Department of Nutrition and Food Hygiene, School of Public Health, Fudan University, Shanghai, China.
Nursing Department, Obstetrics and Gynaecology Hospital of Fudan University, Fudan University, Shanghai, China.
JMIR Mhealth Uhealth. 2019 Jun 18;7(6):e12631. doi: 10.2196/12631.
Hospital-based health promotion resources to assist pregnant women in adopting a healthy lifestyle and optimizing gestational weight gain are important, but with limited effects. Increasingly, women are using mobile apps to access health information during the antenatal period.
The aims of the study were to investigate app-usage by Chinese women during pregnancy and to gain a better understanding of their views and attitudes toward apps containing health information.
A mixed methods study design was applied. Study participants were recruited from 2 maternity hospitals in Shanghai, China, between March and July 2018. A self-administered Web-based survey was conducted with 535 pregnant Chinese women on their sources of health information and reasons for using apps during pregnancy. A total of 4 semistructured focus groups were also conducted with the pregnant women (n=28).
The use of pregnancy-related apps and the internet was common among the respondents. Almost half of the women had used pregnancy-related apps. Specifically, the use of apps for health information declined as pregnancy progressed from 70% (35/50) in the first trimester to 41.3% (143/346) in the third trimester. The main reason for using an app was to monitor fetal development (436/535, 81.5%), followed by learning about nutrition and recording diet in pregnancy (140/535, 26.2%). The women found that the apps were useful and convenient and can support lifestyle modifications during pregnancy. However, some apps also contained misinformation or incorrect information that could cause anxiety as reported by the participants. Many women expressed the need for developing an app containing evidence-based, well-informed, and tailored health information to support them during pregnancy.
The study suggests that apps were widely used by many Chinese women during pregnancy to monitor fetal development, to obtain diet and physical activity information, and to track their body changes. The women highly appreciated the evidence-based information, expert opinions, and tailored advice available on apps. Smartphone apps have the potential to deliver health information for pregnant women.
医院提供的健康促进资源有助于孕妇采用健康的生活方式并优化妊娠体重增加，但效果有限。越来越多的女性在产前期间使用移动应用程序来获取健康信息。
本研究旨在调查中国孕妇使用应用程序的情况，并深入了解她们对包含健康信息的应用程序的看法和态度。
采用混合方法研究设计。研究参与者于 2018 年 3 月至 7 月期间从中国上海的 2 家妇产医院招募。对 535 名中国孕妇进行了一项基于网络的自我管理调查，内容涉及她们获取健康信息的来源以及在怀孕期间使用应用程序的原因。还对这些孕妇（n=28）进行了 4 次半结构化焦点小组讨论。
受访者普遍使用与妊娠相关的应用程序和互联网。近一半的女性使用过与妊娠相关的应用程序。具体而言，随着妊娠的进展，使用健康信息应用程序的情况逐渐减少，从孕早期的 70%（50/50）下降到孕晚期的 41.3%（143/346）。使用应用程序的主要原因是监测胎儿发育（436/535，81.5%），其次是了解营养知识和记录妊娠期间的饮食（140/535，26.2%）。这些女性认为应用程序既有用又方便，可以在怀孕期间支持生活方式的改变。然而，正如参与者所报告的那样，一些应用程序也包含错误或不正确的信息，可能会引起焦虑。许多女性表示需要开发一个包含基于证据、明智且量身定制的健康信息的应用程序来在怀孕期间为她们提供支持。
研究表明，许多中国孕妇在怀孕期间广泛使用应用程序来监测胎儿发育、获取饮食和身体活动信息以及跟踪身体变化。这些女性高度赞赏应用程序上提供的基于证据的信息、专家意见和量身定制的建议。智能手机应用程序有可能为孕妇提供健康信息。
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