Randomized Controlled Trial of a Mobile Health Application Based on Roy’s Adaptation Model on Postpartum Adaptation by Sultan Özkan Şat

Nurs Res. 2023 Mar 15. doi: 10.1097/NNR.0000000000000647. Online ahead of print.

ABSTRACT

BACKGROUND: Mobile apps are used worldwide in nursing care, including during pregnancy, childbirth, and postpartum.

OBJECTIVES: To determine the effect of a mobile health application developed for pregnant women according to the Roy Adaptation Model on postpartum adaptation.

METHODS: This was a single-center, two-arm parallel-group, randomized controlled trial. The study was conducted from March 2021 to August 2021. A mobile application was developed and offered to women in the experimental group from the 32nd-34th gestational weeks to the sixth week postpartum. The Postpartum Self-Evaluation Questionnaire (PSEQ) was administered to both experimental and control groups on the postpartum 10th day and sixth postpartum week. The generalized linear mixed-effects model and the least significant difference test were used to analyze the data.

RESULTS: The study sample consisted of 62 pregnant women. The mean scores from the total PSEQ and the subscales decreased statistically significantly in the postpartum 10th day and postpartum sixth week in the experimental group compared to the control group (p < 0.05). The mean scores from the confidence in the ability to cope with tasks of motherhood and satisfaction with motherhood and infant care subscales indicated a statistically significant difference in group-time interaction.

DISCUSSION: The results indicated that the mobile health application increased postpartum adaptation in women and effectively maintained adaptation until the sixth week postpartum. Use of mobile health applications may help provide practical, accessible, and quality prenatal and postpartum care.

PMID:36920158 | DOI:10.1097/NNR.0000000000000647