Consumer health-related needs of pregnant women and their caregivers.
Consumer health-related needs of pregnant women and their caregivers.
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DOI：
10.1093/jamiaopen/ooy018
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发表时间：
2018-07
期刊：
影响因子：
2.1
通讯作者：
Jackson GP
中科院分区：
文献类型：
--
作者：
Robinson JR;Anders SH;Novak LL;Simpson CL;Holroyd LE;Bennett KA;Jackson GP
为了构建有效的应用程序，技术设计人员必须了解消费者的健康需求。怀孕是一种常见的健康状况，准家庭有没有答案的问题。这项研究审查了孕妇和照顾者的消费者健康相关需求，并确定了未得到满足的需求类型。我们招募了孕龄<36周的孕妇和来自高级母胎和产前护理机构的护理人员。参与者的特点，收集通过调查，并在半结构化的访谈中引出与健康有关的需求。研究人员根据语义类型以及需求是否得到满足（即，满足，部分满足或未满足）对需求进行分类。评定者间信度采用Cohen’s kappa法。71名孕妇和29名护理人员参与了调查，报告了1054项需求，28%未得到满足，49%部分得到满足。需求类型为66.2%信息，15.9%后勤，8.9%社会，8.6%医疗，0.3%其他。评定者间信度接近完美（κ = 0.95，P <0.001）。未满足需求的常见主题是预后、生活管理和情感支持需求。对于孕妇来说，这些未满足的需求集中在健康、分娩、婴儿护理和做一个好母亲;照顾者的需求涉及照顾母亲、自然怀孕过程和怀孕后的生活。孕妇和照料者有一系列与健康有关的需求，其中许多需求没有得到充分满足。照顾者的需求不同于孕妇的需求，为母亲设计的资源可能无法充分满足这些需求。许多未满足的需求涉及压力和生活管理。了解消费者的健康需求可以为设计更好的怀孕技术提供信息。
To build effective applications, technology designers must understand consumer health needs. Pregnancy is a common health condition, and expectant families have unanswered questions. This study examined consumer health-related needs in pregnant women and caregivers and determined the types of needs that were not met. We enrolled pregnant women <36 weeks’ gestational age and caregivers from advanced maternal–fetal and group prenatal care settings. Participant characteristics were collected through surveys, and health-related needs were elicited in semi-structured interviews. Researchers categorized needs by semantic type and whether they were met (ie, met, partially met, or unmet). Inter-rater reliability was measured by Cohen’s kappa. Seventy-one pregnant women and 29 caregivers participated and reported 1054 needs, 28% unmet, and 49% partially met. Need types were 66.2% informational, 15.9% logistical, 8.9% social, 8.6% medical, and 0.3% other. Inter-rater reliability was near perfect (κ=0.95, P < 0.001). Common topics of unmet needs were prognosis, life management, and need for emotional support. For pregnant women, these unmet needs focused around being healthy, childbirth, infant care, and being a good mother; caregivers’ needs involved caring for the mother, the natural course of pregnancy, and life after pregnancy. Pregnant women and caregivers have a rich set of health-related needs with many not fully met. Caregivers’ needs differed from those of pregnant women and may not be adequately addressed by resources designed for mothers. Many unmet needs involved stress and life management. Knowledge about consumer health needs can inform the design of better technologies for pregnancy.