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The Development and Evaluation of a ...

Ramesh, Sanjana.

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The Development and Evaluation of a Novel Menstrual Health Chatbot Intervention Targeting Maternal Education and Communication.

Record Type:	Electronic resources : Monograph/item
Title/Author:	The Development and Evaluation of a Novel Menstrual Health Chatbot Intervention Targeting Maternal Education and Communication./
Author:	Ramesh, Sanjana.
Published:	Ann Arbor : ProQuest Dissertations & Theses, : 2023,
Description:	204 p.
Notes:	Source: Dissertations Abstracts International, Volume: 85-06, Section: B.
Contained By:	Dissertations Abstracts International85-06B.
Subject:	Communication. -
Online resource:	https://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=30695532
ISBN:	9798381177497

The Development and Evaluation of a Novel Menstrual Health Chatbot Intervention Targeting Maternal Education and Communication.
Ramesh, Sanjana.

The Development and Evaluation of a Novel Menstrual Health Chatbot Intervention Targeting Maternal Education and Communication. - Ann Arbor : ProQuest Dissertations & Theses, 2023 - 204 p.

Source: Dissertations Abstracts International, Volume: 85-06, Section: B.

Thesis (Ph.D.)--Northwestern University, 2023.

Having positive early menstrual experiences and learning about menstrual health in adolescence may be essential to women's overall health and well-being. Nevertheless, there is an ecology of silence as early as menarche (i.e., the onset of menstruation) on how to cope with and navigate this normal but often disruptive reproductive experience. Menarche socializes women to associate menstruation with shame, discomfort, and vulnerability as a result of this silence, and they receive little advice and education from clinicians, educators, and parents. Mothers are a key source of information and supportive, memorable messages, which can have a lasting impact on menstrual beliefs, attitudes, and behaviors. Yet, maternal communication is often unintentionally harmful, inadequate, and/or absent due to stigma and a lack of education. Engaging mothers of adolescent girls in learning and communicating about menstruation could improve the early identification of menstrual health issues and empower generations of women to overcome existing barriers of stigma and lack of education. However, there are challenges to engaging mothers in an interpersonal context due to the stigmatization and taboo nature of menstruation and menstrual health; thus, alternative approaches are needed.The purpose of this dissertation was to develop and evaluate a novel menstrual mobile health (mHealth) chatbot intervention named CeCe targeting supportive maternal communication during adolescent menstruation. This dissertation was divided into three research articles that were informed by interdisciplinary theories and methodologies: (1) a developmental paper detailing the two-phased approach to designing and refining the CeCe intervention following an initial round of user testing (N = 12); (2) a retrospective acceptability study using mixed methodologies with target end-users (N = 36) to examine chatbot usability, user experience, quality, and behavioral engagement with CeCe; and (3) a mixed-methods evaluation of the CeCe intervention outcomes among the same sample (N = 36). The culmination of this research will expand our understanding of how design drive and qualitative evaluation approaches can benefit public health chatbot development and evaluation, as well as identify design implications for acceptance and design recommendations for enhancing learning and interpersonal communication outcomes within intimate health contexts.

ISBN: 9798381177497Subjects--Topical Terms:

524709
Communication.
Subjects--Index Terms:

Menstrual health

The Development and Evaluation of a Novel Menstrual Health Chatbot Intervention Targeting Maternal Education and Communication.
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520 $a Having positive early menstrual experiences and learning about menstrual health in adolescence may be essential to women's overall health and well-being. Nevertheless, there is an ecology of silence as early as menarche (i.e., the onset of menstruation) on how to cope with and navigate this normal but often disruptive reproductive experience. Menarche socializes women to associate menstruation with shame, discomfort, and vulnerability as a result of this silence, and they receive little advice and education from clinicians, educators, and parents. Mothers are a key source of information and supportive, memorable messages, which can have a lasting impact on menstrual beliefs, attitudes, and behaviors. Yet, maternal communication is often unintentionally harmful, inadequate, and/or absent due to stigma and a lack of education. Engaging mothers of adolescent girls in learning and communicating about menstruation could improve the early identification of menstrual health issues and empower generations of women to overcome existing barriers of stigma and lack of education. However, there are challenges to engaging mothers in an interpersonal context due to the stigmatization and taboo nature of menstruation and menstrual health; thus, alternative approaches are needed.The purpose of this dissertation was to develop and evaluate a novel menstrual mobile health (mHealth) chatbot intervention named CeCe targeting supportive maternal communication during adolescent menstruation. This dissertation was divided into three research articles that were informed by interdisciplinary theories and methodologies: (1) a developmental paper detailing the two-phased approach to designing and refining the CeCe intervention following an initial round of user testing (N = 12); (2) a retrospective acceptability study using mixed methodologies with target end-users (N = 36) to examine chatbot usability, user experience, quality, and behavioral engagement with CeCe; and (3) a mixed-methods evaluation of the CeCe intervention outcomes among the same sample (N = 36). The culmination of this research will expand our understanding of how design drive and qualitative evaluation approaches can benefit public health chatbot development and evaluation, as well as identify design implications for acceptance and design recommendations for enhancing learning and interpersonal communication outcomes within intimate health contexts.
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653 $a Mobile health
653 $a Maternal communication
653 $a Chatbot intervention
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