From Information Seeking to Social Support:  Utilities of WhatsApp Group for Health Education and Postpartum Healing among CS Mothers in Nigeria

Umar Olansile Ajetunmobi

doi:10.47540/ijqr.v2i1.523

Authors

Umar Olansile Ajetunmobi University of Ibadan, Nigeria

DOI:

https://doi.org/10.47540/ijqr.v2i1.523

Keywords:

CS Birth, Computer-Mediated Communication, Digital Ethnography, Online FGD, WhatsApp Utilities

Abstract

Previous studies on computer-mediated communication have investigated the use of WhatsApp groups for health education, health communication, and behavior change, but no empirical study had documented the experiences of Cesarean Section (CS) mothers on their use of WhatsApp groups for health education, information seeking and postpartum healing. This study identifies the post-CS goals of mothers who joined Csection Mum Community WhatsApp group, examines the extent to which the group’s activities satisfied those goals, investigates why they felt safe disclosing their personal health information in the group and explores the role of interpersonal empathic communication on their postpartum healing. Using Online Focus Group Discussion (OFGD) to collect data from twenty-seven CS mothers, and guided by some propositions of uses and gratifications, social penetration theories, and empathic model, the findings revealed that the WhatsApp group satisfied the mothers’ informational, educational, experiential learning and social support needs. Their affinity with the group’s activities influenced their spontaneous self-disclosure in the group. It was also found that interpersonal empathic communication improved the postpartum depression healing process of the mothers. It, therefore, recommends that hospitals (that operate on patients) empower adult mental health nurses or clinical psychiatrists to engage CS mothers and their caregivers (family members, spouses, etc.) in psycho-education, especially empathic communication, before discharging the mothers.

References

Angrosino, M. (2007). Doing ethnographic and observational research. Sage.

Ayandiji, A., Afolabi, C.O. & Olaojo, G. O. (2021). Use of social media in sourcing agricultural information among farmers in Oyo Central Senatorial District, Oyo State, Nigeria. Nigerian Journal of Rural Sociology, 21(1).

Adejo, P. E. & Opeyemi, G. (2019). Awareness and usage of social media for sourcing agricultural information by youth farmers in Ogori Mangogo Local Government Area of Kogi State, Nigeria. International Journal of Agricultural Research, Sustainability, and Food Sufficiency, vol. 6(03), 376-385.

Atuhaire, C., Brennaman, L., Cumber, S.N., Rukundo, G.Z. & Nambozi, G. (2020). The magnitude of postpartum depression among mothers in Africa. Pan African Medical Journal, 37:89.

Azale, T., Fekadu, A., Medhin, G. & Hanlon, C. (2018). Coping strategies of women with postpartum depression symptoms in rural Ethiopia: A cross-sectional community study. Bmc Psychiatry, 18(1), 1-13.

Aharony, N. (2016). Relationships among attachment theory, social capital perspective, personality characteristics, and Facebook self-disclosure. Aslib Journal of Information Management, 68(3), 362–386.

Braun, V. & Clarke, V. (2013). Successful qualitative research: A practical guide for beginners. SAGE.

Boase, J. & Humphreys, L. (2018). Mobile methods: explorations, innovations, and reflections. Mobile Media and Communication, 6(2):153–162.

Blumler, J.G. & Katz, E. (1974). The Uses of Mass Communications: Current Perspectives on Gratifications Research. Sage Annual Reviews of Communication Research Volume III.

Bano, S., Cisheng, W., Khan, A.N. & Khan, N.A. (2019). WhatsApp use and student's psychological Barrett-Lennard, G.T. (1993). The phases and focus of empathy. British Journal of Medical Psychology, 66(1), 3–14.

Boorman, R. J., Creedy, D. K., Fenwick, J. & Muurlink, O. (2019). Empathy in pregnant women and new mothers: a systematic literature review. Journal of Reproductive and Infant Psychology, 37(1), 84-103.

Cheung, Y.T.D., et al. (2020). Effectiveness of WhatsApp online group discussion for smoking relapse prevention: Protocol for a pragmatic randomized controlled trial. Addiction, 115(9), 1777-1785.

Carpenter, A. & Greene, K. (2015). Social penetration theory. The International Encyclopedia of Interpersonal Communication, 1-4.

Çelebi, S.I. & Terkan, R. (2021). WhatsApp uses and gratifications: A focus group research. yeni yüzyıl’da, 25.

Colom, A. (2021). Using WhatsApp for focus group discussions: Ecological validity, inclusion and deliberation. Qualitative Research, 1468794120986074.

Chan, W.S. & Leung, A.Y. (2018). Use of social network sites for communication among health professionals: systematic review. Journal of medical Internet research, 20(3), e8382.

Calleja-Castillo, J.M. & Gonzalez-Calderon, G. (2018). WhatsApp in stroke systems: current use and regulatory concerns. Frontiers in neurology, 9, 388.

Chan, T.J., Yong, W.K. & Harmizi, A. (2020). Usage of WhatsApp and interpersonal communication skills among private university students. Journal of Arts & Social Sciences, 3(2), 15-25.

Coleman, E. & O’Connor, E. (2019). The role of WhatsApp® in medical education; a scoping review and instructional design model. BMC medical education, 19(1), 1-13.

Dorwal, P., Sachdev, R., Gautam, D., Jain, D., Sharma, P., Tiwari, A. K. & Raina, V. (2016). Role of WhatsApp messenger in the laboratory management system: a boon to communication. Journal of medical systems, 40(1), 1-5.

Dennis, C.L. (2003). The effect of peer support on postpartum depression: a pilot randomized controlled trial. The Canadian Journal of Psychiatry, 48(2), 115-124.

David, C. (2020). Community, Crowdsourcing, and Commerce: WhatsApp Groups for Agriculture in Kenya. Doctoral dissertation, University of Ottawa.

Esteve-Del-Valle, M., Costa, E. & Hagedoorn, B. (2022). Network shocks and social support among Spanish, Dutch, and Italian WhatsApp users during the first wave of the Covid-19 Crisis: An exploratory analysis of digital social resilience. International Journal of Communication, 16, 20.

Florenthal, B. (2015). Applying uses and gratifications theory to students’ LinkedIn usage. Young Consumers, and 16(1), 17–35.

Friedman, S.H. & Resnick, P.J. (2009). Postpartum depression: an update. Women’s Health, 5(3), 287-295.

Grover, S., Garg, B. & Sood, N. (2020). Introduction of case-based learning aided by WhatsApp messenger in pathology teaching for medical students. Journal of postgraduate medicine, 66(1), 17.

Gutiérrez-Zotes et al. (2016). Coping strategies for postpartum depression: a multi-centric study of 1626 women. Archives of Women's Mental Health, 19(3), 455-461.

Ghaedrahmati, M., Kazemi, A., Kheirabadi, G., Ebrahimi, A. & Bahrami, M. (2017). Postpartum depression risk factors: A narrative review. Journal of Education and Health Promotion, 6.

Ganasegeran, K., Renganathan, P., Rashid, A. & Al-Dubai, S.A.R. (2017). The m-Health revolution: Exploring perceived benefits of WhatsApp use in clinical practice. International Journal of Medical Informatics, 97, 145-151.

Gamji, M. B U. & Salman, J. H. (2019). Use of WhatsApp as a learning tool in today’s generation: A study of undergraduate students. International Journal of Information Processing and Communication, 7(1), 11.

Hasan, A.F. (2018). The Role of emojis and emoticons in enhancing interpersonal communication through Messenger and WhatsApp application. Adab Al-Kufa, 2(37).

Howick et al. (2018). Effects of empathic and positive communication in healthcare consultations: a systematic review and meta-analysis. Journal of the Royal Society of Medicine, 111(7), 240-252.

Ittefaq, M., Seo, H., Abwao, M. & Baines, A. (2022). Social media use for health, cultural characteristics, and demographics: A survey of Pakistani millennials. Digital Health, 8, 20552076221089454.

Johnston, M.J., King, D., Arora, S., Behar, N., Athanasiou, T., Sevdalis, N. & Darzi, A. (2015). Smartphones let surgeons know WhatsApp: an analysis of communication in emergency surgical teams. The American Journal of Surgery, 209(1), 45-51.

Jason S.W., Narissra, M.P. & Katherine S.T. (2020). Theories of computer-mediated communication. https://socialsci.libretexts.org/Bookshelves/Communication/Interpersonal_Communication/Book%3A_Interpersonal_Communication_-_A_Mindful_Approach_to_Relationships_(Wrench_et_al.)/12%3A_Interpersonal_Communication_in_Mediated_Contexts/12.04%3A_Theories_of_Computer-Mediated_Communication.

Jailobaev, T., Jailobaeva, K., Baialieva, M., Baialieva, G. & Asilbekova, G. (2021). WhatsApp groups in social research: new opportunities for fieldwork communication and management. Bulletin of Sociological Methodology/Bulletin de Méthodologie Sociologique, 149(1), 60-82.

Krämer, N. C. & Schäwel, J. (2020). Mastering the challenge of balancing self-disclosure and privacy in social media. Current opinion in psychology, 31, 67-71.

Kamel Boulos, M.N., Giustini, D.M. & Wheeler, S. (2016). Instagram and WhatsApp in health and healthcare: An overview. Future internet, 8(3), 37.

Knop, K., Öncü, J. S., Penzel, J., Abele, T. S., Brunner, T., Vorderer, P. & Wessler, H. (2016). Offline time is quality time. Comparing within-group self-disclosure in mobile messaging applications and face-to-face interactions. Computers in Human Behavior, 55, 1076–1084.

Koçak, A. & Vergiveren, Ö.Y. (2019). Group-based communication: Contents and practices of Whatsapp group use by generations and genders. Online Journal of Communication and Media Technologies, 9(4), e201922.

Liew, H. (2020). Fandom in my pocket: Mobile social intimacies in WhatsApp fan groups. In Mobile Media and Social Intimacies in Asia. Springer, pp. 77-93.

Li, Y. (2021). Incorporating empathic responses into postpartum depression psychotherapy. Open Journal of Depression, 10(1), 1-13.

Li, Q., Yang, S., Xie, M., Wu, X., Huang, L., Ruan, W. & Liu, Y. (2020). Impact of some social and clinical factors on the development of postpartum depression in Chinese women. BMC pregnancy and childbirth, 20(1), 1-8.

Littlejohn, S.W. & Foss, K.A. (2009). Encyclopedia of communication theory. Volume 1. Sage.

Mughal, S., Azhar, Y. & Siddiqui, W. (2021). Postpartum depression. StatPearls. https://www.ncbi.nlm.nih.gov/books/NBK519070/.

Moameri, H., Ostadghaderi, M., Khatooni, E. & Doosti-Irani, A. (2019). Association of postpartum depression and cesarean section: A systematic review and meta-analysis. Clinical Epidemiology and Global Health, 7(3), 471-480.

Martinez, R., Rogers, A.D., Numanoglu, A. & Rode, H. (2018). The value of WhatsApp communication in paediatric burn care. Burns, 44(4), 947-955.

Maitra, C. (2021). WhatsApp in health communication: the case of eye health in deprived settings in India. PhD Thesis, Manchester Metropolitan University.

Mars, M. & Scott, R.E. (2016). Whatsapp in clinical practice: A literature. The Promise of New Technologies in an Age of New Health Challenges, 82.

Masoni, M. & Guelfi, M.R. (2020). WhatsApp and other messaging apps in medicine: opportunities and risks. Internal and emergency medicine, 15(2), 171-173.

Mahdi, H.S. (2014). The impact of computer-mediated communication environments on foreign language learning: A review of the literature. Teaching English with Technology, 14(2), 67-86.

Mehrad, J. & Tajer, P. (2016). Uses and gratification theory in connection with knowledge and information science: A proposed conceptual model. International Journal of Information Science and Management (IJISM), 14(2).

Masaviru, M. (2016). Self-disclosure: Theories and model review. Journal of Culture, Society and Development, 18(1), 43-44.

Moudatsou, M., Stavropoulou, A., Philalithis, A., & Koukouli, S. (2020). The role of empathy in health and social care professionals. In Healthcare. Multidisciplinary Digital Publishing Institute, vol. 8, No. 1, p. 26.

Masoga, M. A. (2020). Effectiveness of WhatsApp homiletics in the era of Covid-19 in South Africa. Pharos Journal of Theology, 101, 1-16.

Nabity-Grover, T., Cheung, C.M. & Thatcher, J.B. (2020). Inside out and outside in: How the COVID-19 pandemic affects self-disclosure on social media. International Journal of Information Management, 55, 102188.

Nobre, G.P., Ferreira, C.H.G. & Almeida, J.M. (2020). Beyond groups: uncovering dynamic communities on the WhatsApp network of information dissemination. In International Conference on Social Informatics. Springer, Cham, pp. 252-266.

Nardo, B., Cannistrà, M., Diaco, V., Naso, A., Novello, M., Zullo, A. & Sacco, R. (2016). Optimizing patient surgical management using WhatsApp application in the Italian healthcare system. Telemedicine and e-Health, 22(9), 718-725.

O’Sullivan, D.M., O’Sullivan, E., O’Connor, M., Lyons, D. & McManus, J. (2017). WhatsApp doc. BMJ Innov, 3(4), 238-239.

Pennington, N. (2015). Building and Maintaining Relationships in the Digital Age: Using Social Penetration Theory to Explore Communication through Social Networking Sites. Doctoral dissertation, University of Kansas.

Pornsakulvanich, V., Haridakis, P. & Rubin, A.M. (2008). The influence of dispositions and Internet motivation on online communication satisfaction and relationship closeness. Computers in Human Behavior, 24(5), 2292–2310.

Pereira, A.A.C., Destro, J.R., Bernuci, M.P., Garcia, L.F. & Lucena, T.F.R. (2020). Effects of a WhatsApp-delivered education intervention to enhance breast cancer knowledge in women: mixed-methods study. JMIR Health and Health, 8(7), e17430.

Rivaz, M., Shokrollahi, P. & Ebadi, A. (2019). Online focus group discussions: An attractive approach to data collection for qualitative health research. Nursing Practice Today.

Romiszowski, A. & Mason, R. (2013). Computer-mediated communication. In Handbook of research on educational communications and technology. Routledge, pp. 402-436.

Rosenberg, H., & Asterhan, C.S.C. (2022). What's App, sir? Teachers and students in WhatsApp groups (in Hebrew). Breaking down barriers? Teachers, students and social network sites. https://scholars.huji.ac.il/christaasterhan/publications/whats-app-sir-teachers-and-students-whatsapp-groups.

Raiman, L., Antbring, R. & Mahmood, A. (2017). WhatsApp messenger as a tool to supplement medical education for medical students on clinical attachment. BMC Medical Education, 17(1), 1-9.

Sharif, A., Soroya, S. H., Ahmad, S. & Mahmood, K. (2021). Antecedents of self-disclosure on social networking sites (SNSs): A study of Facebook users. Sustainability, 13(3), 1220.

Sukriani, W. & Arisani, G. (2020). Effectiveness of WhatsApp group on breastfeeding practices. Indian Journal of Forensic Medicine & Toxicology, 14(4).

Tolossa, T., Fetensa, G., Yilma, M.T., Abadiga, M., Wakuma, B., Besho, M. & Etafa, W. (2020). Postpartum depression and associated factors among postpartum women in Ethiopia: a systematic review and meta-analysis. Public Health Reviews, 41(1), 1-20.

Tonei, V. (2019). Emergency caesareans increase risk of postnatal depression in new mothers, our research suggests. https://theconversation.com/emergency-caesareans-increase-risk-of-postnatal-depression-in-new-mothers-our-research-suggests-111475.

Tang, L., Zhang, X. & Zhu, R. (2020). What causes postpartum depression and how to cope with it: a phenomenological study of mothers in China. Health Communication, 1–10.

Tan et al. (2021). Defining clinical empathy: A grounded theory approach from the perspective of healthcare workers and patients in a multicultural setting. BMJ Open, 11(9), e045224.

Willemse, J.J. (2015). Undergraduate nurses’ reflections on WhatsApp use in improving primary health care education: original search. Curationis, 38(2), 1-7.

Watson, J. C. (2016). The role of empathy in psychotherapy: Theory, research, and practice. In D.J. Cain, K. Keenan & S. Rubin (Eds.). Humanistic psychotherapies: Handbook of research and practice, pp. 115–145.

Yusriani, Y. & Acob, J.R.U. (2020). Education through WhatsApp media in changing of smoking behavior among senior high school students. Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal), 15(3).