Using WhatsApp messenger for health systems research: a scoping review of available literature.

Karima Manji, Johanna Hanefeld, Jo Vearey, Helen Walls, Thea de Gruchy
Author Information
  1. Karima Manji: Department of Global Health and Development Affiliation, Faculty of Public Health and Policy, London School of Hygiene & Tropical Medicine (LSHTM), 15-17 Tavistock Place, Kings Cross, London WC1H 9SH, UK. ORCID
  2. Johanna Hanefeld: Department of Global Health and Development Affiliation, Faculty of Public Health and Policy, London School of Hygiene & Tropical Medicine (LSHTM), 15-17 Tavistock Place, Kings Cross, London WC1H 9SH, UK. ORCID
  3. Jo Vearey: The African Centre for Migration & Society (ACMS), University of the Witwatersrand (Wits), Solomon Mahlangu House, Braamfontein Campus East, Private Bag 3, Johannesburg 2000, South Africa.
  4. Helen Walls: Department of Global Health and Development Affiliation, Faculty of Public Health and Policy, London School of Hygiene & Tropical Medicine (LSHTM), 15-17 Tavistock Place, Kings Cross, London WC1H 9SH, UK.
  5. Thea de Gruchy: The African Centre for Migration & Society (ACMS), University of the Witwatersrand (Wits), Solomon Mahlangu House, Braamfontein Campus East, Private Bag 3, Johannesburg 2000, South Africa.

Abstract

Globally, the use of mobile phones for improving access to healthcare and conducting health research has gained traction in recent years as rates of ownership increase, particularly in low- and middle-income countries (LMICs). Mobile instant messaging applications, including WhatsApp Messenger, provide new and affordable opportunities for health research across time and place, potentially addressing the challenges of maintaining contact and participation involved in research with migrant and mobile populations, for example. However, little is known about the opportunities and challenges associated with the use of WhatsApp as a tool for health research. To inform our study, we conducted a scoping review of published health research that uses WhatsApp as a data collection tool. A key reason for focusing on WhatsApp is the ability to retain contact with participants when they cross international borders. Five key public health databases were searched for articles containing the words ‘WhatsApp’ and ‘health research’ in their titles and abstracts. We identified 69 articles, 16 of which met our inclusion criteria for review. We extracted data pertaining to the characteristics of the research. Across the 16 studies—11 of which were based in LMICs—WhatsApp was primarily used in one of two ways. In the eight quantitative studies identified, seven used WhatsApp to send hyperlinks to online surveys. With one exception, the eight studies that employed a qualitative (n = 6) or mixed-method (n = 2) design analysed the WhatsApp content generated through a WhatsApp-based programmatic intervention. We found a lack of attention paid to research ethics across the studies, which is concerning given the controversies WhatsApp has faced with regard to data protection in relation to end-to-end encryption. We provide recommendations to address these issues for researchers considering using WhatsApp as a data collection tool over time and place.

Keywords

References

  1. Res Synth Methods. 2014 Dec;5(4):371-85 [PMID: 26052958]
  2. J Empir Res Hum Res Ethics. 2009 Jun;4(2):37-48 [PMID: 19480590]
  3. J Int AIDS Soc. 2018 Jul;21 Suppl 4:e25137 [PMID: 30027621]
  4. BMC Complement Altern Med. 2008 Jul 19;8:43 [PMID: 18638413]
  5. BMJ Glob Health. 2018 Apr 24;3(Suppl 2):e000563 [PMID: 29713506]
  6. BMC Med Res Methodol. 2018 Nov 19;18(1):143 [PMID: 30453902]
  7. J Med Internet Res. 2019 Jul 03;21(7):e14105 [PMID: 31271145]
  8. Health Info Libr J. 2009 Jun;26(2):91-108 [PMID: 19490148]
  9. Glob Health Sci Pract. 2016 Jun 27;4(2):311-25 [PMID: 27353623]
  10. J R Soc Promot Health. 2003 Jun;123(2):95-101 [PMID: 12852193]
  11. BMJ Open. 2019 Sep 4;9(9):e029651 [PMID: 31488482]
  12. Ethn Health. 2022 Feb;27(2):463-482 [PMID: 31722534]
  13. J Med Internet Res. 2018 Nov 07;20(11):e12035 [PMID: 30404773]
  14. BMC Health Serv Res. 2019 Feb 1;19(1):86 [PMID: 30709376]
  15. Cyberpsychol Behav Soc Netw. 2017 Jun;20(6):389-396 [PMID: 28622034]
  16. PLoS One. 2019 Dec 2;14(12):e0225684 [PMID: 31790471]
  17. J Pharm Technol. 2019 Jun;35(3):98-104 [PMID: 34861029]
  18. Rev Bras Enferm. 2019 Sep 16;72(5):1161-1166 [PMID: 31531636]
  19. BMC Med Educ. 2017 Jan 6;17(1):7 [PMID: 28061777]
  20. Res Social Adm Pharm. 2020 Apr;16(4):503-510 [PMID: 31278013]
  21. Soc Sci Med. 2015 Oct;142:90-9 [PMID: 26298645]
  22. Epilepsy Behav. 2019 Mar;92:260-264 [PMID: 30731290]
  23. Glob Health Action. 2017;10(1):1368236 [PMID: 28914165]
  24. Soc Sci Med. 2018 Aug;211:190-197 [PMID: 29960170]
  25. BMJ. 2016 Mar 17;352:i1174 [PMID: 26988021]
  26. Spinal Cord Ser Cases. 2019 Aug 7;5:70 [PMID: 31632728]
  27. BMC Med Inform Decis Mak. 2016 Sep 15;16(1):120 [PMID: 27630020]
  28. Global Health. 2017 Aug 22;13(1):63 [PMID: 28830540]
  29. Trop Med Int Health. 2011 May;16(5):622-6 [PMID: 21342374]
  30. Glob Public Health. 2008;3 Suppl 2:39-57 [PMID: 19288352]
  31. Global Health. 2014 Jun 13;10:49 [PMID: 24927745]
  32. Med Gas Res. 2019 Jan-Mar;9(1):13-17 [PMID: 30950415]
  33. Soc Sci Med. 2019 Jul;232:1-16 [PMID: 31035241]

Grants

  1. /Wellcome Trust
  2. MR/S013601/1/Medical Research Council

MeSH Term

Cell Phone
Delivery of Health Care
Health Services
Humans
Mobile Applications
Surveys and Questionnaires

Word Cloud

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