ORCID Profile
0000-0002-4138-6427
Current Organisations
Curtin University
,
Thai Nguyen University of Medicine and Pharmacy
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Publisher: JMIR Publications Inc.
Date: 02-12-2020
Abstract: reastfeeding has substantial benefits for both mothers and children. The World Health Organization and the Vietnam Ministry of Health recommend exclusive breastfeeding for 6 months. However, this target was reached by fewer than 17% of Vietnamese infants. and in urban areas such as Hanoi, was only about 12.6%. Many factors influence breastfeeding, but mothers are the most influential in achieving breastfeeding success. The high rate of use of smart mobile phones among mothers in urban areas offers unique opportunities to promote breastfeeding. his study aimed to document the process of designing, developing, and evaluating a mobile app that is tailored to Vietnamese culture and aims to increase breastfeeding rates, particularly exclusive breastfeeding, and duration in Vietnamese women. o design and develop the mobile app we used 4-step mixed methods approach with formative research, testing, and iterations. We firstly reviewed studies using mHealth and mobile apps for improving breastfeeding as well as barriers and facilitators of breastfeeding in Vietnam. We then conducted 22 in-depth interviews with mothers about key barriers, facilitators, and ideas about the apps. Self-administered online questionnaires were responded to by 49 mothers and fathers about the main features and contents of the apps. After that, we identified the main themes and research team developed the app. In the next step, we tested the app messages with mothers of 3 focus groups and invited external experts to review the library content. Finally, our team members tested and adjusted the prototype before conducting a large-scale test of its effectiveness. articipants were most interested in information on the mental health and wellbeing of mothers during pregnancy and after delivery, preparation for delivery, and avoiding food and beverages. Regarding breastfeeding, mothers were most concerned about nutrition for mothers during breastfeeding, preventing and reducing difficulties on breastfeeding, and initiation of breastfeeding. Three key features to be included in the prototype app were identified from the formative research: (1) notifications (2) an information library and (3) searching function. The app should be installed during pregnancy rather than after delivery (81% vs 17%, respectively). Push notifications that convey the main messages should be sent 2 – 3 times per week to remind mothers to use the app (33%). Two versions of the app and a mechanism that ensured a triple-blinded, randomized controlled trial study were developed. he development of the app, called BeBo, followed a best practice approach, including the involvement of related stakeholders and grounding in behavior change theory. To the best of our knowledge, it is the first mobile app that enables us to evaluate the effectiveness of mHealth interventions in a well-conducted randomized controlled trial. BeBo is currently being trialed as part of a randomized controlled trial study (ACTRN12619000531112). >
Publisher: MDPI AG
Date: 31-07-2020
Abstract: Breastfeeding provides benefits to the infant and mother however, the rates of breastfeeding, particularly exclusive breastfeeding, remain below optimal levels in many Asian countries. The aim of this study is to review the benefits of breastfeeding to mothers and infants and current rates of breastfeeding in Vietnam, and to evaluate the effectiveness of a mobile application on exclusive breastfeeding among mothers in Vietnam. A two-arm, parallel triple-blinded randomised controlled trial will be conducted among 1000 mothers in Hanoi City, Vietnam, during 2020–2021. Eligible participants are pregnant women who will seek antenatal care from health facilities at 24–36 weeks of gestation and plan to deliver at two participating hospitals, own a smartphone, and carry a singleton foetus. Permuted-block randomisation method stratified by maternal age, education and parity will be used to ensure an equal number of participants in each group. A smartphone app will be developed to deliver breastfeeding and non-breastfeeding information to the intervention and control group, respectively. Data will be collected at baseline, before hospital discharge, and at 1, 4, and 6 months postpartum. This study envisages demonstrating whether a smartphone-based intervention can be effective at improving breastfeeding in Vietnam. Trials registration: ACTRN12619000531112.
Publisher: MDPI AG
Date: 02-03-2020
Abstract: Improving the quality of life (QOL) of people living with diabetes is the ultimate goal of diabetes care. This study provides a quantitative overview of global research on interventions aiming to improve QOL among people with diabetes. A total of 700 English peer-reviewed papers published during 1990–2018 were collected and extracted from the Web of Science databases. Latent Dirichlet Allocation (LDA) analysis was undertaken to categorize papers by topic or theme. Results showed an increase in interventions to improve the QOL of patients with diabetes across the time period, with major contributions from high-income countries. Community- and family-based interventions, including those focused on lifestyle and utilizing digital technologies, were common approaches. Interventions that addressed comorbidities in people with diabetes also increased. Our findings emphasize the necessity of translating the evidence from clinical interventions to community interventions. In addition, they underline the importance of developing collaborative research between developed and developing countries.
Publisher: No publisher found
Date: 2022
Publisher: Hindawi Limited
Date: 2018
DOI: 10.1155/2018/6536974
Abstract: Aim . To review the prevalence of gestational diabetes mellitus (GDM) in Eastern and Southeastern Asia. Methods . We systematically searched for observational studies on GDM prevalence from January 2000 to December 2016. Inclusion criteria were original English papers, with full texts published in peer-reviewed journals. The quality of included studies was evaluated using the guidelines of the National Health and Medical Research Council, Australia. Fixed effects and random effects models were used to estimate the summary prevalence of GDM and the corresponding 95% confidence intervals (CI). Results. A total of 4415 papers were screened, and 48 studies with 63 GDM prevalence observations were included in the final review. The pooled prevalence of GDM was 10.1% (95% CI: 6.5%–15.7%), despite substantial variations across nations. The prevalence of GDM in lower- or upper-middle income countries was about 64% higher than in their high-income counterparts. Moreover, the one-step screening method was twice more likely to be used in diagnosing GDM when compared to the two-step screening procedure. Conclusions. The prevalence of GDM in Eastern and Southeastern Asia was high and varied among and within countries. There is a need for international uniformity in screening strategies and diagnostic criteria for GDM.
Publisher: Springer Science and Business Media LLC
Date: 19-01-2023
DOI: 10.1186/S13006-023-00543-7
Abstract: Breastfeeding should begin as soon as possible after birth and continue exclusively to 6 months of age. In Vietnam, as in many other countries, breastfeeding is decreasing because of modern lifestyles and the promotion of infant formula. It is important to provide mothers, family members, and the community with the knowledge and strategies to improve breastfeeding rates. Smartphones are almost ubiquitous in Vietnam and of the potential to provide information about breastfeeding. This study aimed to document the process of designing and developing a mobile app to increase breastfeeding rates in Vietnamese women. We used a four-step mixed methods approach with a literature review, formative research (22 in-depth interviews and 49 self-administered online questionnaires), and testing of prototype apps (3 focus groups discussion and external experts). Formative research and focus group discussion involved 99 participants. Finally, the revisions of the app were tested. All of the formative research was undertaken in Hanoi in 2019–2020. Target behaviors followed by key determinants, to improve breastfeeding self-efficacy were studied and this information was then applied in developing the messages and library content. Barriers and facilitators to breastfeeding were identified from literature reviews and qualitative research. The messages were targeted at not only mothers but also included fathers, mothers-in-law, or families. Mothers were mostly concerned about the initiation of breastfeeding, preventing and reducing difficulties encountered during breastfeeding, and nutrition for breastfeeding mothers. Mental health and well-being in the postnatal period are also concerns. Three key features to be included in the app were identified from the formative research: (1) notifications (2) an information library and (3) a searching function. The research found that the app should be installed during pregnancy rather than after delivery (81% vs 17%, respectively). Notifications that convey breastfeeding messages should be sent 2–3 times per week. The development of the app followed a best practice approach, including the involvement of stakeholders and grounding in behavior change theory. The next step is to evaluate the effectiveness of the BeBo mobile app in a well-conducted randomized controlled trial. ACTRN12619000531112.
Publisher: MDPI AG
Date: 13-01-2022
Abstract: Background: Breastfeeding brings benefits to both mothers and children in the short term and long term. Unnecessary cesarean sections can bring risks to both parties. This study was undertaken to examine the relationship between exclusive breastfeeding intention and cesarean delivery. Methods: We analyzed data collected from 554 single mothers who delivered in Dong Anh General District Hospital or Hanoi Obstetrics and Gynecology Hospital, Vietnam, in 2020–2021. The relationship between exclusive breastfeeding intention and cesarean delivery for nonmedical reasons was adjusted for maternal education, maternal age, parity, history of fetal loss, having at least eight antenatal contacts, hospital of delivery, child sex, and birth weight. Results: Antenatally, 34.8% (184/529) of mothers intended to breastfeed exclusively until 6 months and 30.8% (84/274) underwent cesarean section for a nonmedical reason. After adjusting for other factors, mothers who intended to breastfeed exclusively until 6 months were less likely to undergo cesarean delivery for nonmedical reasons (OR = 0.55, 95% CI: 0.31–0.96, p = 0.034). Conclusions: This study adds to the growing evidence related to unnecessary cesarean sections and routine over-medicalization of normal birth in the urban areas of Vietnam. The association between breastfeeding intentions and a lower rate of cesarean section suggests that education on breastfeeding could be a useful intervention for reducing the rate of cesarean sections and improving maternal and child health.
Publisher: MDPI AG
Date: 10-02-2020
Abstract: After delivery, mothers are encouraged to increase physical activity (PA) gradually to regulate body weight however, data on PA in relation to postpartum weight retention remains scarce, particularly among Asian women. In a cohort of 1617 Vietnamese mothers, we investigated the prospective association between habitual PA exposures at 3-month postpartum and weight retention at 6-month and 12-month postpartum. Detailed information on PA intensity and domains was collected from participants using a validated instrument specifically for Vietnamese women. Linear regression analyses and a general linear model for the repeated weight retention measures were used to ascertain the apparent relationships. On average, the participants reported 3.6 (SD 3.9) and 2.6 (SD 3.8) kg weight loss at 6- and 12-month postpartum, respectively. Total and light-intensity PA were inversely associated with the postpartum weight retention (p for trend .05). Our findings highlight the importance of resuming PA in the early postpartum period as an appropriate weight management strategy.
Publisher: Korean Society for Preventive Medicine
Date: 31-03-2019
DOI: 10.3961/JPMPH.18.213
No related grants have been discovered for Ngoc Minh Pham.