Detection of Potential Arbovirus Infections and Pregnancy Complications in Pregnant Women in Jamaica Using a Smartphone App (ZIKApp): Pilot Evaluation Study

Detalhes bibliográficos
Autor(a) principal: Ruiz-Burga, Elisa
Data de Publicação: 2022
Outros Autores: Bruijning-Verhagen, Patricia, Palmer, Paulette, Sandcroft, Annalisa, Fernandes, Georgina, Hoog, Marieke de, Bryan, Lenroy, Pierre, Russell, Bailey, Heather, Giaquinto, Carlo, Thorne, Claire, Christie, Celia D. C., ZIKAction Consortium
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/55689
Resumo: Patricia Brasil - Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil. Documento produzido em parceria ou por autor vinculado à Fiocruz, mas não consta à informação no documento.
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spelling Ruiz-Burga, ElisaBruijning-Verhagen, PatriciaPalmer, PauletteSandcroft, AnnalisaFernandes, GeorginaHoog, Marieke deBryan, LenroyPierre, RussellBailey, HeatherGiaquinto, CarloThorne, ClaireChristie, Celia D. C.ZIKAction Consortium2022-11-17T19:07:09Z2022-11-17T19:07:09Z2022RUIZ-BURGA, Elisa et al. Detection of Potential Arbovirus Infections and Pregnancy Complications in Pregnant Women in Jamaica Using a Smartphone App (ZIKApp): Pilot Evaluation Study. JMIR formative research, v. 6, n. 7, p. 1-16, 2022.2561-326Xhttps://www.arca.fiocruz.br/handle/icict/5568910.2196/34423Patricia Brasil - Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil. Documento produzido em parceria ou por autor vinculado à Fiocruz, mas não consta à informação no documento.University College London. Great Ormond Street Institute of Child Health. Population, Policy & Practice Research and Teaching Department. London, United Kingdom.Utrecht University. University Medical Center Utrecht. Julius Center for Health Sciences and Primary Care. Utrecht, Netherlands.University of the West Indies. Department of Child and Adolescent Health. Kingston, Jamaica.University of the West Indies. Department of Child and Adolescent Health. Kingston, Jamaica.University College London. Great Ormond Street Institute of Child Health. Population, Policy & Practice Research and Teaching Department. London, United Kingdom.Utrecht University. University Medical Center Utrecht. Utrecht, Netherlands.University of the West Indies. Department of Obstetrics and Gynaecology. Kingston, Jamaica.University of the West Indies. Department of Child and Adolescent Health. Kingston, Jamaica.University College London. Institute for Global Health. London, United Kingdom.Università degli Studi di Padova. Dipartimento di Salute della Donna e del Bambino. Padova, Italy.University College London. Great Ormond Street Institute of Child Health. Population, Policy & Practice Research and Teaching Department. London, United Kingdom.University of the West Indies. Department of Child and Adolescent Health. Kingston, Jamaica.Background: There is growing evidence of the benefits of mobile health technology, which include symptom tracking apps for research, surveillance, and prevention. No study has yet addressed arbovirus symptom tracking in pregnancy. Objective: This study aimed to evaluate the use of a smartphone app (ZIKApp) to self-report arbovirus symptoms and pregnancy complications and to assess compliance with daily symptom diaries during pregnancy in a cohort of women in an arbovirus-endemic, subtropical, middle-income country (Jamaica). Methods: Pregnant women aged ≥16 years, having a smartphone, and planning on giving birth at the recruiting center were enrolled between February 2020 and July 2020. ZIKApp comprised a daily symptom diary based on algorithms to identify potential episodes of arbovirus infection and pregnancy complications. Sociodemographic, epidemiological, and obstetric information was collected at enrollment, with additional review of medical records, and users' perception was collected through an exit survey. Descriptive analyses and logistic regression analysis of possible factors associated with diary adherence were performed. Results: Of the 173 women enrolled, 157 (90.8%) used ZIKApp for a median duration of 155 (IQR 127-173) days until pregnancy end, 6 (3.5%) used the app for <7 days, and 10 (5.8%) exited the study early. For each successive 30-day period from enrollment up to 150 days after enrollment, of these 157 women, 121 (77.1%) to 129 (82.2%) completed their daily symptom diary; 50 (31.8%) to 56 (35.7%) did so on the same day. Overall, 31.8% (50/157) of the women had good adherence to diary reporting (ie, they completed the task on the same day or 2 to 3 days later for ≥80% of the days enrolled). There were 3-fold higher odds of good adherence for participants aged >34 years versus those aged 25 to 29 years (adjusted odds ratio 3.14, 95% CI 1.10-8.98) and 2-fold higher odds for women with tertiary versus secondary education (adjusted odds ratio 2.26, 95% CI 1.06-4.83). Of the 161 women who ever made a diary entry, 5454 individual symptom reports were made (median 17 per woman; IQR 4-42; range 0-278); 9 (5.6%) women reported symptom combinations triggering a potential arbovirus episode (none had an adverse pregnancy outcome) and 55 (34.2%) reported painful uterine contractions or vaginal bleeding, mainly in the month before delivery. Overall, 51.8% (71/137) of the women rated the app as an excellent experience and were less likely to be poor diary adherers (P=.04) and 99.3% (138/139) reported that the app was easy to understand and use. Conclusions: This pilot found a high adherence to ZIKApp. It demonstrated the feasibility and usability of the app in an arbovirus-endemic region, supporting its future development to contribute to surveillance and diagnosis of arbovirus infections in pregnancy and to optimize maternal care.engJMIR PublicationsDetection of Potential Arbovirus Infections and Pregnancy Complications in Pregnant Women in Jamaica Using a Smartphone App (ZIKApp): Pilot Evaluation Studyinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleLMICAdherenceArbovirusComplianceDigital healthLow- and middle-income countriesmHealthMaternal healthMobile phonePregnancyPregnancy complicationsPregnancy outcomesPrenatal careinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZORIGINALDetection_Patricia_Brasil_etal_INI_2022.pdfDetection_Patricia_Brasil_etal_INI_2022.pdfapplication/pdf783814https://www.arca.fiocruz.br/bitstream/icict/55689/2/Detection_Patricia_Brasil_etal_INI_2022.pdf487795e1764f590349e0dbb995996613MD52LICENSElicense.txtlicense.txttext/plain; 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dc.title.en_US.fl_str_mv Detection of Potential Arbovirus Infections and Pregnancy Complications in Pregnant Women in Jamaica Using a Smartphone App (ZIKApp): Pilot Evaluation Study
title Detection of Potential Arbovirus Infections and Pregnancy Complications in Pregnant Women in Jamaica Using a Smartphone App (ZIKApp): Pilot Evaluation Study
spellingShingle Detection of Potential Arbovirus Infections and Pregnancy Complications in Pregnant Women in Jamaica Using a Smartphone App (ZIKApp): Pilot Evaluation Study
Ruiz-Burga, Elisa
LMIC
Adherence
Arbovirus
Compliance
Digital health
Low- and middle-income countries
mHealth
Maternal health
Mobile phone
Pregnancy
Pregnancy complications
Pregnancy outcomes
Prenatal care
title_short Detection of Potential Arbovirus Infections and Pregnancy Complications in Pregnant Women in Jamaica Using a Smartphone App (ZIKApp): Pilot Evaluation Study
title_full Detection of Potential Arbovirus Infections and Pregnancy Complications in Pregnant Women in Jamaica Using a Smartphone App (ZIKApp): Pilot Evaluation Study
title_fullStr Detection of Potential Arbovirus Infections and Pregnancy Complications in Pregnant Women in Jamaica Using a Smartphone App (ZIKApp): Pilot Evaluation Study
title_full_unstemmed Detection of Potential Arbovirus Infections and Pregnancy Complications in Pregnant Women in Jamaica Using a Smartphone App (ZIKApp): Pilot Evaluation Study
title_sort Detection of Potential Arbovirus Infections and Pregnancy Complications in Pregnant Women in Jamaica Using a Smartphone App (ZIKApp): Pilot Evaluation Study
author Ruiz-Burga, Elisa
author_facet Ruiz-Burga, Elisa
Bruijning-Verhagen, Patricia
Palmer, Paulette
Sandcroft, Annalisa
Fernandes, Georgina
Hoog, Marieke de
Bryan, Lenroy
Pierre, Russell
Bailey, Heather
Giaquinto, Carlo
Thorne, Claire
Christie, Celia D. C.
ZIKAction Consortium
author_role author
author2 Bruijning-Verhagen, Patricia
Palmer, Paulette
Sandcroft, Annalisa
Fernandes, Georgina
Hoog, Marieke de
Bryan, Lenroy
Pierre, Russell
Bailey, Heather
Giaquinto, Carlo
Thorne, Claire
Christie, Celia D. C.
ZIKAction Consortium
author2_role author
author
author
author
author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Ruiz-Burga, Elisa
Bruijning-Verhagen, Patricia
Palmer, Paulette
Sandcroft, Annalisa
Fernandes, Georgina
Hoog, Marieke de
Bryan, Lenroy
Pierre, Russell
Bailey, Heather
Giaquinto, Carlo
Thorne, Claire
Christie, Celia D. C.
ZIKAction Consortium
dc.subject.en.en_US.fl_str_mv LMIC
Adherence
Arbovirus
Compliance
Digital health
Low- and middle-income countries
mHealth
Maternal health
Mobile phone
Pregnancy
Pregnancy complications
Pregnancy outcomes
Prenatal care
topic LMIC
Adherence
Arbovirus
Compliance
Digital health
Low- and middle-income countries
mHealth
Maternal health
Mobile phone
Pregnancy
Pregnancy complications
Pregnancy outcomes
Prenatal care
description Patricia Brasil - Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil. Documento produzido em parceria ou por autor vinculado à Fiocruz, mas não consta à informação no documento.
publishDate 2022
dc.date.accessioned.fl_str_mv 2022-11-17T19:07:09Z
dc.date.available.fl_str_mv 2022-11-17T19:07:09Z
dc.date.issued.fl_str_mv 2022
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.citation.fl_str_mv RUIZ-BURGA, Elisa et al. Detection of Potential Arbovirus Infections and Pregnancy Complications in Pregnant Women in Jamaica Using a Smartphone App (ZIKApp): Pilot Evaluation Study. JMIR formative research, v. 6, n. 7, p. 1-16, 2022.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/55689
dc.identifier.issn.en_US.fl_str_mv 2561-326X
dc.identifier.doi.none.fl_str_mv 10.2196/34423
identifier_str_mv RUIZ-BURGA, Elisa et al. Detection of Potential Arbovirus Infections and Pregnancy Complications in Pregnant Women in Jamaica Using a Smartphone App (ZIKApp): Pilot Evaluation Study. JMIR formative research, v. 6, n. 7, p. 1-16, 2022.
2561-326X
10.2196/34423
url https://www.arca.fiocruz.br/handle/icict/55689
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv JMIR Publications
publisher.none.fl_str_mv JMIR Publications
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Repositório Institucional da FIOCRUZ (ARCA)
collection Repositório Institucional da FIOCRUZ (ARCA)
bitstream.url.fl_str_mv https://www.arca.fiocruz.br/bitstream/icict/55689/2/Detection_Patricia_Brasil_etal_INI_2022.pdf
https://www.arca.fiocruz.br/bitstream/icict/55689/1/license.txt
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repository.name.fl_str_mv Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ)
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