[j] [j] [j] [j] [j] [j] [j] [j] [j] [j] [j] [j]。助产士和项目用户的可行性研究%A van Zutphen,Moniek %A Milder,Ivon E %A Bemelmans,Wanda J %+国家公共卫生与环境研究所，预防和卫生服务研究中心，荷兰比尔托芬，+31 30 274 2718，邮政信箱1,3720 BA Bilthoven，荷兰，moniek.van.zutphen@rivm.nl %K互联网%K健康促进%K怀孕%K助产士%K实施%K用户感知%K过程评价%D 2009 %7 26.2.2009 %9背景:如果在生命早期给予健康信息，可能会产生最大的影响。因此，荷兰卫生部将孕妇确定为目标人群，并启动了一项创新的电子保健方案，作为向孕妇传递健康信息的沟通渠道。目的:目的是研究在标准助产护理中实施该电子健康计划的可行性，并调查孕妇对在线计划的使用情况和用户看法。方法:在2006年3月至8月的一项试点研究中，要求阿姆斯特丹所有隶属于荷兰助产士组织的助产实践(n = 25)实施电子健康计划。采用结构化访谈法研究在助产士中实施的可行性。在研究期间，488名孕妇在该项目网站上注册，之后每月向她们发送电子邮件。这些电子邮件是根据怀孕阶段定制的，并提供了六个主题的互动问题和答案，以及相关网站的链接。用户统计数据一直登记到2007年1月，并通过电子问卷评估用户的看法。 Results: In total, 80% (20/25) of midwifery practices implemented the program. These midwives gave a short oral explanation about the eHealth program to their clients (n = 1382; about 45% of the total number of clients during this period) and handed out an information brochure. After the pilot, 12 midwifery practices were willing to integrate the eHealth program into their standard care procedures. Regarding program usage, 84% (408/488) of the enrolled women accessed health information within the program. They opened 59% (1296/2213) of the quiz emails and accessed, on average, 16 topics (SD 11). Only 35% (143/408) of users used the hyperlinks to visit related websites. Most women perceived the eHealth information as easy to understand (96%; 157/163) and reliable (81%; 130/161), but only 39% (48/153) agreed that the information was available at the right time. Accessing more topics within the quiz emails was associated with a more positive perception of the program (P = .02), but the number of clicks to related websites was not associated with program perception (P = .32). The main improvement suggested by program users was to expand the information within the program. Conclusions: It is feasible to integrate an innovative eHealth program in standard midwifery care, and about half of the practices would like to continue doing so. Program users accessed a substantial proportion of available health information; however, user perceptions were mixed. Therefore, this eHealth program may be a feasible communication channel to promote a healthy lifestyle to pregnant women after suggested revisions have been carried out. %M 19275983 %R 10.2196/jmir.988 %U //www.mybigtv.com/2009/1/e7/ %U https://doi.org/10.2196/jmir.988 %U http://www.ncbi.nlm.nih.gov/pubmed/19275983