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Development and evaluation of an online maternal-fetal interaction promotion program using a photo diary
Sangyoun Jang1, Kyung-Sook Bang2
1Department of Nursing, Catholic Kwandong University, Gangneung, Republic of Korea.
Asian Nursing Research
|July 2, 2026
Summary
A new online photo-diary program significantly improved maternal-fetal interactions, beliefs, and happiness in pregnant women. This intervention offers valuable online support for expectant mothers.
Area of Science:
- Maternal-Child Health
- Nursing Interventions
- Digital Health
Background:
- Promoting maternal-fetal interaction is crucial for healthy pregnancy outcomes.
- Existing interventions may lack accessibility or engagement for pregnant women.
- Online platforms offer a scalable solution for antenatal support.
Purpose of the Study:
- To develop and evaluate an online maternal-fetal interaction promotion program.
- To assess the program's impact on maternal-fetal interaction beliefs, interactions, and happiness.
- To explore the utility of real-time, photo-diary-based interventions.
Main Methods:
- Quasi-experimental, non-equivalent control group pretest-posttest design.
- 34 pregnant women (16-28 weeks gestation) participated.
- A 5-session online, real-time, photo-diary intervention based on ADDIE and Barnard's models was implemented.
Main Results:
- Significant improvements observed in maternal-fetal interaction beliefs (p=.007).
- Significant increases in maternal-fetal interaction (p=.008) and happiness (p=.012) in the intervention group.
- The program demonstrated effectiveness in enhancing key aspects of the maternal-fetal relationship.
Conclusions:
- An online photo-diary program effectively promotes maternal-fetal interaction, beliefs, and happiness.
- This intervention expands community nursing by offering accessible online support for pregnant women.
- Interactive real-time video interventions are a viable tool for antenatal psychological support.
