Women's perspectives on smartphone apps for fertility tracking and predicting conception: a mixed methods study.

Background Women use fertility tracking apps (FTAs) for conception purposes, but user perspectives on FTA use for conception are largely unknown. In collaboration with SPD Clearblue, this study explored: how women trying to conceive use FTAs; women's knowledge of their conception chances; and women's feelings towards a potential natural conception prediction app (NCPA). Methods A mixed methods design was used (online survey and phone interviews). Participants were women 18-40 years old actively trying to conceive. Results The survey received 154 responses and 24 interviews were conducted. Thematic analysis of interviews found that women consider several factors before trying to conceive (ex. age, financial and job security, stability of relationship, etc.) and may adopt lifestyle and behaviour changes when trying (ex. increasing exercise, smoking cessation, diet changes, etc.). Survey results indicated that nearly all respondents were aware of FTAs (n = 146, 94.8%), however, several other fertility and conception information sources were also used (ex. health care providers, online sources, family and friends, etc.). Nearly all respondents reported they would use an NCPA (n = 153, 99.4%). During interviews women had positive feelings towards such an app due to it offering new and individualised information, but worried the app could provide upsetting information. Conclusion This research elaborates on women's uses of and interest in FTAs. Stakeholders should use this research to reflect on current conception experiences and possibilities for improvement through development of an NCPA. Future research should seek opinions from a more diverse sample of women to inform the development of an inclusive NCPA.