Use of a Smartphone App to Explore Potential Underuse of Prophylactic Aspirin for Preeclampsia

Abstract

Preeclampsia is a leading factor associated with maternal and neonatal morbidity and mortality. Effective prophylaxis can be achieved with low-dose aspirin (LDASA) 75 to 150 mg daily during pregnancy if initiated early in moderate-to high-risk patients. The US Preventive Services Task Force (USPSTF) has a documented set of criteria for LDASA consideration in the presence of 1 or more high or 2 or more moderate-risk factors. The practical usage of these guidelines are associated with challenges including incorporating comprehensive baseline risk assessment in routine prenatal care as well as tracking patients understanding of and adherence to an LDASA regimen.This prospective cohort study aimed to assess prophylactic aspirin eligibility, comprehension, and use through the MyHealthyPregnancy smartphone app. Analysis included whether individuals meeting the USPSTF high-risk eligibility 206Obstetrical and Gynecological Survey

Hypertension in Pregnancy and Preeclampsia: Variation in Clinical Management Strategies Among Obstetric/Gynecologic Provider Type

“…Physicians (residents/fellows and attendings) in this study reported that shared decision-making with the patient was a barrier to providing preventive EOP care, which is consistent with a study conducted among pregnant Medicaid beneficiaries. 10 This sentiment was more common among residents/fellows than attending physicians, which could be attributed to the lack of continuity of care in the resident clinics at our institution. A study published in 2021 found that the use of a smartphone app with data shared between patient and provider improved both the patient's and provider's ability to identify and manage risk factors for EOP.…”

“…A study published in 2021 found that the use of a smartphone app with data shared between patient and provider improved both the patient's and provider's ability to identify and manage risk factors for EOP. 10 An intervention similar to this could be a strategy to increase shared decision-making between patient and provider, which could be especially impactful in clinics with low continuity of care.…”

A cell phone app for facial acne severity assessment

“…Duarte-Rojo et al developed a smartphone app for cirrhosis patients, with educational and exercise videos of an appropriate intensity, to provide assisted rehabilitation and remote supervision [43]. Krishnamurti et al designed an antenatal care smartphone app to enhance the identification of patients at risk for preeclampsia [44]. Mobile applications have also been increasingly important in dermatology in recent years [45].…”