DOI QR코드

DOI QR Code

Mobile Web-based Education: Engagement and Satisfaction with HiChart among Pregnant Women

  • Kim, Hyo Jin (Red Cross College of Nursing, Chung-Ang University) ;
  • Kang, Hee Sun (Red Cross College of Nursing, Chung-Ang University)
  • Received : 2019.03.12
  • Accepted : 2019.06.10
  • Published : 2019.07.31

Abstract

Purpose: This study aimed to examine engagement and satisfaction with a mobile web-based education program (HiChart) among pregnant women. Methods: A cross-sectional descriptive study was conducted of 97 pregnant women hospitalized for obstetric care. Data were collected from October 1 to November 30, 2016, and were analyzed with descriptive statistics. Results: Among participants, 16.5% engaged fully with HiChart, while 43.3% engaged partially. The overall satisfaction with HiChart was high. Some main reasons for not engaging with the education were participants' unawareness of the text messages, lack of time, and poor internet connection. The participants suggested that more educational content needed to be covered, such as coping with infant emergencies and information about the neonatal intensive care unit. Conclusion: To increase pregnant women's engagement with mobile web-based education, efforts are needed to strengthen the system of sending text messages as part of mobile web-based education to all patients, to inform pregnant women that an educational web link was sent, and to encourage them to engage with mobile web-based education. Furthermore, it is essential to improve the HiChart service by providing educational content corresponding to users' needs.

Keywords

References

  1. Almalik MMA, Mosleh SM. Pregnant women: What do they need to know during pregnancy? A descriptive study. Women and Birth. 2017;30(2):100-106. https://doi.org/10.1016/j.wombi.2016.09.001
  2. Wang HJ, Kim IO. Effects of a mobile web-based pregnancy health care educational program for mothers at an advanced maternal age. Journal of Korean Academy of Nursing. 2015;45(3):337-346. https://doi.org/10.4040/jkan.2015.45.3.337
  3. Downe S, Finlayson K, Tuncalp O, Metin Gulmezoglu A. What matters to women: A systematic scoping review to identify the processes and outcomes of antenatal care provision that are important to healthy pregnant women. BJOG: An International Journal of Obstetrics and Gynaecology. 2016;123(4):529-539. https://doi.org/10.1111/1471-0528.13819
  4. Kim MY, Kim GS, Kim S, Lee HJ. Participation in prenatal education, knowledge and attitude related to delivery, postpartum care, newborn care in nulliparous women. Korean Journal of Women Health Nursing. 2016;22(3):139-150. https://doi.org/10.4069/kjwhn.2016.22.3.139
  5. Carolan M, Frankowska D. Advanced maternal age and adverse perinatal outcome: A review of the evidence. Midwifery. 2011;27(6):793-801. https://doi.org/10.1016/j.midw.2010.07.006
  6. Pugh MA, Revell MA. Using online materials for prenatal education: The good, the bad and the ugly. International Journal of Childbirth Education. 2011;26(4):9-13.
  7. Sercekus P, Baskale H. Effects of antenatal education on fear of childbirth, maternal self-efficacy and parental attachment. Midwifery. 2016;34:166-172. https://doi.org/10.1016/j.midw.2015.11.016
  8. Cummiskey M. There's an app for that smartphone use in health and physical education. Journal of Physical Education, Recreation and Dance. 2011;82(8):24-30. https://doi.org/10.1080/07303084.2011.10598672
  9. Gao LL, Larsson M, Luo SY. Internet use by Chinese women seeking pregnancy-related information. Midwifery. 2013;29(7):730-735. https://doi.org/10.1016/j.midw.2012.07.003
  10. Sayakhot P, Carolan-Olah M. Internet use by pregnant women seeking pregnancy-related information: A systematic review. BMC Pregnancy and Childbirth. 2016;16:65. https://doi.org/10.1186/s12884-016-0856-5
  11. Lee Y, Moon M. Utilization and content evaluation of mobile applications for pregnancy, birth, and child care. Healthcare Informatics Research. 2016;22(2):73-80. https://doi.org/10.4258/hir.2016.22.2.73
  12. Wallwiener S, Muller M, Doster A, Laserer W, Reck C, Pauluschke-Frohlich J, et al. Pregnancy eHealth and mHealth: User proportions and characteristics of pregnant women using Web-based information sources-A cross-sectional study. Archives of Gynecology and Obstetrics. 2016;294(5):937-944. https://doi.org/10.1007/s00404-016-4093-y
  13. Oliveira-Ciabati L, Vieira CS, Franzon ACA, Alves D, Zaratini FS, Braga GC, et al. PRENACEL - A mHealth messaging system to complement antenatal care: A cluster randomized trial. Reproductive Health. 2017;14:146. https://doi.org/10.1186/s12978-017-0407-1
  14. Lau YK, Cassidy T, Hacking D, Brittain K, Haricharan HJ, Heap M. Antenatal health promotion via short message service at a midwife obstetrics unit in South Africa: A mixed methods study. BMC Pregnancy and Childbirth. 2014;14:284. https://doi.org/10.1186/1471-2393-14-284
  15. Norgaard SK, Nichum VL, Barfred C, Juul HM, Secher AL, Ringholm L, et al. Use of the smartphone application "Pregnant with Diabetes". Danish Medical Journal. 2017;64(11):A5417.
  16. Skar JB, Garnweidner-Holme LM, Lukasse M, Terragni L. Women's experiences with using a smartphone app (the Pregnant+App) to manage gestational diabetes mellitus in a randomised controlled trial. Midwifery. 2018;58:102-108. https://doi.org/10.1016/j.midw.2017.12.021
  17. Feroz A, Perveen S, Aftab W. Role of mHealth applications for improving antenatal and postnatal care in low and middle income countries: A systematic review. BMC Health Services Research. 2017;17:704. https://doi.org/10.1186/s12913-017-2664-7
  18. Jackson GP, Robinson JR, Ingram E, Masterman M, Ivory C, Holloway D, et al. A technology-based patient and family engagement consult service for the pediatric hospital setting. Journal of the American Medical Informatics Association. 2018;25(2):167-174. https://doi.org/10.1093/jamia/ocx067
  19. Finkelstein J, Cha EM. Using a mobile app to promote smoking cessation in hospitalized patients. JMIR Mhealth and Uhealth. 2016;4(2):e59. https://doi.org/10.2196/mhealth.5149
  20. Scherer S, Alder J, Gaab J, Berger T, Ihde K, Urech C. Patient satisfaction and psychological well-being after internet-based cognitive behavioral stress management (IB-CBSM) for women with preterm labor: A randomized controlled trial. Journal of Psychosomatic Research. 2016;80:37-43. https://doi.org/10.1016/j.jpsychores.2015.10.011
  21. Baltierra NB, Muessig KE, Pike EC, LeGrand S, Bull SS, Hightow-Weidman LB. More than just tracking time: Complex measures of user engagement with an internet-based health promotion intervention. Journal of Biomedical Informatics. 2016; 59:299-307. https://doi.org/10.1016/j.jbi.2015.12.015
  22. Martin T. Assessing mHealth: Opportunities and barriers to patient engagement. Journal of Health Care for the Poor and Underserved. 2012;23(3):935-941. https://doi.org/10.1353/hpu.2012.0087
  23. Kennedy RA, Mullaney L, Reynolds CM, Cawley S, McCartney DM, Turner MJ. Preferences of women for web-based nutritional information in pregnancy. Public Health. 2017;143:71-77. https://doi.org/10.1016/j.puhe.2016.10.028
  24. Son HM, Je M, Sohn YS. Quality evaluation of online health information related to young child. Child Health Nursing Research. 2018;24(1):91-100. https://doi.org/10.4094/chnr.2018.24.1.91
  25. Ke JXC, George RB, Wozney L, Chorney JL. Patient-centred perioperative mobile application in cesarean delivery: Needs assessment and development. Canadian Journal of Anesthesia. 2019. https://doi.org/10.1007/s12630-019-01392-x
  26. Ludwin S, Greysen SR. Use of smartphones and mobile devices in hospitalized patients: Untapped opportunities for inpatient engagement. Journal of Hospital Medicine. 2015;10(7):459-461. https://doi.org/10.1002/jhm.2365
  27. Lavand'homme P. Long-term problems and chronic pain after Caesarean section. In: Capogna G, editor. Anesthesia for Cesarean section. Switzerland: Springer, Cham; 2017. p. 169-182. https://doi.org/10.1007/978-3-319-42053-0_12
  28. Jallo N, Thacker LRI, Menzies V, Stojanovic P, Svikis DS. A stress coping app for hospitalized pregnant women at risk for preterm birth. MCN: The American Journal of Maternal/Child Nursing. 2017;42(5):257-262. https://doi.org/10.1097/NMC.0000000000000355
  29. Koh HJ, Lim KH. A comparison of the educational needs of the mothers' for the infant care between primipara and multipara. Korean Journal of Child Health Nursing. 2002;8(2):217-228.
  30. Trumello C, Candelori C, Cofini M, Cimino S, Cerniglia L, Paciello M, et al. Mothers' depression, anxiety, and mental representations after preterm birth: A study during the infant's hospitalization in a neonatal intensive care unit. Frontiers in Public Health. 2018;6:359. https://doi.org/10.3389/fpubh.2018.00359