Including Men in Prenatal Health: The Potential of e-Health to Improve Birth Outcomes

Mackert, Michael; Guadagno, Marie; Donovan, Erin Eileen; Whitten, Pamela

doi:10.1089/tmj.2014.0048

Cited by 20 publications

(28 citation statements)

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“…Some researchers delivered the intervention at the group level, 35 -40, 48, 55 couple level, 43,49,52 or individual level. 10,42,45,46 Studies also differed in whether researchers used a manualized curriculum, who delivered the sessions (eg, nurse versus social worker), when the sessions were delivered (eg, before birth versus after birth), and mode of intervention delivery (eg, in-person versus mobile application) (for details see Table 2). Of the 21 studies, only 4 were categorized as low RoB (ie, scoring 3 or higher) and 17 high RoB (ie, scoring 2 or less) as shown in Table 4.…”

Section: Assessment Of Robmentioning

confidence: 99%

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Father-Inclusive Perinatal Parent Education Programs: A Systematic Review

et al. 2018

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Section: Assessment Of Robmentioning

confidence: 99%

“…Mode of delivery seems to have included both video and in-person sessions. Mackert et al, 45 2015 My Pregnancy Today…”

Section: Father Involvementmentioning

confidence: 99%

Father-Inclusive Perinatal Parent Education Programs: A Systematic Review

et al. 2018

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“…The findings of this particular study answer a call for how to positively engage men in pregnancy health -moving beyond traditional interventions that only target women [18,19]. A preliminary investigation demonstrated the potential of using eHealth to engage men in this issue, and a subsequent study built on that with targeted content developed specifically for men [13,20]. The findings of this national survey confirm this is an effective way to expose men to this important content.…”

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confidence: 54%

Engaging Men in Prenatal Health via eHealth: Findings From a National Survey (Preprint)

Mackert¹,

Guadagno²,

Lazard³

et al. 2017

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BackgroundPregnancy outcomes in the U.S. rank among the worst of countries with a developed healthcare system. While traditional prenatal health primarily focuses on women, promising findings have emerged in international research that suggest the potential of including men in prenatal health interventions in the U.S. eHealth applications present a promising avenue to reach new and expectant fathers with crucial parenting knowledge and healthy, supportive behaviors. ObjectivesTo explore the perceived role of men in prenatal health, the potential use of e-health promotion, and participant-suggested ways of improving a prenatal health application designed for new and expectant fathers. MethodsA nationally-representative sample of adult males (N=962) was recruited through an online panel. The sample had an average age of 30.2 (SD=6.3) and included both fathers (413/962, 42.9%) and non-fathers (549/962, 57.1%). Nearly 12% (115/962) of participants had a partner who was pregnant at the time of the survey. ResultsDespite perceived barriers such as time constraints, financial burdens, and an unclear role, men believe it is important to be involved in pregnancy health. The majority of participants (770/944, 81.6%) found the site to contain useful and interesting information. Most substantially, results indicate that more than three quarters (738/962, 76.7%) of the sample said they would share the site with others who would benefit from the information. Participants recommended the addition of interactive modules, such as a financial planning tool and videos, to make the site stronger. ConclusionsWe explored the use of targeted eHealth to introduce men to prenatal education. Results indicate men are favorable to this intervention. Additional refinement should include interactive tools further engage men in this important issue. Reaching men at the prenatal phase is an early 'teachable moment' -where new/expectant fathers are open to information on how to help their partners have a healthy pregnancy and promote the health of their unborn children. Findings will further inform best practices for engaging men in pregnancy, which is crucial for improving maternal and child health outcomes in the U.S. KeywordsHealth communication; fathering; expectant fathers; prenatal health 1 Engaging Men in Prenatal Health via eHealth: Findings from a National Survey IntroductionMaternal and infant mortality rates in the U.S. rank among the worst of all high-income countries. The most recent vital statistics reports estimate 6.15 infant deaths per 1,000 live births and 15.8-28.0 maternal deaths per 100,000 live births -with marked disparities in outcomes among different races/ethnicities [1,2]. It is estimated that 60,000 women each year also suffer severe pregnancy-related issues considered "near-miss" maternal mortality [2]. Improving these outcomes is a goal of the U.S. Healthy People 2020 initiative as well as a target of the United Nations Sustainable Development Goals. Healthcare access and social support during pregnancy can reduce ...

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“…These are some of the difficulties that need to be overcome to ensure the partner's involvement of the PNC [23,46]. Similar studies have shown that health communication technologies had a good acceptance and the messages were considered useful as a form of support for the new fathers and they attract men to a closer experience in the care and support of their partner during the pregnancy [26,47]. Our results show good acceptability of this program, a little more than half of the partners participated, comparing to data of partner's participation in PNC from the local SUS which in 2014 was 37% [44].…”

Section: Discussionmentioning

confidence: 99%

“…The WHO defines eHealth as the use of information and communication technologies for health, also found in the literature as telemedicine, SMS and mHealth [24]. The use of the technological resources of communication in health is a promising, innovative field and is being widely studied, due to being strategies that arouse curiosity and generate greater adherence in men [25,26].…”

Section: Introductionmentioning

confidence: 99%

PRENACEL partner - use of short message service (SMS) to encourage male involvement in prenatal care: a cluster randomized trial

et al. 2020

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Background: The partner has an important role when he participates of the prenatal care as showed in the positive results relate to the mother and the child health. For this reason it is an important strategy to bring future fathers closer to health services and to improve their link with paternity. Aim: To evaluate whether the implementation of SMS technology, through the PRENACEL program for the partner as a health education program, is a useful supplement to the standard prenatal monitoring. Methods: A parallel cluster randomized trial was carried out, with the clusters representing primary care health units. The 20 health units with the largest number of pregnant women in 2013 were selected for the study. There was a balance of the health units according to the size of the affiliated population and the vulnerability situation and these were allocated in intervention and control health units by the randomization. The partners of the pregnant women who started prenatal care prior to the 20th week of gestation were the study population of the intervention group. The participants received periodic short text messages via mobile phone with information about the pregnancy and birth. In the control group units the partners, together with the women, received the standard prenatal care. Results: One hundred eighty-six partners were interviewed, 62 from the PRENACEL group, 73 from the intervention group that did not opt for PRENACEL and 51 from the control group. A profile with a mean age of 30 years was found and the majority of respondents (51.3%) declared themselves as brown race/color. The interviewees presented a mean of 9.3 years of study. The majority of the men (95.2%) cohabited with their partner and 63.7% were classified as socioeconomic class C. The adherence to the PRENACEL program was 53.4%. In relation to the individual results, there was a greater participation of the PRENACEL partners in the prenatal consultations, as well as a greater presence of them accompanying the woman at the moment of the childbirth when compared to the other groups. Conclusion: The study showed that a health education strategy using communication technology seems to be a useful prenatal care supplement; the intervention had a good acceptability and has a promising role in men's involvement in prenatal, labour and postpartum care of their partners.

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Including Men in Prenatal Health: The Potential of e-Health to Improve Birth Outcomes

Abstract: This study explored the role men play in prenatal health, a promising avenue toward better birth outcomes. Using e-health is an opportune approach-it can reach men unavailable to attend prenatal programs because of work or feeling unwelcome at programs deemed "only for women."

Cited by 20 publications

References 34 publications

Father-Inclusive Perinatal Parent Education Programs: A Systematic Review

Father-Inclusive Perinatal Parent Education Programs: A Systematic Review

Engaging Men in Prenatal Health via eHealth: Findings From a National Survey (Preprint)

PRENACEL partner - use of short message service (SMS) to encourage male involvement in prenatal care: a cluster randomized trial

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