Iterative Adaptation of a Mobile Nutrition Video-Based Intervention Across Countries Using Human-Centered Design: Qualitative Study

Background: Mobile health (mHealth) video interventions are used across settings. The process of adapting mHealth videos is less explored and described, especially in LICs. This study aims to understand the key components required to adapt a suite of maternal nutrition videos in different settings. The study redesigns a suite of videos to the context of rural Burkina Faso.

Methods: This qualitative study is guided by human-centered design (HCD). Data collection involved 10 focus group discussions, 30 in-depth interviews, and 30 observations. Insights on local nutrition and feedback on existing videos were captured. Rapid adjustments were made to the videos based on feedback and additional qualitative methods were used to understand facilitators and barriers to inform further iterations. Recommendations and insights from end recipients (mothers) and health workers were gathered to adapt the videos and elicit feedback on the iterations.

Results: As a result of multiple collaborations with mothers and health workers, the videos and illustrations were adapted to reflect local communities, home-grown/local vegetation, and households as they appear in Burkina Faso, using local languages. A 3-pronged Video Adaptation Framework was developed as a tool that places video adaptation at the center of a triangle surrounded by end users, health workers, and the environment.

Conclusion: HCD provided valuable insights that helped develop a framework for video adaptation, which other intervention designers can use as a guide to adapt videos.