The value of a mobile educative Application additional to Standard counselling on aspirin Adherence in Pregnancy: the ASAP study, a randomised controlled trial
Objective: To assess the added value of a novel, mobile educative application to standard counselling on aspirin adherence during pregnancy versus standard counselling alone. Methods: Participants were randomly assigned for additional use of a mobile educative application or standard counselling alo...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2024-12-01
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| Series: | PEC Innovation |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2772628224000165 |
| _version_ | 1797294299155529728 |
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| author | Jeske M. bij de Weg Marjon A. de Boer Cynthia Meijer Noëlle Lugtenburg Marijke Melles Johanna I.P. de Vries Christianne J.M. de Groot |
| author_facet | Jeske M. bij de Weg Marjon A. de Boer Cynthia Meijer Noëlle Lugtenburg Marijke Melles Johanna I.P. de Vries Christianne J.M. de Groot |
| author_sort | Jeske M. bij de Weg |
| collection | DOAJ |
| description | Objective: To assess the added value of a novel, mobile educative application to standard counselling on aspirin adherence during pregnancy versus standard counselling alone. Methods: Participants were randomly assigned for additional use of a mobile educative application or standard counselling alone. Main outcome measures were adherence to aspirin measured by two validated questionnaires: Simplified Medication Adherence Questionnaire (SMAQ), Believes and Behaviour Questionnaire (BBQ), and patients reported tablet intake >90%. Results: A total of 174 women with an indication for aspirin during pregnancy were included. The questionnaires were filled in by 126 out of the 174 participants (72.4%). Similar results were found in the app group and the standard counselling groups for both validated questionnaires. Tablet intake >90% was seen in 88.7% and 87.5% (p = 0.834) of the app group and standard counselling group respectively. Subgroup analyses demonstrated a negative effect of BMI and a positive effect of educational level on adherence. Conclusions: Our study revealed no added effect of a novel, mobile educative application to standard counselling on aspirin adherence during pregnancy. Tablet intake was equally high in both groups probably explained by our high educated population. Innovation: Future studies should focus on tailored counselling on medication to pregnant women's needs including medication reminders, addressing concerns, adequate health literacy and side effects, offering rewards to further stimulate aspirin adherence in pregnancy with optimal outcome for mother and their neonate. |
| first_indexed | 2024-03-07T21:28:14Z |
| format | Article |
| id | doaj.art-e372cb819a0d4a579406cb570b77b06e |
| institution | Directory Open Access Journal |
| issn | 2772-6282 |
| language | English |
| last_indexed | 2024-03-07T21:28:14Z |
| publishDate | 2024-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | PEC Innovation |
| spelling | doaj.art-e372cb819a0d4a579406cb570b77b06e2024-02-27T04:20:18ZengElsevierPEC Innovation2772-62822024-12-014100268The value of a mobile educative Application additional to Standard counselling on aspirin Adherence in Pregnancy: the ASAP study, a randomised controlled trialJeske M. bij de Weg0Marjon A. de Boer1Cynthia Meijer2Noëlle Lugtenburg3Marijke Melles4Johanna I.P. de Vries5Christianne J.M. de Groot6Amsterdam UMC location Vrije Universiteit Amsterdam, Department of Obstetrics and Gynaecology, Amsterdam, Netherlands; Amsterdam Reproduction and Development Research Institute, Amsterdam, Netherlands; Corresponding author at: Department of Obstetrics and Gynaecology, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam Reproduction and Development Research Institute, P.O. box 7057, 1081 HV Amsterdam, Netherlands.Amsterdam UMC location Vrije Universiteit Amsterdam, Department of Obstetrics and Gynaecology, Amsterdam, Netherlands; Amsterdam Reproduction and Development Research Institute, Amsterdam, NetherlandsAmsterdam UMC location Vrije Universiteit Amsterdam, Department of Obstetrics and Gynaecology, Amsterdam, Netherlands; Amsterdam Reproduction and Development Research Institute, Amsterdam, NetherlandsDelft University of Technology, Faculty of Industrial Design Engineering, Department of Human-Centered Design, Delft, NetherlandsDelft University of Technology, Faculty of Industrial Design Engineering, Department of Human-Centered Design, Delft, NetherlandsAmsterdam UMC location Vrije Universiteit Amsterdam, Department of Obstetrics and Gynaecology, Amsterdam, Netherlands; Amsterdam Reproduction and Development Research Institute, Amsterdam, NetherlandsAmsterdam UMC location Vrije Universiteit Amsterdam, Department of Obstetrics and Gynaecology, Amsterdam, Netherlands; Amsterdam Reproduction and Development Research Institute, Amsterdam, NetherlandsObjective: To assess the added value of a novel, mobile educative application to standard counselling on aspirin adherence during pregnancy versus standard counselling alone. Methods: Participants were randomly assigned for additional use of a mobile educative application or standard counselling alone. Main outcome measures were adherence to aspirin measured by two validated questionnaires: Simplified Medication Adherence Questionnaire (SMAQ), Believes and Behaviour Questionnaire (BBQ), and patients reported tablet intake >90%. Results: A total of 174 women with an indication for aspirin during pregnancy were included. The questionnaires were filled in by 126 out of the 174 participants (72.4%). Similar results were found in the app group and the standard counselling groups for both validated questionnaires. Tablet intake >90% was seen in 88.7% and 87.5% (p = 0.834) of the app group and standard counselling group respectively. Subgroup analyses demonstrated a negative effect of BMI and a positive effect of educational level on adherence. Conclusions: Our study revealed no added effect of a novel, mobile educative application to standard counselling on aspirin adherence during pregnancy. Tablet intake was equally high in both groups probably explained by our high educated population. Innovation: Future studies should focus on tailored counselling on medication to pregnant women's needs including medication reminders, addressing concerns, adequate health literacy and side effects, offering rewards to further stimulate aspirin adherence in pregnancy with optimal outcome for mother and their neonate.http://www.sciencedirect.com/science/article/pii/S2772628224000165AdherenceAspirinCounsellingEducationEducative applicationPregnancy |
| spellingShingle | Jeske M. bij de Weg Marjon A. de Boer Cynthia Meijer Noëlle Lugtenburg Marijke Melles Johanna I.P. de Vries Christianne J.M. de Groot The value of a mobile educative Application additional to Standard counselling on aspirin Adherence in Pregnancy: the ASAP study, a randomised controlled trial PEC Innovation Adherence Aspirin Counselling Education Educative application Pregnancy |
| title | The value of a mobile educative Application additional to Standard counselling on aspirin Adherence in Pregnancy: the ASAP study, a randomised controlled trial |
| title_full | The value of a mobile educative Application additional to Standard counselling on aspirin Adherence in Pregnancy: the ASAP study, a randomised controlled trial |
| title_fullStr | The value of a mobile educative Application additional to Standard counselling on aspirin Adherence in Pregnancy: the ASAP study, a randomised controlled trial |
| title_full_unstemmed | The value of a mobile educative Application additional to Standard counselling on aspirin Adherence in Pregnancy: the ASAP study, a randomised controlled trial |
| title_short | The value of a mobile educative Application additional to Standard counselling on aspirin Adherence in Pregnancy: the ASAP study, a randomised controlled trial |
| title_sort | value of a mobile educative application additional to standard counselling on aspirin adherence in pregnancy the asap study a randomised controlled trial |
| topic | Adherence Aspirin Counselling Education Educative application Pregnancy |
| url | http://www.sciencedirect.com/science/article/pii/S2772628224000165 |
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