Assessing the acceptability and usability of digital interventions for pregnancy health

Authors

  • Sneha Damse Alpha MD Private Ltd. 21, Unique Ind Estate, VS Marg, Prabhadevi, Mumbai, Maharashtra, India
  • Manvi Gupta Alpha MD Private Ltd. 21, Unique Ind Estate, VS Marg, Prabhadevi, Mumbai, Maharashtra, India

DOI:

https://doi.org/10.18203/2349-3933.ijam20241012

Keywords:

Digital intervention, Pregnancy management, Acceptability, Usability, User experience, Mobile health

Abstract

Background: Despite the promising potential of digital interventions to enhance maternal health outcomes, there is a lack of comprehensive exploration into their real-world acceptability, usability, and effectiveness among pregnant women. This study was conducted to evaluate the acceptance and usability of digital interventions among pregnant women to gain insights into real-world applications.

Methods: The study enrolled fifteen pregnant women (ages 20 to 40 years) using an online application between November 2022 and May 2023. Data collection comprised a usability survey, and statistical analysis employed descriptive statistics and Chi-square tests.

Results: Significant variations in age (mean 29.33 years) and gestational age (mean 13.80 weeks) were observed (p<0.001). Ease of use received positive ratings (73.3% found it easy; p=0.071), with no participants finding it difficult (p<0.001). The introduction to the application was well-received (p=0.004). Monitoring utilities were deemed helpful by 73.3% (p=0.071), with strong agreement from 26.7%. App engagement was high, with 86.7% disagreeing it was boring and 13.3% strongly disagreeing with the same (p=0.020). Motivational impact for a healthy diet was endorsed by 80% (p=0.091), and medication adherence support by 93.3% (p=0.015). Recordkeeping ease was significant (80% agreement; p=0.247). Notably, 86.7% remained active users after 30 days, with no dropouts (p<0.001).

Conclusions: This pilot study suggests that digital interventions can positively influence maternal health, offering valuable insights for their integration into healthcare strategies.

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References

Alliance for Maternal and Newborn Health Improvement (AMANHI) mortality study group. Population-based rates, timing, and causes of maternal deaths, stillbirths, and neonatal deaths in south Asia and sub-Saharan Africa: a multi-country prospective cohort study. Lancet Glob Health. 2018;6(12):e1297-308.

UNICEF India. Key data. Available at: https://www.unicef.org/india/key-data. Accessed on 23 September 2023.

Kumar G, Choudhary TS, Srivastava A, Upadhyay RP, Taneja S, Bahl R, et al. Utilisation, equity and determinants of full antenatal care in India: analysis from the National Family Health Survey 4. BMC Pregnancy Childbirth. 2019;19(1):327.

Ministry of Health and Family Welfare. PMSMA. 2016. What is the Program. Available at: https://pmsma.mohfw.gov.in/i-am/pregnant-woman/ what-is-the-program-2/. Accessed on 23 September 2023.

Kuppusamy P, Prusty RK, Chaaithanya IK, Gajbhiye RK, Sachdeva G. Pregnancy outcomes among Indian women: increased prevalence of miscarriage and stillbirth during 2015–2021. BMC Pregnancy Childbirth. 2023;23:150.

World Health Organization. Introduction. In: WHO guideline Recommendations on Digital Interventions for Health System Strengthening. 2019. Available at: https://www.ncbi.nlm.nih.gov/books/NBK541905/. Accessed on 23 September 2023.

Felder JN, Epel ES, Neuhaus J, Krystal AD, Prather AA. Efficacy of Digital Cognitive Behavioral Therapy for the Treatment of Insomnia Symptoms Among Pregnant Women: A Randomized Clinical Trial. JAMA Psychiatry. 2020;77(5):484-92.

Birati Y, Yefet E, Perlitz Y, Shehadeh N, Spitzer S. Cultural and Digital Health Literacy Appropriateness of App- and Web-Based Systems Designed for Pregnant Women with Gestational Diabetes Mellitus: Scoping Review. J Med Internet Res. 2022;24(10):e37844.

Sandborg J, Söderström E, Henriksson P, Bendtsen M, Henström M, Leppänen MH, et al. Effectiveness of a Smartphone App to Promote Healthy Weight Gain, Diet, and Physical Activity During Pregnancy (HealthyMoms): Randomized Controlled Trial. JMIR MHealth UHealth. 2021;9(3):e26091.

Ruiz-Burga E, Bruijning-Verhagen P, Palmer P, Sandcroft A, Fernandes G, de Hoog M, et al. Detection of Potential Arbovirus Infections and Pregnancy Complications in Pregnant Women in Jamaica Using a Smartphone App (ZIKApp): Pilot Evaluation Study. JMIR Form Res. 2022;6(7):e34423.

Feroz AS, Afzal N, Seto E. Exploring digital health interventions for pregnant women at high risk for pre-eclamP valuesia and eclamP valuesia in low-income and-middle-income countries: a scoping review. BMJ Open. 2022;12(2):e056130.

Pierce P, Whitten M, Hillman S. The impact of digital healthcare on vulnerable pregnant women: A review of the use of the MyCare app in the maternity department at a central London tertiary unit. Front Digit Health. 2023;5.

Hussain A, Mkpojiogu EOC, Fadzil N, Hassan N, Zaaba ZF. A Mobile Usability Evaluation of a Pregnancy App. J Telecommun Electron Comput Eng JTEC. 2018;10(1-11):13-8.

Sweet L, Vasilevski V, Murphy MK, Giarusso MR. P18 - Evaluation of the EVE app in maternity care at Western Health. Women Birth. 2023;36:S38.

Sharma S, Soni S, Kaushik S, Kalaivani M, Dadhwal V, Sharma KA, et al. SwasthGarbh: A Smartphone App for Improving the Quality of Antenatal Care and Ameliorating Maternal-Fetal Health. IEEE J Biomed Health Inform. 2023;27(6):2729-38.

Ainscough KM, O’Brien EC, Lindsay KL, Kennelly MA, O’Sullivan EJ, O’Brien OA, et al. Nutrition, Behavior Change and Physical Activity Outcomes From the PEARS RCT—An mHealth-Supported, Lifestyle Intervention Among Pregnant Women With Overweight and Obesity. Front Endocrinol. 2020;10.

Devkate P, Mathew B, Patel K, Halpati S, Dhodi D, Halpati V, et al. Asian Journal of Nursing Education and Research A study to assess the knowledge regarding self-management of minor ailments in pregnancy among antenatal mothers. Asian J Nurs Educ Res. 2022;12:2349-996.

Iyawa GE, Dansharif AR, Khan A. Mobile app values for self-management in pregnancy: a systematic review. Health Technol. 2021;11(2):283-94.

Chan KL, Chen M. Effects of Social Media and Mobile Health ApP values on Pregnancy Care: Meta-Analysis. JMIR MHealth UHealth. 2019;7(1):e11836.

Atukunda EC, Siedner MJ, Obua C, Musiimenta A, Ware NC, Mugisha S, et al. Evaluating the Feasibility, Acceptability, and Preliminary Efficacy of SupportMoms-Uganda, an mHealth-Based Patient-Centered Social Support Intervention to Improve the Use of Maternity Services Among Pregnant Women in Rural Southwestern Uganda: Randomized Controlled Trial. JMIR Form Res. 2023;7(1):e36619.

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Published

2024-04-26

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Section

Original Research Articles