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. 2024 Jan 12:8:e48960.
doi: 10.2196/48960.

Digital Health Needs and Preferences During Pregnancy and the Postpartum Period: Mixed Methods Study

Natalie Henrich  1 , Alison Brinson  1   2 , Alyssa Arnold  1 , Hannah R Jahnke  1
Affiliations

Digital Health Needs and Preferences During Pregnancy and the Postpartum Period: Mixed Methods Study

Natalie Henrich et al. JMIR Form Res. .

Abstract

Background: Digital health is increasingly used to meet the needs of perinatal people, with estimates of pregnancy-related internet use ranging from 90% to 97% of pregnant people. As digital health takes on greater importance during the perinatal period, it is essential that providers and developers of digital health content understand why perinatal people use these resources and the features that enhance their experience. However, gaps remain in understanding the content that is most helpful and how the platforms are navigated. Learning directly from perinatal people about their needs will help ensure alignment between perinatal needs and available content.

Objective: This formative study aims to identify the reasons why perinatal people use digital health resources; the features of the digital health platforms that are of greatest importance to them; and how these differ by perinatal stage (pregnancy vs post partum), mental health conditions, parity, and demographics (race and ethnicity).

Methods: This mixed methods study used interviews; surveys; and secondary data on demographic, health, and pregnancy characteristics to identify the digital health needs and preferences of pregnant and postpartum people who used the Maven digital health platform in the United States during their pregnancy or postpartum period. The interviews informed the content of the surveys and provided additional insights and examples for interpreting the survey results. The surveys were used to collect data from a sample of Maven users, and the results were linked to the secondary data set. The interviews were thematically analyzed, and survey data were analyzed using descriptive statistics and stratified by parity, race, and mental health status.

Results: Overall, 13 people were interviewed (including n=4, 31% pilot interviews), and 147 pregnancy and 110 postpartum survey respondents completed the surveys and had linkable secondary data. Top reasons for using digital health resources during pregnancy were to (1) know what is normal or typical during pregnancy, (2) have access to a health care provider when needed, and (3) know how the baby is developing. Top reasons for postpartum use were to (1) help with breastfeeding, (2) know what normal baby development is, and (3) help with the baby's health issues. Top platform features during pregnancy and the postpartum period were (1) credible and trustworthy information and providers, (2) nonjudgmental information and support, and (3) no cost to the user. In general, more reasons for using digital resources were identified as extremely important during pregnancy compared with post partum. The results showed minor variations across strata.

Conclusions: This formative research found minor differences in digital resource needs and preferences across user characteristics among perinatal people in the United States. Future work should examine whether there are variations in interests within topics by user characteristics, which may provide additional opportunities to better meet user needs.

Keywords: digital health; interviews; mixed methods; patient centered; perinatal; postpartum; pregnancy; survey; user needs.

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Conflict of interest statement

Conflicts of Interest: NH, AB, AA, and HRJ are employed by Maven Clinic. NH, AA, and HRJ have equity in Maven Clinic.

Figures

Figure 1
Figure 1
Study process.
Figure 2
Figure 2
Flowchart of the pregnancy survey respondents (A) and postpartum survey respondents (B) included in the survey analysis.
See this image and copyright information in PMC

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References

    1. Willis VC, Thomas Craig KJ, Jabbarpour Y, Scheufele EL, Arriaga YE, Ajinkya M, Rhee KB, Bazemore A. Digital health interventions to enhance prevention in primary care: scoping review. JMIR Med Inform. 2022 Jan 21;10(1):e33518. doi: 10.2196/33518. https://medinform.jmir.org/2022/1/e33518/ v10i1e33518 - DOI - PMC - PubMed
    1. Lupton D, Pedersen S, Thomas GM. Parenting and digital media: from the early web to contemporary digital society. Sociol Compass. 2016 Aug 02;10(8):730–43. doi: 10.1111/soc4.12398. - DOI
    1. Alkire (née Nasr) L, O'Connor GE, Myrden S, Köcher S. Patient experience in the digital age: an investigation into the effect of generational cohorts. J Retail Consum Serv. 2020 Nov;57:102221. doi: 10.1016/j.jretconser.2020.102221. - DOI
    1. Wang T, Wang W, Liang J, Nuo M, Wen Q, Wei W, Han H, Lei J. Identifying major impact factors affecting the continuance intention of mHealth: a systematic review and multi-subgroup meta-analysis. NPJ Digit Med. 2022 Sep 15;5(1):145. doi: 10.1038/s41746-022-00692-9. doi: 10.1038/s41746-022-00692-9.10.1038/s41746-022-00692-9 - DOI - DOI - PMC - PubMed
    1. Lupton D. The use and value of digital media for information about pregnancy and early motherhood: a focus group study. BMC Pregnancy Childbirth. 2016 Jul 19;16(1):171. doi: 10.1186/s12884-016-0971-3. https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884... 10.1186/s12884-016-0971-3 - DOI - DOI - PMC - PubMed