TY  - JOUR
AU  - Nissen, Michael
AU  - Perez, Carlos A
AU  - Jaeger, Katharina M
AU  - Bleher, Hannah
AU  - Flaucher, Madeleine
AU  - Huebner, Hanna
AU  - Danzberger, Nina
AU  - Titzmann, Adriana
AU  - Pontones, Constanza A
AU  - Fasching, Peter A
AU  - Beckmann, Matthias W
AU  - Eskofier, Bjoern M
AU  - Leutheuser, Heike
PY  - 2023
DA  - 2023/12/15
TI  - Usability and Perception of a Wearable-Integrated Digital Maternity Record App in Germany: User Study
JO  - JMIR Pediatr Parent
SP  - e50765
VL  - 6
KW  - maternity log
KW  - maternity logbook
KW  - log
KW  - logbook
KW  - experience
KW  - experiences
KW  - attitude
KW  - attitudes
KW  - opinion
KW  - opinions
KW  - perception
KW  - perceptions
KW  - perspective
KW  - perspectives
KW  - pregnancy record
KW  - personal health record
KW  - PHR
KW  - health records
KW  - health record
KW  - feature
KW  - features
KW  - develop
KW  - development
KW  - maternity record
KW  - electronic
KW  - digital
KW  - paper hand-held record
KW  - mHealth
KW  - mobile health
KW  - app
KW  - apps
KW  - application
KW  - applications
KW  - smartphone
KW  - smartphones
KW  - wearable
KW  - wearables
KW  - usability
KW  - pregnant
KW  - pregnancy
KW  - maternal
KW  - maternity
KW  - electronic maternity record
KW  - pregnancy app
KW  - data sharing
KW  - privacy
KW  - online search
KW  - searching
KW  - information behavior
KW  - information behaviour
KW  - information seeking
AB  - Background: Although digital maternity records (DMRs) have been evaluated in the past, no previous work investigated usability or acceptance through an observational usability study. Objective: The primary objective was to assess the usability and perception of a DMR smartphone app for pregnant women. The secondary objective was to assess personal preferences and habits related to online information searching, wearable data presentation and interpretation, at-home examination, and sharing data for research purposes during pregnancy. Methods: A DMR smartphone app was developed. Key features such as wearable device integration, study functionalities (eg, questionnaires), and common pregnancy app functionalities (eg, mood tracker) were included. Women who had previously given birth were invited to participate. Participants completed 10 tasks while asked to think aloud. Sessions were conducted via Zoom. Video, audio, and the shared screen were recorded for analysis. Task completion times, task success, errors, and self-reported (free text) feedback were evaluated. Usability was measured through the System Usability Scale (SUS) and User Experience Questionnaire (UEQ). Semistructured interviews were conducted to explore the secondary objective. Results: A total of 11 participants (mean age 34.6, SD 2.2 years) were included in the study. A mean SUS score of 79.09 (SD 18.38) was achieved. The app was rated “above average” in 4 of 6 UEQ categories. Sixteen unique features were requested. We found that 5 of 11 participants would only use wearables during pregnancy if requested to by their physician, while 10 of 11 stated they would share their data for research purposes. Conclusions: Pregnant women rely on their medical caregivers for advice, including on the use of mobile and ubiquitous health technology. Clear benefits must be communicated if issuing wearable devices to pregnant women. Participants that experienced pregnancy complications in the past were overall more open toward the use of wearable devices in pregnancy. Pregnant women have different opinions regarding access to, interpretation of, and reactions to alerts based on wearable data. Future work should investigate personalized concepts covering these aspects. 
SN  - 2561-6722
UR  - https://pediatrics.jmir.org/2023/1/e50765
UR  - https://doi.org/10.2196/50765
UR  - http://www.ncbi.nlm.nih.gov/pubmed/38109377
DO  - 10.2196/50765
ID  - info:doi/10.2196/50765
ER  -