Söderström Emmie, Alexandrou Christina, Bressanutti Sara, Sandborg Johanna, Lindqvist Anna-Karin, Löf Marie
Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.
Department of Medicine, Karolinska Institutet, Huddinge, Stockholm, Sweden.
Digit Health. 2024 Dec 12;10:20552076241304045. doi: 10.1177/20552076241304045. eCollection 2024 Jan-Dec.
Healthy lifestyle behaviors in pregnancy are important for maternal and offspring health. Mobile health (mHealth) tools have potential to provide support for lifestyle behaviors at scale but such tools are commonly developed only in native languages, limiting reach in migrant populations.
This qualitative study, in two of the largest migrant populations in Sweden (Arabic- and Somali-speaking women), aimed to explore (a) perceptions and needs of knowledge and support related to pregnancy and lifestyle behaviors and (b) needs of and attitudes towards a pregnancy app and how features and content in the app can be adapted to support healthier lifestyle behaviors in migrant women.
Individual semi-structured interviews were conducted with Arabic ( = 10) and Somali-speaking women ( = 9). Data was analyzed using content analysis (inductive latent approach).
Arabic- and Somali-speaking women described an increased need of knowledge regarding pregnancy and lifestyle behaviors. The social environment could both motivate behavior change and be a source of misinformation. Women expressed great trust in maternity healthcare but requested more information related to lifestyle behaviors. A pregnancy app was perceived as a helpful tool to support healthy lifestyle behaviors. Mere translations were suggested to be valuable, however, audio- and video-format to deliver content and inclusion of women's partners in the app were described as desirable adaptations.
Our findings can guide maternity healthcare on what support migrant women need and inform future development of mHealth tools for pregnant migrant populations. Future research should disentangle the degree of cultural adaptations required for mHealth lifestyle interventions provided by healthcare.
孕期的健康生活方式行为对母婴健康至关重要。移动健康（mHealth）工具有可能大规模地为生活方式行为提供支持，但此类工具通常仅以母语开发，限制了其在移民群体中的使用范围。
这项定性研究针对瑞典最大的两个移民群体（讲阿拉伯语和索马里语的女性），旨在探讨（a）与怀孕和生活方式行为相关的知识及支持的认知和需求，以及（b）对一款怀孕应用程序的需求和态度，以及该应用程序的功能和内容如何进行调整，以支持移民女性更健康的生活方式行为。
对10名讲阿拉伯语和9名讲索马里语的女性进行了个人半结构化访谈。使用内容分析（归纳潜在方法）对数据进行分析。
讲阿拉伯语和索马里语的女性表示，她们对怀孕和生活方式行为方面的知识需求有所增加。社会环境既可以促进行为改变，也可能是错误信息的来源。女性对孕产妇保健表示高度信任，但要求提供更多与生活方式行为相关的信息。一款怀孕应用程序被视为支持健康生活方式行为的有用工具。有人认为单纯的翻译就很有价值，然而，以音频和视频形式提供内容以及让女性伴侣参与应用程序被认为是理想的调整方式。
我们的研究结果可以指导孕产妇保健了解移民女性需要哪些支持，并为未来为怀孕移民群体开发移动健康工具提供参考。未来的研究应该理清医疗保健提供的移动健康生活方式干预所需的文化适应程度。
