Musgrave, LM, Homer, CSE, Kizirian, NV & Gordon, A 2019, 'Addressing preconception behaviour change through mobile phone apps: a protocol for a systematic review and meta-analysis.', Systematic reviews, vol. 8, no. 1.View/Download from: Publisher's site
BACKGROUND:Many of the adverse outcomes experienced by mothers and babies are directly related to the health of the woman prior to pregnancy. This preconception period is a unique window of opportunity when women are often more motivated to optimise health and change their lifestyle in preparation for pregnancy. Several risk factors in the preconception period can contribute to adverse perinatal outcomes. These risk factors can be divided into three broad areas: biomedical, social and environmental. Mobile phone applications as a behaviour change intervention have the potential to address these risks through supporting the provision of information, healthier lifestyles and informed decision-making. The aim of this systematic review is to assess the effectiveness of mobile phone applications in promoting behaviour change and improving long-term outcomes for mother and babies, in women of reproductive age. METHODS:This review will include trials that assess any mobile phone application (app) that assist women of reproductive age to optimise health behaviours. Randomised controlled trials, quasi-randomised controlled trials and cluster-randomised trials will be included. The search strategy will use both MeSH and keyword combinations to search databases including the WHO Global Health Library, CINHAL, The Cochrane Library, Embase and MEDLINE for relevant studies. Retrieved citations will be screened independently by two authors to assess eligibility. Studies will be selected only if the intervention was commenced prior to pregnancy. Comparisons will be made including mobile phone applications versus text messaging-based communications or paper-based, face-to-face or telephone conversations and standard care or no specific intervention. The Cochrane Handbook for Systematic Reviews of Interventions will be utilised to assess the quality of included randomised studies. Primary and secondary outcomes will be compared and analysed. Results of the review will be reported ...
Musgrave, L, Baum, A, Perera, N, Homer, CSE & Gordon, A, 'Applying the Behaviour Change Wheel: insights into the development of the breastfeeding component of the Baby Buddy smartphone app'.View/Download from: Publisher's site
BackgroundBreastfeeding plays a major role in the health of mothers and babies and has the potential to positively shape an individual's life both in the short and long-term. In the United Kingdom (UK), despite around 81% of women initiating breastfeeding, only 1% of women breastfeed exclusively to 6 months as recommended by the World Health Organisation (WHO). Women who are socially disadvantaged and younger, are less likely to breastfeed at 6-8 weeks postpartum. One strategy that aims to improve these statistics is the Baby Buddy app which has been designed, developed and implemented by the UK charity Best Beginnings to be a universal intervention to help reduce health inequalities, including breastfeeding. The aim was this study was to retrospectively examine the development of Baby Buddy as a Digital Behaviour Change Intervention (DBCI) that may increase breastfeeding self-efficacy, knowledge and confidence to positively impact breastfeeding rates and duration.MethodsThe study used a three-stage process evaluation, triangulation methods and formalised tools. A retrospective evaluation was done after the app was developed and embedded. The app development process and content were reviewed by applying the Behaviour Change Wheel (BCW), Capability, Opportunity and Motivation-Behaviour (COM-B) system and Behaviour Change Techniques Taxonomy (BCTTv1). A clear understanding of behaviours that need to change in pregnancy to improve breastfeeding knowledge, self-efficacy and confidence was sought. ResultsRetrospective application of the BCW, COM-B and BCTTv1 confirmed that the Baby Buddy app is a well-designed DBCI, appealing particularly to younger women and women for whom English is not their first language. The Best Beginnings charity used several frameworks and guidelines and the use of these instruments contributed to the good design and develop...
Musgrave, L, Kizirian, NV, Homer, CSE & Gordon, A, 'Mobile phone apps to improve outcomes for mothers and babies: A review of pregnancy apps in Australia (Preprint)'.View/Download from: Publisher's site
A healthy start to life is crucial for improving life-long health outcomes. Women are increasingly turning to mobile health platforms to receive health information and support in pregnancy yet their content varies.
To identify and assess the ongoing popularity of the top 10 pregnancy apps in Australia using validated tools, over a two year period.
A systematic review to identify apps was performed using PRISMA-P guidelines. A Google play search used subject terms 'pregnancy', 'parenting' and 'childbirth'. An iTunes search used alternative categories 'medical' and 'health and fitness. The top 250 apps from each store were cross referenced, we then selected the top 100 found in both Google Play and iTunes and screened for eligibility. Apps were included that provided health information or advice for pregnancy. Excluded apps focused on non-health information e.g. baby names. The top 10 pregnancy apps were assessed using the Mobile App Rating Scale (MARS). A comparative analysis was conducted at two time points over two years to assess the ongoing popularity of the apps. The MARS median was compared to the download and star rating data collected from iTunes and Google Play in 2017 and 2019. Health behaviours including breastfeeding, healthy pregnancy weight and awareness of fetal movements were reviewed for perceived impact on the user's knowledge, attitudes, and behavioural change intentions using the Coventry, Aberdeen and London-Refined taxonomy (CALO-RE).
A total of 2,052 free apps wer...