Department of Biosciences and Nutrition, Karolinska Institutet, Huddinge, Sweden.
Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.
JMIR Mhealth Uhealth. 2021 Mar 5;9(3):e26159. doi: 10.2196/26159.
Excessive gestational weight gain (GWG) is common and associated with negative health outcomes for both mother and child. Mobile health-delivered lifestyle interventions offer the potential to mitigate excessive GWG. The effectiveness of a smartphone app (HealthyMoms) was recently evaluated in a randomized controlled trial. To explore the users' experiences of using the app, a qualitative study within the HealthyMoms trial was performed.
This qualitative study explored participants' engagement and satisfaction with the 6-month usage of the HealthyMoms app.
A total of 19 women (mean age: 31.7, SD 4.4 years; mean BMI: 24.6, SD 3.4 kg/m; university degree attainment: 13/19, 68%; primiparous: 11/19, 58%) who received the HealthyMoms app in a randomized controlled trial completed semistructured exit interviews. The interviews were audiorecorded and fully transcribed, coded, and analyzed using thematic analysis with an inductive approach.
Thematic analysis revealed a main theme and 2 subthemes. The main theme, "One could suit many: a multifunctional tool to strengthen women's health during pregnancy," and the 2 subthemes, "Factors within and beyond the app influence app engagement" and "Trust, knowledge, and awareness: aspects that can motivate healthy habits," illustrated that a trustworthy and appreciated health and pregnancy app that is easy to use can inspire a healthy lifestyle during pregnancy. The first subtheme discussed how factors within the app (eg, regular updates and feedback) were perceived to motivate both healthy habits and app engagement. Additionally, factors beyond the app were described to both motivate (eg, interest, motivation, and curiosity) and limit (eg, pregnancy-related complications, lack of time) app engagement. The second subtheme reflected important aspects, such as high trustworthiness of the app, increased knowledge, and awareness from using the app, which motivated participants to improve or maintain healthy habits during pregnancy.
The HealthyMoms app was considered a valuable and trustworthy tool to mitigate excessive GWG, with useful features and relevant information to initiate and maintain healthy habits during pregnancy.
ClinicalTrials.gov NCT03298555; https://clinicaltrials.gov/ct2/show/NCT03298555.
INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): RR2-10.2196/13011.
过度的孕期体重增加（GWG）很常见，会对母婴双方的健康产生负面影响。移动医疗提供的生活方式干预有可能减轻过度的 GWG。最近，一项智能手机应用程序（HealthyMoms）的随机对照试验评估了其有效性。为了探索用户使用该应用程序的体验，在 HealthyMoms 试验中进行了一项定性研究。
这项定性研究探讨了参与者在使用 HealthyMoms 应用程序 6 个月后的参与度和满意度。
19 名女性（平均年龄：31.7 岁，标准差 4.4 岁；平均 BMI：24.6 千克/平方米，标准差 3.4kg/m；大学学历：13/19，68%；初产妇：11/19，58%）参与了随机对照试验，她们在试验期间使用了 HealthyMoms 应用程序。完成半结构化退出访谈后，对这些参与者进行了采访。采访内容被录音并完整记录，然后使用主题分析方法进行分析，该方法采用归纳法。
主题分析揭示了一个主要主题和两个子主题。主要主题是“一个应用程序满足多种需求：在怀孕期间增强女性健康的多功能工具”，两个子主题分别是“应用程序内和应用程序外的因素影响应用程序的参与度”和“信任、知识和意识：可以促进健康习惯的方面”。这两个子主题表明，一个值得信赖且广受欢迎的、易于使用的健康和怀孕应用程序可以激发怀孕期间的健康生活方式。第一个子主题讨论了应用程序内的因素（例如定期更新和反馈）如何被认为可以激励健康习惯和应用程序的参与度。此外，还描述了应用程序之外的因素，这些因素既可以激励（例如兴趣、动机和好奇心），也可以限制（例如妊娠相关并发症、缺乏时间）应用程序的参与度。第二个子主题反映了一些重要方面，例如应用程序的高可信度、使用应用程序增加的知识和意识，这些方面激励参与者在怀孕期间改善或维持健康习惯。
HealthyMoms 应用程序被认为是一种有价值且值得信赖的工具，可以减轻过度的 GWG，其具有有用的功能和相关信息，可以在怀孕期间帮助人们养成健康的习惯。
ClinicalTrials.gov NCT03298555；https://clinicaltrials.gov/ct2/show/NCT03298555。
国际注册报告标识符（IRRID）：RR2-10.2196/13011。
