一项基于移动健康应用程序的产后教育项目（居家但不孤单）：描述性定性研究
A Mobile Health App-Based Postnatal Educational Program (Home-but not Alone): Descriptive Qualitative Study.
作者信息
Shorey Shefaly, Yang Yen Yen, Dennis Cindy-Lee
机构信息
Alice Lee Centre for Nursing Studies, National University of Singapore, Singapore, Singapore.
Department of Psychiatry, University of Toronto, Toronto, ON, Canada.
出版信息
J Med Internet Res. 2018 Apr 19;20(4):e119. doi: 10.2196/jmir.9188.
BACKGROUND
The postnatal period poses numerous challenges for new parents. Various educational programs are available to support new parents during this stressful period. However, the usefulness of educational programs must be evaluated to ascertain their credibility.
OBJECTIVE
The aim of this descriptive, qualitative study was to explore the views of parents of newborns with regard to the content and delivery of a mobile health (mHealth) app-based postnatal educational program.
METHODS
A qualitative semistructured interview guide was used to collect data from 17 participants who belonged to the intervention group of a randomized controlled trial. The intervention, a 4-week-long access to a mHealth app-based educational program, was evaluated. The interviews were conducted in English and at the participants' homes. Thematic analysis was used to analyze the data. The Consolidated Criteria for Reporting Qualitative Research checklist was used to report the findings.
RESULTS
The interviews revealed 4 main themes: (1) positive features of the mHealth app, (2) advice from midwives, (3) experiences gained from using the mHealth app, and (4) recommendations for the future. The participants evaluated the educational program to be a good source of information that was tailored to the local context. The different modes of delivery, including audio and video, accentuated the accessibility of information. The parents evaluated that the facilitator of the featured communication platform, a midwife, provided trustworthy advice. Belongingness to a virtual community beyond the hospital endowed the parents the confidence that they were not alone and were supported by other parents and health care professionals.
CONCLUSIONS
According to the parents, the mHealth app-based educational program was helpful in supporting a multi-ethnic sample of parents during the postnatal period. This insight indicates that the program could be implemented in a wide community of parents in the postnatal period. The helpfulness of the educational program is a testament of the potential benefits of using telemedicine among new parents postnatally. Resources can also be dedicated toward extending the duration of access to the app beyond 1 month and developing relevant content for parents across the perinatal period.
背景
产后阶段给新父母带来诸多挑战。在此压力时期，有各种教育项目可支持新父母。然而，必须评估教育项目的效用以确定其可信度。
目的
本描述性定性研究旨在探讨新生儿父母对基于移动健康（mHealth）应用程序的产后教育项目内容及提供方式的看法。
方法
采用定性半结构化访谈指南，从随机对照试验干预组的17名参与者收集数据。对为期4周可使用基于mHealth应用程序的教育项目这一干预措施进行评估。访谈以英语在参与者家中进行。采用主题分析法分析数据。使用定性研究报告统一标准清单报告研究结果。
结果
访谈揭示了4个主要主题：（1）mHealth应用程序的积极特性；（2）助产士的建议；（3）使用mHealth应用程序获得的经验；（4）对未来的建议。参与者认为该教育项目是适合当地情况的良好信息来源。包括音频和视频在内的不同提供方式增强了信息的可获取性。父母们认为特色交流平台的促进者——一名助产士提供了可靠的建议。归属医院之外的虚拟社区让父母们有信心他们并不孤单，并得到其他父母和医护人员的支持。
结论
根据父母们的看法基于mHealth应用程序的教育项目在产后阶段有助于支持多民族的父母样本。这一见解表明该项目可在产后广泛的父母群体中实施。该教育项目的效用证明了产后在新父母中使用远程医疗的潜在益处。还可投入资源将应用程序的使用期限延长至1个月以上，并为围产期的父母开发相关内容。
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