Mara Gordon1, Rebecca Henderson1, John H Holmes2, Maria K Wolters3, Ian M Bennett4. 1. Department of Family Medicine and Community Health, Perelman School of Medicine of the University of Pennsylvania, 2nd Floor Gates Pavilion, 3400 Spruce Street, Philadelphia PA 19104. 2. Biostatistics and Epidemiology, Perelman School of Medicine of the University of Pennsylvania, Philadelphia, PA USA. 3. School of Informatics, 10 Crichton Street, Edinburgh EH8 9AB, UK. 4. Department of Family Medicine and Community Health, Perelman School of Medicine of the University of Pennsylvania, 2nd Floor Gates Pavilion, 3400 Spruce Street, Philadelphia PA 19104 ibennett@uw.edu.
Abstract
OBJECTIVE: Cultural and health service obstacles affect the quality of pregnancy care that women from vulnerable populations receive. Using a participatory design approach, the Stress in Pregnancy: Improving Results with Interactive Technology group developed specifications for a suite of eHealth applications to improve the quality of perinatal mental health care. MATERIALS AND METHODS: We established a longitudinal participatory design group consisting of low-income women with a history of antenatal depression, their prenatal providers, mental health specialists, an app developer, and researchers. The group met 20 times over 24 months. Applications were designed using rapid prototyping. Meetings were documented using field notes. RESULTS AND DISCUSSION: The group achieved high levels of continuity and engagement. Three apps were developed by the group: an app to support high-risk women after discharge from hospital, a screening tool for depression, and a patient decision aid for supporting treatment choice. CONCLUSION: Longitudinal participatory design groups are a promising, highly feasible approach to developing technology for underserved populations.
OBJECTIVE: Cultural and health service obstacles affect the quality of pregnancy care that women from vulnerable populations receive. Using a participatory design approach, the Stress in Pregnancy: Improving Results with Interactive Technology group developed specifications for a suite of eHealth applications to improve the quality of perinatal mental health care. MATERIALS AND METHODS: We established a longitudinal participatory design group consisting of low-income women with a history of antenatal depression, their prenatal providers, mental health specialists, an app developer, and researchers. The group met 20 times over 24 months. Applications were designed using rapid prototyping. Meetings were documented using field notes. RESULTS AND DISCUSSION: The group achieved high levels of continuity and engagement. Three apps were developed by the group: an app to support high-risk women after discharge from hospital, a screening tool for depression, and a patient decision aid for supporting treatment choice. CONCLUSION: Longitudinal participatory design groups are a promising, highly feasible approach to developing technology for underserved populations.
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