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Unexpected Effects of a System-Distributed Mobile Application in Maternity Care: A Randomized Controlled Trial.

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Mobile apps may not improve patient activation during pregnancy. While mothers used an app more for recording information, their activation levels decreased significantly over time, contrary to expectations.

Keywords:
clinical trialcomputer-mediated health promotionhealth communicationsmaternal and child healthmobile and wireless interventionspatient educationpublic and consumer health informatics

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Area of Science:

  • Maternal Health
  • Digital Health Interventions
  • Patient Engagement

Background:

  • Increasing patient involvement in prenatal decisions like labor induction is crucial.
  • Patient activation may impact pregnancy outcomes.
  • Mobile applications are a potential tool for enhancing patient activation, but research comparing them to other methods is limited.

Purpose of the Study:

  • To evaluate a mobile app's effectiveness as a patient education and engagement tool in prenatal care.
  • To compare a mobile app intervention against a traditional spiral notebook guide.

Main Methods:

  • A randomized controlled trial was conducted across three hospital clinics.
  • The study included 205 pregnant patients.
  • Repeated-measures analysis of covariance was employed to analyze intervention effects.

Main Results:

  • Pregnant mothers using the mobile app recorded information more frequently.
  • However, a significant decrease in patient activation was observed over time in the mobile app group.
  • This finding was unexpected and contrasted with the intended benefits of digital tools.

Conclusions:

  • Health systems should exercise caution before widespread deployment of mobile apps for prenatal care.
  • The implementation strategy for mobile apps is critical for their success and impact on patient activation.
  • Further research is needed to understand how to optimize mobile app design and integration to truly empower patients.