Connected Health and Mobile Apps in Obstetrics and Gynecology

DeNicola, Nathaniel; Marko, Kathryn

doi:10.1016/j.ogc.2020.02.008

Cited by 11 publications

(5 citation statements)

References 62 publications

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“…Significant numbers of gynecologic cancer apps, however, are not up-to-date and some of the contents are unreliable. In addition, almost all apps have no stakeholders involved in their development [12][13][14][15]. A previous study noted that only 1.5% (11 of 748) of gynecologic cancer apps were found to be both potentially helpful and accurate [16].…”

Section: Evaluation Of Mobile Health Applications For Cervical Cancer...mentioning

confidence: 99%

Evaluation of mobile health applications for cervical cancer in the digital marketplace

et al. 2022

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Objective To assess the quality of mobile health (mHealth) applications (apps) for cervical cancer using the mobile app rating scale (MARS), APPLICATIONS scoring system, and app rating using specific statements.Methods We searched for cervical cancer apps on two major mobile operating systems (Google Play Store and Apple iTunes Store) in March 2021. Eligible apps were downloaded and assessed for quality by two independent reviewers using multimodal assessment tools.Results The overall quality of the MARS score was 2.61±0.795. The highest scoring app was “The American Society for Colposcopy and Cervical Pathology (ASCCP) Management Guidelines” (3.98). Overall, apps scored highest in the functionality domain, followed by information, engagement, and aesthetics domains. The mean±standard deviation of the APPLICATIONS scoring system was 8.50±1.712. The highest-rated apps were “ASCCP Management Guidelines,” “The British Society for Colposcopy and Cervical Pathology (BSCCP),” and “Cervical Cancer Guide.” Apps scored the highest in the paid subscription and price domains. By contrast, apps scored poorly in the text search, literature, and subjective presentation domains. Concerning app content, many apps infrequently provided misconceptions regarding cervical cancer. The apps’ rating using specific statements was 7.81±4.562.Conclusion Overall, the apps analyzed using the MARS and APPLICATIONS scoring systems demonstrated above-average quality. However, there is a need to improve the essential information conveyed by these applications. Moreover, the assessment tools have influenced different app quality rating results, confirming the lack of standardized quality assessment tools for mHealth apps.

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Section: Evaluation Of Mobile Health Applications For Cervical Cancer...mentioning

confidence: 99%

Evaluation of mobile health applications for cervical cancer in the digital marketplace

et al. 2022

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“…For one, women usually respond quite positively to this integration, and they highlight the empowerment derived from these tools [ 3 ]. For another, some authors suggest that pregnancy is the best clinical time to use digital technology in terms of benefits [ 8 ]. Finally, there is an abundance of obstetrics and gynecology apps [ 9 ], and more specifically pregnancy apps [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

Content, Behavior Change Techniques, and Quality of Pregnancy Apps in Spain: Systematic Search on App Stores

Muñoz-Mancisidor

Martín-Payo

González-Méndez

et al. 2021

JMIR Mhealth Uhealth

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Background Women consult information in mobile apps (apps) during pregnancy, and even obstetrics specialists highlight that pregnancy is the ideal moment for the use of apps as consultation sources. However, the high number of apps designed for pregnancy requires a careful assessment to determine their suitability before recommendation. Objective The aim of this study is to identify the apps available in Spanish that can be recommended based on their content, behavior change techniques (BCTs), and quality as a complementary tool during pregnancy. Methods A systematic search on app stores to identify apps was performed in the Apple App Store and Google Play with the subject term “pregnancy.” The apps meeting the following criteria were chosen: pregnancy-related content, free, and available in Spanish. An app was excluded if it was classified as a game or entertainment and thus lacking an educational or health aim and if it did not target the population under study. The selected apps were downloaded, and their quality was assessed using the Mobile Application Rating Scale (MARS), with the BCTs included evaluated using the BCT taxonomy version 1 and its content. Results A total of 457 apps were identified, 25 of which were downloaded for assessment (5.6%). The median for objective and subjective quality was 2.94 (IQR 2.71-3.46) and 1.75 (IQR 1.25-2.25), respectively. Regarding content, the median of topics included in the apps was 23 (IQR 16-23), with weight gain, nutrition, fetal development, and physical activity being the most common. The median number of BCTs was 12 (IQR 0.5-3.5). The most frequently identified BCTs in the apps were “Self-Monitoring of Outcomes,” followed by “Goal Behavior” and “Instructions.” Statistically significant correlations were observed between objective quality and content (ρ=0.624; P=.001), subjective quality and content (ρ=0.638; P=.001), objective quality and BCTs (ρ=0.672; P<.001), subjective quality and BCTs (ρ=0.623; P<.001), and BCTs and content (ρ=0.580; P=.002). Conclusions The results of this study suggest that only a small percentage of free pregnancy apps available in Spanish should be recommended. The apps with the best MARS scores were those that addressed a higher number of topics and included a higher number of BCTs. Those with the best content and quality, and a higher number of BCTs included could be recommended by health professionals.

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“…In a recent count, there were 1800 apps related to obstetrics and gynecology in the Apple store. 27 In a systematic review of 245 studies surrounding the use of mobile health apps, Chen et al, 28 found that the various uses included apps connected to the medical record for results or appointments, apps for health education, for reminders for medications or appointments and those for recording medical data for patients with chronic conditions. In addition, many social service organizations like Women, Infants, and Children (WIC), for example, have mobile apps to better enable the distribution of services to individuals in need (Table 2).…”

Section: Mobile Appsmentioning

confidence: 99%

“…The number of apps providing health information as well as monitoring health conditions have rapidly increased in all fields of medicine including obstetrics and gynecology. In a recent count, there were 1800 apps related to obstetrics and gynecology in the Apple store 27. In a systematic review of 245 studies surrounding the use of mobile health apps, Chen et al,28 found that the various uses included apps connected to the medical record for results or appointments, apps for health education, for reminders for medications or appointments and those for recording medical data for patients with chronic conditions.…”

Section: Mobile Appsmentioning

confidence: 99%

Using Telehealth Approaches to Address Social Determinants of Health and Improve Pregnancy and Postpartum Outcomes

Dixon-Shambley

Gabbe

2021

Clinical Obstetrics &Amp; Gynecology

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Telehealth has expanded its reach significantly since its inception due to the advances in technology over the last few decades. Social determinants of health (SDOH) negatively impact the health of pregnant and postpartum women and need to be considered when deploying telehealth strategies. In this article, we describe telehealth modalities and their application to improve the SDOH that impact pregnancy and postpartum outcomes. Physicians and patients alike report satisfaction with telehealth as it improves access to education, disease monitoring, specialty care, prenatal and postpartum care. Ten years ago, we developed a program, Moms2B, to eliminate disparities in pregnancy outcomes for underserved women. Using a case study, we describe how Moms2B, devoted to improve the SDOH for pregnant women, transitioned from an in-person to a virtual format. Telehealth benefited women before the recent coronavirus disease 2019 pandemic and increasingly after emergency authorizations has allowed telehealth to flourish.

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Connected Health and Mobile Apps in Obstetrics and Gynecology

Cited by 11 publications

References 62 publications

Evaluation of mobile health applications for cervical cancer in the digital marketplace

Evaluation of mobile health applications for cervical cancer in the digital marketplace

Content, Behavior Change Techniques, and Quality of Pregnancy Apps in Spain: Systematic Search on App Stores

Using Telehealth Approaches to Address Social Determinants of Health and Improve Pregnancy and Postpartum Outcomes

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