Population Health Sciences, Weill Cornell Medicine, New York, NY, USA.
Department of Computer Information Systems, Bentley University, Waltham, MA, USA.
Int J Med Inform. 2023 Dec;180:105263. doi: 10.1016/j.ijmedinf.2023.105263. Epub 2023 Oct 14.
Gestational diabetes mellitus (GDM) is a common complication in pregnancy that can lead to negative maternal and fetal outcomes. Online support interventions have been suggested as a potential tool to improve the management of GDM.
This systematic review aimed to summarize the effectiveness of social media and online support interventions for the management of GDM.
We conducted a thorough systematic search across Web of Science, Scopus, and PubMed, following PRISMA guidelines, and supplemented it with a manual search. Our results included both qualitative and quantitative research. We rigorously assessed quantitative studies for bias using ROBINS-I and RoB 2 tools, ensuring the reliability of our findings.
We incorporated a total of 22 studies, which were comprised of ten qualitative and twelve quantitative studies. Online support interventions were found to have a positive impact on promoting self-care and improving healthcare outcomes for women with GDM. Individualized diet and exercise interventions resulted in lower odds of weight gain and GDM diagnosis, while online prenatal education increased breastfeeding rates. In addition, telemedicine options reduced the need for in-person clinical visits and improved patient satisfaction.
Online support interventions show potential to improve outcomes in patients with GDM in this small literature review. Future research is also necessary to determine the effectiveness of different types of online interventions and identify strategies to improve engagement and the quality of the information provided through online resources.
妊娠糖尿病（GDM）是一种常见的妊娠并发症，可导致母婴不良结局。在线支持干预措施被认为是改善 GDM 管理的潜在工具。
本系统评价旨在总结社交媒体和在线支持干预措施在 GDM 管理中的有效性。
我们按照 PRISMA 指南，在 Web of Science、Scopus 和 PubMed 上进行了全面的系统搜索，并进行了手动搜索。我们的结果包括定性和定量研究。我们使用 ROBINS-I 和 RoB 2 工具严格评估定量研究的偏倚，以确保研究结果的可靠性。
我们共纳入了 22 项研究，其中包括 10 项定性研究和 12 项定量研究。在线支持干预措施对促进 GDM 妇女的自我护理和改善医疗保健结局具有积极影响。个体化饮食和运动干预可降低体重增加和 GDM 诊断的几率，而在线产前教育可提高母乳喂养率。此外，远程医疗选择减少了对面对面临床就诊的需求，并提高了患者满意度。
在这项小型文献综述中，在线支持干预措施显示出改善 GDM 患者结局的潜力。未来还需要研究不同类型的在线干预措施的有效性，并确定提高在线资源参与度和信息质量的策略。
