Feroz Anam Shahil, Meghani Salima Nazim, Yasmin Haleema, Saleem Sarah, Bhutta Zulfiqar, Arshad Hajraa, Seto Emily
Community Health Sciences Department, Aga Khan University, Karachi 74800, Sindh, Pakistan.
Institute of Health Policy Management and Evaluation, The University of Toronto, Toronto, ON M5T 3M6, Canada.
Healthcare (Basel). 2023 Jan 30;11(3):392. doi: 10.3390/healthcare11030392.
Very little is known about the perspectives of the caregivers on the use of telemonitoring (TM) interventions in low-middle-income countries. Understanding caregivers' perspectives on TM interventions is crucial, given that caregiving activities are correlated with the social, emotional, and clinical outcomes among pregnant women. This study aims to explore caregivers' perspectives and perceived acceptability of a mobile phone-based TM program to support pregnant women at high-risk for preeclampsia. A qualitative description design was used to conduct and analyze 28 semi-structured interviews with a diverse group of caregivers. The study was conducted at the Jinnah Post Graduate Medical Center, Karachi, Pakistan. The caregivers were identified through purposive sampling and additional caregivers were interviewed until the point of data saturation. The conventional content analysis technique was used to analyze digital audio recordings of the caregiver interviews. All caregivers embraced the proposed mobile phone-based TM program because they perceived many benefits, including a reduction in caregivers' anxiety and workload, increased convenience, and cost-effectiveness. However, the caregivers cited several caveats to the future implementation of the TM program including the inability of some women and caregivers to use the TM program and the poor acceptance of the TM system among less educated and non-tech savvy families. Our study recommends developing a TM program to reduce the caregiver stress and workload, designing a context-specific TM program using a user-centric approach, training caregivers on the use of the TM program, sensitizing caregivers on the benefits of the TM program, and developing a low-cost TM program to maximize access.
关于中低收入国家的护理人员对远程监测（TM）干预措施的看法，我们所知甚少。鉴于护理活动与孕妇的社会、情感和临床结局相关，了解护理人员对TM干预措施的看法至关重要。本研究旨在探讨护理人员对基于手机的TM项目的看法以及其可接受性，该项目旨在为子痫前期高危孕妇提供支持。采用定性描述设计对28名不同类型的护理人员进行半结构化访谈并进行分析。研究在巴基斯坦卡拉奇的真纳研究生医学中心开展。通过目的抽样确定护理人员，并持续访谈更多护理人员直至数据饱和。采用传统内容分析技术对护理人员访谈的数字音频记录进行分析。所有护理人员都接受了提议的基于手机的TM项目，因为他们认为该项目有诸多益处，包括减轻护理人员的焦虑和工作量、提高便利性以及具有成本效益。然而，护理人员也指出了TM项目未来实施中的一些注意事项，包括一些女性和护理人员无法使用TM项目，以及在受教育程度较低和不精通技术的家庭中，TM系统的接受度较差。我们的研究建议开发一个TM项目以减轻护理人员的压力和工作量，采用以用户为中心的方法设计针对特定情境的TM项目，对护理人员进行TM项目使用培训，让护理人员了解TM项目的益处，并开发低成本的TM项目以扩大其可及性。
