ArticleJournal of medical Internet research2019
Health Information Technologies in the Support Systems of Pregnant Women and Their Caregivers: Mixed-Methods Study.
Article in Journal of medical Internet research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 21 citations in OpenAlex.
- Development of the cyberchondria severity scale in pregnancy (CSS-P).BMC pregnancy and childbirth · 2026Article
- Mobile Application for Perceived Stress and Self-Efficacy Management of Caregivers of Elderly Patients With Parkinson's Disease.International journal of telemedicine and applications · 2026Article
- Designing for caregiving networks: a case study of primary caregivers of children with medical complexity.Journal of the American Medical Informatics Association : JAMIA · 2024Article
- Factors associated with COVID-19 misinformation rebuttal among college students: a descriptive study.Frontiers in public health · 2023Article
- Impact of remote prenatal education on program participation and breastfeeding of women in rural and remote Indigenous communities.EClinicalMedicine · 2021Article
- Translational Medicine in the Era of Social Media: A Survey of Scientific and Clinical Communities.Frontiers in medicine · 2019Article
- Article
- Using mHealth to reduce disparities in Black maternal health: Perspectives from Black rural postpartum mothers.Women's health (London, England)Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundThe quality and quantity of families' support systems during pregnancy can affect maternal and fetal outcomes. The support systems of expecting families can include many elements, such as family members, friends, and work or community groups. Emerging health information technologies (eg, social media, internet websites, and mobile apps) provide new resources for pregnant families to augment their support systems and to fill information gaps.
objectiveThis study sought to determine the number and nature of the components of the support systems of pregnant women and their caregivers (eg, family members) and the role of health information technologies in these support systems. We examined the differences between pregnant women's support systems and those of their caregivers and the associations between support system composition and stress levels.
methodsWe enrolled pregnant women and caregivers from advanced maternal-fetal and group prenatal care clinics. Participants completed surveys assessing sociodemographic characteristics, health literacy, numeracy, and stress levels and were asked to draw a picture of their support system. Support system elements were extracted from drawings, categorized by type (ie, individual persons, groups, technologies, and other) and summarized for pregnant women and caregivers. Participant characteristics and support system elements were compared using the Pearson chi-square test for categorical variables and Wilcoxon ranked sum test for continuous variables. Associations between support system characteristics and stress levels were measured with Spearman correlation coefficient.
resultsThe study enrolled 100 participants: 71 pregnant women and 29 caregivers. The support systems of pregnant women were significantly larger than those of caregivers-an average of 7.4 components for pregnant women and 5.4 components for caregivers (P=.003). For all participants, the most commonly reported support system elements were individual persons (408/680, 60.0%), followed by people groups (132/680, 19.4%), technologies (112/680, 16.5%), and other resources (28/680, 4.1%). Pregnant women's and caregivers' technology preferences within their support systems differed-pregnant women more often identified informational websites, apps, and social media as parts of their support systems, whereas caregivers more frequently reported general internet search engines. The size and components of these support systems were not associated with levels of stress.
conclusionsThis study is one of the first demonstrating that technologies comprise a substantial portion of the support systems of pregnant women and their caregivers. Pregnant women more frequently reported specific medical information websites as part of their support system, whereas caregivers more often reported general internet search engines. Although social support is important for maternal and fetal health outcomes, no associations among stress, support system size, and support system components were found in this study. As health information technologies continue to evolve and their adoption increases, their role in patient and caregiver support systems and their effects should be further explored.
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