Effect of mobile health based peripartum management of gestational diabetes mellitus on postpartum diabetes: A randomized controlled trial

Huang, Feiling; Zhang, Suhan; Tian, Yanli; Li, Li; Li, Yan; Chen, Xiaoxia; Sun, Xiao; Fan, Yanfeng; Ma, Weibo; Liu, Cuiying; Gao, Limin; Xue, Xiaowen; Ma, Liangkun

doi:10.1016/j.diabres.2021.108775

Cited by 9 publications

(19 citation statements)

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“…The included studies were published between 2007-2021, with more than half (n = 18; 64.3%) of studies published within the past five years. These studies were conducted in Asia (17 studies) [27,[35][36][37][38][39][40][41][42][43][44][45][46][47][48][49][50][51], Europe (6 studies) [52][53][54][55][56][57], United States (3 studies) [58][59][60] and Australia (2…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

“…All studies were performed in hospital setting. The interventions included mHealth interventions (n = 18) [27,[35][36][37]39,[41][42][43][44][45][50][51][52][53]58], telehealth (n = 1) [38], patient portal (n = 8) [54-57,59-62] and social platforms (n = 4) [40,[46][47][48]. Most of the trials were single centre studies and had small sample sizes.…”

Section: Plos Digital Healthmentioning

confidence: 99%

“…Most of the trials were single centre studies and had small sample sizes. Only five trials included over 200 participants [27,[50][51][52][53], four had 100-200 participants [37,40,42,62], and nineteen had fewer than 100 participants [35,36,38,39,41,[43][44][45][46][47][48][54][55][56][57][58][59][60][61]. Only twenty-two studies had detailed the diagnostic criteria for GDM (Table 2).…”

Section: Plos Digital Healthmentioning

confidence: 99%

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Digital health interventions for gestational diabetes mellitus: A systematic review and meta-analysis of randomised controlled trials

Leblalta¹,

Kebaili

Sim

et al. 2022

PLOS Digit Health

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Good blood glucose control is important to reduce the risk of adverse effects on mothers and their offspring in women with gestational diabetes (GDM). This review examined the impact of using digital health interventions on reported glycaemic control among pregnant women with GDM and its impact on maternal and foetal outcomes. Seven databases were searched from database inception to October 31st, 2021 for randomised controlled trials that examined digital health interventions to provide services remotely for women with GDM. Two authors independently screened and assessed the studies for eligibility for inclusion. Risk of bias was independently assessed using the Cochrane Collaboration’s tool. Studies were pooled using random effects model and presented as risk ratio or mean difference with 95% confidence intervals. Quality of evidence was assessed using GRADE framework. Twenty-eight randomised controlled trials that examined digital health interventions in 3,228 pregnant women with GDM were included. Moderate certainty of evidence showed that digital health interventions improved glycaemic control among pregnant women, with lower fasting plasma glucose (mean difference -0.33 mmol/L; 95% CI: -0.59 to -0.07), 2-hour post-prandial glucose (-0.49 mmol/L; -0.83 to -0.15) and HbA1c (-0.36%; -0.65 to -0.07). Among those randomised to digital health interventions, there was a lower need for caesarean delivery (Relative risk: 0.81; 0.69 to 0.95; high certainty) and foetal macrosomia (0.67; 0.48 to 0.95; high certainty). Other maternal and foetal outcomes were not significantly different between both groups. Moderate to high certainty evidence support the use of digital health interventions, as these appear to improve glycaemic control and reduce the need for caesarean delivery. However, more robust evidence is needed before it can be offered as a choice to supplement or replace clinic follow up. Systematic review registration: PROSPERO: CRD42016043009.

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Section: Characteristics Of Included Studiesmentioning

confidence: 99%

Section: Plos Digital Healthmentioning

confidence: 99%

Section: Plos Digital Healthmentioning

confidence: 99%

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Digital health interventions for gestational diabetes mellitus: A systematic review and meta-analysis of randomised controlled trials

Leblalta¹,

Kebaili

Sim

et al. 2022

PLOS Digit Health

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“…Beyond that, in the majority of these reviews,38–42 web-based technologies were conflated with early labour-intensive technologies that have become less popular in the rapidly evolving landscape of technology. More importantly, a growing number of primary studies15 32 34 43–47 with conflicting results regarding this topic have emerged after the above reviews, which may provide new evidence. Therefore, it is necessary to conduct a new systematic review that focuses on web-based technologies and includes evidence from all existing studies to comprehensively evaluate the effectiveness of web-based interventions in pregnant women with GDM, so as to provide scientific and conclusive evidence for future clinical practice.…”

Section: Introductionmentioning

confidence: 99%

Web-based interventions for pregnant women with gestational diabetes mellitus: a systematic review and meta-analysis protocol

et al. 2022

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IntroductionGestational 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 analysisThis 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 disseminationEthics 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 numberCRD42022296625.

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“…According to the literature, different interventions were carried out to manage GDM [ 9 , 13 - 18 ]. Most of them were information technology (IT) programmes such as mobile health using smartphone applications X 18 , 19 ], educational digital optical disc (DVD) [ 11 ], and web-based programmes [ 9 , 17 , 18 ]. Few studies implemented self-care education programmes for women with GDM.…”

Section: Introductionmentioning

confidence: 99%

Impact of a tailored-care education programme on maternal and neonatal outcomes in pregnant women with gestational diabetes: a randomized controlled trial

Chahed¹,

Lassouad²,

Dardouri³

et al. 2022

Pan Afr Med J

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Introduction patient education is a key component of positive pregnancy and childbearing experiences, especially in women with gestational diabetes (GDM). Scant studies assessed the impact of tailored self-care education on pregnancy outcomes in pregnant women with gestational diabetes mellitus (GDM). This study aimed to assess the effect of a tailored-care education programme on maternal and neonatal outcomes in pregnant women with GDM during pregnancy and at birth. Methods this was a randomized controlled trial conducted in a university hospital in the centre of Tunisia, from October 2020 to May 2021. The intervention group (n=61) received a self-care education programme with the usual care plan for GDM, while the control group received only the usual care plan (n=60). This trial was registered in the Pan African Clinical Trials Registry under the registration number PACTR202106591503674. Results at baseline, there was no significant difference between groups in terms of sociodemographic and clinical characteristics. The findings showed that the intervention significantly reduced maternal and neonatal hospitalizations (p=0.000), caesarean section (p=0.002), preterm labour (p=0.002), macrosomia (p=0.000), foetal distress (p=0.001), newborn respiratory complication (p=0.01) and hypoglycaemia (p=0.000). Conclusion implementing a tailored-care education for pregnant women with GDM had a positive impact on mother and infant clinical outcomes. Midwives and endocrinologists should use this programme to reduce maternal and neonatal complications during and after pregnancy.

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Effect of mobile health based peripartum management of gestational diabetes mellitus on postpartum diabetes: A randomized controlled trial

Abstract: Effect of mobile health based peripartum management of gestational diabetes mellitus on postpartum diabetes: a randomized controlled trial,

Cited by 9 publications

References 50 publications

Digital health interventions for gestational diabetes mellitus: A systematic review and meta-analysis of randomised controlled trials

Digital health interventions for gestational diabetes mellitus: A systematic review and meta-analysis of randomised controlled trials

Web-based interventions for pregnant women with gestational diabetes mellitus: a systematic review and meta-analysis protocol

Impact of a tailored-care education programme on maternal and neonatal outcomes in pregnant women with gestational diabetes: a randomized controlled trial

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