Faculty of Nursing, Zhejiang University School of Medicine, Hangzhou, China.
Women's Hospital, Zhejiang University School of Medicine, Hangzhou, China.
BMJ Open. 2022 Jun 29;12(6):e061151. doi: 10.1136/bmjopen-2022-061151.
INTRODUCTION: Gestational diabetes mellitus (GDM) is one of the most prevalent diseases during pregnancy, which is closely associated with many short-term and long-term maternal and neonatal complications and can incur heavy financial burden on both families and society. Web-based interventions have been used to manage GDM because of the advantages of high accessibility and flexibility, but their effectiveness has remained inconclusive. This systematic review and meta-analysis aims to comprehensively investigate the multidimensional effectiveness of web-based interventions for pregnant women with GDM, thereby aiding implementation decisions in clinical settings. METHODS AND ANALYSIS: This systematic review protocol strictly adheres to the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols guidelines. Six electronic databases (PubMed, Web of Science, Cochrane Central Register of Controlled Trials, Embase, CINAHL and PsycINFO) will be comprehensively searched from their inception to 26 January 2022 to identify randomised controlled trials and controlled clinical trials regarding the efficacy of web-based interventions for pregnant women with GDM on glycaemic control, behavioural outcomes, cognitive and attitudinal outcomes, mental health, maternal and neonatal clinical outcomes, and medical service utilisation and costs. Two reviewers will independently conduct the study selection, data extraction and quality assessment. The methodological quality of included studies will be assessed using the Effective Public Health Practice Project assessment tool. The overall meta-analyses for each of the interested outcomes will be performed if the outcome data are sufficient and provides similar effect measures, as well as subgroup analyses for glycaemic control indicators based on the different types of intervention format, interactivity and technology. We will conduct a qualitative synthesis for studies that cannot be quantitatively synthesised. ETHICS AND DISSEMINATION: Ethics approval is not required for this review as no human participants will be involved. The results will be disseminated via a peer-reviewed journal or an academic conference. PROSPERO REGISTRATION NUMBER: CRD42022296625.
简介:妊娠期糖尿病(GDM)是孕期最常见的疾病之一,与许多短期和长期的母婴及新生儿并发症密切相关,并给家庭和社会带来沉重的经济负担。由于具有高可及性和灵活性的优势,基于网络的干预措施已被用于 GDM 的管理,但它们的效果仍不确定。本系统评价和荟萃分析旨在全面研究基于网络的干预措施对 GDM 孕妇的多维有效性,从而为临床实践中的实施决策提供帮助。
方法和分析:本系统评价方案严格遵循系统评价和荟萃分析报告标准的首选报告项目。将从数据库建立起至 2022 年 1 月 26 日,全面检索 6 个电子数据库(PubMed、Web of Science、Cochrane 中央对照试验注册库、Embase、CINAHL 和 PsycINFO),以确定关于基于网络的干预措施对 GDM 孕妇血糖控制、行为结果、认知和态度结果、心理健康、母婴临床结局以及医疗服务利用和成本的有效性的随机对照试验和对照临床试验。两名评审员将独立进行研究选择、数据提取和质量评估。将使用有效公共卫生实践项目评估工具评估纳入研究的方法学质量。如果结局数据充足且提供相似的效应测量值,将对每个感兴趣结局进行整体荟萃分析,如果结局数据不充足,则进行定性综合。将根据不同的干预格式、交互性和技术对血糖控制指标进行亚组分析。
伦理和传播:由于本综述不涉及人类参与者,因此不需要伦理批准。研究结果将通过同行评议的期刊或学术会议进行传播。
PROSPERO 注册号:CRD42022296625。
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