A Technology-Based Pregnancy Health and Wellness Intervention (Two Happy Hearts): Case Study.
A Technology-Based Pregnancy Health and Wellness Intervention (Two Happy Hearts): Case Study.
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DOI：
10.2196/30991
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发表时间：
2021-11-17
影响因子：
2.2
通讯作者：
Guo Y
中科院分区：
文献类型：
--
作者：
Jimah T;Borg H;Kehoe P;Pimentel P;Turner A;Labbaf S;Asgari Mehrabadi M;Rahmani AM;Dutt N;Guo Y
妇女的身体和情感健康对健康的怀孕和分娩结果至关重要。两颗快乐的心干预是一项由社区卫生工作者指导的个性化心身计划，包括监测和反思个人健康，以及练习正念呼吸和运动等压力管理策略。这项研究的目的是(1)测试可穿戴设备的日常使用情况，以客观地测量怀孕期间的身体和情绪幸福感以及主观评估；(2)探索用户对两个幸福之心干预原型的参与度，以及了解他们使用各种干预组件的体验。研究采用了混合设计的案例研究。我们招募了一名怀孕33周的29岁单胎妊娠妇女。她没有医疗并发症或身体限制，她参加了Medi-Cal公共健康保险计划。参与者从怀孕第三个月到分娩，一直参与了两个快乐之心的干预原型。Oura智能戒指用于持续监测客观的身体和情绪状态，如静息心率、静息心率变异性、睡眠和体力活动。此外，参与者使用两个基于Happy Hearts移动应用程序的24小时回忆调查(睡眠质量和体力活动水平)和生态瞬时评估(积极和消极情绪)，以及感知压力量表、流行病学研究中心抑郁量表和状态-特质焦虑问卷，自我报告了自己的身体和情绪健康。通过智能戒指和手机应用程序记录了对两个幸福之心干预的参与，并通过Research Electronics Data Capture满意度调查收集了用户体验。描述了来自Oura环的客观数据和关于身体和情绪健康的主观数据。给出了主客观数据之间的回归曲线图和皮尔逊相关性，并对定性数据进行了内容分析。静息心率减慢与心率变异性增加显著相关(r=-0.92，P<；.001)。我们发现自我报告的反应和Oura环测量之间存在显著关联：(1)积极情绪和心率变异性(r=0.54，P<；.001)；(2)睡眠质量和睡眠分数(r=0.52，P<；.001)；(3)体力活动和步数(r=0.77，P<；.001)。此外，深度睡眠似乎随着光线和快速眼动睡眠的减少而增加。从基线到干预后，压力、抑郁和焦虑的心理指标似乎有所下降。此外，参与者对两个快乐心脏干预原型的组成部分的完成率很高，并分享了几个积极的经验，如增加的自我效能和正常的交付。两个快乐之心干预原型显示了未得到充分服务的孕妇可能使用的前景。
The physical and emotional well-being of women is critical for healthy pregnancy and birth outcomes. The Two Happy Hearts intervention is a personalized mind-body program coached by community health workers that includes monitoring and reflecting on personal health, as well as practicing stress management strategies such as mindful breathing and movement. The aims of this study are to (1) test the daily use of a wearable device to objectively measure physical and emotional well-being along with subjective assessments during pregnancy, and (2) explore the user’s engagement with the Two Happy Hearts intervention prototype, as well as understand their experiences with various intervention components. A case study with a mixed design was used. We recruited a 29-year-old woman at 33 weeks of gestation with a singleton pregnancy. She had no medical complications or physical restrictions, and she was enrolled in the Medi-Cal public health insurance plan. The participant engaged in the Two Happy Hearts intervention prototype from her third trimester until delivery. The Oura smart ring was used to continuously monitor objective physical and emotional states, such as resting heart rate, resting heart rate variability, sleep, and physical activity. In addition, the participant self-reported her physical and emotional health using the Two Happy Hearts mobile app–based 24-hour recall surveys (sleep quality and level of physical activity) and ecological momentary assessment (positive and negative emotions), as well as the Perceived Stress Scale, Center for Epidemiologic Studies Depression Scale, and State-Trait Anxiety Inventory. Engagement with the Two Happy Hearts intervention was recorded via both the smart ring and phone app, and user experiences were collected via Research Electronic Data Capture satisfaction surveys. Objective data from the Oura ring and subjective data on physical and emotional health were described. Regression plots and Pearson correlations between the objective and subjective data were presented, and content analysis was performed for the qualitative data. Decreased resting heart rate was significantly correlated with increased heart rate variability (r=–0.92, P<.001). We found significant associations between self-reported responses and Oura ring measures: (1) positive emotions and heart rate variability (r=0.54, P<.001), (2) sleep quality and sleep score (r=0.52, P<.001), and (3) physical activity and step count (r=0.77, P<.001). In addition, deep sleep appeared to increase as light and rapid eye movement sleep decreased. The psychological measures of stress, depression, and anxiety appeared to decrease from baseline to post intervention. Furthermore, the participant had a high completion rate of the components of the Two Happy Hearts intervention prototype and shared several positive experiences, such as an increased self-efficacy and a normal delivery. The Two Happy Hearts intervention prototype shows promise for potential use by underserved pregnant women.