Effectiveness of mobile applications in pregnant women's adherence to prenatal consultations: randomized clinical trial

Souza, Francisca Marta de Lima Costa; Santos, Wenysson Noleto dos; Santos, Rebecca Stefany da Costa; Silva, Vera Lucia Morais da; Abrantes, Rogéria Moreira de; Soares, Veronica Feitosa Ribeiro; Silva, Richardson Augusto Rosendo da

doi:10.1590/0034-7167-2019-0599

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Brasil

Revista Brasileira de Enfermagem

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Brasil

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ORIGINAL ARTICLE • Rev. bras. enferm. 74 (Suppl 5) • 2021 • https://doi.org/10.1590/0034-7167-2019-0599 copy

Effectiveness of mobile applications in pregnant women's adherence to prenatal consultations: randomized clinical trial

Eficacia de una aplicación de telefonía móvil para la adhesión de gestantes a las consultas prenatales: ensayo clínico aletaorizado

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective:

to evaluate the effectiveness of a mobile application for cell phones in the adherence of pregnant women to prenatal consultations.

Method:

a randomized controlled clinical trial, simple-blind with two parallel groups, conducted from January to December 2018. Data collection was carried out through a structured interview at the end of the third trimester of pregnancy. For analysis, Chi-Square and Mann-Whitney tests were used. The sample consisted of 88 pregnant women from 2 Family Health Strategies in Northeast Brazil. Participants were randomized into two groups: intervention (IG), who used the application, and control (CG), who attended prenatal consultations.

Results:

pregnant women who used the application (IG) attended a greater number of consultations when compared to participants in the CG, identifying a statistical difference between the groups (p<0.05).

Conclusion:

the application showed to be an effective health technology to improve adherence to prenatal care. Brazilian Registry of Clinical Trials: RBR-74SNST.

Descriptors:
Women's Health; Prenatal Care; Mobile Applications; Clinical Trial; Nursing

Variables/Category	Group				p value
	Intervention		Control
	n	%	n	%
Is prenatal care important?
Yes	36	100	39	100
Do you have difficulty making an appointment for prenatal care?					0.026^* * Pearson's Chi-square test
Yes	05	13.9	24	61.5
Not	31	86.1	15	38.5
Is the time for the scheduled prenatal consultation better?
Yes	36	100	39	100
Did you use any type of application before this study?					0.001^* * Pearson's Chi-square test
Yes	11	30.5	05	12.8
Not	25	69.5	34	87.2
Did you attend all the prenatal appointments scheduled in the last pregnancy?					0.014^ Fisher's exact test.
Yes	04	11.1	6	15.4
Not	32	88.9	33	84.6

Variables/Category	Group				p value
	Intervention		Control
	n	%	n	%
Number of prenatal consultations					0.018^* Note:
≤ 5 consultations	0	00.0	20	51.3
From 6 to 7 consultations	06	16.7	16	41.0
≥ 8 consultations	30	83.3	3	7.7

Variables/Category	Satisfaction with using the application		p value
Variables/Category	n	%	p value
Was the application easy to access?			0.001^* * Pearson's Chi-square test.
Yes	31	86.1
Does the application's content answer any questions and have quality information?
Yes	36	100
Did the application's guidelines contribute during the gestational period?
Yes	36	100
Did the application facilitate adherence to prenatal care?
Yes	36	100

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[1] Corresponding author: Francisca Marta de Lima Costa Souza E-mail: enfermarta2001@yahoo.com.br