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“MAMA” mobile application for pregnancy knowledge and anxiety: A quasi-experimental study
https://doi.org/10.22146/jcoemph.100153 Dini Cristia Ningsih(1*), Widyawati Widyawati(2), Wiwin Lismidiati(3)
(1) School of Nursing, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
(2) Department of Pediatric and Maternity Nursing, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
(3) Department of Pediatric and Maternity Nursing, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
(*) Corresponding Author
Abstract
Introduction: Pregnancy is a critical phase in a woman’s life that induces a range of alterations, including physical, emotional, and social changes. Prenatal anxiety, often known as anxiety during pregnancy, is a prevalent psychological illness that frequently manifests throughout the gestation period. Knowledge is an indicator of anxiety levels throughout pregnancy. The objective of this study was to assess the impact of implementing the MAMA mobile application intervention on the level of awareness and anxiety related to pregnancy among pregnant women.
Methods: This study employed a quasi-experimental design, which included a pretest and posttest, along with a control group that was not equivalent to the experimental group. This study followed a quantitative method and was conducted at two community health centres in the Sleman, Yogyakarta area for the control group and intervention group. We conducted the research from December 2019 to March 2020. The participants in this study were exclusively third-semester pregnant women who received care at community health centres and matched the specified research requirements. The sample size for each group consisted of 39 respondents. This study included a knowledge questionnaire to assess pregnancy knowledge and the HRSA questionnaire to assess pregnancy anxiety.
Results: The research results indicate a significant impact on the knowledge variable in the intervention group before and after they received the MAMA mobile application (p=0.000). In addition, the intervention group experienced an influence on the anxiety variable before and after receiving the MAMA mobile application (p=0.018).
Conclusion: The mean difference test comparing the control group to the MAMA mobile application group revealed a significant impact of the application on pregnant knowledge. However, we observed no significant effect on pregnancy anxiety.
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1. Bjelica A, Cetkovic N, Trninic-Pjevic A, Mladenovic-Segedi L. The phenomenon of pregnancy — a psychological view. Ginekol Pol. 2018;89(2):102–6. doi: 10.5603/GP.a2018.0017
2. Dennis CL, Falah-Hassani K, Shiri R. Prevalence of antenatal and postnatal anxiety: Systematic review and meta-analysis. Br J Psychiatry. 2017;210(5):315–23. doi: 10.1192/bjp.bp.116.187179
3. Davis EP, Narayan AJ. Pregnancy as a period of risk, adaptation, and resilience for mothers and infants. Dev Psychopathol. 2020;32(5):1625–39. doi: 10.1017/S0954579420001121
4. Bosman RC, Ten Have M, De Graaf R, Muntingh AD, Van Balkom AJ, Batelaan NM. Prevalence and course of subthreshold anxiety disorder in the general population: A three-year follow-up study. Journal of Affective Disorders. 2019;247:105–13. doi: 10.1016/j.jad.2019.01.018
5. Fawcett EJ, Fairbrother N, Cox ML, White IR, Fawcett JM. The Prevalence of Anxiety Disorders During Pregnancy and the Postpartum Period: A Multivariate Bayesian Meta-Analysis. J Clin Psychiatry. 2019;80(4). doi: 10.4088/JCP.18r12527
6. Trisiani D. Hubungan Kecemasan Ibu Hamil terhadap Kejadian Preeklampsia. Jurnal Ilmiah Bidan. 2016;1(3):14–8.
7. Nieto L, Lara MaA, Navarrete L, Manzo G. Infant temperament and perinatal depressive and anxiety symptoms in Mexican women. Sexual & Reproductive Healthcare. 2019;21:39–45. doi: 10.1016/j.srhc.2019.05.005
8. Ding W, Lu J, Zhou Y, Wei W, Zhou Z, Chen M. Knowledge, attitudes, practices, and influencing factors of anxiety among pregnant women in Wuhan during the outbreak of COVID-19: a cross-sectional study. BMC Pregnancy Childbirth. 2021;21(1):80. doi: 10.1186/s12884-021-03561-7
9. Hajmohamadi N, Bakhtari Aghdam F, Ghalichi F, Matlabi H. The "Cooperative-Supportive’’ Intervention for Improving Mental Health Status among Pregnant Women. J Caring Sci. 2018;7(2):101–6. doi: 10.15171/jcs.2018.016
10. American College of Obstetricians and Gynecologists (ACOG). Committee opinion number 798 implementing telehealth in practice. Obstetrics and Gynecology. 2020;135(2):e73–9.
11. Özkan Şat S, Yaman Sözbir Ş. Use of Mobile Applications by Pregnant Women and Levels of Pregnancy Distress During the COVID-19 (Coronavirus) Pandemic. Matern Child Health J. 2021;25(7):1057–68. doi: 10.1007/s10995-021-03162-y
12. Hinonaung JSH. Pengaruh Pemberian Paket Kiat Sehat Terhadap Pengetahuan dan Kecemasan pada Ibu Hamil di Kabupaten Kepulauan Sangihe. 2016;176.
13. Wang N, Deng Z, Wen LM, Ding Y, He G. Understanding the Use of Smartphone Apps for Health Information Among Pregnant Chinese Women: Mixed Methods Study. JMIR Mhealth Uhealth. 2019;7(6):e12631. doi: 10.2196/12631
14. Parsa S, Khajouei R, Baneshi MR, Aali BS. Improving the knowledge of pregnant women using a pre-eclampsia app: A controlled before and after study. International Journal of Medical Informatics. 2019;125:86–90. doi: 10.1016/j.ijmedinf.2019.03.001
15. Dieteren C, Sarkar S, Saharan S, Bonfrer I. Effects of a smartphone application on maternal health knowledge and dietary diversity among pregnant women in India: a randomized single center pilot study. Journal of Global Health Reports. 2022;6. doi: 10.29392/001c.39604
16. Pasinlioglu T. Health education for pregnant women: the role of background characteristics. Patient Education and Counseling. 2004;53(1):101–6. doi: 10.1016/S0738-3991(03)00121-6
17. Marcelina LA, Rachmawati IN, Ungsianik T. Dissatisfaction with the husband support increases childbirth fear among Indonesian primigravida. Enfermería Clínica. 2019;29:379–83. doi: 10.1016/j.enfcli.2019.04.047
18. Dasgupta A, Battala M, Saggurti N, Nair S, Naik DD, Silverman JG, et al. Local social support mitigates depression among women contending with spousal violence and husband’s risky drinking in Mumbai slum communities. Journal of Affective Disorders. 2013;145(1):126–9. doi: 10.1016/j.jad.2012.04.043
19. Silva MMDJ, Nogueira DA, Clapis MJ, Leite EPRC. Anxiety in pregnancy: prevalence and associated factors. Rev esc enferm USP. 2017;51(0). doi: 10.1590/s1980-220x2016048003253
20. Ghaffar A, Pongpanich S, Chapman RS, Panza A, Mureed S, Ghaffar N. Provision and Utilization of Routine Antenatal Care in Rural Balochistan Province, Pakistan: a Survey of Knowledge, Attitudes, and Practices of Pregnant Women. Journal of Applied Medical Sciences. 2012;1:93-116.
21. Chan KL, Chen M. Effects of Social Media and Mobile Health Apps on Pregnancy Care: Meta-Analysis. JMIR Mhealth Uhealth. 2019;7(1):e11836. doi: 10.2196/11836
DOI: https://doi.org/10.22146/jcoemph.100153
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