理解移动医疗技术在协作护理计划中的影响及其在支持产后护理中的作用:使用平行旅程框架的Baby2Home干预的定性访谈研究。

IF 2.3 Q2 PEDIATRICS
Chryselle Rego, Joshua E Santiago, Emily S Miller, Craig F Garfield, Jacqueline Gollan, Kathleen O'Sullivan, Dinah Williams, Enid Montague, Young Seok Lee
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引用次数: 0

摘要

背景:由于心理健康问题和新的护理需求,产后是分娩和非分娩父母的关键时期。协作护理模式旨在满足这些需求,但产后护理仍然是碎片化的,缺乏连续性和整体支持。Baby2Home (B2H)是一种基于协作护理模式的数字干预,专门设计用于通过解决父母的身体、情感和社会心理需求来支持他们过渡到为人父母的过程。这一干预措施旨在通过在整个产后期间提供持续的、有组织的和可获得的支持,缩小传统护理模式留下的差距。在我们对生育健康干预的定性研究中,我们参考了平行旅程框架,并将其作为我们分析的一部分,以评估移动健康(mHealth)技术是否满足了新父母的整体需求(产后和心理社会)。目的:我们旨在评估B2H应用程序如何支持新父母的整体需求,并解决传统产后服务中发现的护理差距。方法:采用有目的抽样的方法,根据app的使用情况,对20名已出生和未出生的父母进行半结构化访谈。采用产后平行旅行框架和归纳编码对数据进行分析。结果:我们的研究结果证明了B2H干预在解决新父母的生理和心理需求方面的综合影响。B2H通过帮助父母应对不确定性、加强医疗保健提供者与父母的沟通、促进自我保健和提高父母的自我效能来支持产后护理。社会心理支持包括症状识别、及时护理管理人员评估、协调治疗和过渡资源。该应用程序还通过促进非生育父母的包容性、弥合筛查和治疗、支持实时治疗导航和确保护理的连续性来解决护理差距。结论:我们证明,使用移动健康技术,如B2H应用程序,可以有效地支持新父母在产后护理期间的多方面需求。通过应用平行旅程框架,该研究还确定了B2H应用程序解决的护理差距,为未来的发展和研究提供了独特的机会。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Understanding the Implications of mHealth Technology in Collaborative Care Programs and Its Role in Supporting Postpartum Care: Qualitative Interview Study of the Baby2Home Intervention Using the Parallel Journeys Framework.

Understanding the Implications of mHealth Technology in Collaborative Care Programs and Its Role in Supporting Postpartum Care: Qualitative Interview Study of the Baby2Home Intervention Using the Parallel Journeys Framework.

Understanding the Implications of mHealth Technology in Collaborative Care Programs and Its Role in Supporting Postpartum Care: Qualitative Interview Study of the Baby2Home Intervention Using the Parallel Journeys Framework.

Understanding the Implications of mHealth Technology in Collaborative Care Programs and Its Role in Supporting Postpartum Care: Qualitative Interview Study of the Baby2Home Intervention Using the Parallel Journeys Framework.

Background: The postpartum period represents a critical period for both birthing and nonbirthing parents due to mental health concerns and new caregiving demands. Collaborative care models aim to address these needs, but postpartum care remains fragmented, lacking continuity and holistic support. Baby2Home (B2H) is a digital intervention rooted in the collaborative care model, specifically designed to support parents through their transition into parenthood by addressing their physical, emotional, and psychosocial needs. This intervention seeks to close the gaps left by traditional care models by providing continuous, organized, and accessible support throughout the postpartum period. In our qualitative study of the B2H intervention, we reference the parallel journeys framework and use it as a part of our analysis to evaluate whether mobile health (mHealth) technology addresses the holistic needs (postpartum and psychosocial) of new parents.

Objective: We aimed to assess how the B2H app supports the holistic needs of new parents and addresses care gaps identified in traditional postpartum services.

Methods: We conducted semistructured interviews with 20 birthing and nonbirthing parents selected through purposive sampling based on their app use. Data were analyzed using the postpartum parallel journeys framework and inductive coding.

Results: Our findings demonstrate the comprehensive impact of the B2H intervention in addressing both the physical and psychosocial needs of new parents. B2H supported postpartum care by helping parents navigate uncertainties, enhancing health care provider-parent communication, promoting self-care, and increasing parental self-efficacy. Psychosocial support included symptom identification, timely care manager assessments, coordinated treatment, and transition resources. The app also addressed care gaps by promoting inclusivity for nonbirthing parents, bridging screening and treatment, supporting real-time treatment navigation, and ensuring continuity of care.

Conclusions: We demonstrate that the use of mHealth technology such as the B2H app can effectively support the multifaceted needs of new parents during their postpartum care period. By applying the parallel journeys framework, the research also identifies gaps in care that are addressed by the B2H app, presenting unique opportunities for future development and research.

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来源期刊
JMIR Pediatrics and Parenting
JMIR Pediatrics and Parenting Medicine-Pediatrics, Perinatology and Child Health
CiteScore
5.00
自引率
5.40%
发文量
62
审稿时长
12 weeks
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