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mHealth and pregnancy

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https://www.readbyqxmd.com/read/28838887/the-use-of-mobile-apps-and-sms-messaging-as-physical-and-mental-health-interventions-systematic-review
#1
Amy Leigh Rathbone, Julie Prescott
BACKGROUND: The initial introduction of the World Wide Web in 1990 brought around the biggest change in information acquisition. Due to the abundance of devices and ease of access they subsequently allow, the utility of mobile health (mHealth) has never been more endemic. A substantial amount of interactive and psychoeducational apps are readily available to download concerning a wide range of health issues. mHealth has the potential to reduce waiting times for appointments; eradicate the need to meet in person with a clinician, successively diminishing the workload of mental health professionals; be more cost effective to practices; and encourage self-care tactics...
August 24, 2017: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/28821530/whisper-or-shout-study-protocol-of-a-cluster-randomised-controlled-trial-assessing-mhealth-sexual-reproductive-health-and-nutrition-interventions-among-female-sex-workers-in-mombasa-kenya
#2
Frances H Ampt, Collins Mudogo, Peter Gichangi, Megan S C Lim, Griffins Manguro, Matthew Chersich, Walter Jaoko, Marleen Temmerman, Marilyn Laini, Liz Comrie-Thomson, Mark Stoové, Paul A Agius, Margaret Hellard, Kelly L'Engle, Stanley Luchters
INTRODUCTION: New interventions are required to reduce unintended pregnancies among female sex workers (FSWs) in low- and middle-income countries and to improve their nutritional health. Given sex workers' high mobile phone usage, repeated exposure to short messaging service (SMS) messages could address individual and interpersonal barriers to contraceptive uptake and better nutrition. METHODS: In this two-arm cluster randomised trial, each arm constitutes an equal-attention control group for the other...
August 18, 2017: BMJ Open
https://www.readbyqxmd.com/read/28818820/opportunities-of-mhealth-in-preconception-care-preferences-and-experiences-of-patients-and-health-care-providers-and-other-involved-professionals
#3
Matthijs R Van Dijk, Maria Ph Koster, Ageeth N Rosman, Regine Pm Steegers-Theunissen
BACKGROUND: The importance of the preconception period and preconception care (PCC) are broadly acknowledged and the potential benefits regarding health promotion have been studied extensively. PCC provides the opportunity to identify, prevent, and treat modifiable and nonmodifiable risk factors to optimize the health of couples trying to become pregnant. The prevalence of modifiable and nonmodifiable risk factors in these couples is high, but the uptake of PCC remains low. OBJECTIVE: The aim of this study is to identify the preferences and experiences of women and men (patients) trying to become pregnant and of health care providers and other involved professionals regarding mobile health (mHealth), in particular the coaching platform Smarter Pregnancy, and its potential role in PCC...
August 17, 2017: JMIR MHealth and UHealth
https://www.readbyqxmd.com/read/28729309/the-role-of-a-decision-support-smartphone-application-in-enhancing-community-health-volunteers-effectiveness-to-improve-maternal-and-newborn-outcomes-in-nairobi-kenya-quasi-experimental-research-protocol
#4
Pauline Bakibinga, Eva Kamande, Milka Omuya, Abdhalah K Ziraba, Catherine Kyobutungi
INTRODUCTION: Improving maternal and newborn survival remains major aspirations for many countries in the Global South. Slum settlements, a result of rapid urbanisation in many developing countries including Kenya, exhibit high levels of maternal and neonatal mortality. There are limited referral mechanisms for sick neonates and their mothers from the community to healthcare facilities with ability to provide adequate care. In this study, we specifically plan to develop and assess the added value of having community health volunteers (CHVs) use smartphones to identify and track mothers and children in a bid to reduce pregnancy-related complications and newborn deaths in the urban slums of Kamukunji subcounty in Nairobi, Kenya...
July 20, 2017: BMJ Open
https://www.readbyqxmd.com/read/28688924/healthy-preconception-nutrition-and-lifestyle-using-personalized-mobile-health-coaching-is-associated-with-enhanced-pregnancy-chance
#5
Matthijs R van Dijk, Maria P H Koster, Sten P Willemsen, Nicole A Huijgen, Joop S E Laven, Régine P M Steegers-Theunissen
Periconceptional nutrition and lifestyle are essential in pathogenesis and prevention of most reproductive failures, pregnancy outcome and future health. We aimed to investigate whether personalized mobile health (mHealth) coaching empowers couples contemplating pregnancy to increase healthy behaviour and chances of pregnancy. A survey was conducted among 1053 women and 332 male partners who received individual coaching using the mHealth programme 'Smarter Pregnancy' to change poor nutrition and lifestyle for 26 weeks, depending on pregnancy state and gender...
June 27, 2017: Reproductive Biomedicine Online
https://www.readbyqxmd.com/read/28578606/community-health-workers-and-use-of-mhealth-improving-identification-of-pregnancy-complications-and-access-to-care-in-the-dominican-republic
#6
Susan Bonnell, Anne Griggs, Gloria Avila, Jonathan Mack, Ruth A Bush, Julie Vignato, Cynthia D Connelly
This article presents the feasibility and acceptability of using mobile health technology by community health workers (CHWs) in San Juan Province, Dominican Republic, to improve identification of pregnancy complications and access to care for pregnant women. Although most women in the Dominican Republic receive four antenatal care visits, poor women and adolescents in remote areas are more likely to have only one initial prenatal visit to verify the pregnancy. This community-based research began when community leaders raised concern about the numbers of their mothers who died in childbirth annually; San Juan's maternal mortality rate is 144/100,000 compared to the Caribbean rate of 85/100,000...
June 1, 2017: Health Promotion Practice
https://www.readbyqxmd.com/read/28550005/perceptions-of-patient-engagement-applications-during-pregnancy-a-qualitative-assessment-of-the-patient-s-perspective
#7
Maren Goetz, Mitho Müller, Lina Maria Matthies, Jenny Hansen, Anne Doster, Akos Szabo, Jan Pauluschke-Fröhlich, Harald Abele, Christof Sohn, Markus Wallwiener, Stephanie Wallwiener
BACKGROUND: With growing demand for medical information and health applications in pregnancy, the potential of electronic health (eHealth) and mobile health (mHealth) solutions in clinical care is increasingly unfolding. However, we still do not know how pregnant women engage with mobile apps, how such apps impact routine medical care, and whether benefit expectations are met. Whereas recent research has raised the subject of user distribution and analyzed the content of pregnancy applications, there is still a significant knowledge gap regarding what pregnant women like and dislike about pregnancy tools, along with how such interventions could be improved...
May 26, 2017: JMIR MHealth and UHealth
https://www.readbyqxmd.com/read/28473168/periconception-mhealth-platform-for-prevention-of-placental-related-outcomes-and-non-communicable-diseases
#8
Régine P M Steegers-Theunissen
Most placental-related pregnancy complications originate during the first trimester of pregnancy where gene-environmental interactions play a role. The environmental factors also include parental behaviors that can be positive, such as folic acid supplement use, or negative, e.g. poor lifestyle choices like smoking, and nutritional choices that contribute to obesity or micronutrient deficits. The overlapping risk factors associated with non-communicable disease are poor nutrition, smoking, and obesity. These modifiable factors differ between individuals, populations and high, middle and low income countries, but have in common that they are extremely difficult to change...
April 23, 2017: Placenta
https://www.readbyqxmd.com/read/28428159/development-of-a-culturally-tailored-text-message-maternal-health-program-textmatch
#9
Rosie Dobson, Robyn Whittaker, Hannah Bartley, Augusta Connor, Ruyan Chen, Mairead Ross, Judith McCool
BACKGROUND: Mobile phones are increasingly being used to deliver health information and health services globally. Mobile health (mHealth) interventions may be well-suited for minority groups with greater barriers to accessing traditional health services. However, little has been written about the process of culturally adapting interventions for multiple ethnic and cultural minorities within a population. OBJECTIVE: This study describes the process of developing a culturally tailored text message-based maternal health program (TextMATCH: Text for MATernal and Child Health) for Māori, Pacific, Asian, and South Asian families living in New Zealand...
April 20, 2017: JMIR MHealth and UHealth
https://www.readbyqxmd.com/read/28372580/the-effect-of-a-clinical-decision-making-mhealth-support-system-on-maternal-and-neonatal-mortality-and-morbidity-in-ghana-study-protocol-for-a-cluster-randomized-controlled-trial
#10
Hannah Brown Amoakoh, Kerstin Klipstein-Grobusch, Mary Amoakoh-Coleman, Irene Akua Agyepong, Gbenga A Kayode, Charity Sarpong, Diederick E Grobbee, Evelyn K Ansah
BACKGROUND: Mobile health (mHealth) presents one of the potential solutions to maximize health worker impact and efficiency in an effort to reach the Sustainable Development Goals 3.1 and 3.2, particularly in sub-Saharan African countries. Poor-quality clinical decision-making is known to be associated with poor pregnancy and birth outcomes. This study aims to assess the effect of a clinical decision-making support system (CDMSS) directed at frontline health care providers on neonatal and maternal health outcomes...
April 4, 2017: Trials
https://www.readbyqxmd.com/read/28220604/a-mobile-health-intervention-promoting-healthy-gestational-weight-gain-for-women-entering-pregnancy-at-a-high-body-mass-index-the-txt4two-pilot-randomised-controlled-trial
#11
J C Willcox, S A Wilkinson, M Lappas, K Ball, D Crawford, E A McCarthy, B Fjeldsoe, R Whittaker, R Maddison, K J Campbell
OBJECTIVE: To determine the feasibility and effectiveness of an mHealth intervention promoting healthy diet, physical activity and gestational weight gain in pregnant women. DESIGN: Randomised controlled trial (RCT). SETTING: Australian tertiary obstetric hospital. POPULATION: One hundred pregnant women who were overweight or obese prior to pregnancy. METHODS: Women recruited at the first antenatal clinic visit were randomised to either an intervention or a control group...
February 20, 2017: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/28186046/building-research-capacity-results-of-a-feasibility-study-using-a-novel-mhealth-epidemiological-data-collection-system-within-a-gestational-diabetes-population
#12
Allen McLean, Nathaniel Osgood, Jill Newstead-Angel, Kevin Stanley, Dylan Knowles, William van der Kamp, Weicheng Qian, Roland Dyck
Public health researchers have traditionally relied on individual self-reporting when collecting much epidemiological surveillance data. Data acquisition can be costly, difficult to acquire, and the data often notoriously unreliable. An interesting option for the collection of individual health (or indicators of individual health) data is the personal smartphone. Smartphones are ubiquitous, and the required infrastructure is well-developed across Canada, including many remote areas. Researchers and health professionals are asking themselves how they might exploit increasing smartphone uptake for the purposes of data collection, hopefully leading to improved individual and public health...
2017: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/28174149/smartmom-text-messaging-for-prenatal-education-a-qualitative-focus-group-study-to-explore-canadian-women-s-perceptions
#13
Sarah Munro, Amber Hui, Vanessa Salmons, Carolyn Solomon, Emily Gemmell, Nahal Torabi, Patricia A Janssen
BACKGROUND: We engaged Canadian women in the development of a prenatal education program delivered via one-way text messaging called SmartMom. SmartMom is the first peer-reviewed, evidence-based mHealth program for prenatal education in Canada and the first to be endorsed by the Society of Obstetricians and Gynaecologists of Canada. OBJECTIVE: To explore women's preferences for a prenatal education program by text messaging. METHODS: We conducted a qualitative focus group study in three Canadian communities in the Northern Health Authority...
February 7, 2017: JMIR Public Health and Surveillance
https://www.readbyqxmd.com/read/28125970/the-use-of-the-mhealth-program-smarter-pregnancy-in-preconception-care-rationale-study-design-and-data-collection-of-a-randomized-controlled-trial
#14
Matthijs R van Dijk, Elsje C Oostingh, Maria P H Koster, Sten P Willemsen, Joop S E Laven, Régine P M Steegers-Theunissen
BACKGROUND: Unhealthy nutrition and lifestyle contribute to the worldwide rising prevalence of non-communicable diseases. This also accounts for the reproductive population, in which unhealthy behavior affects fertility and pregnancy outcome. Maternal smoking, alcohol consumption and inadequate folic acid supplement use are strongly associated with fetal complications as small for gestational age, premature birth and congenital malformations. In the Netherlands 83% of the perinatal mortality rate is due to these complications and is relatively high compared to other European countries...
January 26, 2017: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/28107805/effectiveness-of-an-sms-based-maternal-mhealth-intervention-to-improve-clinical-outcomes-of-hiv-positive-pregnant-women
#15
Jesse Coleman, Kate C Bohlin, Anna Thorson, Vivian Black, Patricia Mechael, Josie Mangxaba, Jaran Eriksen
We conducted a retrospective study to investigate the effectiveness of an mHealth messaging intervention aiming to improve maternal health and HIV outcomes. Maternal health SMSs were sent to 235 HIV-infected pregnant women twice per week in pregnancy and continued until the infant's first birthday. The messages were timed to the stage of the pregnancy/infant age and covered maternal health and HIV-support information. Outcomes, measured as antenatal care (ANC) visits, birth outcomes and infant HIV testing, were compared to a control group of 586 HIV-infected pregnant women who received no SMS intervention...
January 20, 2017: AIDS Care
https://www.readbyqxmd.com/read/28088232/utilization-of-mobile-phones-for-accessing-menstrual-regulation-services-among-low-income-women-in-bangladesh-a-qualitative-analysis
#16
Chelsea Jordan Messinger, Ilias Mahmud, Sushama Kanan, Yamin Tauseef Jahangir, Malabika Sarker, Sabina Faiz Rashid
BACKGROUND: As many as one-third of all pregnancies in Bangladesh are unplanned, with nearly one-half of these pregnancies ending in either menstrual regulation (MR) or illegal clandestine abortion. Although MR is provided free of charge, or at a nominal cost, through the public sector and various non-profits organizations, many women face barriers in accessing safe, affordable MR and post-MR care. Mobile health (mHealth) services present a promising platform for increasing access to MR among low-income women at risk for clandestine abortion...
January 14, 2017: Reproductive Health
https://www.readbyqxmd.com/read/27899795/the-momconnect-mhealth-initiative-in-south-africa-early-impact-on-the-supply-side-of-mch-services
#17
Peter Barron, Yogan Pillay, Antonio Fernandes, Jane Sebidi, Rob Allen
MomConnect is an mHealth initiative giving pregnant women information via SMS. We report on an analysis of the compliments and especially complaints component of the feedback. We scrutinised the electronic databases containing information on the first seventeen months of operation of MomConnect. During this time, 583,929 pregnant women were registered on MomConnect, representing approximately 46 per cent of pregnant women booking their pregnancy in the public sector in South Africa. These women gave feedback on services received: 4173 compliments and 690 complaints...
November 2016: Journal of Public Health Policy
https://www.readbyqxmd.com/read/27856405/infusing-technology-into-perinatal-home-visitation-in-the-united-states-for-women-experiencing-intimate-partner-violence-exploring-the-interpretive-flexibility-of-an-mhealth-intervention
#18
Loraine J Bacchus, Linda Bullock, Phyllis Sharps, Camille Burnett, Donna L Schminkey, Ana Maria Buller, Jacquelyn Campbell
BACKGROUND: Intimate partner violence (IPV) is common during pregnancy and the postpartum. Perinatal home visitation provides favorable conditions in which to identify and support women affected by IPV. However, the use of mHealth for delivering IPV interventions in perinatal home visiting has not been explored. OBJECTIVE: Our objective was to conduct a nested qualitative interpretive study to explore perinatal home visitors' and women's perceptions and experiences of the Domestic Violence Enhanced Home Visitation Program (DOVE) using mHealth technology (ie, a computer tablet) or a home visitor-administered, paper-based method...
November 17, 2016: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/27543152/effectiveness-of-mhealth-interventions-targeting-health-care-workers-to-improve-pregnancy-outcomes-in-low-and-middle-income-countries-a-systematic-review
#19
REVIEW
Mary Amoakoh-Coleman, Alexander Berend-Jan Borgstein, Stephanie Fv Sondaal, Diederick E Grobbee, Andrea Solnes Miltenburg, Mirjam Verwijs, Evelyn K Ansah, Joyce L Browne, Kerstin Klipstein-Grobusch
BACKGROUND: Low- and middle-income countries (LMICs) face the highest burden of maternal and neonatal deaths. Concurrently, they have the lowest number of physicians. Innovative methods such as the exchange of health-related information using mobile devices (mHealth) may support health care workers in the provision of antenatal, delivery, and postnatal care to improve maternal and neonatal outcomes in LMICs. OBJECTIVE: We conducted a systematic review evaluating the effectiveness of mHealth interventions targeting health care workers to improve maternal and neonatal outcomes in LMIC...
August 19, 2016: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/27383186/the-effects-of-a-locally-developed-mhealth-intervention-on-delivery-and-postnatal-care-utilization-a-prospective-controlled-evaluation-among-health-centres-in-ethiopia
#20
MULTICENTER STUDY
Solomon Shiferaw, Mark Spigt, Michael Tekie, Muna Abdullah, Mesganaw Fantahun, Geert-Jan Dinant
BACKGROUND: Although there are studies showing that mobile phone solutions can improve health service delivery outcomes in the developed world, there is little empirical evidence that demonstrates the impact of mHealth interventions on key maternal health outcomes in low income settings. METHODS: A non-randomized controlled study was conducted in the Amhara region, Ethiopia in 10 health facilities (5 intervention, 5 control) together serving around 250,000 people...
2016: PloS One
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