Online resources and apps to aid self-diagnosis and help seeking in the perinatal period: A descriptive survey of women's experiences
| Autor: | Molly Patterson, Nicola Mackintosh, Natalie Armstrong, Jane Sandall, Shona Agarwal, Annette Briley, Kirsty Adcock, Qian Sarah Gong |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Adult
Referral media_common.quotation_subject 1110 Nursing 1114 Paediatrics and Reproductive Medicine 1117 Public Health and Health Services Nursing 03 medical and health sciences 0302 clinical medicine Help-Seeking Behavior Pregnancy Perception Surveys and Questionnaires Maternity and Midwifery eHealth medicine Humans Qualitative Research media_common Response rate (survey) Internet 030219 obstetrics & reproductive medicine 030504 nursing Descriptive statistics Obstetrics and Gynecology Middle Aged Patient Acceptance of Health Care medicine.disease Mobile Applications Help-seeking United Kingdom Perinatal Care Female 0305 other medical science Psychology Inclusion (education) |
| Popis: | Objective Assess the role of online resources and apps for women's help seeking and staff's response to concerns in the perinatal period. Design Online survey. Descriptive analysis of women's use and experiences of digital resources for self-diagnosis and help seeking, drawing on numerical and free-text responses. Setting Two tertiary referral centres and one district general hospital in two UK geographic locations. Participants 632 postnatal women, surveyed over a 4 month period. Measurements Women's access to digital devices; frequency and type of health concerns experienced after 22 weeks’ gestation; variability in use and experiences of websites/apps; perceptions of staff's response to concerns after help-seeking. Findings 1254 women were approached over a 4-month period; 632 participated (response rate: 50%). Women reported a ‘mix and match’ blended use of digital resources to both learn about, and self-diagnose/self-triage for potential complications in pregnancy as an adjunct to care provided by maternity staff. Over half the participants experienced concerns about themselves or their baby after 22 weeks. The top concern was fetal movements, reported by 62%. Women used 91 different digital resources to help with understanding and decision-making, in addition to seeking support from family, friends and healthcare professionals. Enabling features of staff responses were identified from free-text responses (n = 292) by women who sought professional help regarding their health concerns, and influencing factors at clinical, organisational and digital level. Key conclusions and implications for practice Online information retrieval and digital self-monitoring is increasingly integral to women's self-care during pregnancy and offers opportunities to support escalation of care and shared decision-making. Further work should assess optimal inclusion of this ‘digital work’ into clinical consultations. |
| Databáze: | OpenAIRE |
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