Smartphone-based prenatal education for parents with preterm birth risk factors

Kim, U. Olivia; Barnekow, Kris; Ahamed, Sheikh Iqbal; Dreier, Shannon; Jones, Cresta; Taylor, M.; Hasan, Kamrul; Basir, Mir

doi:10.1016/j.pec.2018.10.024

Cited by 31 publications

(40 citation statements)

References 53 publications

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“…Text rather than video limits the applicability to families with lower health literacy, but not every family has access to reliable internet to support video clinic visits as compared to the 97% of families in the world with access to a smart phone [ 24 – 27 ]. Similarly, patient portals directly connected to the electronic health record would allow more direct communication with members of the health care team; however, participants may be more likely to respond to a text message than log onto a patient portal [ 27 – 29 ]. In that context, it was interesting that an increasing proportion of parents agreed to participate in this service over time, rather than decreasing as staff returned to the bedside.…”

Section: Discussionmentioning

confidence: 99%

Implementation of a pilot electronic parent support tool in and after neonatal intensive care unit discharge

et al. 2022

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Objective To describe an electronic parent support tool for the neonatal intensive care unit (NICU), and to assess whether support requests changed with staff availability. Methods We implemented secure text- or email-based parent support in the NICU and in the week after discharge. Questionnaires asked whether a parent would like psychology, social work, child life, chaplain, or post-discharge nurse support. Requested referrals were placed, and customized online resources and contacts were provided. We assessed whether requests changed based on in-person resource availability. Results Of 378 infants in our NICU from May to December, 202 parents agreed to participate. The proportion agreeing to participate increased over time (38–59%, p = 0.012). Post-discharge nurse requests decreased over time (90–45%, p = 0.033); other requests did not change significantly. Conclusions An electronic tool increased parent support availability in the NICU and following discharge, even after staff were available at the bedside.

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Section: Discussionmentioning

confidence: 99%

Implementation of a pilot electronic parent support tool in and after neonatal intensive care unit discharge

et al. 2022

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“…However, this gap between the “actual” and “recommended” practices can be bridged by utilizing additional evidence-based resources such as printed handouts, visual aids, or digital bedside information. 9 13 14 15 Such tools provide the family 24/7 access to reliable information while also allowing the counselor to focus, during the 30-minute consult, information prioritized based on GA and parental needs.…”

Section: Discussionmentioning

confidence: 99%

“…16 The inclusion of parents through antenatal education with the smartphone-based Preemie Prep for Parents (P3) application increased their participation in the high-risk pregnancy. 15 Alternatively, hospitals can facilitate the use of readily available video-calling technology (e.g., FaceTime or Skype) by counselors to have the support-person virtually participate in the counseling.…”

Section: Discussionmentioning

confidence: 99%

The 30-Minute Sprint: Recognizing Intrapartum Prematurity Counseling Limitations

Georgescu

Muthusamy

Basir

2021

J Pediatr Intensive Care

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Describe the characteristics and content of intrapartum counseling provided to women hospitalized for premature birth between 23 and 34 weeks' gestation age (GA). The study was conducted between April and December 2009 in two teaching hospitals with labor and delivery units and level 3 neonatal intensive care units. Counselors completed a postcounseling survey. From 60 sessions, 46 surveys were collected. The median counseling duration was 30 minutes; this was not associated with gestational age. The support-person was not present for most (57%) counseling sessions. There was a positive correlation (p = 0.001) between the number of maternal questions and her education. There was no difference in counseling content across the 23 to 34 weeks' GA regarding delivery room care, physical/mental disability, and vision problems. This study of characteristics and content of premature birth counseling for birth between 23 and 34 weeks' GA found that the duration of most sessions is 30 minutes; the father of the baby is not present during counseling for most premature births, and the topics discussed by counselors are fairly similar and extensive irrespective of the GA. These findings highlight the existing contrast between the recommended counseling practices and the actual practice reported by counselors.

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“…The app was pilot tested showing benefits of increasing parent knowledge about preterm birth and the findings are reported in the journal of Patient Education and Counseling. 23 Future research will test the revised P3 App on a larger, diverse, and more robust sample to determine its efficacy in facilitating shared decision making when mothers are at risk for preterm birth. Pictograph of survival rates.…”

Section: Discussionmentioning

confidence: 99%

Giving Voice to Parents in the Development of the Preemie Prep for Parents (P3) Mobile App

Pizur-Barnekow¹,

Kim

Ahamed

et al. 2020

Advances in Neonatal Care

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Background: Parents at risk for preterm birth frequently receive prematurity education when the mother is hospitalized for premature labor. Parental ability to learn and consider the information is limited due to the stress of the hospitalization. A promising approach is dissemination of information to at-risk parents before the birth hospitalization.Purpose: This manuscript describes formative research used to develop smartphone-based prematurity education app for parents at-risk for preterm birth.Methods: Stakeholders were parents with a prior preterm birth. Using stakeholder meeting transcripts, constant comparative analysis was used to reflect upon the parental voice. Results:The parents named the app, Preemie Prep for Parents (P3). Parent perspectives revealed desire for information in the following five categories. (1) Power in knowledge and control: parents want autonomy when learning information that may influence medical decision-making.(2) Content and framing of information: they desire information from a trusted resource that helps promote prenatal health and provides neonatal intensive care information. (3) Displaying content: parents want personalization, push-notifications, pictures displaying fetal development and easy to understand statistics. (4) Providing information without causing harm: they desire non-value laden information and they do not support "gamifying" the app to enhance utilization. (5) Decisionmaking: parents want information that would benefit their decision-making without assuming that parents have a certain outlook on life or particular values.Implications for Practice: These findings support the need for the P3 App to aid in decisionmaking when parents experience preterm birth.

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Smartphone-based prenatal education for parents with preterm birth risk factors

Cited by 31 publications

References 53 publications

Implementation of a pilot electronic parent support tool in and after neonatal intensive care unit discharge

Implementation of a pilot electronic parent support tool in and after neonatal intensive care unit discharge

The 30-Minute Sprint: Recognizing Intrapartum Prematurity Counseling Limitations

Giving Voice to Parents in the Development of the Preemie Prep for Parents (P3) Mobile App

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