A Mobile Health App-Based Postnatal Educational Program (Home-but not Alone): Descriptive Qualitative Study.
A Mobile Health App-Based Postnatal Educational Program (Home-but not Alone): Descriptive Qualitative Study.
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DOI：
10.2196/jmir.9188
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发表时间：
2018-04-19
影响因子：
7.4
通讯作者：
Dennis CL
中科院分区：
文献类型：
--
作者：
Shorey S;Yang YY;Dennis CL
产后时期给新父母带来了许多挑战。有各种各样的教育项目可以帮助新父母度过这段紧张的时期。然而，必须对教育项目的有效性进行评估，以确定其可信度。本描述性定性研究的目的是探讨新生儿父母对基于移动健康（mHealth）应用程序的产后教育计划的内容和交付的看法。采用定性半结构化访谈指南收集随机对照试验干预组17名参与者的资料。这项干预是一项为期4周的基于移动健康应用程序的教育计划，并进行了评估。访谈在参与者家中以英语进行。采用主题分析法对数据进行分析。定性研究综合报告标准检查表用于报告研究结果。访谈揭示了4个主要主题：(1)移动健康应用程序的积极特征，(2)助产士的建议，(3)使用移动健康应用程序获得的经验，(4)对未来的建议。与会者评价说，这个教育项目是一个适合当地情况的良好信息来源。不同的传播方式，包括视听方式，加强了信息的可获得性。家长们评价该特色交流平台的推动者助产士提供了值得信赖的建议。医院之外的虚拟社区的归属感赋予了父母信心，他们并不孤单，并得到了其他父母和卫生保健专业人员的支持。根据父母的说法，基于移动健康应用程序的教育计划有助于在产后支持多种族父母样本。这一见解表明，该方案可以在广大社区的父母在产后时期实施。这个教育项目的帮助证明了在产后使用远程医疗对新父母的潜在好处。还可以将资源用于将应用程序的访问时间延长到1个月以上，并为围产期的父母开发相关内容。
The postnatal period poses numerous challenges for new parents. Various educational programs are available to support new parents during this stressful period. However, the usefulness of educational programs must be evaluated to ascertain their credibility. The aim of this descriptive, qualitative study was to explore the views of parents of newborns with regard to the content and delivery of a mobile health (mHealth) app–based postnatal educational program. A qualitative semistructured interview guide was used to collect data from 17 participants who belonged to the intervention group of a randomized controlled trial. The intervention, a 4-week-long access to a mHealth app–based educational program, was evaluated. The interviews were conducted in English and at the participants’ homes. Thematic analysis was used to analyze the data. The Consolidated Criteria for Reporting Qualitative Research checklist was used to report the findings. The interviews revealed 4 main themes: (1) positive features of the mHealth app, (2) advice from midwives, (3) experiences gained from using the mHealth app, and (4) recommendations for the future. The participants evaluated the educational program to be a good source of information that was tailored to the local context. The different modes of delivery, including audio and video, accentuated the accessibility of information. The parents evaluated that the facilitator of the featured communication platform, a midwife, provided trustworthy advice. Belongingness to a virtual community beyond the hospital endowed the parents the confidence that they were not alone and were supported by other parents and health care professionals. According to the parents, the mHealth app–based educational program was helpful in supporting a multi-ethnic sample of parents during the postnatal period. This insight indicates that the program could be implemented in a wide community of parents in the postnatal period. The helpfulness of the educational program is a testament of the potential benefits of using telemedicine among new parents postnatally. Resources can also be dedicated toward extending the duration of access to the app beyond 1 month and developing relevant content for parents across the perinatal period.
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