Needs and preferences of women with prior severe preeclampsia regarding app-based cardiovascular health promotion

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Kokai, Lili L
van der Bijl, Marte F
Hagger, Martin S
Ceallaigh, Diarmaid TO
Rohde, Kirsten IM
van Kippersluis, Hans
Burdorf, Alex
Duvekot, Johannes J
van Lennep, Jeanine E Roeters
Wijtzes, Anne
Griffith University Author(s)
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2022
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Abstract

Background: Women with prior severe preeclampsia are at an increased risk for cardiovascular diseases later in life compared to women who had a normotensive pregnancy. The objective of this study was to assess their needs and preferences regarding app-based cardiovascular health promotion. Methods: Patients (n = 35) of the Follow-Up PreEClampsia Outpatient Clinic (FUPEC), Erasmus MC, the Netherlands, participated in an anonymous online survey. The main outcomes under study were women’s needs for health behavior promotion, and their preferences with respect to intervention delivery. Descriptive statistics were used to evaluate needs, and thematic analysis was used to analyze preferences. Results: Women’s primary need for health behavior promotion pertained to their fat and sugar intake and physical activity; for some, to their mental health (practices), fruit and vegetable intake, salt intake, and water intake; and for a few, to their alcohol and tobacco use. Most women preferred an app-based intervention to include, in descending order: the tracking of health-related metrics, an interactive platform, the use of behavior change strategies, the provision of information, and personalization. Conclusion: Cardiovascular health promotion targeting women with prior severe preeclampsia should feel relevant to its audience. App-based interventions are likely to be well received if they target fat and sugar intake and physical activity. These interventions should preferably track health-related metrics, be interactive, contain behavior change strategies, provide information, and be personalized. Adopting these findings during intervention design could potentially increase uptake, behavior change, and behavior change maintenance in this population.

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BMC Women's Health

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22

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© The Author(s) 2022, corrected publication 2023. This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

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Reproductive medicine

Midwifery

Public health

Science & Technology

Life Sciences & Biomedicine

Public, Environmental & Occupational Health

Obstetrics & Gynecology

Preeclampsia

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Kokai, LL; van der Bijl, MF; Hagger, MS; Ceallaigh, DTO; Rohde, KIM; van Kippersluis, H; Burdorf, A; Duvekot, JJ; van Lennep, JER; Wijtzes, A, Needs and preferences of women with prior severe preeclampsia regarding app-based cardiovascular health promotion, BMC Women's Health, 2022, 22, pp. 427

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