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Using mHealth in postpartum women with pre-eclampsia: Lessons learned from a qualitative study.

Authors
  • Payakachat, Nalin1
  • Rhoads, Sarah2
  • McCoy, Hannah3
  • Dajani, Nafisa4
  • Eswaran, Hari3, 4
  • Lowery, Curtis3, 4
  • 1 Division of Pharmaceutical Evaluation and Policy, College of Pharmacy, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
  • 2 Department of Health Promotion and Disease Prevention, College of Nursing, University of Tennessee Health Science Center, Memphis, TN, USA.
  • 3 Institute for digital Health & Innovation, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
  • 4 Department of Obstetrics & Gynecology, College of Medicine, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Type
Published Article
Journal
International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics
Publication Date
Mar 02, 2020
Identifiers
DOI: 10.1002/ijgo.13134
PMID: 32119129
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

To explore perceptions and attitudes of postpartum women with pre-eclampsia towards remote monitoring (mHealth) and communication with the call center. A non-randomized cohort study was conducted in postpartum hypertensive women, recruited from a tertiary hospital between October 2015 and February 2016. Participants were categorized into users (using mHealth) and non-users (not using mHealth) to monitor vital signs at home over a 2-week period after discharge. Non-users were informed about functionality of mHealth. Both groups participated in a 30-minute phone interview at the end of the study. Directed content analysis of interview transcripts was conducted. In total, 21 users and 16 non-users participated in the interview. Both groups perceived that mHealth helped manage their condition. However, non-users were concerned about the challenge of incorporating mHealth into their routine, whereas users mentioned that they liked using mHealth on a daily basis. They also stated that communication with nurses in the call center was helpful. Barriers identified by users included size of the blood pressure cuffs, size of the equipment set, wireless connection, and stress associated with mHealth monitoring. Users stated that they would have preferred using mHealth during pregnancy. The findings provide useful insights to inform a successful remote monitoring program among perinatal and postpartum women. © 2020 International Federation of Gynecology and Obstetrics.

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