Abstract
BackgroundLow-income Caribbean transmigrant women face unique health challenges during pregnancy that set forth multidimensional implications for the design of mobile health (mHealth). Acknowledgment of the unique health needs of low-income Caribbean immigrant women in the United States and what that entails regarding technology design remains rarely examined in the literature of mHealth technologies.ObjectiveThe goal of this study was to reveal the needs and gaps in mHealth interventions for pregnant immigrant women not yet realized in this field. These understandings reveal design opportunities for mHealth.MethodsThe use of the qualitative participatory action research approach of codesign workshops in this study resulted in design solutions by the participants after reflecting on their earlier focus group discussions. The highlights are not the resulting designs per se but rather the inferences derived from the researcher reflecting on these designs.ResultsThe designs exposed two themes relevant to this paper. First, the participants desired the inclusion and rebuilding of social and organizational relationships in mHealth. The resulting designs formulate an understanding of the women’s health-related social support needs and how technology can facilitate them. Second, the participants wanted entertainment with an element of social participation incorporated in mHealth pregnancy management interventions. This brings attention to the role entertainment can add to the impact mHealth can deliver for pregnancy well-being.ConclusionsThe study concluded with an examination of social and entertainment design implications that reveal pregnant immigrant women’s virtual health-related sharing habits, choice of sharing interaction scenarios during pregnancy (eg, local, long distance, one-way, two-way, and many-many), and choice of sharing media (eg, text, voice, and video). Additionally, the study revealed exclusions to social sharing capabilities in health technologies for these women.
Highlights
Transnational Social Support What constitutes social support is the feeling of one’s being cared for and assisted as part of a loving social circle [1]
The participants wanted entertainment with an element of social participation incorporated in mobile health (mHealth) pregnancy management interventions
This paper focused on presenting two approaches to design imagined by the transmigrant participants of prenatal mHealth technologies
Summary
Transnational Social Support What constitutes social support is the feeling of one’s being cared for and assisted as part of a loving social circle [1]. The term transmigrants was coined to describe immigrants that neither limit themselves to their geographical origin nor to the limits of the new migratory space [2]. Instead, they proactively and creatively partake in new ways in developing a new sense of self and maneuvering creative routes http://mhealth.jmir.org/2018/4/e61/ XSLFO RenderX. Low-income Caribbean transmigrant women face unique health challenges during pregnancy that set forth multidimensional implications for the design of mobile health (mHealth). Acknowledgment of the unique health needs of low-income Caribbean immigrant women in the United States and what that entails regarding technology design remains rarely examined in the literature of mHealth technologies
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