Digital Maternity Records: Motivation, Acceptance, Requirements, Usability and Prototype Evaluation of an Interface for Physicians and Midwives

Dörflinger, Luisa; Nissen, Michael D.; Jäger, Katharina; Wirth, Markus; Titzmann, Adriana; Pontones, Constanza; Fasching, Peter A.; Beckmann, Matthias W.; Gradl, Stefan; Eskofier, Bjoern M.

doi:10.1145/3473856.3473994

Cited by 3 publications

(2 citation statements)

References 13 publications

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“…DMRs have the potential to alleviate media discontinuties [ 23 ]. They can improve information flow from women to caregivers as well as between caregivers.…”

Section: Discussionmentioning

confidence: 99%

“…A survey administered to 68 pregnant participants revealed that the pregnancy calculator, estimated date of birth, and body calculator were particularly relevant for pregnant women, and 80.9% of participants stated the system was useful for their pregnancy. In a previous study, we investigated the use of a DMR interface by physicians and midwives [ 23 ]. The completion time for DMR data entries was about 30% higher, while the average number of errors was lower, compared to the analogue version.…”

Section: Introductionmentioning

confidence: 99%

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Usability and Perception of a Wearable-Integrated Digital Maternity Record App in Germany: User Study

Nissen,

Perez,

Jaeger

et al. 2023

JMIR Pediatr Parent

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Background Although digital maternity records (DMRs) have been evaluated in the past, no previous work investigated usability or acceptance through an observational usability study. Objective The primary objective was to assess the usability and perception of a DMR smartphone app for pregnant women. The secondary objective was to assess personal preferences and habits related to online information searching, wearable data presentation and interpretation, at-home examination, and sharing data for research purposes during pregnancy. Methods A DMR smartphone app was developed. Key features such as wearable device integration, study functionalities (eg, questionnaires), and common pregnancy app functionalities (eg, mood tracker) were included. Women who had previously given birth were invited to participate. Participants completed 10 tasks while asked to think aloud. Sessions were conducted via Zoom. Video, audio, and the shared screen were recorded for analysis. Task completion times, task success, errors, and self-reported (free text) feedback were evaluated. Usability was measured through the System Usability Scale (SUS) and User Experience Questionnaire (UEQ). Semistructured interviews were conducted to explore the secondary objective. Results A total of 11 participants (mean age 34.6, SD 2.2 years) were included in the study. A mean SUS score of 79.09 (SD 18.38) was achieved. The app was rated “above average” in 4 of 6 UEQ categories. Sixteen unique features were requested. We found that 5 of 11 participants would only use wearables during pregnancy if requested to by their physician, while 10 of 11 stated they would share their data for research purposes. Conclusions Pregnant women rely on their medical caregivers for advice, including on the use of mobile and ubiquitous health technology. Clear benefits must be communicated if issuing wearable devices to pregnant women. Participants that experienced pregnancy complications in the past were overall more open toward the use of wearable devices in pregnancy. Pregnant women have different opinions regarding access to, interpretation of, and reactions to alerts based on wearable data. Future work should investigate personalized concepts covering these aspects.

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“…DMRs have the potential to alleviate media discontinuties [ 23 ]. They can improve information flow from women to caregivers as well as between caregivers.…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Usability and Perception of a Wearable-Integrated Digital Maternity Record App in Germany: User Study

Nissen,

Perez,

Jaeger

et al. 2023

JMIR Pediatr Parent

Self Cite

View full text Add to dashboard Cite

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LCBuddy: Towards a Smartphone-based Self-Assessment Tool for Postpartum Patients With Breast Pain

De Souza,

Chamberlain,

Wang

2024

Extended Abstracts of the CHI Conference on Human Factors in Computing Systems

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Smartphone pregnancy apps: systematic analysis of features, scientific guidance, commercialization, and user perception

Nissen,

Huang,

Jäger

et al. 2024

BMC Pregnancy Childbirth

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Background Over 50% of pregnant women use pregnancy applications (apps). Some app s lack credibility, information accuracy, and evidence-based clinical advice, containing potentially harmful functionality. Previous studies have only conducted a limited analysis of pregnancy app functionalities, expert involvement/evidence-based content, used commercialization techniques, and user perception. Methods We used the keyword “pregnancy” to scrape (automatically extract) apps and app information from Apple App Store and Google Play. Unique functionalities were derived from app descriptions and user reviews. App descriptions were screened for evidence-based content and expert involvement, and apps were subsequently analyzed in detail. Apps were opened and searched for used commercialization techniques, such as advertisements or affiliate marketing. Automated text analysis (natural language processing) was used on app reviews to assess users’ perception of evidence-based content/expert involvement and commercialization techniques. Results In total, 495 apps were scraped. 226 remained after applying exclusion criteria. Out of these, 36 represented 97%/88% of the total market share (Apple App Store/Google Play), and were thus considered for review. Overall, 49 distinct functionalities were identified, out of which 6 were previously unreported. Functionalities for fetal kick movement counting were found. All apps are commercial. Only 15 apps mention the involvement of medical experts. 10.3% of two-stars user reviews include commercial topics, and 0.6% of one-/two-/three-/five stars user reviews include references to scientific content accuracy. Conclusion Problematic features and inadequate advice continue to be present in pregnancy apps. App developers should adopt an evidence-based development approach and avoid implementing as many features as possible, potentially at the expense of their quality or over-complication (“feature creep”). Financial incentives, such as grant programs, could support adequate content quality. Caregivers play a key role in pregnant individuals’ decision-making, should be aware of potential dangers, and could guide them to trustworthy apps.

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Digital Maternity Records: Motivation, Acceptance, Requirements, Usability and Prototype Evaluation of an Interface for Physicians and Midwives

Cited by 3 publications

References 13 publications

Usability and Perception of a Wearable-Integrated Digital Maternity Record App in Germany: User Study

Usability and Perception of a Wearable-Integrated Digital Maternity Record App in Germany: User Study

LCBuddy: Towards a Smartphone-based Self-Assessment Tool for Postpartum Patients With Breast Pain

Smartphone pregnancy apps: systematic analysis of features, scientific guidance, commercialization, and user perception

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