Smartphone-based prenatal education for parents with preterm birth risk factors

Smartphone-based prenatal education for parents with preterm birth risk factors
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DOI:
10.1016/j.pec.2018.10.024
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发表时间:
2019-04-01
影响因子:
3.5
通讯作者:
Basir, M. A.
Basir, M. A.
中科院分区:
医学2区
文献类型:
--
作者:
Kim, U. Olivia;Barnekow, K.;Basir, M. A.

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目的:为诊断出早产危险因素的准父母开发一款教育移动应用。方法:家长和医疗顾问小组描绘了该应用程序的愿景。该应用程序有助于为早产做好准备。在试点测试中,产科医生将该应用程序提供给孕龄在18-22周之间、有早产风险因素的英语父母。使用4周后,每位参与者完成一份问卷。该软件跟踪访问的主题和使用的持续时间。结果:在试点测试中,招募了31名参与者,其中28人完成了问卷调查。在使用应用程序后,参与者报告说,早产意识提高了(93%),与伴侣讨论怀孕或早产问题的次数增加了(86%),诊所就诊时的问题增加了(43%),焦虑增加了(21%)。参与者报告说,他们从应用程序收到的早产信息比从医疗保健提供者那里收到的要多。有跟踪数据的15名参与者使用该应用程序的平均时间为8小时。结论:早产风险增加的父母可能会从这个移动应用程序教育计划中受益。实践启示:如果怀孕导致早产住院治疗,父母将建立一个知识基础,以作出明智的医疗保健选择。(C) 2018 Elsevier B.V.版权所有
Objective: To develop an educational mobile application (app) for expectant parents diagnosed with risk factors for premature birth.Methods: Parent and medical advisory panels delineated the vision for the app. The app helps prepare for preterm birth. For pilot testing, obstetricians offered the app between 18-22 weeks gestational age to English speaking parents with risk factors for preterm birth. After 4 weeks of use, each participant completed a questionnaire. The software tracked topics accessed and duration of use.Results: For pilot testing, 31 participants were recruited and 28 completed the questionnaire. After app utilization, participants reported heightened awareness of preterm birth (93%), more discussion of pregnancy or prematurity issues with partner (86%), increased questions at clinic visits (43%), and increased anxiety (21%). Participants reported receiving more prematurity information from the app than from their healthcare providers. The 15 participants for whom tracking data was available accessed the app for an average of 8 h.Conclusion: Parents with increased risk for preterm birth may benefit from this mobile app educational program.Practice implications: If the pregnancy results in preterm birth hospitalization, parents would have built a foundation of knowledge to make informed medical care choices. (C) 2018 Elsevier B.V. All rights reserved.