Sarina K. Mueller|Delphine Soriano|Andrei Boscor|Naomi Saville|Abriti Arjyal|Sushil Baral|Maureen Fordham|G. J. Hearn|Rachya Kayastha|Patty Kostkova
MANTRA: Improving Knowledge of Maternal Health, Neonatal Health, and Geohazards in Women in Rural Nepal Using a Mobile Serious Game
Systemic Risk Centre|University College London|Systemic Risk Centre|University College London|Systemic Risk Centre|University College London|University College London|Systemic Risk Centre|University College London|Systemic Risk Centre|University College London|Systemic Risk Centre|University College London
serious games conveying educational knowledge rather merely entertainment rapidly expanding research domain cuttingedge educational technology digital interventions like serious games great opportunities overcome challenges lowandmiddleincome countries limit access health information social barriers like lowliteracy gender mantra increasing maternal child health resilience disasters using mobile technology nepal takes challenges novel digital health intervention serious mobile game aimed vulnerable lowliteracy female audiences rural nepal serious game teaches 28 learning objectives danger signs geohazards maternal neonatal health improve knowledge selfassessment common conditions risks inform healthcareseeking behavior evaluations consisted recruiting 35 end users participate pretest assessment playing game posttest assessment focus groups elicit qualitative feedback assessments analyzed knowledge gain two ways learning objective mcnemar tests learning objective participant scores paired tests overall scores module results assessments knowledge gain learning objective mcnemar tests indicate participants sufficient prior knowledge correctly interpret respond 26 pictograms coded aa desirable result although without possibility improvement intervention geohazard module greatest impact 16 responses showed knowledge gain coded ba two successful learning objectives showing statistically significant positive change evidence rockfalls small cracks ground p amplt 005 assessment knowledge gain participant scores paired tests showed 35 participants averaged 77 point improvement p amplt 0001 assessment 28 learning objectives average change knowledge subdivided module scores module normalized 100 points comparison greatest geohazard module 95 points p amplt 0001 maternal health 74 points p 00067 neonatal health 60 points p 0013 evaluation demonstrated carefully designed digital health interventions pictograms coauthored experts users teach complex health geohazard situations significant knowledge gain demonstrated several learning objectives nonsignificant negative change redesigned effectively convey information