Accepted for/Published in: JMIR Pediatrics and Parenting
Date Submitted: Nov 29, 2022
Open Peer Review Period: Nov 29, 2022 - Jan 24, 2023
Date Accepted: Jun 5, 2023
(closed for review but you can still tweet)
Effectiveness of a web-based app vs. a digital live seminar to improve safe communication for pregnant women: A three-group, partially RCT
ABSTRACT
Background:
Medical internet interventions such as asynchronous apps and synchronous digital live seminars can be effective behaviour change interventions. The research question of this study was whether digital interventions based on the health action process approach can improve pregnant women’s safe communication and patient safety in obstetric care. The study aims to compare a digital live seminar to an app intervention and a passive control group, and to identify which social-cognitive variables determine safe communication behaviour and patient safety.
Objective:
The study aims to compare a digital live seminar to an app intervention and a passive control group, and to identify which social-cognitive variables determine safe communication behaviour and patient safety.
Methods:
N=367 expectant mothers from two German university hospitals participated in the pre-post study (live seminar: N = 142, app: N = 81, passive control group N = 144). All interventions targeted intention, planning, self-efficacy and communicating personal preferences. A repeated measures MANOVA revealed that pregnant women significantly improved their communication behaviour in all groups. The improvement was more pronounced after the live seminar than after the app. Perceived patient safety improved after the live seminar compared to the app group. A regression analysis revealed that social-cognitive variables predicted safe communication behaviour.
Results:
Overall, the app intervention appeared less effective than the digital live training regarding communication behaviour. App interventions addressing communication behaviour might require more face-to-face elements. Improving intention, coping planning, and coping self-efficacy appear as key drivers to develop safe communication behaviour in pregnant women and thus help to improve effectiveness.
Conclusions:
Future research should include social learning aspects and focus on the practical application of medical internet interventions when aiming to improve pregnant women’s communication and patient safety in obstetrics.
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