{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T16:51:49Z","timestamp":1791910309013,"version":"4.3.4"},"reference-count":49,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T00:00:00Z","timestamp":1777507200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100005366","name":"Universitetet i Oslo","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100005366","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Glob. Women\u2019s Health"],"abstract":"\n Objective<\/jats:title>\n Epidemiological studies show an increased risk for premature maternal cardiovascular disease in women after pregnancy complications, like preeclampsia, gestational hypertension and gestational diabetes mellitus. Our goal was to create a novel \u201cdigital companion\u201d for women with such pregnancy complications, in the format of a mobile health-assisted user-centered follow-up software application (app).<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n A cardiovascular postpartum follow-up program was developed as a digital companion, including a new mobile application (app), which is based on Norwegian obstetric and international guidelines. The MumCare app was developed through a co-creation process that included users, stakeholders, and clinical experts. Five qualitative interviews and 10 qualitative co-creative user testing interviews were conducted throughout the development stages to improve the perceived usefulness of the companion. The objective of the present study was to analyze the iterative co-creation process including users, stakeholders and clinical experts.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Phase 1 involved developing the companion within an interdisciplinary expert group through an iterative process in close dialogue with users. Explorative user interviews in Phase 2 (\n n<\/jats:italic>\n \u2009=\u20095) supported the translation of guidelines into a structured app format, visualized as MumCare sketches for design, functionality and user communication. During Phase 3, the app sketches were revised in collaboration with users, in application interviews (\n n<\/jats:italic>\n \u2009=\u20097). During Phase 4, the programmed prototype was refined through feedback from pilot users (\n n<\/jats:italic>\n \u2009=\u20093). The user groups highlighted several app benefits, including a follow-up system of personal modifiable risk factors, a user-friendly system for tracking blood pressure over time, with individualized feedback and prompts. The use of non-ambiguous language and symbols was appreciated among users, who also contributed new content items to the app.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n User-centered co-creation improved several important features during the companion development process. The MumCare app is being tested in a prospective randomized controlled clinical trial that started in June 2024.<\/jats:p>\n <\/jats:sec>\n \n Clinical trial registration<\/jats:title>\n \n Clinicaltrials.gov reg<\/jats:ext-link>\n ., identifier NCT05835596.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.3389\/fgwh.2026.1717203","type":"journal-article","created":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T05:32:52Z","timestamp":1777527172000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Co-creation of a mobile health program (MumCare) for preventing maternal cardiovascular disease after pregnancy complications"],"prefix":"10.3389","volume":"7","author":[{"given":"Anne Cathrine","family":"Staff","sequence":"first","affiliation":[{"name":"Division of Obstetrics and Gynaecology, Oslo University Hospital","place":["Oslo, Norway"]},{"name":"Institute of Clinical Medicine, Faculty of Medicine, University of Oslo","place":["Oslo, Norway"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anja Dusik","family":"Sjaavik","sequence":"additional","affiliation":[{"name":"Division of Obstetrics and Gynaecology, Oslo University Hospital","place":["Oslo, Norway"]},{"name":"Institute of Clinical Medicine, Faculty of Medicine, University of Oslo","place":["Oslo, Norway"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Josef","family":"Noll","sequence":"additional","affiliation":[{"name":"Department of Technology Systems, University of Oslo"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meryam","family":"Sugulle","sequence":"additional","affiliation":[{"name":"Division of Obstetrics and Gynaecology, Oslo University Hospital","place":["Oslo, Norway"]},{"name":"Institute of Clinical Medicine, Faculty of Medicine, University of Oslo","place":["Oslo, Norway"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bendik","family":"Fisk\u00e5","sequence":"additional","affiliation":[{"name":"Division of Obstetrics and Gynaecology, Oslo University Hospital","place":["Oslo, Norway"]},{"name":"Institute of Clinical Medicine, Faculty of Medicine, University of Oslo","place":["Oslo, Norway"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Atle","family":"Klovning","sequence":"additional","affiliation":[{"name":"Department of General Practice, Institute of Health and Society, Faculty of Medicine, University of Oslo","place":["Oslo, Norway"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mette-Elise","family":"Estensen","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Oslo University Hospital","place":["Oslo, Norway"]},{"name":"ProCardio Centre of Innovation, Department of Cardiology, Rikshospitalet, Oslo University Hospital","place":["Oslo, Norway"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ralf","family":"Dechend","sequence":"additional","affiliation":[{"name":"Max-Delbr\u00fcck-Center for Molecular Medicine in the Helmholtz Association","place":["Berlin, Germany"]},{"name":"Helios Klinikum Berlin-Buch","place":["Berlin, Germany"]},{"name":"Experimental and Clinical Research Center, A Cooperation Between the Max-Delbr\u00fcck-Center for Molecular Medicine in the Helmholtz Association and the Charit\u00e9 - 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