School of Agriculture and Food Science, University College Dublin, Belfield, Ireland.
School of Nursing, Midwifery and Health Systems, University College Dublin, Belfield, Dublin, Ireland.
Obes Rev. 2024 Aug;25(8):e13761. doi: 10.1111/obr.13761. Epub 2024 May 10.
mHealth interventions play an increasingly important role in health behavior change for gestational diabetes or peripartum obesity management. This qualitative systematic review and meta-synthesis aims to explore women's perceptions of mHealth behavior change interventions for gestational diabetes and/or overweight/obesity management during pregnancy and the postpartum period. Cumulative Index of Nursing and Allied Health Literature (CINAHL), Cochrane, Excerpta Medica Database (EMBASE), Medical Literature Analysis and Retrieval System Online (MEDLINE), and Psychological Information Database (PsycINFO) databases were searched using a Sample, Phenomenon of Interest, Design, Evaluation and Research type (SPIDER) concept framework through to February 2024. Included studies were quality assessed using the Critical Appraisal Skills Programme checklist. Study findings were evaluated using reflexive thematic analysis and GRADE-Confidence in the Evidence from Reviews of Qualitative Research (CERQual) checklist. We identified 29 studies, representing 604 women's views from one upper middle-income and nine high-income countries. Two themes were generated: mHealth as a supportive tool; and mHealth as a personalizable tool. Women highlighted the importance of self-monitoring, information trustworthiness, peer support, motivational tools (goal setting, risk awareness, and problem solving) and convenience in achieving behavior change using mHealth technology. They suggest mHealth programs incorporate these elements to support user engagement and improved health outcomes. Understanding what women want as mHealth users is particularly important for effective interventions in gestational diabetes, weight management, and chronic disease prevention. Creating a better, more woman-centered experience by addressing central engagement issues should result in improved maternal health outcomes.
移动医疗干预措施在妊娠期糖尿病或围产期肥胖管理的健康行为改变中发挥着越来越重要的作用。本定性系统评价和元综合旨在探讨女性对移动医疗行为改变干预措施的看法，这些干预措施用于管理妊娠期糖尿病和/或超重/肥胖。通过使用样本、感兴趣现象、设计、评估和研究类型（SPIDER）概念框架，对 Cumulative Index of Nursing and Allied Health Literature（CINAHL）、Cochrane、Excerpta Medica Database（EMBASE）、Medical Literature Analysis and Retrieval System Online（MEDLINE）和 Psychological Information Database（PsycINFO）数据库进行了搜索，截止日期为 2024 年 2 月。使用批判性评估技能计划清单对纳入的研究进行了质量评估。使用反思性主题分析和 GRADE-从定性研究的评论中评估证据可信度（CERQual）清单评估研究结果。我们确定了 29 项研究，代表了来自一个中上收入和九个高收入国家的 604 名女性的观点。生成了两个主题：移动医疗作为支持工具；以及移动医疗作为个性化工具。女性强调了自我监测、信息可信度、同伴支持、激励工具（目标设定、风险意识和解决问题）以及使用移动医疗技术实现行为改变的便利性的重要性。她们建议移动医疗计划纳入这些要素，以支持用户参与并改善健康结果。了解女性作为移动医疗用户的需求对于妊娠期糖尿病、体重管理和慢性病预防的有效干预措施尤为重要。通过解决核心参与问题，创造一个更好、更以女性为中心的体验，应该会导致改善产妇健康结果。
