ArticleJMIR mHealth and uHealth2020
Challenges in Acceptance and Compliance in Digital Health Assessments During Pregnancy: Prospective Cohort Study.
Article in JMIR mHealth and uHealth, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.
- Understanding Adherence to Digital Health Technologies: Systematic Review of Predictive Factors.Journal of medical Internet research · 2025Pooled it
- Shaping Adoption and Sustained Use Across the Maternal Journey: Qualitative Study on Perceived Usability and Credibility in Digital Health Tools.JMIR human factors · 2024Trial
- Network analysis of symptoms related to quality of life and subjective well-being during pregnancy.Reproductive health · 2026Article
- mHealth apps for maternal mental well-being among pregnant and postpartum women: a systematic review.mHealth · 2026Review
- Towards improved asthma control in children by non-invasive home monitoring.Scientific reports · 2025Article
- Monitoring of Pregnant Women Using the "Risk Identification, Evaluation Counseling, Systematic Monitoring, Troubleshooting" (REST) Mobile App: Protocol for a Cluster Randomized Controlled Trial.JMIR research protocols · 2025Article
- Veterinary-led interventions and owner perceptions of male cat sterilization: Insights from a community-based initiative in Malang, Indonesia.Veterinary world · 2025Article
- A scoping review of digital technologies in antenatal care: recent progress and applications of digital technologies.BMC pregnancy and childbirth · 2025Article
- Acceptability of Gynecologic e-Health Modalities by Hispanic/Latina Women of Reproductive Age.Health policy and technology · 2024Article
- Digital health technologies for high-risk pregnancy management: three case studies using Digilego framework.JAMIA open · 2024Article
- Usage Behaviour and Adoption Criteria for Mobile Health Solutions in Patients with Chronic Diseases in Gastroenterology.Visceral medicine · 2024Article
- Barriers and Facilitators of Digital Health Use for Self-Management of Hypertensive Disorders by Black Pregnant Women.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2024Article
- Wearable device and smartphone data quantify ALS progression and may provide novel outcome measures.NPJ digital medicine · 2023Article
- Feasibility and user acceptability of BreezingSmart health (Amsterdam, Netherlands) · 2023Article
- Reflections on Digital Maternal and Child Health Support for Mothers and Community Health Workers in Rural Areas of Limpopo Province, South Africa.International journal of environmental research and public health · 2023Article
- Article
- Patterns of Engagement With an Application-Based Dietary Self-Monitoring Tool Within a Randomized Controlled Feasibility Trial.AJPM focus · 2022Article
- Health literacy and related behaviour among pregnant women with obesity: a qualitative interpretive description study.BMC pregnancy and childbirth · 2022Article
- Detection of Potential Arbovirus Infections and Pregnancy Complications in Pregnant Women in Jamaica Using a Smartphone App (ZIKApp): Pilot Evaluation Study.JMIR formative research · 2022Article
- Article
Corrections and comments
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Authors and funding
10 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPregnant women are increasingly using mobile apps to access health information during the antenatal period. Therefore, digital health solutions can potentially be used as monitoring instruments during pregnancy. However, a main factor of success is high user engagement.
objectiveThe aim of this study was to analyze engagement and factors influencing compliance in a longitudinal study targeting pregnant women using a digital health app with self-tracking.
methodsDigitally collected data concerning demographics, medical history, technical aspects, and mental health from 585 pregnant women were analyzed. Patients filling out ≥80% of items at every study visit were considered to be highly compliant. Factors associated with high compliance were identified using logistic regression. The effect of a change in mental and physical well-being on compliance was assessed using a one-sample t test.
resultsOnly 25% of patients could be considered compliant. Overall, 63% left at least one visit blank. Influential variables for higher engagement included higher education, higher income, private health insurance, nonsmoking, and German origin. There was no relationship between a change in the number of physical complaints or depressive symptoms and study dropout.
conclusionsMaintaining high engagement with digital monitoring devices over a long time remains challenging. As cultural and socioeconomic background factors had the strongest influence, more effort needs to be directed toward understanding the needs of patients from different demographic backgrounds to ensure high-quality care for all patients. More studies need to report on compliance to disclose potential demographic bias.
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