JMIR Publications

ABSTRACT

Background:

Neonatal jaundice (NNJ) or Hyper-Bilirubinemia is common. Currently, the Transcutaneous Bilirubinometer is used to screen for NNJ in healthcare facilities, where neonates need to be physically present. Mobile health (mHealth) applications (apps) could allow mothers the convenience of screening for NNJ remotely. However, end-users acceptability of such mHealth applications is of fundamental importance before the incorporation of such applications.

Objective:

The study aimed to explore the perception of postpartum mothers towards self-monitoring of NNJ using a novel mHealth app.

Methods:

Mothers attending video consultations for early postpartum care in two Singapore primary care clinics watched an instructional video on NNJ/ Hyper-Bilirubinemia-screening mHealth apps (BLS). An independent researcher conducted in-depth interviews with twenty-five mothers assessing their views on BLS. All interviews were audio-recorded, transcribed verbatim, checked, and managed using NVivo qualitative data management software. The themes identified using thematic analysis were grouped under perceived usability and utility.

Results:

Mothers valued the convenience and utility of BLS in monitoring NNJ remotely. However, they perceived that its applicability would be restricted to severe jaundice, were concerned about the app accuracy, and lacked confidence in using it. Nevertheless, they were willing to use it once its accuracy was proven and when they received adequate guidance from healthcare professionals. Mothers proposed pairing teleconsultation with BLS to boost their confidence and enhance its adoption.

Conclusions:

Mothers were receptive to use BLS but had their concerns. Combining such app and teleconsultation presents a plausible pragmatic NNJ care delivery model in general practice. Clinical Trial: NA