Skip to main content

Integrated Design Method and Usability Outcomes of a Mobile Application for Psychological Well-Being During Pregnancy

  • Conference paper
  • First Online:
Wireless Mobile Communication and Healthcare (MobiHealth 2022)

Abstract

The last decade has seen a radical change in the use of technologies. Mobile computing is the main technology of this decade. More and more often we are dealing with portable tools, and portable devices; medical instrumentation such as portable and connected electrocardiographs, pulse-oximeters... is widespread, especially due to COVID-19 pandemic situation in the last two years. However, mental healthcare is a critical domain which however is often unexplored, especially in terms of human factors and ergonomics. Few studies analyze the ergonomics factor and usability of mobile applications in the mental health field. This paper reports a study on the creation of a digital system with a tailor-made application for monitoring the mental health of pregnant women. The paper proposes a methodological analysis carried out with future moms and different stakeholders, to identify the most suitable solution for the psycho-physical needs of mothers and at the same time those of the various actors during pregnancy (dads, psychologists, psychiatrists). The work shows the ergonomic effectiveness of an app for the collection of the Edinburgh Scale (EPDS), designed with the users, both from the point of view of usability and the data collected. The result shows good adherence in terms of the App’s active users and EPDS data gathering, a decrease in the evaluation of the EPDS scale, and therefore a reduced severity of depressive symptoms using a combination of app and home interventions by psychologists.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 69.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 89.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. GBDC Network: Global Burden of Disease Study 2016 (GBD 2016) Causes of Death and Nonfatal Causes Mapped to ICD Codes. Institute for Health Metrics and Evaluation (IHME) (2015)

    Google Scholar 

  2. Layton, H., Owais, S., Savoy, C.D., Van Lieshout, R.J.: Depression, anxiety, and mother-infant bonding in women seeking treatment for postpartum depression before and during the COVID-19 pandemic. J. Clin. Psychiatry 82 (2021)

    Google Scholar 

  3. Breese McCoy, S.J.: Postpartum depression: an essential overview for the practitioner. South. Med. J. 104, 128–132 (2011)

    Article  Google Scholar 

  4. Grussu, P., Lega, I., Quatraro, R.M., Donati, S.: Perinatal mental health around the world: priorities for research and service development in Italy. BJPsych Int. 17, 8–10 (2020)

    Article  Google Scholar 

  5. Yonkers, K.A., et al.: Onset and persistence of postpartum depression in an inner-city maternal health clinic system. Am. J. Psychiatry 158(11), 1856–1863 (2001)

    Article  Google Scholar 

  6. Lanz, R.G., Bert, S.C., Jacobs, B.K.: Depression among a sample of first-time adolescent and adult mothers. J. Child Adolesc Psychiatr. Nurs. 22(4), 194–202 (2009)

    Article  Google Scholar 

  7. Rahman, A., et al.: Interventions for common perinatal mental disorders in women in low- and middle-income countries: a systematic review and meta-analysis. Bull World Health Organ. 91, 593–601 (2013)

    Article  Google Scholar 

  8. ISTAT: Demography in figures. http://demo.istat.it/. Accessed 06 June 2022

  9. Cox, J.L., Holden, J.M., Sagovsky, R.: Detection of postnatal depression: development of the 10-item Edinburgh post-natal depression scale. Br. J. Psychiatry 150, 782–786 (1987)

    Article  Google Scholar 

  10. National Collaborating Centre for Mental Health: Antenatal and postnatal mental health: the NICE guideline on clinical management and service guidance. British Psychological Society (2007)

    Google Scholar 

  11. World Health Organization: Thinking healthy: a manual for psychosocial management of perinatal depression, WHO generic field-trial version 1.0 (2015)

    Google Scholar 

  12. Alhusen, J.L., Alvarez, C.: Perinatal depression. Nurse Pract. 41(5), 50–55 (2016)

    Article  Google Scholar 

  13. Davenport, M.H., Meyer, S., Meah, V.L., Strynadka, M.C., Khurana, R.: Moms are not OK: COVID-19 and maternal mental health. Front. Glob. Women’s Health 1 (2020)

    Google Scholar 

  14. Saccone, G., et al.: Psychological impact of COVID-19 in pregnant women. Am. J. Obstet. Gynecol. 222(2), 293–295 (2020)

    Article  Google Scholar 

  15. Olla, P., Shimskey, C.: mHealth taxonomy: a literature survey of mobile health applications. Heal. Technol. 4(4), 299–308 (2015). https://doi.org/10.1007/s12553-014-0093-8

    Article  Google Scholar 

  16. Van Heerden, A., Tomlinson, M., Swartz, L.: Point of care in your pocket: a research agenda for the field of m-health. Bull. World Health Organ. 90(5), 393–394 (2012)

    Article  Google Scholar 

  17. Tomlinson, M., Rotheram-Borus, M.J., Swartz, L., Tsai, A.C.: Scaling up mHealth: where is the evidence? PLoS Med. 10(2) (2013)

    Google Scholar 

  18. Hussain-Shamsy, N., Shah, A., Vigod, S.N., Zaheer, J., Seto, E.: Mobile health for perinatal depression and anxiety: scoping review. J. Med. Internet Res. 22(4) (2020)

    Google Scholar 

  19. LUMA Institute: Innovating for People Handbook of Human-Centered Design Methods (2012)

    Google Scholar 

  20. Machado Neto, O., Pimentel, M.D.G.: Heuristics for the assessment of interfaces of mobile devices. In: Proceedings of the 19th Brazilian Symposium on Multimedia and the Web, pp. 93–96 (2013)

    Google Scholar 

  21. Maze.co. https://maze.co/. Accessed 06 June 2022

  22. VisaulEye. https://www.visualeyes.design/. Accessed 03 Mar 2022

  23. VAS 3M. https://vas.3m.com/. Accessed 10 June 2022

  24. Istituto Superiore di Sanità: Epicentro - L’epidemiologia per la sanità pubblica. https://www.epicentro.iss.it/. Accessed 10 June 2022

  25. Doherty, K., et al.: A mobile app for the self-report of psychological well-being during pregnancy (BrightSelf): qualitative design study. JMIR Mental Health 5(4) (2018)

    Google Scholar 

Download references

Acknowledgments

This work has been part of the BLUES project funded by the Ministry of Health, provided by Lombardy Region, and which involved, in addition to Lecco Hospital as project leader, further nine Lombard health institutes (Ats Brianza, Asst di Vimercate and Monza, Papa Giovani XXIII hospital and Asst Bergamo Est, Niguarda hospital in Milan, Asst Rhodense and Asst in Mantova). The authors would like to thank all the moms, psychologists, and doctors who participated in the focus groups for their willingness and patience, and to dr. A. Lora and dr. S. Ciervo for supervising the research. A big thanks also to dr. R. Sironi for the help during the focus groups.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Paolo Perego .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2023 ICST Institute for Computer Sciences, Social Informatics and Telecommunications Engineering

About this paper

Check for updates. Verify currency and authenticity via CrossMark

Cite this paper

Perego, P., Terraroli, M. (2023). Integrated Design Method and Usability Outcomes of a Mobile Application for Psychological Well-Being During Pregnancy. In: Cunha, A., M. Garcia, N., Marx Gómez, J., Pereira, S. (eds) Wireless Mobile Communication and Healthcare. MobiHealth 2022. Lecture Notes of the Institute for Computer Sciences, Social Informatics and Telecommunications Engineering, vol 484. Springer, Cham. https://doi.org/10.1007/978-3-031-32029-3_25

Download citation

  • DOI: https://doi.org/10.1007/978-3-031-32029-3_25

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-32028-6

  • Online ISBN: 978-3-031-32029-3

  • eBook Packages: Computer ScienceComputer Science (R0)

Publish with us

Policies and ethics