Exploring perceptions and operational considerations for use of a smartphone application to self-monitor blood pressure in pregnancy in Lombok, Indonesia: protocol for a qualitative study

Introduction Hypertensive disorders of pregnancy (HDP) are a leading cause of maternal deaths globally and require close monitoring of blood pressure (BP) to mitigate potential adverse effects. Despite the recognised need for research on self-monitoring of blood pressure (SMBP) among pregnant popula...

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Main Authors: Özge Tunçalp, Antoine Geissbuhler, María Barreix, Tigest Tamrat, Anuraj H Shankar, Yuni Dwi Setiyawati, Mergy Gayatri, Shannia Oktaviana Rinjani, Melissa Paulina Pasaribu
Format: Article
Language:English
Published: BMJ Publishing Group 2023-12-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/13/12/e073875.full
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author Özge Tunçalp
Antoine Geissbuhler
María Barreix
Tigest Tamrat
Anuraj H Shankar
Yuni Dwi Setiyawati
Mergy Gayatri
Shannia Oktaviana Rinjani
Melissa Paulina Pasaribu
author_facet Özge Tunçalp
Antoine Geissbuhler
María Barreix
Tigest Tamrat
Anuraj H Shankar
Yuni Dwi Setiyawati
Mergy Gayatri
Shannia Oktaviana Rinjani
Melissa Paulina Pasaribu
author_sort Özge Tunçalp
collection DOAJ
description Introduction Hypertensive disorders of pregnancy (HDP) are a leading cause of maternal deaths globally and require close monitoring of blood pressure (BP) to mitigate potential adverse effects. Despite the recognised need for research on self-monitoring of blood pressure (SMBP) among pregnant populations, there are very few studies focused on low and middle income contexts, which carry the greatest burden of HDPs. The study aims to understand the perceptions, barriers, and operational considerations for using a smartphone software application to perform SMBP by pregnant women in Lombok, Indonesia.Methods and analysis This study includes a combination of focus group discussions, in-depth interviews and workshop observations. Pregnant women will also be provided with a research version of the smartphone BP application to use in their home and subsequently provide feedback on their experiences. The study will include pregnant women with current or past HDP, their partners and the healthcare workers involved in the provision of antenatal care services within the catchment area of six primary healthcare centres. Data obtained from the interviews and observations will undergo thematic analyses using a combination of both inductive and deductive approaches.Ethics and dissemination The study was approved by the World Health Organization (WHO) and Human Reproduction Programme (HRP) Research Project Review Panel and WHO Ethical Review Committee (A65932) as well as the Health Research Ethics Committee, Faculty of Medicine, Universitas Mataram in Indonesia (004/UN18/F7/ETIK/2023).Findings will be disseminated through research publications and communicated to the Lombok district health offices. The analyses from this study will also inform the design of a subsequent impact evaluation.
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spelling doaj.art-011c306b62d34fde8376bcac3892ac662024-01-02T05:10:08ZengBMJ Publishing GroupBMJ Open2044-60552023-12-01131210.1136/bmjopen-2023-073875Exploring perceptions and operational considerations for use of a smartphone application to self-monitor blood pressure in pregnancy in Lombok, Indonesia: protocol for a qualitative studyÖzge Tunçalp0Antoine Geissbuhler1María Barreix2Tigest Tamrat3Anuraj H Shankar4Yuni Dwi Setiyawati5Mergy Gayatri6Shannia Oktaviana Rinjani7Melissa Paulina Pasaribu8Reproductive Health and Research, World Health Organizations, Geneva, SwitzerlandDepartment of Radiology and Medical Informatics, Faculty of Medicine, University of Geneva, Geneva, Switzerland1 Department of Sexual and Reproductive Health and Research, World Health Organization, Geneve, SwitzerlandUniversity of Geneva, Geneva, SwitzerlandCentre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, UKSummit Institute for Development, Mataram, IndonesiaSummit Institute for Development, Mataram, IndonesiaSummit Institute for Development, Mataram, IndonesiaSummit Institute for Development, Mataram, IndonesiaIntroduction Hypertensive disorders of pregnancy (HDP) are a leading cause of maternal deaths globally and require close monitoring of blood pressure (BP) to mitigate potential adverse effects. Despite the recognised need for research on self-monitoring of blood pressure (SMBP) among pregnant populations, there are very few studies focused on low and middle income contexts, which carry the greatest burden of HDPs. The study aims to understand the perceptions, barriers, and operational considerations for using a smartphone software application to perform SMBP by pregnant women in Lombok, Indonesia.Methods and analysis This study includes a combination of focus group discussions, in-depth interviews and workshop observations. Pregnant women will also be provided with a research version of the smartphone BP application to use in their home and subsequently provide feedback on their experiences. The study will include pregnant women with current or past HDP, their partners and the healthcare workers involved in the provision of antenatal care services within the catchment area of six primary healthcare centres. Data obtained from the interviews and observations will undergo thematic analyses using a combination of both inductive and deductive approaches.Ethics and dissemination The study was approved by the World Health Organization (WHO) and Human Reproduction Programme (HRP) Research Project Review Panel and WHO Ethical Review Committee (A65932) as well as the Health Research Ethics Committee, Faculty of Medicine, Universitas Mataram in Indonesia (004/UN18/F7/ETIK/2023).Findings will be disseminated through research publications and communicated to the Lombok district health offices. The analyses from this study will also inform the design of a subsequent impact evaluation.https://bmjopen.bmj.com/content/13/12/e073875.full
spellingShingle Özge Tunçalp
Antoine Geissbuhler
María Barreix
Tigest Tamrat
Anuraj H Shankar
Yuni Dwi Setiyawati
Mergy Gayatri
Shannia Oktaviana Rinjani
Melissa Paulina Pasaribu
Exploring perceptions and operational considerations for use of a smartphone application to self-monitor blood pressure in pregnancy in Lombok, Indonesia: protocol for a qualitative study
BMJ Open
title Exploring perceptions and operational considerations for use of a smartphone application to self-monitor blood pressure in pregnancy in Lombok, Indonesia: protocol for a qualitative study
title_full Exploring perceptions and operational considerations for use of a smartphone application to self-monitor blood pressure in pregnancy in Lombok, Indonesia: protocol for a qualitative study
title_fullStr Exploring perceptions and operational considerations for use of a smartphone application to self-monitor blood pressure in pregnancy in Lombok, Indonesia: protocol for a qualitative study
title_full_unstemmed Exploring perceptions and operational considerations for use of a smartphone application to self-monitor blood pressure in pregnancy in Lombok, Indonesia: protocol for a qualitative study
title_short Exploring perceptions and operational considerations for use of a smartphone application to self-monitor blood pressure in pregnancy in Lombok, Indonesia: protocol for a qualitative study
title_sort exploring perceptions and operational considerations for use of a smartphone application to self monitor blood pressure in pregnancy in lombok indonesia protocol for a qualitative study
url https://bmjopen.bmj.com/content/13/12/e073875.full
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