Abstract:
BACKGROUND:The importance of the preconception period and preconception care (PCC) are broadly acknowledged and the potential benefits regarding health promotion have been studied extensively. PCC provides the opportunity to identify, prevent, and treat modifiable and nonmodifiable risk factors to optimize the health of couples trying to become pregnant. The prevalence of modifiable and nonmodifiable risk factors in these couples is high, but the uptake of PCC remains low. OBJECTIVE:The aim of this study is to identify the preferences and experiences of women and men (patients) trying to become pregnant and of health care providers and other involved professionals regarding mobile health (mHealth), in particular the coaching platform Smarter Pregnancy, and its potential role in PCC. METHODS:Patients who participated in the Smarter Pregnancy randomized controlled trial (RCT) and health care providers and professionals also involved in PCC were invited to participate in a qualitative study. The barriers, benefits, and opportunities of big data collection by mHealth were discussed in focus group sessions, prompted with statements regarding PCC. RESULTS:We composed five focus groups, consisting of 27 patients in total (23 women and 4 men), who participated in the RCT, and nine health care providers and other professionals. Of the patients, 67% (18/27) were familiar with the concept of PCC, but only 15% (4/27) received any form of PCC. A majority of 56% (combined percentages of statements 1 [n=18], 2 [n=11], and 3 [n=16]) of the patients believed in the benefit of receiving PCC, and all agreed that men should be involved in PCC as well. Patients did not have a problem using anonymized data obtained from mHealth tools for scientific purposes. Patients and health care providers and other professionals both acknowledged the lack of awareness regarding the importance of PCC and stated that mHealth provides several opportunities to support clinical PCC. CONCLUSIONS:Our findings substantiate previous studies addressing the low uptake of PCC due to unawareness or lack of perception of its relevance by couples who are trying to become pregnant. The positive judgment and experiences with mHealth, in particular Smarter Pregnancy, will stimulate future research and further development of effective and cost-effective personalized mHealth apps for patients, health care providers, and other professionals as an add-on to clinical PCC.
journal_name
JMIR Mhealth Uhealthjournal_title
JMIR mHealth and uHealthauthors
Van Dijk MR,Koster MP,Rosman AN,Steegers-Theunissen RPdoi
10.2196/mhealth.7834subject
Has Abstractpub_date
2017-08-17 00:00:00pages
e123issue
8issn
2291-5222pii
v5i8e123journal_volume
5pub_type
杂志文章abstract:BACKGROUND:Research on mobile health (mHealth) app use during adolescence is growing; however, little attention has been paid to black adolescents, particularly black girls, who are generally underresearched and underserved in psychological intervention research. Cognitive restructuring is an important tool in anxiety ...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/11310
更新日期:2019-06-27 00:00:00
abstract:BACKGROUND:As a result of demographic changes, physicians are required to deliver needed services with limited resources. Research suggests that tablet PCs with access to patient data may streamline clinical workflow. A recent study found tablets with mobile electronic medical records (EMRs) can facilitate data retriev...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/mhealth.5464
更新日期:2016-06-06 00:00:00
abstract:BACKGROUND:Pregnancy can be distressing, particularly if expectant mothers are worried about the well-being of their fetus. Consequently, the desire for reassurance and frequent fetal monitoring is often pronounced. Smart wearable devices and telemedicine are promising tools that could assist women in self-monitoring t...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章,多中心研究
doi:10.2196/11458
更新日期:2019-01-07 00:00:00
abstract:BACKGROUND:About 70% of children and adolescents worldwide do not meet the recommended level of physical activity (PA), which is closely associated with physical, psychological, and cognitive well-being. Nowadays, the use of technologies to change PA is of interest due to the need for novel, more effective intervention...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章,评审
doi:10.2196/22601
更新日期:2021-02-01 00:00:00
abstract::Recently, companies such as Apple Inc, Fitbit Inc, and Garmin Ltd have released new wearable blood oxygenation measurement technologies. Although the release of these technologies has great potential for generating health-related information, it is important to acknowledge the repercussions of consumer-targeted biomet...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/25137
更新日期:2020-12-22 00:00:00
abstract:BACKGROUND:Working in a clinical environment requires unfettered mobility. This is especially true for nurses who are always on the move providing patients' care in different locations. Since the introduction of clinical information systems in hospitals, this mobility has often been considered hampered by interactions ...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/mhealth.2344
更新日期:2013-06-12 00:00:00
abstract:BACKGROUND:Is someone at home, at their friend's place, at a restaurant, or enjoying the outdoors? Knowing the semantic location of an individual matters for delivering medical interventions, recommendations, and other context-aware services. This knowledge is particularly useful in mental health care for monitoring re...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/mhealth.7297
更新日期:2017-08-10 00:00:00
abstract:BACKGROUND:Comprehensive exams such as the Dean-Woodcock Neuropsychological Assessment System, the Global Deterioration Scale, and the Boston Diagnostic Aphasia Examination are the gold standard for doctors and clinicians in the preliminary assessment and monitoring of neurocognitive function in conditions such as neur...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/15517
更新日期:2020-06-24 00:00:00
abstract:BACKGROUND:The prevalence of type 2 diabetes (T2D) is greater in South Asian populations and health outcomes are poorer compared with other ethnic groups. British South Asians are up to six times more likely to have T2D than the general population, to develop the condition at a younger age, and to experience diabetes-r...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/15789
更新日期:2020-04-20 00:00:00
abstract:BACKGROUND:Mobile health interventions are often standardized and assumed to work the same for all users; however, we may be missing cultural differences in the experiences of interventions that may impact how and if an intervention is effective. OBJECTIVE:The objective of the study was to assess qualitative feedback ...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/mhealth.3660
更新日期:2014-11-05 00:00:00
abstract:BACKGROUND:Antiretrovirals (ARVs) are key in the management of HIV. Although no cure exists, ARVs help patients live healthy lives and prevent transmission to others. Adherence to complex regimens is paramount to outcomes and in avoiding the emergence of drug-resistant viruses. The goal of therapy is to reach an undete...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章,评审
doi:10.2196/14739
更新日期:2020-08-28 00:00:00
abstract:BACKGROUND:Wearables for monitoring physical activity (PA) are increasingly popular. These devices are not only used by consumers to monitor their own levels of PA but also by researchers to track the behavior of large samples. Consequently, it is important to explore how accurately PA can be tracked via these devices....
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/10972
更新日期:2018-12-13 00:00:00
abstract:BACKGROUND:For patients with sickle cell disease (SCD), effective management of vaso-occlusive crises (VOCs) is integral to provision of care, as nearly all affected individuals will suffer from VOCs in their lifetime. A recent systematic review of technological interventions to improve self-management in the care of S...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/13501
更新日期:2019-06-20 00:00:00
abstract:BACKGROUND:Substance use by adolescents remains to be at unacceptably high levels, and there is evidence that teens' social norms are becoming more favorable toward recreational use and perceived safety of substances such as marijuana and prescription opioids. Social media offer a low-cost, potentially high-impact appr...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/16207
更新日期:2020-05-06 00:00:00
abstract:BACKGROUND:Antiretroviral (ART) adherence among people living with HIV (PLWH) continues to be a challenge despite advances in HIV prevention and treatment. Mobile health (mHealth) interventions are increasingly deployed as tools for ART adherence. However, little is known about the uptake and attitudes toward commercia...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/12900
更新日期:2019-07-03 00:00:00
abstract:BACKGROUND:The application of mobile health (mHealth) technology in reproductive, maternal, newborn, and child health (RMNCH) is increasing worldwide. However, best practice and the most effective mHealth interventions have not been reviewed systematically. OBJECTIVE:A systematic review and meta-analysis of studies of...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章,评审
doi:10.2196/mhealth.8998
更新日期:2018-01-09 00:00:00
abstract:BACKGROUND:Depression is highly prevalent and causes considerable suffering and disease burden despite the existence of wide-ranging treatment options. Mobile phone apps offer the potential to help close this treatment gap by confronting key barriers to accessing support for depression. OBJECTIVES:Our goal was to iden...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章,评审
doi:10.2196/mhealth.3713
更新日期:2015-02-16 00:00:00
abstract::Over the past decade, smartphone technology has become increasingly sophisticated and ubiquitous. Modern smartphones, now owned by more than three quarters of Canadians and 94% of millennials, perform an array of functions that are potentially useful in the health care context, such as tracking fitness data, enabling ...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/15301
更新日期:2019-11-04 00:00:00
abstract:BACKGROUND:Cue exposure therapy (CET) is a psychological approach developed to prepare individuals with alcohol use disorder (AUD) for confronting alcohol and associated stimuli in real life. CET has shown promise when treating AUD in group sessions, but it is unknown whether progressing from group sessions to using a ...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章,随机对照试验
doi:10.2196/13793
更新日期:2019-08-16 00:00:00
abstract:BACKGROUND:Using a mobile health (mHealth) intervention, consisting of a smartphone and compatible medical device, has the potential to enhance chronic obstructive pulmonary disease (COPD) treatment outcomes while mitigating health care costs. OBJECTIVE:The aim of this study was to explore the potential facilitators a...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/13950
更新日期:2019-06-10 00:00:00
abstract:BACKGROUND:Despite the fact there are many wearable and mobile medical devices that enable patients to better self-manage their diabetes, not many patients are aware of all the options they have. In addition, there are those who are not fully satisfied with the devices they use, and those who often do not use them effe...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/11527
更新日期:2019-07-09 00:00:00
abstract:BACKGROUND:The range of benefits associated with regular physical activity participation is irrefutable. Despite the well-known benefits, physical inactivity remains one of the major contributing factors to ill-health throughout industrialized countries. Traditional lifestyle interventions such as group education or te...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章,meta分析
doi:10.2196/11819
更新日期:2019-04-12 00:00:00
abstract:BACKGROUND:Resource-limited communities in Washington, D.C. have high rates of obesity-related cardiovascular disease in addition to inadequate physical activity (PA) facilities and limited Internet access. Engaging community members in the design and implementation of studies to address these health disparities is ess...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/mhealth.4489
更新日期:2016-04-25 00:00:00
abstract:BACKGROUND:Acute exacerbations of chronic obstructive pulmonary disease (COPD) are associated with accelerated decline in lung function, diminished quality of life, and higher mortality. Proactively monitoring patients for early signs of an exacerbation and treating them early could prevent these outcomes. The emergenc...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/10046
更新日期:2018-06-14 00:00:00
abstract::Technology is changing at a rapid rate, opening up new possibilities within the health care domain. Advances such as open source hardware, personal medical devices, and mobile phone apps are creating opportunities for custom-made medical devices and personalized care. However, they also introduce new challenges in bal...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/mhealth.3918
更新日期:2015-06-03 00:00:00
abstract:BACKGROUND:Sport watches and fitness trackers provide a feasible way of obtaining energy expenditure (EE) estimations in daily life as well as during exercise. However, today's popular wrist-worn technologies show only poor-to-moderate EE accuracy. Recently, the invention of optical heart rate measurement and the furth...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/14534
更新日期:2019-10-02 00:00:00
abstract:BACKGROUND:Nutrition and physical activity interventions are important components of cancer care. With an increasing demand for services, there is a need to consider flexible, easily accessible, and tailored models of care while maintaining optimal outcomes. OBJECTIVE:This systematic review describes and appraises the...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/12281
更新日期:2019-02-12 00:00:00
abstract:BACKGROUND:Ongoing pain is one of the most common diseases and has major physical, psychological, social, and economic impacts. A mobile health intervention utilizing a fully automated text-based health care chatbot (TBHC) may offer an innovative way not only to deliver coping strategies and psychoeducation for pain ma...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/15806
更新日期:2020-04-03 00:00:00
abstract:BACKGROUND:The task of monitoring and managing the entire emergency department (ED) is becoming more important due to increasing pressure on the ED. Recently, dashboards have received the spotlight as health information technology to support these tasks. OBJECTIVE:This study aimed to describe the development of a real...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/10666
更新日期:2018-11-22 00:00:00
abstract:BACKGROUND:The preparation for colonoscopy is elaborate and complex. In the context of colorectal cancer screening, up to 11% of patients do not keep their colonoscopy appointments and up to 33% of those attending their appointments have inadequately cleansed bowels that can delay cancer diagnosis and treatment. A smar...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/12242
更新日期:2019-07-02 00:00:00