eHealth Research Group, Centre for Population Health Sciences, The University of Edinburgh Medical School, Edinburgh, Scotland, UK.
eHealth Research Group, Centre for Population Health Sciences, The University of Edinburgh Medical School, Edinburgh, Scotland, UK ; Health Services Research Unit, University of Edinburgh, Edinburgh, Scotland, UK.
J Glob Health. 2014 Jun;4(1):010407. doi: 10.7189/jogh.04.010407.
Rates of maternal, newborn and child (MNCH) mortality and morbidity are vastly greater in low- than in high-income countries and represent a major source of global health inequity. A host of systemic, economic, geopolitical and sociocultural factors have been implicated. Mobile information and communication technologies hold potential to ameliorate several of these challenges by supporting coordinated and evidence-based care, facilitating community based health services and enabling citizens to access health information and support. mHealth has attracted considerable attention as a means of supporting maternal, newborn and child health in developing countries and research to assess the impacts of mHealth interventions is increasing. While a number of expert reviews have attempted to summarise this literature, there remains a need for a fully systematic review employing gold standard methods of evidence capture, critical appraisal and meta-analysis, in order to comprehensively map, quality assess and synthesise this body of knowledge.
To undertake a systematic review and meta-analysis of studies evaluating the impacts of mobile technology-enabled interventions designed to support maternal, newborn and child health in low- and middle-income countries.
16 online international electronic databases of published scientific abstracts and citations will be interrogated for the period 1990 to 2014 (no language restrictions) in order to identify relevant studies. Ongoing/unpublished studies will be identified through searching international trial repositories and consulting experts in the field. Study quality will be assessed using appropriate critical appraisal tools; including the Cochrane Handbook's 7 evaluation domains for randomised and clinical trials, the Cochrane Effective Practice and Organisation of Care (EPOC) guidelines for other comparative study types, and the Effective Public Health Practice Project (EPHPP) quality assessment tools for observational studies. Blinded assessment by at least two reviewers, with arbitration by a third if necessary, will ensure rigour. Meta-analysis will be undertaken, where possible, using a random-effects model. Sensitivity and subgroup analyses will be reported. Publication bias will be assessed.
Ethical approval is not required.
These will be presented in one manuscript. The review protocol is registered with the International Prospective Register for Systematic Reviews (PROSPERO) CRD42014008939.
产妇、新生儿和儿童（MNCH）的死亡率和发病率在低收入国家远远高于高收入国家，这是全球健康不平等的一个主要来源。许多系统性、经济性、地缘政治性和社会文化性因素都与此相关。移动信息和通信技术通过支持协调和基于证据的护理、促进社区卫生服务以及使公民能够获取健康信息和支持，有潜力改善其中的一些挑战。移动医疗在发展中国家支持产妇、新生儿和儿童健康方面引起了广泛关注，评估移动医疗干预措施影响的研究也在增加。虽然一些专家评论试图总结这方面的文献，但仍需要采用全面系统的审查方法，使用黄金标准的证据收集、批判性评估和荟萃分析方法，以全面绘制、质量评估和综合这方面的知识体系。
对评估旨在支持低收入和中等收入国家产妇、新生儿和儿童健康的移动技术支持干预措施的影响的研究进行系统评价和荟萃分析。
将对 1990 年至 2014 年期间（无语言限制）的 16 个国际在线电子数据库中的已发表科学摘要和引文进行检索，以确定相关研究。将通过搜索国际试验数据库和咨询该领域的专家来确定正在进行/未发表的研究。将使用适当的批判性评估工具评估研究质量，包括 Cochrane 手册对随机和临床试验的 7 个评估领域、Cochrane 有效实践和组织护理（EPOC）指南对其他比较研究类型，以及有效公共卫生实践项目（EPHPP）对观察性研究的质量评估工具。至少由两名评审员进行盲法评估，如果需要，则由第三名评审员进行仲裁，以确保严谨性。如有可能，将使用随机效应模型进行荟萃分析。将报告敏感性和亚组分析。将评估发表偏倚。
不需要伦理批准。
这些结果将在一篇论文中呈现。该审查方案已在国际前瞻性系统评价登记处（PROSPERO）注册（CRD42014008939）。
