The Power and Promise of Postpartum Self Care: Evaluation of a Web-Based Tool for Underserved Women.
The Power and Promise of Postpartum Self Care: Evaluation of a Web-Based Tool for Underserved Women.
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产后自我护理的力量和承诺：评估基于网络的工具，用于服务不足的女性。
DOI：
10.1007/s10995-023-03605-8
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发表时间：
2023-03
影响因子：
2.3
通讯作者：
Marceau L
中科院分区：
文献类型：
--
作者：
Bryant AS;Coleman J;Shi X;Rodriguez M;Papadopoulos AS;Merz K;Leonard J;Samia N;Marceau L
Joyuus是一个多元文化的综合在线工具，旨在解决产后妇女的自我护理需求。该工具提供了可操作的自我护理信息，知识和技能，以改善产后健康，并确定当自我护理转向寻求护理时的危险信号。我们采用混合方法多阶段设计来评估Joyuus原型，包括前后评估（N = 87），以评估使用该工具前后一个月的行为健康结果。91%完成后测（N = 79）。分析重点是估计治疗效果（通过95%置信区间）和工具在该人群中的适用性。参与者在怀孕6个月和产后一年之间，平均年龄30岁，100%女性，99%黑人，已婚（55%）和未婚（44%）几乎相等，年收入高于（47%）和低于（46%）60 K美元。关键指标较前有显著改善，（平均值= 26.44，SD = 5.39）至术后Connor-Davidson复原力量表（平均值= 28.29，SD = 5.26）（p < 0.001）改善趋势在抑郁（EPDS）（p = 0.624）和焦虑（STAI）（p = 0.286）方面观察到（无统计学显著性），MOS社会支持或COVID-19心理健康影响指标无有意义的变化。这项试点研究表明，自我保健移动的工具有可能解决与孕产妇发病率和死亡率有关的重大保健成果。通过提供一个持续可用的伴侣来解决身体，精神和现实生活中的问题，它为产后经常感到不知所措或孤立的母亲创造了价值。
Joyuus is a culturally diverse, comprehensive online tool designed to address the self-care needs of underserved postpartum women. The tool provides actionable self-care information, knowledge, and skills to improve postpartum health and identifies red flags for when self-care shifts to seeking care. We employed a mixed-methods multiphase design to evaluate the Joyuus prototype, including a pre-post evaluation (N = 87) to assess behavioral health outcomes before and after using the tool for a one-month period. 91% completed the post-test (N = 79). The analysis focused on estimation of treatment effect (via 95% confidence intervals) and fitness of instruments in this population. Participants were between 6 months pregnant and one year postpartum, a mean age of 30 years, 100% female, 99% Black, with nearly equal distribution of married (55%) and not married (44%), and above (47%) and below (46%) annual income of $60 K. Key measures saw significant improvement from pre- (mean = 26.44, SD = 5.39) to post (mean = 28.29, SD = 5.26) on the Connor-Davidson Resilience Scale (p < 0.001) Trends toward improvement (not statistically significant) were noted for Depression (EPDS) (p = 0.624) and Anxiety (STAI) (p = 0.286), and no meaningful change on MOS Social Support or COVID-19 Mental Health Impacts Measures. This pilot study demonstrates that a self-care mobile tool has the potential to address significant health outcomes related to maternal morbidity and mortality. By providing a continuously available companion addressing physical, mental, and real-life questions, it creates value during postpartum for mothers who can often feel overwhelmed or isolated.
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影响因子：
1
作者：
Hutto, Hillary F.;Kim-Godwin, YeounSoo;Kemppainen, Jeanne
通讯作者：
Kemppainen, Jeanne
影响因子：
3.7
作者：
Saad A;Magwood O;Aubry T;Alkhateeb Q;Hashmi SS;Hakim J;Ford L;Kassam A;Tugwell P;Pottie K
通讯作者：
Pottie K
影响因子：
7.4
作者：
Connor, KM;Davidson, JRT
通讯作者：
Davidson, JRT
影响因子：
7.2
作者：
Howell, EA;Mora, PA;Leventhal, H
通讯作者：
Leventhal, H
COVID-19限制对英格兰妇女怀孕和产后经验的影响：一种定性探索。
影响因子：
2.7
作者：
Riley V;Ellis N;Mackay L;Taylor J
通讯作者：
Taylor J