Needs and preferences of women with prior severe preeclampsia regarding app-based cardiovascular health promotion

Lili L. Kókai*, Marte F. van der Bijl, Martin S. Hagger, Diarmaid T. Ó Ceallaigh, Kirsten I.M. Rohde, Hans van Kippersluis, Alex Burdorf, Johannes J. Duvekot, Jeanine E.Roeters van Lennep, Anne I. Wijtzes

*Corresponding author for this work

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Abstract

Background: Women with prior severe preeclampsia are at an increased risk for cardiovascular diseases later in life compared to women who had a normotensive pregnancy. The objective of this study was to assess their needs and preferences regarding app-based cardiovascular health promotion. Methods: Patients (n = 35) of the Follow-Up PreEClampsia Outpatient Clinic (FUPEC), Erasmus MC, the Netherlands, participated in an anonymous online survey. The main outcomes under study were women’s needs for health behavior promotion, and their preferences with respect to intervention delivery. Descriptive statistics were used to evaluate needs, and thematic analysis was used to analyze preferences. Results: Women’s primary need for health behavior promotion pertained to their fat and sugar intake and physical activity; for some, to their mental health (practices), fruit and vegetable intake, salt intake, and water intake; and for a few, to their alcohol and tobacco use. Most women preferred an app-based intervention to include, in descending order: the tracking of health-related metrics, an interactive platform, the use of behavior change strategies, the provision of information, and personalization. Conclusion: Cardiovascular health promotion targeting women with prior severe preeclampsia should feel relevant to its audience. App-based interventions are likely to be well received if they target fat and sugar intake and physical activity. These interventions should preferably track health-related metrics, be interactive, contain behavior change strategies, provide information, and be personalized. Adopting these findings during intervention design could potentially increase uptake, behavior change, and behavior change maintenance in this population.

Original languageEnglish
Article number427
JournalBMC Women's Health
Volume22
Issue number1
DOIs
Publication statusPublished - 29 Oct 2022

Bibliographical note

Funding Information:
This study was funded by the Erasmus University Rotterdam, Smarter Choices for Better Health Initiative (Action Line Prevention), grant number 108348.

Publisher Copyright: © 2022, The Author(s).

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