"Moving through Uncertain Pathways": Health Professionals' perspectives on novel technologies for continuing care in...

High-risk pregnancies contribute disproportionately to maternal and perinatal mortality, particularly in low- and middle-income countries (LMICs). Digital health technologies (DHTs), including mobile applications and web-based platforms, have emerged as tools to enhance continuity and personalization of care. Yet, little is known about how healthcare professionals in resource-constrained settings perceive and adopt these innovations, particularly in the context of continuing care for high-risk pregnancy (HRP). This study aimed to explore healthcare professionals' perspectives on the acceptability and adoption of DHTs to support continuing care in HRP.

This qualitative descriptive approach was guided by the Technology Acceptance Model (TAM) and conducted in four tertiary hospitals in Lao PDR. In-depth, semi-structured interviews were held with 16 participants (obstetricians, nurses, and midwives). Data were analyzed using reflexive thematic analysis. Rigor was ensured through COREQ-based procedures.

Four major themes emerged: (1) Perceived Usefulness-digital tools facilitated early detection, holistic monitoring, and communication; (2) Perceived Ease of Use-participants found mobile platforms familiar but cited device limitations and digital literacy gaps; (3) Attitude Toward Use-providers appreciated patient-centered benefits but expressed concern over workload; and (4) Behavioral Intention to Use-adoption was conditional on leadership endorsement, workflow alignment, and training availability.

Healthcare professionals viewed digital platforms as promising tools for supporting continuing care in high-risk pregnancies. However, sustained adoption will depend on addressing infrastructure barriers, institutional readiness, and professional development. These findings underscore the need for context-sensitive implementation strategies that integrate user experience with systemic support.