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Health scorecards and electronic patient reported outcome measures (e-PROMs): the sum of us? 健康记分卡和电子患者报告结果测量(e-PROMs):我们的总和?
Pub Date : 2023-10-01 DOI: 10.21037/mhealth-23-38
Clarence Baxter
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引用次数: 0
Leveraging telemedicine in gastroenterology and hepatology: a narrative review 利用远程医疗在胃肠病学和肝病学:叙述回顾
Pub Date : 2023-10-01 DOI: 10.21037/mhealth-23-27
Vahagn Aldzhyan, Carine Tamamian, James H. Tabibian
Background and Objective: Over the years, telemedicine has played a prominent role in delivering healthcare to patients. Due to its flexibility and many benefits, telemedicine confers physicians the ability to guide and promote medical care remotely. The advent of the coronavirus disease 2019 (COVID-19) pandemic has changed the landscape of medicine and has accelerated the usage of digital and remote healthcare systems for clinical care. Herein, we provide an overview of telemedicine, its applications in managing inflammatory bowel disease (IBD), celiac disease (CD), and liver diseases, its advantages and limitations, and its use in educating the next generation of gastroenterologists.
背景与目的:多年来,远程医疗在向患者提供医疗保健方面发挥了重要作用。由于其灵活性和许多好处,远程医疗赋予医生远程指导和促进医疗护理的能力。2019年冠状病毒病(COVID-19)大流行的到来改变了医学格局,并加速了临床护理中数字和远程医疗保健系统的使用。在此,我们提供远程医疗的概述,它在治疗炎症性肠病(IBD),乳糜泻(CD)和肝脏疾病中的应用,它的优点和局限性,以及它在培养下一代胃肠病学家中的应用。
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引用次数: 0
More than a “Commentary”: response to Cassivi and Blanchet Garneau’s “More than juxtaposition” commentary 不仅仅是“评论”:对卡西维和布兰切特·加诺的“不仅仅是并列”评论的回应
Pub Date : 2023-10-01 DOI: 10.21037/mhealth-2023-02
Henry A. Willis, Enrique W. Neblett Jr
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引用次数: 0
More than juxtaposition: a commentary to Willis et al.’s (2023) mixed method study on mobile mental health interventions 不仅仅是并置:对Willis等人(2023)关于流动心理健康干预的混合方法研究的评论
Pub Date : 2023-10-01 DOI: 10.21037/mhealth-23-26
Christine Cassivi, Amélie Blanchet Garneau
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引用次数: 0
Digital health applications from a government-regulated directory of reimbursable health apps in Germany—a systematic review for evidence and bias 来自德国政府管理的可报销健康应用程序目录的数字健康应用程序-对证据和偏见的系统审查
Pub Date : 2023-10-01 DOI: 10.21037/mhealth-23-17
Florian Dittrich, Annabelle Mielitz, Evgenii Pustozerov, Dennis Lawin, Ute von Jan, Urs-Vito Albrecht
Background: The Digital Healthcare Act, passed in November 2019, authorizes healthcare providers in Germany to prescribe digital health applications (DiGA) to patients covered by statutory health insurance. If DiGA meet specific efficacy requirements, they may be listed in a special directory maintained by the German Federal Institute for Drugs and Medical Devices. Due to the lack of well-founded app evaluation tools, the objectives were to assess (I) the evidence quality situation for DiGA in the literature and (II) how DiGA manufacturers deal with this issue, as reflected by the apps available in the aforementioned directory.
背景:2019年11月通过的《数字医疗法案》授权德国的医疗保健提供者向法定健康保险覆盖的患者开数字健康应用程序(DiGA)。如果DiGA符合特定的功效要求,它们可能会被列在德国联邦药物和医疗器械研究所维护的特殊目录中。由于缺乏可靠的应用程序评估工具,我们的目标是评估(I)文献中DiGA的证据质量状况,(II) DiGA制造商如何处理这一问题,这反映在上述目录中可用的应用程序中。
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引用次数: 0
Working towards a ready to implement digital literacy program 致力于准备实施数字扫盲计划
Pub Date : 2023-10-01 DOI: 10.21037/mhealth-23-13
Noy Alon, Sarah Perret, John Torous
Background As healthcare continues to expand online and digital care offerings multiply, the importance of digital inclusion and equity is now better recognized. Yet despite impressive regional grassroots efforts, today there remain few readily deployable programs designed to support patient digital literacy. Methods Digital Outreach for Obtaining Resources and Skills (DOORs) is one such digital literacy program that has evolved over the last 5 years to meet the rising demand. Through community partnerships, the DOORs curriculum and delivery has been updated to make the program more accessible and applicable as Coronavirus Disease 2019 (COVID-19) changes healthcare. Participants’ experience in the most updated iteration of DOORS was assessed through surveys and semi-structured interviews. Results Improvements to DOORs include an updated DOORs curriculum, updated facilitator manual, an online platform with a learning management system, standardized training, patient-facing educational handouts, consolidation of all DOORs materials into a single package that is ready to be shared with other groups, implementation of a single-session intervention model, and Spanish translation. Participants reported improved confidence on 72% of the digital skills assessed. Thematic analysis resulted in three themes: awareness of divide, patient-centered design, and expanded skills and confidence. Conclusions Combined, these changes and participant outcomes better position DOORS to meet the rising need for digital literacy and offers a scalable model for teams across the world.
背景:随着医疗保健不断扩大在线和数字医疗服务,数字包容和公平的重要性现在得到了更好的认识。然而,尽管地区基层做出了令人印象深刻的努力,但目前仍很少有可部署的项目旨在支持患者的数字素养。
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引用次数: 0
Mixed-methods study of development and design needs for CommitFit, an adolescent mHealth App. 对青少年移动医疗应用程序 CommitFit 的开发和设计需求的混合方法研究。
Pub Date : 2023-06-29 eCollection Date: 2023-01-01 DOI: 10.21037/mhealth-22-35
K Taylor Bosworth, Lauren Flowers, Rachel Proffitt, Parijat Ghosh, Richelle J Koopman, Gwen Wilson, Aneesh K Tosh, Amy S Braddock

Background: Adolescent obesity remains a significant public health issue within the United States. Mobile application technology growth and popularity offer new opportunities for research and health improvement. The development of a consolidated mobile health application (mHealth app) for adolescents on these platforms has the potential to improve health outcomes. Thus, this study describes the co-development process working with adolescent users. The aims are as follows: (I) to explore the visual design and functional requirements when developing the CommitFit mHealth app, (II) to uncover the gamification techniques that incentivize adolescents to set and achieve healthy lifestyle goals, and (III) to identify adolescent expectations when using the CommitFit mHealth application.

Methods: In this mixed method study, we used semi-structured interviews/task analysis and surveys of adolescents (aged 13 to 15 years) to understand their user requirements and design preferences during the development of the CommitFit mHealth app. Interviews were conducted online, via Zoom. The survey included the user design industry-standard System Usability Scale (SUS) paired with a supplemental questionnaire on the specific features and functionalities of the CommitFit mHealth app. Participants were recruited from the electronic health record from the University of Missouri Healthcare system.

Results: Ten adolescents, aged 13 to 15 years (average of 13.6 years), were interviewed and surveyed to explore adolescent preferences with visual app design and functionality. Our inductive thematic analysis found that adolescents preferred colorful, user-friendly interfaces paired with gamification in the CommitFit mHealth app. Our analysis of SUS survey data validated our user-centered and human-system design and adolescents confirmed their design, feature, and functionality preferences. Overall, adolescent users were able to confirm their preference to have educational resources, goal recommendations, leaderboard, points, reminders, and an avatar in the app.

Conclusions: Adolescent feedback is crucial in the successful development of our adolescent-targeted mHealth app, CommitFit. Adolescents preferred vibrant colors, easy-to-use interface, gamification, customizable and personalized, and mature graphics. Adolescents were especially motivated by gamification techniques to maintain their interest in the application and their health behavior goals. Additional research is now needed to explore the clinical effectiveness of the CommitFit mHealth app, as a health and lifestyle intervention.

背景:青少年肥胖仍然是美国的一个重大公共卫生问题。移动应用技术的发展和普及为研究和改善健康状况提供了新的机遇。在这些平台上为青少年开发综合移动健康应用(mHealth app)有可能改善健康状况。因此,本研究描述了与青少年用户共同开发的过程。目的如下(I)探索开发 CommitFit 移动医疗应用时的视觉设计和功能要求;(II)揭示激励青少年设定并实现健康生活方式目标的游戏化技术;(III)确定青少年在使用 CommitFit 移动医疗应用时的期望:在这项混合方法研究中,我们采用半结构式访谈/任务分析以及对青少年(13 至 15 岁)进行调查的方法,以了解他们在开发 CommitFit 移动医疗应用程序过程中的用户需求和设计偏好。访谈通过 Zoom 在线进行。调查内容包括用户设计行业标准系统可用性量表(SUS),以及有关 CommitFit 移动医疗应用程序具体特性和功能的补充问卷。参与者是从密苏里大学医疗保健系统的电子健康记录中招募的:我们对 13 至 15 岁(平均 13.6 岁)的 10 名青少年进行了访谈和调查,以了解青少年对可视化应用程序设计和功能的偏好。我们的归纳主题分析发现,青少年更喜欢 CommitFit 移动医疗应用程序中色彩鲜艳、用户友好的界面和游戏化功能。我们对 SUS 调查数据的分析验证了我们以用户为中心和以人为本的系统设计,青少年也确认了他们对设计、特性和功能的偏好。总体而言,青少年用户确认了他们对应用程序中的教育资源、目标推荐、排行榜、积分、提醒和头像的偏好:青少年的反馈意见对我们成功开发针对青少年的移动医疗应用程序 CommitFit 至关重要。青少年喜欢鲜艳的颜色、易于使用的界面、游戏化、可定制和个性化以及成熟的图形。游戏化技术尤其能激励青少年保持对应用程序的兴趣,并实现他们的健康行为目标。现在还需要进行更多的研究,以探索 CommitFit 移动医疗应用程序作为健康和生活方式干预措施的临床效果。
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引用次数: 0
Mixed methods evaluation of pediatric telehealth equity for patients/families who communicate in languages other than English. 针对使用英语以外语言交流的患者/家属的儿科远程保健公平性的混合方法评估。
Pub Date : 2023-05-08 eCollection Date: 2023-01-01 DOI: 10.21037/mhealth-22-43
Lisa Ross DeCamp, Leah Williams, Claire Palmer, Carol Gorman, Christina Olson, Darcy A Thompson

Background: Emerging research demonstrates telehealth disparities for patients who communicate in languages other than English. A better understanding of pediatric telehealth use with families who communicate in languages other than English is needed to inform interventions to promote telehealth equity.

Methods: We conducted a mixed methods study of telehealth care in a children's hospital health system using electronic health record data for outpatient video telehealth encounters from April 2020 to July 2021 and qualitative interviews with clinical staff and Spanish-speaking parents of telehealth patients.

Results: The 16-month study period included 102,387 telehealth encounters; 5% of which were encounters in languages other than English. 83% of languages other than English encounters were with patients/families with a preferred healthcare language of Spanish. 11% of providers conducted ≥10 languages other than English telehealth encounters. This subset of providers conducted 71% of all languages other than English encounters. We conducted 25 interviews with clinical staff (n=13) and parents (n=12). Common themes identified across interviews were: (I) technology barriers affect access to and quality of telehealth; (II) clinical staff and parents are uncertain about the future role of telehealth for patients/families who communicate in languages other than English; (III) the well-known impact of language barriers on in-person healthcare access and quality for patients who communicate in languages other than English is also evident in telehealth.

Conclusions: Patients who communicate in languages other than English were underrepresented among telehealth encounters and encounters were concentrated among few providers. Promoting equitable telehealth care requires investment to address technology barriers, increase the readiness of providers and clinics to provide telehealth care in languages other than English, and continued attention to reducing the healthcare impact of language barriers.

背景:新的研究表明,使用英语以外的语言交流的患者在远程保健方面存在差异。我们需要更好地了解儿科远程医疗在使用英语以外语言的家庭中的使用情况,以便为促进远程医疗公平的干预措施提供信息:我们使用 2020 年 4 月至 2021 年 7 月期间门诊视频远程医疗会诊的电子健康记录数据,以及对临床工作人员和远程医疗患者的西班牙语家长进行的定性访谈,对一家儿童医院医疗系统的远程医疗进行了一项混合方法研究:在为期 16 个月的研究期间,共进行了 102,387 次远程医疗会诊;其中 5%的会诊使用英语以外的语言。83% 的非英语会诊是与首选医疗保健语言为西班牙语的患者/家庭进行的。11% 的医疗服务提供者进行了≥10 次英语以外语言的远程医疗会诊。这一医疗服务提供者子集进行了 71% 的英语以外的其他语言就诊。我们对临床工作人员(13 人)和家长(12 人)进行了 25 次访谈。访谈中发现的共同主题有(I) 技术障碍影响了远程医疗的获取和质量;(II) 临床工作人员和家长对远程医疗在未来对使用英语以外语言交流的患者/家庭的作用不确定;(III) 众所周知,语言障碍对使用英语以外语言交流的患者的现场医疗获取和质量的影响在远程医疗中也很明显:结论:用英语以外的语言交流的患者在远程医疗就诊者中的比例偏低,而且就诊者集中在少数医疗服务提供者中。促进公平的远程医疗保健需要投资以解决技术障碍,提高医疗服务提供者和诊所提供英语以外语言远程医疗保健的准备程度,并持续关注减少语言障碍对医疗保健的影响。
{"title":"Mixed methods evaluation of pediatric telehealth equity for patients/families who communicate in languages other than English.","authors":"Lisa Ross DeCamp, Leah Williams, Claire Palmer, Carol Gorman, Christina Olson, Darcy A Thompson","doi":"10.21037/mhealth-22-43","DOIUrl":"10.21037/mhealth-22-43","url":null,"abstract":"<p><strong>Background: </strong>Emerging research demonstrates telehealth disparities for patients who communicate in languages other than English. A better understanding of pediatric telehealth use with families who communicate in languages other than English is needed to inform interventions to promote telehealth equity.</p><p><strong>Methods: </strong>We conducted a mixed methods study of telehealth care in a children's hospital health system using electronic health record data for outpatient video telehealth encounters from April 2020 to July 2021 and qualitative interviews with clinical staff and Spanish-speaking parents of telehealth patients.</p><p><strong>Results: </strong>The 16-month study period included 102,387 telehealth encounters; 5% of which were encounters in languages other than English. 83% of languages other than English encounters were with patients/families with a preferred healthcare language of Spanish. 11% of providers conducted ≥10 languages other than English telehealth encounters. This subset of providers conducted 71% of all languages other than English encounters. We conducted 25 interviews with clinical staff (n=13) and parents (n=12). Common themes identified across interviews were: (I) technology barriers affect access to and quality of telehealth; (II) clinical staff and parents are uncertain about the future role of telehealth for patients/families who communicate in languages other than English; (III) the well-known impact of language barriers on in-person healthcare access and quality for patients who communicate in languages other than English is also evident in telehealth.</p><p><strong>Conclusions: </strong>Patients who communicate in languages other than English were underrepresented among telehealth encounters and encounters were concentrated among few providers. Promoting equitable telehealth care requires investment to address technology barriers, increase the readiness of providers and clinics to provide telehealth care in languages other than English, and continued attention to reducing the healthcare impact of language barriers.</p>","PeriodicalId":74181,"journal":{"name":"mHealth","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/67/20/mh-09-22-43.PMC10364007.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9866026","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Monitoring health as an opportunity to categorize preventative and early-treatment actions in a self-care journey: our experience with a Healthcare Magenta Scorecard. 监测健康状况是在自我保健旅程中对预防和早期治疗行动进行分类的机会:我们使用保健品红记分卡的经验。
Pub Date : 2023-04-24 eCollection Date: 2023-01-01 DOI: 10.21037/mhealth-22-56
Vinícius Ynoe de Moraes, Rafael Pereira Silva, Camila Kaory Kawagoe, Pedro Ricardo Pereira Távora, Nicolle Cassola, Mário Ferretti

Background: Applying a digital health intervention to measure health and wellbeing status offers opportunities to guide and augment healthcare and promotion. In our scenario, we consider mainly digital-native patients and present an evaluation of a new Healthcare Magenta Scorecard towards this end.

Methods: Grounded in the six domains of health and promotion (physical activity; sleep quality; nutrition; habits/lifestyle; mental health; quality of life) we developed a health Magenta Scorecard (Magenta Score), a mobile based Electronic Patient Reported Outcomes (e-PRO) that measures patients health and wellbeing every 3-5 months. The Magenta Scorecard was derived from previously published evidence-based instruments. We collected data as patients were onboarded into our healthcare system (T0 and T1, time span between measurements, 141 days) and provided correlations among our domains of care.

Results: A total of 1,622 participants responded to T0 and T1 our Magenta Scorecard. Participants mean age was 31.3 [95% confidence interval (CI): 31.2-31.5] years and female (63.4%). Fifty-five percent (n=892) of our sample were categorized as relating to Health and Wellbeing promotion, 8.5% (n=138) disease management, 35.7% (n=579) self-care care support and only 0.8% (n=13) pertained to case management. From our care coordination guided approach, our Magenta Scorecards reported mean improvement across the study cohort of 26 ± standard deviation (SD) points, from T0 (649, 95% CI: 643-656) to T1 (675, 95% CI: 668-682). Our Magenta Scorecard domains had significant, albeit weak spearman correlations.

Conclusions: We demonstrated our Magenta Scorecard rationale and its guided approach. The Magenta Scorecard displayed adequate responsiveness and was significantly correlated across all of the domains investigated. Further prospective research is needed to validate our results in the long term.

背景:应用数字健康干预措施来衡量健康和福祉状况,为指导和加强医疗保健和促进提供了机会。在我们的场景中,我们主要考虑数字原生患者,并为此目的对新的Healthcare Magenta记分卡进行评估。方法:以健康和促进的六个领域为基础(体育活动;睡眠质量;营养;习惯/生活方式;心理健康;我们开发了一种健康Magenta记分卡(Magenta Score),这是一种基于移动的电子患者报告结果(e-PRO),每3-5个月测量一次患者的健康和福祉。Magenta记分卡来源于以前发表的基于证据的工具。我们在患者进入我们的医疗保健系统时收集数据(T0和T1,测量之间的时间跨度,141天),并提供我们护理领域之间的相关性。结果:共有1,622名参与者对我们的Magenta记分卡的T0和T1有反应。参与者的平均年龄为31.3岁[95%可信区间(CI): 31.2-31.5],女性占63.4%。55% (n=892)的样本被归类为与健康和福祉促进有关,8.5% (n=138)的疾病管理,35.7% (n=579)的自我保健护理支持,只有0.8% (n=13)属于病例管理。根据我们的护理协调指导方法,我们的Magenta记分卡报告了整个研究队列中26±标准差(SD)点的平均改善,从T0 (649, 95% CI: 643-656)到T1 (675, 95% CI: 668-682)。我们的品红计分卡域有显著的,尽管是弱的spearman相关性。结论:我们展示了我们的Magenta记分卡原理和它的指导方法。Magenta记分卡显示了足够的反应性,并且在所有被调查的领域中都有显著的相关性。需要进一步的前瞻性研究来长期验证我们的结果。
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引用次数: 1
Development and feasibility of a web-based gestational weight gain intervention for women with pre-pregnancy overweight or obesity. 针对孕前超重或肥胖妇女的基于网络的妊娠体重增加干预措施的开发和可行性。
IF 2.2 Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2023-02-20 eCollection Date: 2023-01-01 DOI: 10.21037/mhealth-22-49
Molly E Waring, Tiffany A Moore Simas, Grace E Heersping, Lauren R Rudin, Kavitha Balakrishnan, Abigail R Burdick, Sherry L Pagoto

Background: Excessive gestational weight gain is associated with negative maternal and infant health outcomes. Digital health approaches may help overcome barriers to participating in lifestyle interventions requiring in-person visits. The purpose of this study was to develop and examine the feasibility of a web-based gestational weight gain intervention.

Methods: Intervention development included feedback and input from pregnant women. We conducted a 12-week one-arm pilot study during which participants engaged in an online discussion board with coaches and other pregnant women, tracked their weight gain with an interactive graph, and accessed a list of online resources for pregnancy health. Feasibility outcomes were recruitment, retention, engagement and sustained participation, intervention acceptability, and website usability. Gestational weight gain was an exploratory outcome.

Results: Participants (n=12) were on average 16.8 [standard deviation (SD): 2.0] weeks gestation with average pre-pregnancy body mass index of 30.5 (SD: 4.8) kg/m2. Participant retention was 92% (n=11). Participants logged into the website a median of 21 times [interquartile range (IQR), 8-37; range, 2-98] over 12 weeks, and 58% (n=7) logged into the website during the last week of the intervention. All participants said they would be very likely or likely to participate again, and 100% said they would be very likely or likely to recommend the intervention to a pregnant friend. In post-intervention interviews, 64% (n=7) explicitly said that the website was easy to use, but 100% (n=11) mentioned usability issues. When asked their preferred intervention platform, 18% (n=2) somewhat or strongly preferred a private website, 18% (n=2) had no preference, and 64% (n=7) somewhat or strongly preferred Facebook. Seventy percent (n=7) had excessive gestational weight gain, 10% (n=1) inadequate gestational weight gain, and 20% (n=2) gained within recommended ranges.

Conclusions: Additional development work is needed before moving to efficacy testing. Most notably, usability issues with the investigator-developed website and participant preference suggest a switch to a commercial social media platform.

背景:妊娠期体重增加过多与母婴健康的不良后果有关。数字健康方法可能有助于克服参与需要亲自访问的生活方式干预的障碍。本研究的目的是开发一种基于网络的妊娠体重增加干预措施,并检验其可行性:方法:干预措施的开发包括孕妇的反馈和意见。我们进行了为期 12 周的单臂试点研究,在此期间,参与者与教练和其他孕妇一起参与在线讨论板,通过互动图表跟踪体重增加情况,并访问孕期健康在线资源列表。可行性结果包括招募、保留、参与和持续参与、干预的可接受性以及网站的可用性。妊娠体重增加是一项探索性结果:参与者(12 人)平均妊娠 16.8 周[标准差(SD):2.0],平均孕前体重指数为 30.5(SD:4.8)kg/m2。参与者保留率为 92%(n=11)。在 12 周内,参与者登录网站的中位数为 21 次[四分位数间距(IQR),8-37;范围,2-98],58%(n=7)的参与者在干预的最后一周登录网站。所有参与者都表示他们很有可能或有可能再次参与,100% 的参与者表示他们很有可能或有可能向怀孕的朋友推荐这项干预措施。在干预后的访谈中,64%(7 人)明确表示网站易于使用,但 100%(11 人)提到了可用性问题。当被问及他们首选的干预平台时,18%(n=2)在某种程度上或强烈偏好私人网站,18%(n=2)没有偏好,64%(n=7)在某种程度上或强烈偏好 Facebook。70%(n=7)妊娠体重增加过多,10%(n=1)妊娠体重增加不足,20%(n=2)体重增加在建议范围内:结论:在进行疗效测试之前,还需要进行更多的开发工作。最值得注意的是,研究者开发的网站的可用性问题和参与者的偏好建议改用商业社交媒体平台。
{"title":"Development and feasibility of a web-based gestational weight gain intervention for women with pre-pregnancy overweight or obesity.","authors":"Molly E Waring, Tiffany A Moore Simas, Grace E Heersping, Lauren R Rudin, Kavitha Balakrishnan, Abigail R Burdick, Sherry L Pagoto","doi":"10.21037/mhealth-22-49","DOIUrl":"10.21037/mhealth-22-49","url":null,"abstract":"<p><strong>Background: </strong>Excessive gestational weight gain is associated with negative maternal and infant health outcomes. Digital health approaches may help overcome barriers to participating in lifestyle interventions requiring in-person visits. The purpose of this study was to develop and examine the feasibility of a web-based gestational weight gain intervention.</p><p><strong>Methods: </strong>Intervention development included feedback and input from pregnant women. We conducted a 12-week one-arm pilot study during which participants engaged in an online discussion board with coaches and other pregnant women, tracked their weight gain with an interactive graph, and accessed a list of online resources for pregnancy health. Feasibility outcomes were recruitment, retention, engagement and sustained participation, intervention acceptability, and website usability. Gestational weight gain was an exploratory outcome.</p><p><strong>Results: </strong>Participants (n=12) were on average 16.8 [standard deviation (SD): 2.0] weeks gestation with average pre-pregnancy body mass index of 30.5 (SD: 4.8) kg/m<sup>2</sup>. Participant retention was 92% (n=11). Participants logged into the website a median of 21 times [interquartile range (IQR), 8-37; range, 2-98] over 12 weeks, and 58% (n=7) logged into the website during the last week of the intervention. All participants said they would be very likely or likely to participate again, and 100% said they would be very likely or likely to recommend the intervention to a pregnant friend. In post-intervention interviews, 64% (n=7) explicitly said that the website was easy to use, but 100% (n=11) mentioned usability issues. When asked their preferred intervention platform, 18% (n=2) somewhat or strongly preferred a private website, 18% (n=2) had no preference, and 64% (n=7) somewhat or strongly preferred Facebook. Seventy percent (n=7) had excessive gestational weight gain, 10% (n=1) inadequate gestational weight gain, and 20% (n=2) gained within recommended ranges.</p><p><strong>Conclusions: </strong>Additional development work is needed before moving to efficacy testing. Most notably, usability issues with the investigator-developed website and participant preference suggest a switch to a commercial social media platform.</p>","PeriodicalId":74181,"journal":{"name":"mHealth","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2023-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/cc/98/mh-09-22-49.PMC10119439.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9386111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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