The Baby Buddy app: views of first-time mothers understanding and use of a pregnancy and parenting mobile application. (Preprint)

2021 ◽  
Author(s):  
Elizabeth Bailey ◽  
Samantha Nightingale ◽  
Nicky Thomas ◽  
Dawn Coleby ◽  
Toity Deave ◽  
...  
Keyword(s):  
Health Care Professionals ◽  
Health Management ◽  
Digital Health ◽  
Structured Interviews ◽  
Management Tools ◽  
Cyclical Pattern ◽  
First Time Mothers ◽  
The Rich ◽  
Rich Data ◽  
First Time

BACKGROUND Internationally, there is an increasing emphasis on early intervention in the first 1000 days to support pregnant mothers and optimise the health and development of newborns. To increase intervention reach, digital and app-based interventions have been advocated. This paper reports on the qualitative arm of the independent multicomponent evaluation of the Baby Buddy app, a pregnancy related app supported by several professional bodies and developed by a UK young child health and wellbeing charity Best Beginnings. OBJECTIVE To understand when, why and how first-time mothers use the Baby Buddy app and the perceived potential benefits. METHODS An Appreciative Inquiry (AI) qualitative approach was used with semi-structured interviews (n = 17) undertaken with pregnant mother either by telephone or in a focus group. Thematic analysis was used to synthesise the rich data and present findings. RESULTS Four over-riding themes were collated with regard to women’s use of the Baby Buddy app and its influence on interactions with health care professionals and family: Accessibility of information, Knowledge, Reassurance and Reliability, and Confidence. CONCLUSIONS The findings demonstrated a cyclical pattern between the emergent themes, which could provide a framework on which to support first-time mothers’ engagement with digital health management tools. CLINICALTRIAL NA INTERNATIONAL REGISTERED REPORT RR2-10.1017/S1463423618000294

scholarly journals All that Glitters Is not Gold: Consumer Health Informatics and Education in the Era of Social Media and Health Apps

2016 ◽  
Vol 25 (01) ◽  
pp. 188-193 ◽  
Author(s):  
P. Staccini ◽  
L. Fernandez-Luque ◽  
Keyword(s):  
Social Media ◽  
Health Literacy ◽  
Health Care Professionals ◽  
Health Informatics ◽  
Health Management ◽  
Digital Health ◽  
Unintended Consequences ◽  
Consumer Health Informatics ◽  
Consumer Health ◽  
Chronic Patients

Summary Objective: To summarize the state of the art published during the year 2015 in the areas related to consumer health informatics and education with a special emphasis on unintended consequences of applying mobile and social media technologies in that domain. Methods: We conducted a systematic review of articles published in PubMed with a predefined set of queries, which lead to the selection of over 700 potential relevant articles. Section editors screened those papers on the title, abstract, and finally complete paper basis, taking into account the papers’ relevance for the section topic. The 15 most representative papers were finally selected by consensus between the two section editors and submitted for full review and scoring to external reviewers and the yearbook editors. Based on the final scoring, section editors selected the best five papers. Results: The five best papers can be grouped in two major areas: 1) Digital health literacy and 2) Quality and safety concerns. Regarding health literacy issues of patients with chronic conditions such as asthma, online interventions should rather focus on changing patient beliefs about the disease than on supporting them in the management of their pathology since personally controlled health management systems do not show expected benefits,. Nevertheless, encouraging and training chronic patients for an active online health information–seeking behaviour substantially decreases state anxiety level. Regarding safety and privacy issues, even recommended health-related apps available on mobile phones do not guarantee personal data protection. Furthermore, the analysis indicated that patients undergoing Internet interventions experienced at least one adverse event that might be related to treatment. At least, predictive factors have been identified in order to credit or not a health rumour. Conclusions: Trusting digital and connected health can be achieved if patients, health care professionals, and industrials build a shared model of health data management integrating ethics rules. Only increasing efforts in education with regards of digital health would help reach this goal., This would not resolve all frauds and security issues but at least improve their detection.

scholarly journals Want to Interview a Politician? Ways to Prepare for Digital Vetting by Political Staffers

2019 ◽  
Vol 52 (4) ◽  
pp. 696-700
Author(s):  
Anna Lennox Esselment ◽  
Alex Marland
Keyword(s):  
Qualitative Research ◽  
Reputation Management ◽  
Political Elites ◽  
Risk Averse ◽  
Communications Technology ◽  
Structured Interviews ◽  
Social Scientists ◽  
The Rich ◽  
Rich Data ◽  
Online Reputation

ABSTRACTThis article outlines how the advent of digital-communications technology, particularly social media, has contributed to an increased wariness by political elites to grant interviews to researchers. Errant remarks, misquotes, and comments taken out of context can exact a heavy price. Thus, politicians and their gatekeepers are far more cautious and risk averse than in decades past, which puts qualitative research methods—and the rich data they produce—in peril. Insights drawn from 32 qualitative, semi-structured interviews with social scientists, political journalists, and political staffers in six countries revealed that academics who submit interview requests should expect to be subjected to online scrutiny—a vetting—by gatekeepers before any access is granted. Digital screening aims to assess the authenticity and objectivity of the researcher. Our findings suggest that scholars who want to pursue qualitative research with politicians must practice online reputation management and perhaps even delve into personal marketing.

scholarly journals First-Time Mothers’ Expectations and Experiences of Postnatal Care in England

2020 ◽  
Vol 30 (12) ◽  
pp. 1876-1887
Author(s):  
Jenny McLeish ◽  
Merryl Harvey ◽  
Maggie Redshaw ◽  
Jane Henderson ◽  
Reem Malouf ◽  
...  
Keyword(s):  
Maternity Care ◽  
Postnatal Care ◽  
Trajectory Analysis ◽  
Descriptive Study ◽  
Structured Interviews ◽  
First Time Mothers ◽  
Qualitative Descriptive ◽  
First Time ◽  
In Pregnancy

Postnatal care is the aspect of maternity care with which women in England are least satisfied. Little is known about first-time mothers’ expectations of postnatal care, or how these expectations relate to their experiences and appraisal of care. Thirty-two first-time mothers took part in a longitudinal qualitative descriptive study, based on two semi-structured interviews—the first in pregnancy, and the second 2 to 3 months after birth. Trajectory analysis was used to identify the thematic patterns in the relationships between postnatal care expectations, needs, experiences, and confidence. Five trajectories were identified, showing that mothers’ satisfaction with postnatal care and confidence were primarily influenced not by the extent to which their expectations were met but the varied extent to which their individual postnatal needs were met. Rapid and responsive assessment of needs both antenatally and postnatally, and appropriate adjustment of care, is key in supporting women effectively at this time.

scholarly journals Socio-environmental accounting system in health management: a case study at the Vision Institute

2020 ◽  
Vol 11 (1) ◽  
pp. 195-210
Author(s):  
Tatiana Camasmie Abe ◽  
Simone Miraglia
Keyword(s):  
Environmental Management ◽  
Health Management ◽  
Environmental Accounting ◽  
Accounting System ◽  
Structured Interviews ◽  
Management Tools ◽  
Descriptive Case Study ◽  
Environmental Management Accounting ◽  
Economic Considerations

In recent years, the society has increased the pressure on institutions to improve their social and environmental efforts, in addition to economic considerations in decision-making and internal behavior. This study analyzes the applicability of socio-environmental management tools in the health care sector through the partial application of the Environmental Management Accounting System called SICOGEA – Generation 3. This is an investigative and descriptive case study conducted at the Vision Institute (São Paulo Institute of Studies and Research in Ophthalmology, Brazil), where information was collected through semi-structured interviews. The results demonstrated that the studied institution has a level of general sustainability of 22.4%, which is considered “Weak.” This means that although it conducts certain initiatives for environmental management, the institution may be causing damage to the environment.

scholarly journals The Association Between the Use of Digital Health Management Tools and Subjective Well-Being Among Older Adults

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 498-498
Author(s):  
Mai See Yang ◽  
Haowei Wang ◽  
Yong Kyung Choi
Keyword(s):  
Older Adults ◽  
Depressive Symptoms ◽  
Technology Use ◽  
Health Management ◽  
Digital Health ◽  
Later Life ◽  
Well Being ◽  
Community Dwelling ◽  
Subjective Well Being ◽  
Management Tools

Abstract This study aims to examine the association between the use of digital health management tools and subjective well-being in later life. Research is limited about technology use (e.g., participation in online wellness program, finding medical information, using devices to monitor health) among community dwelling older adults. This study used data from the Health and Retirement study 2012 Module “Technology Use: Barriers and Benefits” (N = 1,416). We used multiple regression methods to test the association between technology use and subjective well-being (i.e., self-rated health, life satisfaction, and depressive symptoms). Over half of the participants reported using technology (58%). The mean age for this group was 68.7 (SD 9.6). Majority of the respondents were female (55%). About 18% were non-Hispanic Blacks, 2% were non-Hispanic other, 11% were Hispanic, and 68% were non-Hispanic Whites. For this sample of technology users, the usage of digital health management included online exercise programs (16%), online wellness programs or health monitoring programs (7%), searching for medical and health information online (43%), digital devices to monitor health (31%), and physical activity-based video game such as Wii Fit (7%). Over 88% of the sample have used at least one of these formats to monitor their health. Results from regression models suggested that the use of any digital health management tools was related to fewer depressive symptoms and better self-reported health. Findings from this study provide insight into how digital health management can protect older adults from poor subjective well-being in later life.

scholarly journals First-time mothers’ experiences of foetal reduction in pregnancy following assisted reproductive technology treatment in Taiwan: a qualitative study

2021 ◽  
Vol 40 (1) ◽  
Author(s):  
Mei-Zen Huang ◽  
Yi-Chin Sun ◽  
Meei-Ling Gau ◽  
Shuby Puthussery ◽  
Chien-Huei Kao
Keyword(s):  
Assisted Reproductive Technology ◽  
Phenomenological Approach ◽  
Reproductive Technology ◽  
Structured Interviews ◽  
First Time Mothers ◽  
Before And After ◽  
Big Picture ◽  
First Time ◽  
Experiences Of Women ◽  
Mothers Experiences

Abstract Background Foetal reduction—removal of one or more foetuses to reduce the number of foetuses in multiple conceptions—is a procedure used for improving pregnancy outcomes following assisted reproductive technology (ART) treatment. While there is a recognition of the importance of understanding the experiences of women who undergo foetal reduction to offer appropriate help and support, studies that provide relevant insights are sparse. Our aim was to gain an in-depth understanding about first-time mothers’ experiences of foetal reduction following ART treatment in Taiwan. Methods We adopted a qualitative design based on a phenomenological approach for this study. In-depth semi-structured interviews were conducted with seven first-time mothers who underwent foetal reduction following ART treatment at a fertility centre in Taipei, Taiwan. All interviews were recorded, transcribed and analysed using the Colaizzi strategy. Results The views and experiences relating to foetal reduction reflected five key themes: hesitation, ambivalence and distress; the guilt of knowingly terminating a life; rituals and ceremonies to ease the sense of guilt; persuading oneself to consider the ‘big picture’; and wishing for a reunion in next pregnancy. Mothers often regretted that they took clinical advice to implant multiple embryos and then having had to resort to foetal reduction. There was a sense of hesitation, ambivalence and distress reflected in the views from all participants. They believed that they ended the fetuses’ lives knowingly and expressed strong feelings of guilt. Mothers often tried to persuade themselves to look at foetal reduction within the ‘big picture’ of the overall pregnancy outcome. Losing their unborn babies was as an unforgettable incident for most mothers, and they wished for a reunion with the lost baby in the next pregnancy. Conclusion Findings indicate the need for ART providers to undertake a more sensitive approach that involves detailed discussions with women and their families to tailor the embryo transfer processes to suit individual needs. Women who undergo foetal reduction should be provided with tailored interventions towards enhancing their coping strategies before and after foetal reduction taking into account the cultural and religious context.

scholarly journals Exploring the lived experiences of first-time mothers and their partners affected by post-natal depression in rural Sanyati district, Zimbabwe

2020 ◽  
Vol 9 (7) ◽  
pp. 2759
Author(s):  
Mathew Nyashanu ◽  
Thamary Karonga ◽  
Fungisai Mushawa
Keyword(s):  
Rural Communities ◽  
Lived Experiences ◽  
Phenomenological Analysis ◽  
Interpretive Phenomenological Analysis ◽  
Growth Monitoring ◽  
Structured Interviews ◽  
Hospital Data ◽  
Post Natal Depression ◽  
First Time Mothers ◽  
First Time

Background: First time mothers and their partners are faced with a number of challenges including learning new skills and changing roles to meet the baby’s needs. support the new baby. Although an exciting time, the early days of first-time parents is filled with excitement as well as challenges in adapting their lifestyle resulting in pressure and anxiety to look after the baby. The objective of this study was to explore the lived experiences of first-time mothers and their partners affected by post-natal depression (PND) among rural communities.Methods: A collaborative exploratory qualitative approach underpinned by interpretive phenomenological analysis (IPA) was employed. Semi-structured interviews were conducted on ten (10) first time mothers and their partners who came for six-week post-natal care and for growth monitoring up to 6 months post-delivery at Sanyati Baptist hospital. Data were analysed using a thematic approach and guided by the four stages of data analysis in interpretive phenomenological analysis (IPA). N-vivo was used to organize the data to enhance management during analysis.Results: The study showed that first time parents from rural communities felt trapped with childbirth, overwhelmed by changes, resultant disruptive relationships, lack of support and bouts of depression.Conclusions: There is need to improve maternal support for first time mothers in rural communities. First time fathers need to learn new skills and adapt in supporting the baby and mother to prevent depression and marital breakdown.

Su1473 – Technology Utilization in Patients with Cirrhosis and Preferred Features of Digital Health Management Tools

2019 ◽  
Vol 156 (6) ◽  
pp. S-1273-S-1274
Author(s):  
Patricia P. Bloom ◽  
Thomas J. Wang ◽  
Bradley Green ◽  
Madeline Marx ◽  
Jasmine Ha ◽  
...  
Keyword(s):  
Health Management ◽  
Digital Health ◽  
Management Tools ◽  
Technology Utilization

An Overview of Digital Health in the Transition of Pediatric to Adult Epilepsy Care

2020 ◽  
Vol 09 (04) ◽  
pp. 106-113
Author(s):  
Ysabeau Bernard-Willis ◽  
Emily De Oliveira ◽  
Shaheen E Lakhan
Keyword(s):  
Health Management ◽  
Digital Health ◽  
Health Care Systems ◽  
Well Being ◽  
Pediatric Care ◽  
Medical Mistrust ◽  
Patient Portals ◽  
Language Therapy ◽  
Adult Care ◽  
Care Systems

AbstractChildren with epilepsy often have impairments in cognitive and behavioral functioning which may hinder socio-occupational well-being as they reach adulthood. Adolescents with epilepsy have the added worry of health problems while starting the transition from family-centered pediatric care into largely autonomous adult care. If this transition is not appropriately planned and resourced, it may result in medical mistrust, nonadherence, and worsening biopsychosocial health as an adult. In recent years, there has been increased availability of digital health solutions that may be used during this stark change in care and treating teams. The digital health landscape includes a wide variety of technologies meant to address challenges faced by patients, caregivers, medical professionals, and health care systems. These technologies include mobile health products and wearable devices (e.g., seizure monitors and trackers, smartphone passive data collection), digital therapeutics (e.g., cognitive/behavioral health management; digital speech–language therapy), telehealth services (e.g., teleneurology visits), and health information technology (e.g., electronic medical records with patient portals). Such digital health solutions may empower patients in their journey toward optimal brain health during the vulnerable period of pediatric to adult care transition. Further research is needed to validate and measure their impact on clinical outcomes, health economics, and quality of life.

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