Evidence map›Paper›PMID 28550005›Full record

ArticleJMIR mHealth and uHealth2017

Perceptions of Patient Engagement Applications During Pregnancy: A Qualitative Assessment of the Patient's Perspective.

Maren Goetz, Mitho Müller, Lina Maria Matthies, Jenny Hansen, Anne Doster, Akos Szabo, Jan Pauluschke-Fröhlich, Harald Abele, Christof Sohn, Markus Wallwiener and 1 more

Abstract read
In one paragraph

Article in JMIR mHealth and uHealth, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

47 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  12. Person-Generated Health Data in Women's Health: Scoping Review.Journal of medical Internet research · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Maren GoetzDepartment of Obstetrics and Gynecology, University of Heidelberg, Heidelberg, Germany.ORCID http://orcid.org/0000-0002-3558-5542
Mitho MüllerDepartment of Psychology, Ludwig Maximilian University, Munich, Germany.ORCID http://orcid.org/0000-0002-8431-540X
Lina Maria MatthiesDepartment of Obstetrics and Gynecology, University of Heidelberg, Heidelberg, Germany.ORCID http://orcid.org/0000-0001-9754-0844
Jenny HansenDepartment of Obstetrics and Gynecology, University of Heidelberg, Heidelberg, Germany.ORCID http://orcid.org/0000-0003-3514-9828
Anne DosterDepartment of Obstetrics and Gynecology, University of Heidelberg, Heidelberg, Germany.ORCID http://orcid.org/0000-0001-8817-4141
Akos SzaboDepartment of Obstetrics and Gynecology, University of Heidelberg, Heidelberg, Germany.ORCID http://orcid.org/0000-0001-9961-5520
Jan Pauluschke-FröhlichDepartment of Obstetrics and Gynecology, University of Tübingen, Tübingen, Germany.ORCID http://orcid.org/0000-0002-2953-3682
Harald AbeleDepartment of Obstetrics and Gynecology, University of Tübingen, Tübingen, Germany.ORCID http://orcid.org/0000-0002-0429-7118
Christof SohnDepartment of Obstetrics and Gynecology, University of Heidelberg, Heidelberg, Germany.ORCID http://orcid.org/0000-0001-9430-4037
Markus WallwienerDepartment of Obstetrics and Gynecology, University of Heidelberg, Heidelberg, Germany.ORCID http://orcid.org/0000-0002-4139-9340
Stephanie WallwienerDepartment of Obstetrics and Gynecology, University of Heidelberg, Heidelberg, Germany.ORCID http://orcid.org/0000-0003-2045-650X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWith 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.

objectiveThe aim of the study was to examine the perceptions and expectations of mobile and Web-based patient-engagement pregnancy applications. We assessed usability requirements, general acceptance of eHealth, and the impact of eHealth and mHealth pregnancy applications on the doctor-patient interaction and daily clinical routine.

methodsA qualitative study was conducted at the maternity department of a major German university hospital. The sample included 30 women with low- to medium-risk pregnancies. Half of the patients were seen during outpatient care and half were hospitalized for several days. The extent and frequency of Web- and mobile phone app usage were assessed. Semistructured interviews were conducted and analyzed using systematic thematic analysis.

resultsPatients had a high demand for Web-based pregnancy applications. Study findings suggested a strong request for personalization, monitoring, and accessibility for frequent use as main themes derived from the interviews. Fostering patient empowerment in the doctor-patient relationship was also highly valued for a pregnancy app. Participants favored further integration of medical apps in their daily routine and pregnancy care. However, concerns were raised about content quality, trustworthiness of Web sources, and individual data security.

conclusionseHealth and mHealth applications are a highly frequented source of information. Expectations and usability requirements for those applications are also high, thus posing a challenge to interdisciplinary service providers. Patients' attitude toward integrating apps in routine care settings was positive with a favorable influence on patient empowerment. Health care professionals should guide pregnant women toward a successful integration of these educational tools in pregnancy care.

Indexed as

information procurementmobile applicationspatient participationpregnancyqualitative researchtelemedicine

Identifiers

PMID28550005
PMCPMC5466700

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.