Using mHealth to reduce disparities in Black maternal health: Perspectives from Black rural postpartum mothers.

Autor:	Hernandez-Green N; Center for Maternal Health Equity, Morehouse School of Medicine, Atlanta, GA, USA., Davis MV; Morehouse School of Medicine, Atlanta, GA, USA., Farinu O; Health Equity Researcher and Sociologist, Atlanta, GA, USA., Hernandez-Spalding K; Morehouse School of Medicine, Atlanta, GA, USA., Lewis K; Emory University and Georgia Health Policy Center, Georgia State University, Atlanta, GA, USA., Beshara MS; School of Medicine, Creighton University, Phoenix, AZ, USA., Francis S; Georgia Institute of Technology, Atlanta, GA, USA., Baker LJ; Wellstar Medical Group, Wellstar West Georgia Medical Center, LaGrange, GA, USA., Byrd S; SOWEGA Rising Coalition, Albany, GA, USA., Parker A; School of Interactive Computing, Wellness Technology Lab, Georgia Institute of Technology, Atlanta, GA, USA., Chandler R; Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA, USA.
Jazyk:	angličtina
Zdroj:	Women's health (London, England) [Womens Health (Lond)] 2024 Jan-Dec; Vol. 20, pp. 17455057241239769.
DOI:	10.1177/17455057241239769
Abstrakt:	Background: Racial disparities are evident in maternal morbidity and mortality rates globally. Black women are more likely to die from pregnancy and childbirth than any other race or ethnicity. This leaves one of the largest gaps in women's health to date. Objectives: mHealth interventions that connect with women soon after discharge may assist in individualizing and formalizing support for mothers in the early postpartum period. To aid in developing an mHealth application, Black postpartum mothers' perspectives were examined. Design: Utilizing the Sojourner Syndrome Framework and Maternal Mortality & Morbidity Measurement Framework, group interview discussion guides were developed to examine the facilitators and barriers of postpartum transitional care for rural Black women living in the United States to inform the development of a mobile health application. Methods: In this study, seven group interviews were held with Black mothers, their support persons, and healthcare providers in rural Georgia to aid in the development of the Prevent Maternal Mortality Using Mobile Technology (PM 3 ) mobile health (mHealth) application. Group interviews included questions about (1) post-birth experiences; (2) specific needs (e.g. clinical, social support, social services, etc.) in the postpartum period; (3) perspectives on current hospital discharge processes and information; (4) lived experiences with racism, classism, and/or gender discrimination; and (5) desired features and characteristics for the mobile app development. Results: Fourteen out of the 78 screened participants were eligible and completed the group interview. Major discussion themes included: accessibility to healthcare and resources due to rurality, issues surrounding race and perceived racism, mental and emotional well-being in the postpartum period, and perspectives on the PM 3 mobile application. Conclusion: Participants emphasized the challenges that postpartum Black women face in relation to accessibility, racism and discrimination, and mental health. The women favored a culturally relevant mHealth tool and highlighted the need to tailor the application to address disparities.
Databáze:	MEDLINE
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