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向为人父母转变过程中数字技术使用情况的调查:定性研究

Investigation of Digital Technology Use in the Transition to Parenting: Qualitative Study.

作者信息

Donelle Lorie, Hall Jodi, Hiebert Bradley, Jackson Kimberley, Stoyanovich Ewelina, LaChance Jessica, Facca Danica

机构信息

Arthur Labatt Family School of Nursing, Faculty of Health Science, Western University, London, ON, Canada.

Faculty of Health, Community Studies and Public Safety, Fanshawe College, London, ON, Canada.

出版信息

JMIR Pediatr Parent. 2021 Feb 17;4(1):e25388. doi: 10.2196/25388.

Abstract

BACKGROUND

The transition to parenting-that is, the journey from preconception through pregnancy and postpartum periods-is one of the most emotionally charged and information-intense times for individuals and families. While there is a developing body of literature on the use and impact of digital technology on the information behaviors of children, adolescents, and young adults, personal use of digital technology during the transition to parenting and in support of infants to 2 years of age is relatively understudied.

OBJECTIVE

The purpose of this study was to enhance our understanding of the ways digital technologies contribute to the experience of the transition to parenting, particularly the role these technologies play in organizing and structuring emerging pregnancy and early parenting practices.

METHODS

A qualitative descriptive study was conducted to understand new parents' experiences with and uses of digital technology during 4 stages-prenatal, pregnancy, labor, and postpartum-of their transition to becoming a new parent. A purposive sampling strategy was implemented using snowball sampling techniques to recruit participants who had become a parent within the previous 24 months. Focus groups and follow-up interviews were conducted using semistructured interview guides that inquired about parents' type and use of technologies for self and family health. Transcribed audio recordings were thematically analyzed.

RESULTS

A total of 10 focus groups and 3 individual interviews were completed with 26 participants. While recruitment efforts targeted parents of all genders and sexual orientations, all participants identified as heterosexual women. Participants reported prolific use of digital technologies to direct fertility (eg, ovulation timing), for information seeking regarding development of their fetus, to prepare for labor and delivery, and in searching for a sense of community during postpartum. Participants expressed their need for these technologies to assist them in the day-to-day demands of preparing for and undertaking parenting, yet expressed concerns about their personal patterns of use and the potential negative impacts of their use. The 3 themes generated from the data included: "Is this normal; is this happening to you?!", "Am I having a heart attack; what is this?", and "Anyone can put anything on Wikipedia": Managing the Negative Impacts of Digital Information.

CONCLUSIONS

Digital technologies were used by mothers to track menstrual cycles during preconception; monitor, document, and announce a pregnancy during the prenatal stage; prepare for delivery during labor/birth stage; and to help babies sleep, document/announce their birth, and connect to parenting resources during the postpartum stage. Mothers used digital technologies to reassure themselves that their experiences were normal or to seek help when they were abnormal. Digital technologies provided mothers with convenient means to access health information from a range of sources, yet mothers were apprehensive about the credibility and trustworthiness of the information they retrieved. Further research should seek to understand how men and fathers use digital technologies during their transition to parenting. Additionally, further research should critically examine how constant access to information affects mothers' perceived need to self-monitor and further understand the unintended health consequences of constant surveillance on new parents.

摘要

背景

向为人父母的转变,即从受孕前到孕期及产后的这段历程,对个人和家庭而言,是情感最为充沛且信息最为密集的时期之一。虽然关于数字技术对儿童、青少年和年轻人信息行为的使用及影响的文献在不断增多,但在向为人父母转变期间以及在抚养婴儿至2岁阶段个人对数字技术的使用情况,相对而言研究较少。

目的

本研究旨在加深我们对数字技术如何促进向为人父母转变体验的理解,尤其是这些技术在组织和构建新兴的孕期及早期育儿实践中所起的作用。

方法

开展了一项定性描述性研究,以了解初为人父母者在向新父母转变的4个阶段(产前、孕期、分娩期和产后)对数字技术的体验和使用情况。采用目的抽样策略并结合滚雪球抽样技术,招募在过去24个月内成为父母的参与者。使用半结构化访谈指南进行焦点小组讨论和后续访谈,询问父母用于自身和家庭健康的技术类型及使用情况。对转录的音频记录进行主题分析。

结果

共完成了10个焦点小组讨论和3次个人访谈,有26名参与者。虽然招募工作针对所有性别和性取向的父母,但所有参与者均为异性恋女性。参与者报告大量使用数字技术来指导生育(如排卵时间)、寻求有关胎儿发育的信息、为分娩做准备以及在产后寻找社区归属感。参与者表示需要这些技术来帮助他们应对为人父母准备阶段和育儿阶段的日常需求,但也对自己的使用模式及其使用可能产生的负面影响表示担忧。从数据中得出的3个主题包括:“这正常吗;你也这样吗?!”“我是心脏病发作了吗;这是什么?”以及“任何人都能在维基百科上发布任何内容”:应对数字信息的负面影响。

结论

母亲们在受孕前使用数字技术来跟踪月经周期;在产前阶段监测、记录并宣布怀孕;在分娩/生产阶段为分娩做准备;在产后阶段帮助婴儿入睡、记录/宣布婴儿出生并连接育儿资源。母亲们使用数字技术来让自己确信自己的经历是正常的,或者在经历异常时寻求帮助。数字技术为母亲们提供了便捷途径,使其能够从各种来源获取健康信息,但母亲们对所获取信息的可信度和可靠性感到担忧。进一步的研究应致力于了解男性在向为人父母转变过程中如何使用数字技术。此外,进一步的研究应批判性地审视持续获取信息如何影响母亲们自我监测的感知需求,并进一步了解持续监测对初为人父母者产生的意外健康后果。

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