attitudes, Practice Post Partum Depression Acceptability of Health Care Depression, Postpartum MESSAGE - mHealth intervention


You can join if…

Open to females ages 18-50

  • Postnatal (within 2 weeks)
  • 18+ years old

You CAN'T join if...

  • Women below 18 years of age
  • Women with high risk pregnancies
  • Women who delivered preterm, suffer severe maternal complications or they or their baby are otherwise sick in the first week

Lead Scientists at UCSF

  • Alison El Ayadi
  • Nadia G Diamond-Smith, PhD
    Nadia Diamond-Smith is an Assistant Professor in the Epidemiology and Biostatistics Department and Institute for Global Health Sciences at the University of California, San Francisco. Her expertise is in maternal and child health in the developing world, with a focus on gender inequality/women's empowerment, family planning and abortion and nutrition in the preconception and pregnancy period.


not yet accepting patients
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University of California, San Francisco
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