Effectiveness of mobile applications in pregnant women's adherence to prenatal consultations: randomized clinical trial

Souza, Francisca Marta de Lima Costa; Santos, Wenysson Noleto dos; Santos, Rebecca Stefany da Costa; Silva, Vera Lúcia Morais da; Abrantes, Rogéria Moreira de; Soares, Veronica Feitosa Ribeiro; Silva, Richardson Augusto Rosendo da

doi:10.1590/0034-7167-2019-0599

Cited by 15 publications

(16 citation statements)

References 24 publications

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“…Out of 27 studies that were included, 15 (56%) of them were conducted in Africa, [23][24][25][26][27][28][29][30][31][32][33][34][35][36][37] nine were from Asia, 33,[38][39][40][41][42][43][44][45] two were from South America, 46,47 and one Australia/Oceania. 48 The other six studies were from six countries, Zanzibar, Nigeria, Samoa, Guinea, Bangladesh, and Myanmar, each contributing one.…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

Mapping the Role of Digital Health Interventions to Enhance Effective Coverage of Antenatal Care: A Scoping Review

Endehabtu,

Gelaye,

Mengiste

et al. 2024

JMDH

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Background: Antenatal care (ANC) is a core component of maternal health services. However, only half of the pregnant women in LMICs obtain WHO recommended minimum of four antenatal contacts. In addition, ANC 4+ is a commonly used indicator in monitoring ANC utilization. However, contact coverage alone provides no indications of service quality. In recent years, digital health interventions bring opportunities to provide quality maternal health care. Yet, there are few reviews on how digital health interventions contribute to improving effective coverage of antenatal care. A rigorous review that examines the role of digital health interventions in improving effective coverage of antenatal care is needed to examine how digital health solutions were rapidly deployed to support quality antenatal care service delivery. Objective: This review aimed to map evidence on the role of digital health solutions on quality of antenatal care service to enhance effective ANC coverage. Methods: A scoping review approach was used and four Databases (PubMed, Cochrane Library, Scopus and Embase) as well as search engines like Advanced Google Search and Google Scholar were searched from September 1 to 8, 2022. Thematic content analysis was used to present the findings. Results: A total of 1701 articles were searched. A total of 27 full-text studies were included in the final analysis. The most reported use of digital health was for client education and behavior change communication. Most studies showed that digital health interventions have proven effective in improving antenatal care. However, most of the studies did not address to assess the quality of ANC services. Conclusion:In this review, we found out that digital health solutions targeted at pregnant women can improve antenatal care services. There is body of evidence showing the effectiveness of digital health interventions on a range of maternal health outcomes. Few pieces of literature exist on the use of digital health interventions on the quality of antenatal care services. There is a need for more trial and program evaluation studies that examine the role of digital health interventions on the quality of ANC.

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Section: Characteristics Of Included Studiesmentioning

confidence: 99%

Mapping the Role of Digital Health Interventions to Enhance Effective Coverage of Antenatal Care: A Scoping Review

Endehabtu,

Gelaye,

Mengiste

et al. 2024

JMDH

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“…Marko et al [48] performed a prospective controlled trial and demonstrated that a mobile prenatal-care app reduced the number of in-person visits without decreasing patient satisfaction. Many prenatal mobile apps contain similar information about routine prenatal tests and currently have additional functions, such as coaching for blood sugar control in patients with gestational diabetes, thereby contributing to improving society by improving the lives of pregnant women and even helping their mental health [49][50][51][52][53][54][55].…”

Section: The Effect Of Digital Technologies In Pregnancymentioning

confidence: 99%

Effects of Fetal Images Produced in Virtual Reality on Maternal-Fetal Attachment: Randomized Controlled Trial

Lee¹,

Kim²,

Choe³

et al. 2023

J Med Internet Res

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Background Maternal-fetal attachment (MFA) has been reported to be associated with the postpartum mother-infant relationship. Seeing the fetus through ultrasound might influence MFA, and the effect could be increased by more realistic images, such as those generated in virtual reality (VR). Objective The aim was to determine the effect of fetal images generated in VR on MFA and depressive symptoms through a prenatal-coaching mobile app. Methods This 2-arm parallel randomized controlled trial involved a total of 80 pregnant women. Eligible women were randomly assigned to either a mobile app–only group (n=40) or an app plus VR group (n=40). The VR group experienced their own baby’s images generated in VR based on images obtained from fetal ultrasonography. The prenatal-coaching mobile app recommended health behavior for the pregnant women according to gestational age, provided feedback on entered data for maternal weight, blood pressure, and glucose levels, and included a private diary service for fetal ultrasound images. Both groups received the same app, but the VR group also viewed fetal images produced in VR; these images were stored in the app. All participants filled out questionnaires to assess MFA, depressive symptoms, and other basic medical information. The questionnaires were filled out again after the interventions. Results Basic demographic data were comparable between the 2 groups. Most of the assessments showed comparable results for the 2 groups, but the mean score to assess interaction with the fetus was significantly higher for the VR group than the control group (0.4 vs 0.1, P=.004). The proportion of participants with an increased score for this category after the intervention was significantly higher in the VR group than the control group (43% vs 13%, P=.005). The feedback questionnaire revealed that scores for the degree of perception of fetal appearance all increased after the intervention in the VR group. Conclusions The use of a mobile app with fetal images in VR significantly increased maternal interaction with the fetus. Trial Registration ClinicalTrials.gov NCT04942197; https://clinicaltrials.gov/ct2/show/NCT04942197

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“…Pregnant women who used the application attended a greater number of consultations when compared to nonusers. The application showed to be an effective health technology to improve adherence to prenatal care [12]. Similarly, Sultan Özkan Şat et al2021 conducted a crosssectional study on the use of mobile applications by pregnant women and levels of pregnancy distress during the coronavirus pandemic.…”

Section: Limitations Of the Studymentioning

confidence: 99%

Development and validation of an e-health module – PregEx to support antenatal exercise and education

Janani,

Prabha

2023

Fiz Pol

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Background. Pregnancy, childbirth, and motherhood are major life phases in a woman’s life. During these phases, not only do women experience physiological changes but they are also adjusting to their new roles and responsibilities as mothers. The World Health Organization has declared that the benefits of e-health should be considered among the fundamental components of any strategy and most important programs for the collection of pregnancy healthcare information. Hence this study aimed to develop an e-health module to support antenatal exercise and education for pregnant women. Aim. To develop and validate an e-health module to support antenatal exercise and education. Methodology. The development of an e-health module was prepared using the structured antenatal exercise protocol. Face and content validation was done by expert opinion and feedback on the application was obtained. Feedback from the usability evaluation was used to revise the app. The application was named as PregEx. The developed application (PregEx) was validated among fifty antenatal mothers. They were instructed to follow up on antenatal exercises and education and were on follow-up for 2 weeks. Then the feedback on the mobile application was collected from the mothers using a mobile application rating scale (MARS). Results. The overall quality mean scores of the MARS scale was 4.08 ± 0.39. The ratings of MARS app specific responses had shown about 80% were on awareness creating, 90% were knowledge oriented, 71% of the mothers found this app as a help-seeking and satisfaction and about 67% felt it improves the mothers on behavior change. Conclusion. The mobile app (Preg Ex) was user-friendly and feasible for antenatal mothers to understand easily and practice antenatal exercise and education.

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Effectiveness of mobile applications in pregnant women's adherence to prenatal consultations: randomized clinical trial

Cited by 15 publications

References 24 publications

Mapping the Role of Digital Health Interventions to Enhance Effective Coverage of Antenatal Care: A Scoping Review

Mapping the Role of Digital Health Interventions to Enhance Effective Coverage of Antenatal Care: A Scoping Review

Effects of Fetal Images Produced in Virtual Reality on Maternal-Fetal Attachment: Randomized Controlled Trial

Development and validation of an e-health module – PregEx to support antenatal exercise and education

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