Uptake of signposting to web-based resources: pregnant women’s use of a preventive web-based intervention
Abstract Background Signposting to web-based interventions is becoming increasingly popular in primary care. Most resources are focused on individuals with clinical problems, but less is known about the uptake of general practice (GP) signposted web-based interventions. GPs in Denmark are responsibl...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-09-01
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| Series: | BMC Primary Care |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12875-023-02130-5 |
| _version_ | 1827633574123143168 |
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| author | Emil Rønn Sørensen Ida Scheel Rasmussen Gritt Overbeck Volkert Siersma Clara Lundmark Appel Philip Wilson |
| author_facet | Emil Rønn Sørensen Ida Scheel Rasmussen Gritt Overbeck Volkert Siersma Clara Lundmark Appel Philip Wilson |
| author_sort | Emil Rønn Sørensen |
| collection | DOAJ |
| description | Abstract Background Signposting to web-based interventions is becoming increasingly popular in primary care. Most resources are focused on individuals with clinical problems, but less is known about the uptake of general practice (GP) signposted web-based interventions. GPs in Denmark are responsible for scheduled preventive care during pregnancy and the child’s first five years. In the “Family Well-being in General Practice” trial the web-based intervention “Resilientchild.dk” is introduced at these consultations. Resilientchild.dk is designed to improve the capacity of parents to understand the mental state of themselves, their partners, and their children. In this study we assess the uptake and use of this web-based intervention. Objective To describe participant and practice characteristics associated with the use of a web-based psychoeducational intervention. Eligible participants were pregnant women presenting at their first antenatal assessment, usually around 6–10 gestational weeks. Methods The study was nested in a cluster randomised trial of resilientchild.dk. We conducted a relative importance analysis, which allows for determination of the variables most strongly associated with website use. To assess the direction and magnitude of the influences of the identified variables, we applied multinomial generalized linear mixed modelling. A practice random effect allows us to account for clustering of women within practices. Results Parity and the absence of a nurse or midwife in the practice were important factors driving a decrease in the likelihood of using resilientchild.dk. Being a student or living outside the capital city were important factors driving an increase in the likelihood of using resilientchild.dk. Conclusion The data offer unique opportunities to assess the utilisation of a web-based mental health-promotion intervention following advice from a clinician. This study draws conclusions about which patients are likely to access similar resources and which practice characteristics encourage their use. Trial registration Registered in clinicaltrials.gov, Trial number: NCT04129359 Date of registration: 16/10/2019 ( https://clinicaltrials.gov/ct2/show/NCT04129359 ). |
| first_indexed | 2024-03-09T15:01:27Z |
| format | Article |
| id | doaj.art-e0e55527f1e44469bca4d508de25cfec |
| institution | Directory Open Access Journal |
| issn | 2731-4553 |
| language | English |
| last_indexed | 2024-03-09T15:01:27Z |
| publishDate | 2023-09-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Primary Care |
| spelling | doaj.art-e0e55527f1e44469bca4d508de25cfec2023-11-26T13:53:26ZengBMCBMC Primary Care2731-45532023-09-0124111110.1186/s12875-023-02130-5Uptake of signposting to web-based resources: pregnant women’s use of a preventive web-based interventionEmil Rønn Sørensen0Ida Scheel Rasmussen1Gritt Overbeck2Volkert Siersma3Clara Lundmark Appel4Philip Wilson5The Research Unit for General Practice and Section of General Practice, Department of Public Health, University of CopenhagenThe Research Unit for General Practice and Section of General Practice, Department of Public Health, University of CopenhagenThe Research Unit for General Practice and Section of General Practice, Department of Public Health, University of CopenhagenThe Research Unit for General Practice and Section of General Practice, Department of Public Health, University of CopenhagenThe Research Unit for General Practice and Section of General Practice, Department of Public Health, University of CopenhagenThe Research Unit for General Practice and Section of General Practice, Department of Public Health, University of CopenhagenAbstract Background Signposting to web-based interventions is becoming increasingly popular in primary care. Most resources are focused on individuals with clinical problems, but less is known about the uptake of general practice (GP) signposted web-based interventions. GPs in Denmark are responsible for scheduled preventive care during pregnancy and the child’s first five years. In the “Family Well-being in General Practice” trial the web-based intervention “Resilientchild.dk” is introduced at these consultations. Resilientchild.dk is designed to improve the capacity of parents to understand the mental state of themselves, their partners, and their children. In this study we assess the uptake and use of this web-based intervention. Objective To describe participant and practice characteristics associated with the use of a web-based psychoeducational intervention. Eligible participants were pregnant women presenting at their first antenatal assessment, usually around 6–10 gestational weeks. Methods The study was nested in a cluster randomised trial of resilientchild.dk. We conducted a relative importance analysis, which allows for determination of the variables most strongly associated with website use. To assess the direction and magnitude of the influences of the identified variables, we applied multinomial generalized linear mixed modelling. A practice random effect allows us to account for clustering of women within practices. Results Parity and the absence of a nurse or midwife in the practice were important factors driving a decrease in the likelihood of using resilientchild.dk. Being a student or living outside the capital city were important factors driving an increase in the likelihood of using resilientchild.dk. Conclusion The data offer unique opportunities to assess the utilisation of a web-based mental health-promotion intervention following advice from a clinician. This study draws conclusions about which patients are likely to access similar resources and which practice characteristics encourage their use. Trial registration Registered in clinicaltrials.gov, Trial number: NCT04129359 Date of registration: 16/10/2019 ( https://clinicaltrials.gov/ct2/show/NCT04129359 ).https://doi.org/10.1186/s12875-023-02130-5PregnancyInternet-based interventionHealth promotionPrenatal careMental healthPrimary health care |
| spellingShingle | Emil Rønn Sørensen Ida Scheel Rasmussen Gritt Overbeck Volkert Siersma Clara Lundmark Appel Philip Wilson Uptake of signposting to web-based resources: pregnant women’s use of a preventive web-based intervention BMC Primary Care Pregnancy Internet-based intervention Health promotion Prenatal care Mental health Primary health care |
| title | Uptake of signposting to web-based resources: pregnant women’s use of a preventive web-based intervention |
| title_full | Uptake of signposting to web-based resources: pregnant women’s use of a preventive web-based intervention |
| title_fullStr | Uptake of signposting to web-based resources: pregnant women’s use of a preventive web-based intervention |
| title_full_unstemmed | Uptake of signposting to web-based resources: pregnant women’s use of a preventive web-based intervention |
| title_short | Uptake of signposting to web-based resources: pregnant women’s use of a preventive web-based intervention |
| title_sort | uptake of signposting to web based resources pregnant women s use of a preventive web based intervention |
| topic | Pregnancy Internet-based intervention Health promotion Prenatal care Mental health Primary health care |
| url | https://doi.org/10.1186/s12875-023-02130-5 |
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