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| Item Type: | Article |
|---|---|
| Title: | Co-creation of a mobile health program (MumCare) for preventing maternal cardiovascular disease after pregnancy complications |
| Creators Name: | Staff, Anne Cathrine, Sjaavik, Anja Dusik, Noll, Josef, Sugulle, Meryam, Fiskå, Bendik, Klovning, Atle, Estensen, Mette-Elise, Dechend, Ralf, Waldum, Åsa Henning, Solbrække, Kari N. and Aasbø, Gunvor |
| Abstract: | OBJECTIVE: Epidemiological studies show an increased risk for premature maternal cardiovascular disease in women after pregnancy complications, like preeclampsia, gestational hypertension and gestational diabetes mellitus. Our goal was to create a novel “digital companion” for women with such pregnancy complications, in the format of a mobile health-assisted user- centered follow-up software application (app). METHODS: A cardiovascular postpartum follow-up program was developed as a digital companion, including a new mobile application (app), which is based on Norwegian obstetric and international guidelines. The MumCare app was developed through a co-creation process that included users, stakeholders, and clinical experts. Five qualitative interviews and 10 qualitative co-creative user testing interviews were conducted throughout the development stages to improve the perceived usefulness of the companion. The objective of the present study was to analyze the iterative co-creation process including users, stakeholders and clinical experts. RESULTS: Phase 1 involved developing the companion within an interdisciplinary expert group through an iterative process in close dialogue with users. Explorative user interviews in Phase 2 (n = 5) supported the translation of guidelines into a structured app format, visualized as MumCare sketches for design, functionality and user communication. During Phase 3, the app sketches were revised in collaboration with users, in application interviews (n = 7). During Phase 4, the programmed prototype was refined through feedback from pilot users (n = 3). The user groups highlighted several app benefits, including a follow-up system of personal modifiable risk factors, a user-friendly system for tracking blood pressure over time, with individualized feedback and prompts. The use of non-ambiguous language and symbols was appreciated among users, who also contributed new content items to the app. CONCLUSION: User-centered co-creation improved several important features during the companion development process. The MumCare app is being tested in a prospective randomized controlled clinical trial that started in June 2024. CLINICAL TRIAL REGISTRATION: Clinicaltrials.gov reg., identifier NCT05835596. |
| Keywords: | Cardiovascular Diseases, Co-Creation, Patient Participation, Pregnancy Complications, Preventive Health Services, Risk, Self Care, Telemedicine |
| Source: | Frontiers in Global Women's Health |
| ISSN: | 2673-5059 |
| Publisher: | Frontiers |
| Volume: | 7 |
| Page Range: | 1717203 |
| Date: | 30 April 2026 |
| Official Publication: | https://doi.org/10.3389/fgwh.2026.1717203 |
| PubMed: | View item in PubMed |
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