Indigenous Mothers’ Use of Web- and App-Based Information Sources to Support Healthy Parenting and Infant Health in Canada: Interpretive Description

Abstract

Background Web-based sources of health information are widely used by parents to support healthy parenting and aid in decision making about their infants’ health. Although fraught with challenges such as misinformation, if used appropriately, web-based resources can improve access to health education and promote healthy choices. How Indigenous mothers use web-based information to support their parenting and infants’ health has not yet been investigated; however, web-based modalities may be important methods for mitigating the reduced access to health care and negative health care interactions that many Indigenous people are known to experience. Objective This study aims to understand the experience of Indigenous mothers who use web-based information to support the health of their infants. Methods This interpretive description qualitative study used semistructured interviews and a discussion group to understand how Indigenous mothers living in Hamilton, Ontario and caring for an infant aged <2 years experienced meeting the health needs of their infants. The data presented reflect their experiences of using web-based sources of health information to support their infants’ health. The Two-Eyed Seeing approach was applied to the study design, which ensured that both western and Indigenous worldviews were considered throughout. Results A total of 19 Indigenous mothers participated in this study. The resulting 4 themes included distrusting information, staying anonymous, using visual information to support decision making, and accessing a world of experiences. Although fewer Indigenous mothers used web-based sources of information compared to mothers in the general population in other studies, tailoring web-based modalities to meet the unique needs of Indigenous mothers is an important opportunity for supporting the health and wellness of both mothers and infants. Conclusions Web-based information sources are commonly used among parents, and ever-evolving web-based technologies make this information increasingly available and accessible. Tailoring web-based modalities to meet the unique preferences and needs of Indigenous mothers is an important method for improving their access to reliable and accurate health care information, thereby supporting healthy parenting and promoting infant health.

Two-Eyed Seeing Application in Research Analysis: An Integrative Review

“…Rowan et al (2015), is a scoping review and was included because it applied Two-Eyed Seeing to its analysis process of the scoping review. It is important to note, five articles identified were derived from a single primary study (Wright et al, 2019c, 2019d, 2019e, 2020, 2021). Therefore, Wright et al (2019c) was included to reflect the application of the Two-Eyed Seeing framework and the others were excluded.…”

Expectant Parents’ Preferences for Teaching by Texting: Development and Usability Study of SmartMom

“…Barriers to prenatal class attendance faced by Canadian parents include geography, socioeconomic status, age, education, and Indigenous identity [ 14 , 15 ]. Although Indigenous mothers in Canada report widespread use of Google, Facebook, and health-related apps during pregnancy, mothers distrusted the information as it did not align with what they had received from health care providers [ 16 ].…”