Partnering with new mothers to develop a smart phone app to prevent maternal mortality after hospital discharge: A pilot study. (25th November 2019)

• Record Type: Journal Article
• Authors: Logsdon, M. Cynthia; Lauf, Adrian; Stikes, Reetta; Revels, Ashely; Vickers‐Smith, Rachel
• Is Part Of: Journal of advanced nursing. Volume 76:Number 1(2020)
• Page Start: 324
• Page End: 327
• Publication Date: 2019-11-25
• Subjects: maternal mortality -- nurse -- patient education -- user‐centred design; Nursing -- Periodicals; 610.7305
• DOI: 10.1111/jan.14219
• Languages: English
• ISSNs: 0309-2402

Abstract

Abstract: Background: In the United States, approximately 700 women die annually from pregnancy‐related complications in the first year after birth; a significant number of the deaths occur after hospital discharge. Although postpartum monitoring is important, the standard practice is for one healthcare evaluation at 6 weeks post‐birth. Most women are not aware of signs of postpartum complications. Aim: The aim of the pilot study was to develop a prototype of a mobile app aimed at increasing a new mother's ability to monitor her own health after childbirth. Design: The design used mixed methods and procedures from human‐centred design in an iterative process. Methods: Data were collected by the researchers from January ‐ May 2019 in a hospital that serves primarily low income and underserved women in the southern US. Three groups of women provided data related to health education preferences or their reaction to a mock‐up or prototype mobile app. Several women completed the Mobile App Rating Scale (MARS; N = 22). Results: Themes from interviews indicated that women ( N = 5) preferred electronic health education and that they used apps to monitor their pregnancies. Other new mothers (n‐5) described their overall reaction to the proposed features of the app which was incorporated into the design of the app that was tested by the third group of new mothers ( N = 22) who were positive about interactions with the app. The MARS scores for the app were positive. Conclusions: New mothers indicated that they would be willing to use an app to monitor their own postpartum health. Impact: Data from the pilot study informed the development of a prototype mobile app that can now be used in a clinical trial with new mothers to monitor their own health and report concerns to healthcare providers. Abstract : 背景: 在美国, 每年约有700名女性在产后第一年死于妊娠相关并发症;大量死亡事件发生在她们出院后。产后监测虽然很重要, 标准做法却是在产后6周进行一次医疗评估。大部分女性没有察觉产后并发症的迹象。 目的: 试点研究的目的是开发一款旨在提高新手妈妈们产后监控自身健康的能力的手机应用程序的雏形。 设计: 该设计在迭代过程中使用了以人为中心的混合方法及种种程序。 方法: 研究人员搜集了美国南部一家主要服务于低收入及受到低质量服务的女性的医院2019年1月至5月期间的数据。 三组女性提供了与健康教育偏好或她们对模型或手机应用程序雏形的反应相关的数据。几名女性完成了手机应用程序评分量表(MARS; N = 22)。 结果: 访谈主题表明, 女性( N = 5 )更偏向电子健康教育并使用手机应用程序来监控怀孕情况。其他的新手妈妈( n ‐ 5 )描述了她们对该手机应用程序已有功能的整体使用感受, 这些感受也被写入该手机应用程序的设计中并由第三组女性进行了测试( N = 22), 这些女性对该手机应用程序的使用持肯定态度。这款手机应用程序在评分量表中的得分也很高。 结论: 新手妈妈们表示她们很乐意用手机应用程序来检测自己的孕期健康。 影响: 试点研究的数据为手机应用程序雏形的开发提供了信息, 该应用程序现在可以用于新手妈妈的临床试验, 以监测她们自己的健康状况, 并向医务人员报告问题。