Datamama, bringing pregnancy research into the future: design, development, and evaluation of a citizen science pregnancy mobile application

Background: Pregnancy mobile applications (apps) have grown in popularity over the past decade, with some being used to promote study recruitment or health behaviors. However, no app serves as an all-in-one solution for collecting general data for research purposes and providing women with useful and desirable features. Aim: To create and develop a Swiss pregnancy mobile app as an innovative means to collect research data and provide users with reliable information. Methods: Determining the key features of the app involved a review of the literature and assessment of popular apps in the Swiss AppStore. A team of engineers developed the app, which includes a pregnancy timeline, questionnaires for data collection, medical and psychological articles and a checklist with appointment reminders. The content was written and reviewed by healthcare providers considered experts in the topics adressed. The questionnaires are distributed based on the user’s gestational age, by a chatbot. The project was authorized by the ethics commission in the canton of Vaud. An online survey of ten questions, advertised on Datamama’s home screen, was conducted to assess the users’ use of the app (27.11- 19.12.2022). Results: A review of 84 articles and 25 popular apps showed the need for a comprehensive pregnancy app. The development of Datamama took 2 years and included the creation of 70 medical and psychological articles and 29 questionnaires covering 300 unique variables. Six months after the launch, there were 800 users with a 73% average participation rate in the questionnaires. Sixty-five women completed the survey, with 70.8% using the app once to multiple times per week. The primary reason for using the app was to help research by answering the questionnaires, followed by access to reliable medical information. The reason most frequently ranked first for using the app was to help research by answering the questionnaires (42/65, 67% of women rated it first), followed by access to reliable medical information (34/65, 54% women rated it second). Women rated the information as clear, understandable, and interesting with a trust rating in data handling at 98.5%. The average grade for recommending the app was 8/10, with suggestions for increasing the amount of medical content and tailoring it based on gestational age. Conclusion: Datamama is the first pregnancy app to address the needs of both patients and researchers. Initial feedback from users was positive, highlighting future challenges for success. Future work will consist in improving the app, validating the data and use it to answer specific pregnancy-related research questions.

[1]  G. Sen,et al.  Marketing of commercial milk formula: a system to capture parents, communities, science, and policy , 2023, The Lancet.

[2]  Sereina M. Graber,et al.  Use of Prescribed Drugs to Treat Chronic Diseases during Pregnancy in Outpatient Care in Switzerland between 2014 and 2018: Descriptive Analysis of Swiss Health Care Claims Data , 2022, International journal of environmental research and public health.

[3]  Sereina M. Graber,et al.  Use of drugs to treat symptoms and acute conditions during pregnancy in outpatient care in Switzerland between 2014 and 2018: analysis of Swiss healthcare claims data. , 2021, Swiss medical weekly.

[4]  Karmen S. Williams,et al.  Consumer Perspectives on Maternal and Infant Health Apps: Qualitative Content Analysis , 2021, Journal of medical Internet research.

[5]  K. Vasisht,et al.  Eligibility criteria and clinical trials: An FDA perspective. , 2021, Contemporary clinical trials.

[6]  Zachary G. Wyner,et al.  Use of a mobile app to capture supplemental health information during pregnancy: Implications for clinical research , 2021, Pharmacoepidemiology and drug safety.

[7]  T. Stampalija,et al.  Gaps and Future Challenges of Italian Apps for Pregnancy and Postnatal Care: Systematic Search on App Stores , 2021, Journal of medical Internet research.

[8]  Marcus Bendtsen,et al.  Effectiveness of a Smartphone App to Promote Healthy Weight Gain, Diet, and Physical Activity During Pregnancy (HealthyMoms): Randomized Controlled Trial , 2020, JMIR mHealth and uHealth.

[9]  Aranzazu Muñoz-Mancisidor,et al.  Content, Behavior Change Techniques, and Quality of Pregnancy Apps in Spain: Systematic Search on App Stores , 2021, JMIR mHealth and uHealth.

[10]  M. Rollo,et al.  A review of pregnancy apps freely available in the Google Play Store. , 2020, Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals.

[11]  L. Poston,et al.  Smartphone applications available to pregnant women in the United Kingdom: An assessment of nutritional information , 2019, Maternal & child nutrition.

[12]  Meinald T. Thielsch,et al.  Visual Aesthetics and Performance: A First Meta-Analysis , 2019, MuC.

[13]  K. Chan,et al.  Effects of Social Media and Mobile Health Apps on Pregnancy Care: Meta-Analysis , 2019, JMIR mHealth and uHealth.

[14]  K. Wambach,et al.  Descriptive, Qualitative Study of Women Who Use Mobile Health Applications to Obtain Perinatal Health Information , 2018, Journal of obstetric, gynecologic, and neonatal nursing : JOGNN.

[15]  C. Ledford,et al.  Presence of Complex and Potentially Conflicting Information in Prenatal Mobile Apps , 2018, Health promotion practice.

[16]  Jennifer Duffecy,et al.  Using mobile health applications for the rapid recruitment of perinatal women , 2018, Archives of Women's Mental Health.

[17]  Şengül Yaman Sözbir,et al.  Use of mobile applications and blogs by pregnant women in Turkey and the impact on adaptation to pregnancy. , 2018, Midwifery.

[18]  J. V. van Delden,et al.  Fair inclusion of pregnant women in clinical trials: an integrated scientific and ethical approach , 2018, Trials.

[19]  Katherine M. Atkinson,et al.  Barriers and facilitators to the use of an immunization application: a qualitative study supplemented with Google Analytics data , 2017, Journal of public health.

[20]  Ali Idri,et al.  A systematic review of gamification in e-Health , 2017, J. Biomed. Informatics.

[21]  C. Sohn,et al.  Perceptions of Patient Engagement Applications During Pregnancy: A Qualitative Assessment of the Patient’s Perspective , 2017, JMIR mHealth and uHealth.

[22]  B. Mol,et al.  The pregnant women as a drug orphan: a global survey of registered clinical trials of pharmacological interventions in pregnancy , 2017, BJOG : an international journal of obstetrics and gynaecology.

[23]  Daniel R. Luna,et al.  Mobile Application for Pregnant Women: What Do Mothers Say? , 2017, MedInfo.

[24]  Fabrizio Bert,et al.  There comes a baby! What should I do? Smartphones’ pregnancy-related applications: A web-based overview , 2016, Health Informatics J..

[25]  Deborah Lupton,et al.  An Australian survey of women's use of pregnancy and parenting apps. , 2016, Women and birth : journal of the Australian College of Midwives.

[26]  Deborah Lupton,et al.  The use and value of digital media for information about pregnancy and early motherhood: a focus group study , 2016, BMC Pregnancy and Childbirth.

[27]  A. Doster,et al.  Pregnancy eHealth and mHealth: user proportions and characteristics of pregnant women using Web-based information sources—a cross-sectional study , 2016, Archives of Gynecology and Obstetrics.

[28]  Mikyung Moon,et al.  Utilization and Content Evaluation of Mobile Applications for Pregnancy, Birth, and Child Care , 2016, Healthcare informatics research.

[29]  Amina White Accelerating the paradigm shift toward inclusion of pregnant women in drug research: Ethical and regulatory considerations. , 2015, Seminars in perinatology.

[30]  Ralph Nanan,et al.  An emerging model of maternity care: smartphone, midwife, doctor? , 2014, Women and birth : journal of the Australian College of Midwives.

[31]  N M Fisk,et al.  Systematic analysis of research underfunding in maternal and perinatal health , 2009, BJOG : an international journal of obstetrics and gynaecology.

[32]  A. Lyerly,et al.  The Second Wave: Toward Responsible Inclusion of Pregnant Women in Research , 2009, International journal of feminist approaches to bioethics.