Wills Jennifer, Byham-Gray Laura, Rothpletz-Puglia Pamela, Sangmo Tenzin, Rosen Todd, Williams Shauna, Suaray Mafudia, Rawal Shristi
Rutgers School of Health Professions, Department of Clinical and Preventive Nutrition Sciences, 65 Bergen St, Suite 120, Newark, NJ 07107, United States.
Rutgers Robert Wood Johnson Medical School, Department of Obstetrics, Gynecology and Reproductive Sciences, 125 Paterson St., Suite 4200, New Brunswick, NJ 08901, United States.
Prev Med Rep. 2025 May 15;55:103108. doi: 10.1016/j.pmedr.2025.103108. eCollection 2025 Jul.
Hypertensive disorders of pregnancy (HDP) contribute to maternal mortality and morbidity globally. Mobile health technologies may improve HDP management through patient education, facilitating patient-provider communication, and supporting blood pressure self-monitoring through tailored feedback and reminder prompts. Our objective was to understand the digital health needs of women with HDP from low-socioeconomic backgrounds.
An interactive HDP management digital prototype was developed and evaluated through usability and acceptability testing. Participants included nine pregnant or postpartum women with diagnosed HDP and three maternal-fetal medicine specialists, recruited from two clinics in a predominantly low-income city, Newark, N.J., in 2024 The Technology Acceptance Model was used to guide the assessment of the prototype's acceptability and usability. Data were collected from interviews, a digital literacy questionnaire, and a system usability questionnaire, with quantitative data analyzed descriptively and qualitative data through content analysis.
The median gestational age among pregnant women was 22.0 (17.0, 29.0) weeks, with 89 % identifying as Black/African American. Most women (78 %) reported moderate or high digital health literacy. The mean System Usability score was 81 ± 17, indicating good usability. Three themes were identified: high acceptability and usability, the importance of tailored feedback, and the need for real-time provider-patient communication to support treatment decisions.
These findings indicate a high acceptability and usability of a digital application for HDP management and home blood pressure monitoring among pregnant and postpartum women diagnosed with HDP and their providers in a low-income urban setting.
妊娠期高血压疾病（HDP）在全球范围内导致孕产妇死亡和发病。移动健康技术可通过患者教育、促进医患沟通以及通过定制反馈和提醒提示支持血压自我监测来改善HDP的管理。我们的目的是了解社会经济背景较低的HDP女性的数字健康需求。
开发了一个交互式HDP管理数字原型，并通过可用性和可接受性测试进行评估。参与者包括9名被诊断为HDP的孕妇或产后妇女以及3名母胎医学专家，于2024年从新泽西州纽瓦克市一个主要为低收入城市的两家诊所招募。技术接受模型用于指导对原型的可接受性和可用性的评估。数据通过访谈、数字素养问卷和系统可用性问卷收集，定量数据进行描述性分析，定性数据通过内容分析进行分析。
孕妇的中位孕周为22.0（17.0，29.0）周，89%的人认定为黑人/非裔美国人。大多数女性（78%）报告数字健康素养中等或较高。系统可用性平均得分为81±17，表明可用性良好。确定了三个主题：高可接受性和可用性、定制反馈的重要性以及支持治疗决策的实时医患沟通的必要性。
这些发现表明，在低收入城市环境中，对于被诊断为HDP的孕妇和产后妇女及其医疗服务提供者而言，一种用于HDP管理和家庭血压监测的数字应用具有较高的可接受性和可用性。
