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Impact of a medical mobile phone app (QUiPP) for predicting preterm birth on the anxiety and decisional conflicts faced by women in threatened preterm labour

Research output: Contribution to journalArticlepeer-review

Original languageEnglish
Article number102864
Pages (from-to)102864
JournalMIDWIFERY
Volume92
Early online date20 Oct 2020
DOIs
E-pub ahead of print20 Oct 2020
PublishedJan 2021

Bibliographical note

Funding Information: The development of the QUiPP app and the EQUIPTT study are funded by the Guy's and St Thomas’ Charity (Registered Charity No. 1160316) and Tommy's (1060508). As it is a portfolio study, recruitment is supported through local Clinical Research Networks. King's College London and Guy's and St Thomas’ NHS Foundation Trust are co-sponsors of the study but neither sponsor provided funding for the trial. Funding Information: The development of the QUiPP app and the EQUIPTT study are funded by the Guy's and St Thomas’ Charity (Registered Charity No. 1160316) and Tommy's (1060508). This work is supported by the clinical research network led by South London, the Biomedical Research Centre at Guy's and St Thomas’ NHS Foundation Trust and King's College London. HW is funded by a Guy's and St Thomas’ NHS Trust Biomedical Research Centre Clinical Training Fellowship. PTS is partly funded by Tommy's (Registered Charity No. 1060508) and by NIHR Collaboration for Leadership in Applied Health Research and Care, South London. JC was funded by the National Institute for Health Research's NIHR/HEE CAT Clinical Doctoral Research Fellowship Programme (Ref. CDRF-2013-04-026). AHS and RMT receive funding from the NIHR Biomedical Research Centre based at Guy's and St Thomas' NHS Foundation Trust and King's College London. The views expressed are those of the authors and not necessarily those of the NHS, the NIHR or the Department of Health and Social Care. Funding Information: The development of the QUiPP app and the EQUIPTT study are funded by the Guy's and St Thomas? Charity (Registered Charity No. 1160316) and Tommy's (1060508). This work is supported by the clinical research network led by South London, the Biomedical Research Centre at Guy's and St Thomas? NHS Foundation Trust and King's College London. HW is funded by a Guy's and St Thomas? NHS Trust Biomedical Research Centre Clinical Training Fellowship. PTS is partly funded by Tommy's (Registered Charity No. 1060508) and by NIHR Collaboration for Leadership in Applied Health Research and Care, South London. JC was funded by the National Institute for Health Research's NIHR/HEE CAT Clinical Doctoral Research Fellowship Programme (Ref. CDRF-2013-04-026). AHS and RMT receive funding from the NIHR Biomedical Research Centre based at Guy's and St Thomas' NHS Foundation Trust and King's College London. The views expressed are those of the authors and not necessarily those of the NHS, the NIHR or the Department of Health and Social Care. Publisher Copyright: © 2020 Copyright: Copyright 2020 Elsevier B.V., All rights reserved.

Documents

  • EQUIPTT questionnaires_final

    EQUIPTT_questionnaires_final.pdf, 438 KB, application/pdf

    Uploaded date:28 Oct 2020

    Version:Submitted manuscript

  • Carlisle(2020)_Impact_of_QUiPP_on_matenral_anxiety_and_conflict_Midwifery

    Carlisle_2020_Impact_of_QUiPP_on_matenral_anxiety_and_conflict_Midwifery.pdf, 871 KB, application/pdf

    Uploaded date:28 Oct 2020

    Version:Accepted author manuscript

    Licence:CC BY-NC-ND

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King's Authors

Abstract

BACKGROUND: The QUiPP app is a free, validated mobile phone application (app) that supports clinical decision-making for women in threatened preterm labour by providing an individualised risk of delivery within clinically important time points. Alongside generating a percentage risk score, the QUiPP app also provides the risk score in an infographic donut chart, allowing the clinician to communicate with the woman in an easy to understand format. Informing women of their risk status using the QUIPP app may help to reduce anxiety in women and decrease decisional conflict.

METHOD: A subset of participants from the EQUIPTT study [REC Ref. 17/LO/1802] were asked to complete a questionnaire booklet which was used to evaluate decisional conflict and anxiety. Seven sites were randomised to the QUiPP app intervention (to use as a decision and communication tool) and six sites were randomised to the control (continued their normal practice). The first section of the questionnaire booklet was completed by the woman before her assessment, and the second section after. The pre and postassessment anxiety scores utilised the Visual Analogue Scale for Anxiety (Hornblow and Kidson, 1976). The Decisional Conflict Scale (O'Connor, 1995) measured decisional conflict post assessment. The data were then analysed to determine the impact of the QUiPP App on the anxiety and decisional conflicts faced by women in threatened preterm labour.

RESULTS: Questionnaires were completed by 221 women from 12 of the potential 13 sites. After exclusions 202 questionnaires were included in the analysis. There was a significant reduction in difference between anxiety scores before and after clinical assessment. While there were reductions in anxiety and decisional conflict for women who were aware of the QUiPP app use, this failed to reach statistical significance.

CONCLUSIONS: The QUiPP app has potential to reduce anxiety and decisional conflict in women who are aware that it is being used in their care. Additional work is required to ensure clinicians are aware of the QUiPP app and optimise using it as a communication tool when counselling women.

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