Please use this identifier to cite or link to this item: https://doi.org/10.2196/27033
Title: Development of a Supportive Parenting App to Improve Parent and Infant Outcomes in the Perinatal Period: Development Study
Authors: Shorey, Shefaly 
Tan, Thiam Chye 
Thilagamangai 
Mathews, Jancy
Yu, Chun Yan
Lim, Siew Hoon 
Shi, Luming 
Ng, Esperanza Debby 
Chan, Yiong Huak 
Law, Evelyn 
Chee, Cornelia 
Chong, Yap Seng 
Keywords: Science & Technology
Life Sciences & Biomedicine
Health Care Sciences & Services
Medical Informatics
depression
development
education
parent
perinatal
support
telehealth
mobile phone
RANDOMIZED CONTROLLED-TRIAL
POSTPARTUM DEPRESSION
MATERNAL DEPRESSION
TREATMENT FIDELITY
SELF-EFFICACY
MOTHERS
PSYCHOPATHOLOGY
INTERVENTION
EXPERIENCES
CHILDREN
Issue Date: 24-Dec-2021
Publisher: JMIR PUBLICATIONS, INC
Citation: Shorey, Shefaly, Tan, Thiam Chye, Thilagamangai, Mathews, Jancy, Yu, Chun Yan, Lim, Siew Hoon, Shi, Luming, Ng, Esperanza Debby, Chan, Yiong Huak, Law, Evelyn, Chee, Cornelia, Chong, Yap Seng (2021-12-24). Development of a Supportive Parenting App to Improve Parent and Infant Outcomes in the Perinatal Period: Development Study. JOURNAL OF MEDICAL INTERNET RESEARCH 23 (12). ScholarBank@NUS Repository. https://doi.org/10.2196/27033
Abstract: Background: The transition to parenthood can be challenging, and parents are vulnerable to psychological disorders during the perinatal period. This may have adverse long-term consequences on a child's development. Given the rise in technology and parents' preferences for mobile health apps, a supportive mobile health intervention is optimal. However, there is a lack of a theoretical framework and technology-based perinatal educational intervention for couples with healthy infants. Objective: The aim of this study is to describe the Supportive Parenting App (SPA) development procedure and highlight the challenges and lessons learned. Methods: The SPA development procedure was guided by the information systems research framework, which emphasizes a nonlinear, iterative, and user-centered process involving 3 research cycles-the relevance cycle, design cycle, and rigor cycle. Treatment fidelity was ensured, and team cohesiveness was maintained using strategies from the Tuckman model of team development. Results: In the relevance cycle, end-user requirements were identified through focus groups and interviews. In the rigor cycle, the user engagement pyramid and well-established theories (social cognitive theory proposed by Bandura and attachment theory proposed by Bowlby) were used to inform and justify the features of the artifact. In the design cycle, the admin portal was developed using Microsoft Visual Studio 2017, whereas the SPA, which ran on both iOS and Android, was developed using hybrid development tools. The SPA featured knowledge-based content, informational videos and audio clips, a discussion forum, chat groups, and a frequently asked questions and expert advice section. The intervention underwent iterative testing by a small group of new parents and research team members. Qualitative feedback was obtained for further app enhancements before official implementation. Testing revealed user and technological issues, such as web browser and app incompatibility, a lack of notifications for both administrators and users, and limited search engine capability. Conclusions: The information systems research framework documented the technical details of the SPA but did not take into consideration the interpersonal and real-life challenges. Ineffective communication between the health care research team and the app developers, limited resources, and the COVID-19 pandemic were the main challenges faced during content development. Quick adaptability, team cohesion, and hindsight budgeting are crucial for intervention development. Although the effectiveness of the SPA in improving parental and infant outcomes is currently unknown, this detailed intervention development study highlights the key aspects that need to be considered for future app development.
Source Title: JOURNAL OF MEDICAL INTERNET RESEARCH
URI: https://scholarbank.nus.edu.sg/handle/10635/228785
ISSN: 14388871
DOI: 10.2196/27033
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