Women's experiences of self-reporting health online prior to their first midwifery visit: A qualitative study

Johnsen, Helle; Clausen, Jette Aaroe; Hvidtjørn, Dorte; Juhl, Mette; Hegaard, Hanne Kristine

doi:10.1016/j.wombi.2017.07.013

Cited by 14 publications

(79 citation statements)

References 24 publications

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“…For example, hospitals in Denmark have introduced digital self-reporting of physical and mental health before the antenatal care visits, and even highly educated women reported uncertainties in doing so. 16 In Australia, a smartphone app was developed to address the needs of socially vulnerable pregnant women; however, the researchers concluded that social and mental health issues, financial constraints and digital skills were possible barriers for engagement with the app. 17 Further, they advocate for more knowledge on how these women's everyday life challenges affect their engagement with healthcare providers and educational programmes, including apps.…”

mentioning

confidence: 99%

ehealth literacy and health literacy among immigrants and their descendants compared with women of Danish origin: a cross-sectional study using a multidimensional approach among pregnant women

et al. 2020

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ObjectiveTo explore ehealth literacy, ability to actively engage with healthcare providers and health system navigation among pregnant immigrant women and their descendants compared with women of Danish origin.Design and settingA cross-sectional survey at antenatal clinics in 2016, Denmark.ParticipantsPregnant women attending antenatal care (n=405).Outcome measuresThe eHealth Literacy Questionnaire (eHLQ) and two domains from the Health Literacy Questionnaire (HLQ): ability to actively engage with healthcare providers and health system navigation. Range of response options for eHLQ (1–4) and HLQ (1–5). With mixed-effect linear regressions, eHLQ and HLQ among immigrants and their descendants compared with women of Danish origin were assessed.ResultsThe response rate was 75%. The overall trend was lower ehealth literacy and HLQ domains among immigrants and their descendants compared with women of Danish origin. For ehealth literacy, the results suggest that challenges related more to digital abilities than motivation, trust and access to technology. The mean ability to engage with digital services was 3.20 (SD 0.44) for women of Danish origin. Non-Western descendants (−0.14, 95% CI −0.31 to 0.02), non-Western (−0.20, 95% CI −0.34 to −0.06) and Western (−0.22, 95% CI −0.39 to −0.06) immigrants had lower adjusted means of this outcome. No differences in motivation to engage with digital services were found for descendants (−0.00, 95% CI −0.17 to 0.17), non-Western (0.03, 95% CI −0.11 to 0.18) or Western (−0.06, 95% CI −0.23 to 0.10) immigrants compared with the mean of the reference (2.85, SD 0.45). Lower ability to engage with healthcare providers was found for non-Western born immigrants (−0.15, CI 95% −0.30 to −0.01) compared with the mean of women with Danish origin (4.15, SD 0.47).ConclusionGenerally, descendant and immigrant women had lower levels of ehealth literacy and health literacy than women of Danish origin. These differences are potentially antecedents of adverse birth outcomes and could inform structural efforts to mitigate health inequalities.

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confidence: 99%

ehealth literacy and health literacy among immigrants and their descendants compared with women of Danish origin: a cross-sectional study using a multidimensional approach among pregnant women

et al. 2020

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“…Meanwhile, expecting fathers also seek information about pregnancy-related topics on the Internet (8) to improve their understanding of fetal development and fragility (9). Furthermore, expecting parents value the opportunity to expand their social network and have their questions answered by social connections online (10). On the other hand, research shows that parents could experience the information online as overwhelming as they include much irrelevant information (11,12) instead of "local" or "informal" information relevant to the specific parent (3).…”

Section: Introductionmentioning

confidence: 99%

Parents' Perceptions About Future Digital Parental Support—A Phenomenographic Interview Study

Bäckström

Chamoun

Shazima

et al. 2021

Front. Digit. Health

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Background: Parents use digital sources (such as the internet or online forums and applications) during pregnancy and after childbirth to receive informative support. Research shows that there is further need for innovation development in digital parental support despite informative support available in digital form.Purpose: To explore parents' perceptions of future digital parental support concerning pregnancy and the first 18 months of parenthood.Method: A phenomenographic interview study with an inductive approach including 15 semi-structured interviews was conducted.Results: The analysis process resulted in three descriptive categories: Opportunities for virtual and in-person meetings, Individualized digital parental support, and Professional knowledge and trustworthiness concerning future digital parental support.Conclusion: The results broaden the knowledge about how future digital parental support can be designed to facilitate the functional, interactive, and critical digital health literacy of new and would-be parents. To succeed, healthcare organizations should allow healthcare professionals to assume an active role in developing digital parental support, both as health educators (i.e., providing parents with knowledge) and facilitators (i.e., facilitating parents' use of digital parental support). However, parents perceived that future digital parental support should complement standard care instead of replacing in-person meetings with healthcare professionals.

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“…As part of routine clinical practice, all pregnant women followed by the maternity clinic completed a web‐based questionnaire prior to the first‐trimester scan thereby providing information on pharmaceutical/medicine consumption, lifestyle prior to and during pregnancy, obstetric and medical history as well as socioeconomic and occupational status around week 10 of gestation (Figure 1). 7 After inclusion, an antenatal venous blood sample was collected from both mothers and fathers during late pregnancy. Medical records on pregnancy‐related and obstetric outcomes were obtained after birth.…”

Section: Methodsmentioning

confidence: 99%

Cohort profile: The COPENHAGEN Minipuberty Study—A longitudinal prospective cohort of healthy full‐term infants and their parents

Busch

Ljubicic

Upners

et al. 2021

Paediatric Perinatal Epid

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Background The hypothalamic‐pituitary‐gonadal (HPG) axis governs sexual maturation and reproductive function in humans. In early postnatal life, it is transiently active during which circulating sex steroids reach adult levels. While this so‐called minipuberty represents a universal phenomenon in infants of both sexes, its role for early maturation and growth remains incompletely understood. Objectives To provide normative data on auxology as well as serum and urinary hormone levels in healthy, full‐term infants throughout the first year of life and to investigate associations of postnatal HPG axis dynamics as well as hormonal, genetic and environmental exposures with early genital development and growth. Population Healthy, Danish, full‐term, singleton newborns including their parents. Design Single‐centre, prospective, observational longitudinal pregnancy and birth cohort. Methods Newborns were followed with six repeated clinical examinations during a one‐year follow‐up period. An umbilical cord blood sample was drawn at birth. At each visit, infants underwent a clinical examination focusing on auxology and genital development. Further, blood (serum, plasma, DNA) and urine samples were collected at each visit. Mothers and fathers underwent a clinical examination and provided blood samples prior to and after birth. A subset of parents provided urine samples and breast milk samples. Pregnancy and obstetrical outcomes, and detailed parental questionnaires were compiled. Preliminary results Between August 2016 and August 2018, 2481 women with singleton pregnancies were invited to participate of which 298, including their partners, were enrolled (12.0%). A total of 268 healthy, full‐term newborns born appropriate for gestational age (AGA) were included at birth, 233 newborns participated in the postnatal follow‐up period and 186 completed the one‐year follow‐up period (9.4% and 7.5%, respectively). Conclusion The COPENHAGEN Minipuberty Study provides detailed, longitudinal data on early genital development and growth including hormonal and genetic profiles and environmental exposure in healthy infants including additional data in their parents.

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Women's experiences of self-reporting health online prior to their first midwifery visit: A qualitative study

Abstract: Self-reported health prior to the first midwifery visit appears to have both intended and unintended effects. During the midwifery visit, women find themselves navigating between competing needs in relation to use of their self-reported information.

Cited by 14 publications

References 24 publications

ehealth literacy and health literacy among immigrants and their descendants compared with women of Danish origin: a cross-sectional study using a multidimensional approach among pregnant women

ehealth literacy and health literacy among immigrants and their descendants compared with women of Danish origin: a cross-sectional study using a multidimensional approach among pregnant women

Parents' Perceptions About Future Digital Parental Support—A Phenomenographic Interview Study

Cohort profile: The COPENHAGEN Minipuberty Study—A longitudinal prospective cohort of healthy full‐term infants and their parents

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