Effectiveness of mobile-based intervention Self-care for Pregnant Women at Work: A randomized controlled trial

Lee, Yaelim; Kim, Seohyeon; Choi, Soeun

doi:10.1002/1348-9585.12402

Cited by 4 publications

(1 citation statement)

References 35 publications

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“…The acceptability of the app in this research exceeded 70% for almost all acceptability items. However, despite this high level of acceptability, to our knowledge, there have been only a few interventions aimed at supporting job adjustment among working pregnant women [ 16 , 35 ]. We must accumulate evidence in the future and develop sophisticated interventions for working pregnant women.…”

Section: Discussionmentioning

confidence: 99%

Feasibility and Usability of the Job Adjustment Mobile App for Pregnant Women: Longitudinal Observational Study

Wada,

Nakamura,

Kawajiri

et al. 2023

JMIR Form Res

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Background Working pregnant women often need to adjust their physically demanding jobs for a healthy pregnancy. However, uncertainty about the extent of these adjustments can hinder their effectiveness. To address this, we developed the Job Adjustment mobile app, which allows users to input job and health details to generate a variety of personalized action plans. As this is the first version of the app, assessing its feasibility and usability is crucial. Objective This study aims to verify the feasibility and usability of the Job Adjustment mobile app. Methods A longitudinal observational study was conducted on pregnant Japanese women who were allowed to use the app anytime from 12 to 34 weeks of gestation; they received reminder emails every 2 weeks encouraging app use. A questionnaire was administered before app use and at 20 and 32 weeks of gestation. Feasibility was evaluated across 4 domains: implementation, demand, acceptability, and adverse events. Implementation was evaluated based on 3 parameters: dropout rate, initial reminder email receipt rate, and adherence rate (measured as pregnant women who used the app at intervals of 2.5 weeks or less). Demand was measured by intervals between use and intervals between log-in, and participants answered 15 questions to assess acceptability. Adverse events were assessed by analyzing the degree of anxiety related to work. Demographic data were analyzed to determine any statistically significant differences in intervals between uses. Usability was evaluated using the System Usability Scale. Results The analysis included 66 pregnant women, and 61% (n=40) of them were multipara. The dropout rate, adherence rate, and initial reminder email receipt rate were 18% (13/71), 44% (29/66), and 79% (52/66) respectively. The median intervals between use and intervals between log-in were 2.94 (IQR 2.00-5.13) weeks and 2.28 (IQR 1.81-4.00) weeks, respectively. Overall, 60% (35/58) to 90% (52/58) of the participants responded positively to all 15 questions assessing acceptability, and no anxiety regarding work was recorded. The mean System Usability Scale score was 66.1 points. Multipara women had significantly longer intervals between app use compared to primipara women (P=.01). Conclusions The results demonstrated acceptable levels of feasibility and usability of the app. However, the low adherence rates, especially among multipara women, suggest the need for modifications to reduce the time burden of the app. Further research should explore more effective and acceptable intervals between use and timing, involving a larger sample and accounting for diverse characteristics of pregnant women. Trial Registration UMIN Clinical Trials Registry UMIN000042943; https://tinyurl.com/ydrchfas

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Section: Discussionmentioning

confidence: 99%

Feasibility and Usability of the Job Adjustment Mobile App for Pregnant Women: Longitudinal Observational Study

Wada,

Nakamura,

Kawajiri

et al. 2023

JMIR Form Res

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Effectiveness of mobile-based intervention Self-care for Pregnant Women at Work: A randomized controlled trial

Lee

Kim

Choi

2023

Journal of Occupational Health

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ObjectivesWhile the number of employed women has increased worldwide, they still have difficulties in practicing prenatal care at work. Previous studies have found that smartphone‐based prenatal education has increased access to healthcare and contributed to improving pregnant women's health. The objective of this study was to evaluate the effectiveness of a mobile‐based intervention—Self‐care for Pregnant Women at Work (SPWW)—in enhancing the self‐care practices of pregnant women who work.MethodsA randomized repeated measures design was used in the study. The 126 women were randomly assigned to either an intervention group that used the SPWW mobile application for 4 weeks or a control group that used an application that only had surveys. Both groups completed surveys at preintervention, week 2, and week 4 of their participation in the study. The primary study variables were work stress, pregnancy stress, fear of childbirth, pregnancy experience, and health practices in pregnancy.ResultsA total of 116 participants' data (60 in the intervention group and 56 in the control group) were analyzed. Significant group‐by‐time interaction effects were noted for pregnancy stress, pregnancy hassles, and health practices in pregnancy. The effect size of the intervention was small to medium for pregnancy stress (d = −0.425), pregnancy uplifts (d = 0.333), pregnancy hassles (d = −0.599), and health practices in pregnancy (d = 0.490).ConclusionsA mobile‐based intervention using a comprehensive health application is effective in pregnant women at work. Developing educational content and methods targeted at this population would be helpful.

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Pregnancy Experience Scale: Original and Brief Versions

DiPietro,

Costigan

2023

International Handbook of Behavioral Health Assessment

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Effectiveness of mobile-based intervention Self-care for Pregnant Women at Work: A randomized controlled trial

Cited by 4 publications

References 35 publications

Feasibility and Usability of the Job Adjustment Mobile App for Pregnant Women: Longitudinal Observational Study

Feasibility and Usability of the Job Adjustment Mobile App for Pregnant Women: Longitudinal Observational Study

Effectiveness of mobile-based intervention Self-care for Pregnant Women at Work: A randomized controlled trial

Pregnancy Experience Scale: Original and Brief Versions

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