Journal List > J Korean Acad Nurs > v.45(3) > 1003071

TOOLS
Wang and Kim: Effects of a Mobile Web-based Pregnancy Health Care Educational Program for Mothers at an Advanced Maternal Age
Original Article

Journal of Korean Academy of Nursing 2015; 45(3): 337-346.

Published online: 30 June 2015

DOI: https://doi.org/10.4040/jkan.2015.45.3.337

Effects of a Mobile Web-based Pregnancy Health Care Educational Program for Mothers at an Advanced Maternal Age

Hee Jung Wang1, Il Ok Kim2

1Department of Nursing, Suwon Women's University, Suwon, Korea.

2Department of Nursing, Sahmyook University, Seoul, Korea.

Address reprint requests to: Kim, Il Ok. Department of Nursing, Sahmyook University, 815 Hwarang-ro, Nowon-gu, Seoul 131-742, Korea. Tel: +82-2-3399-1587, Fax: +82-2-3399-1594, kimio@syu.ac.kr

Received 23 December 2014       Revised 12 January 2015       Accepted 5 March 2015

© 2015 Korean Society of Nursing Science

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution NoDerivs License. (http://creativecommons.org/licenses/by-nd/4.0/) If the original work is properly cited and retained without any modification or reproduction, it can be used and re-distributed in any format and medium.

Abstract

Purpose

This study was conducted to develop a mobile web-based pregnancy health care educational program for mothers who were at an advanced maternal age (AMA) and to verify the effects of the program on pregnancy health care.

Methods

This program was developed using a web-based teaching-learning system design model and composed of 10 subject areas. This research was a quasi-experimental study using a non-equivalent control group pretest-posttest time serial design and data were collected from April 2 to May 3, 2014. To verify the effects of the program, it was used for 2 weeks with 30 AMA mothers (experimental group). For the control group, a classroom education booklet for pregnant women used with 31 AMA mothers.

Results

The experimental group having participated in program had statistically significantly higher scores for knowledge (t=3.76, p<.001), self-efficacy (t=8.54, p<.001), and practice behavior (t=4.88, p<.001) of pregnancy health care, compared to the control group.

Conclusion

The results of the program indicate that a Mobile web-based pregnancy health care educational program is effective in meeting the needs of AMA mothers and can be used as the prenatal educational program for AMA mothers and is appropriate as an educational media for theses mothers.

Keywords: Health education, Internet, Maternal age, Prenatal care, Pregnant women

Figures and Tables

Figure 1

Comparison of knowledge, self-efficacy, practice behavior of pregnancy health care between the two groups after educational program (N=61).

jkan-45-337-g001
Table 1

Homogeneity Test of Characteristics (N=61)

jkan-45-337-i001

Exp.=Experimental group (n=30); Cont.=Control group (n=31); BMI=Body mass index; EPE=Experience of prenatal education.

Table 2

Comparison of Knowledge, Self-efficacy, Practice Behavior of Pregnancy Health Care between the Two Groups (N=61)

jkan-45-337-i002

Exp.=Experimental group (n=30); Cont.=Control group (n=31).

Notes

This manuscript is a revision of the first author's doctoral dissertation.

References

1. Statistics Korea. Marriage and divorce statistics in 2011 [Internet]. Daejeon: Author;2014. cited 2014 April 22. Available from: http://kostat.go.kr/portal/korea/kor_nw/3/index.board?bmode=read&aSeq=313212.
2. Ataullah I, Freeman-Wang T. The older obstetric patient. Current Obstetrics & Gynaecology. 2005; 15(1):46–53. DOI: 10.1016/j.curobgyn.2004.09.006.
3. Mills TA, Lavender T. Advanced maternal age. Obstetrics, Gynaecology and Reproductive Medicine. 2011; 21(4):107–111. DOI: 10.1016/j.ogrm.2010.12.003.
4. Kim DS, Kim YT, Kim TH, Kim SM. Birth outcomes of late pregnant women and suggestions for policy support. Seoul: Korean Women's Development Institute;2012.
5. Bayrampour H, Heaman M, Duncan KA, Tough S. Advanced maternal age and risk perception: A qualitative study. BMC Pregnancy Childbirth. 2012; 12:100. DOI: 10.1186/1471-2393-12-100.
6. Chung IS, Kim KS, Ryu SY, Na BJ. Anxiety of pregnant women and its related factors. J Korean Soc Matern Child Health. 2002; 6(1):137–147.
7. Bayrampour H, Heaman M, Duncan KA, Tough S. Comparison of perception of pregnancy risk of nulliparous women of advanced maternal age and younger age. J Midwifery Womens Health. 2012; 57(5):445–453. DOI: 10.1111/j.1542-2011.2012.00188.x.
8. Wang HJ, Park HS, Kim IO. Comparison of prenatal health management state and educational needs for pregnant women with advanced maternal age and under the age of 35. Korean J Women Health Nurs. 2013; 19(4):230–241. DOI: 10.4069/kjwhn.2013.19.4.230.
9. Park YJ, Viau PA, Jung CH, Yoon JW. Health promoting behaviors, family support, and quality of marital relationship of the mature gravida after 35. J Korean Acad Soc Home Care Nurs. 2001; 8(1):85–95.
10. Sung MH, Ju MS, Ju KS. Effects of a prepared childbirth education on the knowledge and delivery participation levels of the spouses of primiparas. Korean J Women Health Nurs. 2003; 9(3):213–223.
11. Shin HS, Kim SH, Kwon SH. Effects of education on primiparas' postpartial care. J Korean Acad Womens Health Nurs. 2000; 6(1):34–45.
12. Bandura A. YS Park UC Kim . Self-efficacy and quality of life: Education, health, sports and accomplishments of the organization. Paju: Kyoyookbook;2001.
13. Lagan BM, Sinclair M, Kernohan WG. Internet use in pregnancy informs women's decision making: A web-based survey. Birth. 2010; 37(2):106–115. DOI: 10.1111/j.1523-536X.2010.00390.x.
14. Tough S, Benzies K, Newburn-Cook C, Tofflemire K, Fraser-Lee N, Faber A, et al. What do women know about the risks of delayed childbearing? Can J Public Health. 2006; 97(4):330–334.
15. Kim IS. A study on the continuity of user experience in the mobile web. J Korean Soc Des Cult. 2012; 25(2):297–307.
16. Lee IS, Song KS, Lee Y. Inquiry of mobile learning. Seoul: Moonumsa;2006.
17. Jung IS. The web-based teaching-learning system design model. In : Rha I, editor. Web-based education. Paju: Kyoyookbook;1999. p. 77–100.
18. Keller JM. Motivational design for learning and performance: The ARCS model approach. New York, NY: Springer;2010.
19. Kang SW, Yoo JS, Ko IS. Development of a health information web site evaluation categories with items for diabetes mellitus. Healthc Inform Res. 2005; 11(4):345–352.
20. Ahn SK, Kim SS. A study on the user's satisfaction of agriculture information system. AgroInformatics J. 1999; 1(1):1–11.
21. Choi YS. The development of web-based ventilator management education program. J Korea Acad Ind Coop Soc. 2012; 13(11):5284–5291.
22. Moon MY, Kim MA. Development and evaluation of a web-based educational program on prevention of foot lesion in adults with diabetes. J Korean Gerontol Nurs. 2010; 12(2):154–167.
23. Kim JS. Development and evaluation of a web-based support program for the maternal role of primiparas. J Korean Acad Nurs. 2005; 35(1):165–176.
24. Doo HJ. A study on the effect of web based instruction on the knowledge and performance of postpartal self-care and new born care [master's thesis]. Seoul: Hanyang University;2004.
25. Chung AK. Development of a mobile platform to support selfregulated learning. J Korean Assoc Comput Educ. 2009; 12(4):23–34.
26. Park MJ. Development of a web-based, tailored postpartum information program [master's thesis]. Seoul: Yonsei University;2007.
27. Lim C. Interaction system of web-based education. In : Rha I, editor. Web-based education. Paju: Kyoyookbook;1999. p. 127–142.
28. Fox MP. A systematic review of the literature reporting on studies that examined the impact of interactive, computer-based patient education programs. Patient Educ Couns. 2009; 77(1):6–13. DOI: 10.1016/j.pec.2009.02.011.
29. Eom SY, Kim ES, Kim HJ, Bang YO, Chun N. Effects of a one session spouse-support enhancement childbirth education on childbirth self-efficacy and perception of childbirth experience in women and their husbands. J Korean Acad Nurs. 2012; 42(4):599–607. DOI: 10.4040/jkan.2012.42.4.599.
30. Svensson J, Barclay L, Cooke M. Randomised-controlled trial of two antenatal education programmes. Midwifery. 2009; 25(2):114–125. DOI: 10.1016/j.midw.2006.12.012.
TOOLS
Similar articles