Online Medicine for Pregnant Women

Davidesko, Sharon; Segal, David; Peleg, Roni

doi:10.1155/2014/379427

Cited by 6 publications

(9 citation statements)

References 17 publications

(23 reference statements)

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“…Given that perinatal women are elite technology users , e‐based lifestyle interventions are an important priority for future research. E‐based lifestyle interventions allow for the remote implementation of interventions and remote monitoring of health‐related behavioural changes with ubiquitous availability and population‐level generalizability . The use of e‐based lifestyle interventions might be less labor‐intensive and associated with lower costs than face‐to‐face interventions , which suggests that health systems could allocate their resources in a cost‐effective manner to reduce the overall load on the system .…”

Section: Discussionmentioning

confidence: 99%

Electronic‐based lifestyle interventions in overweight or obese perinatal women: a systematic review and meta‐analysis

et al. 2017

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Electronic-based (e-based) lifestyle interventions provide potential and cost-effective delivery of remote interventions for overweight and obese perinatal women. To date, no meta-analysis has reported the efficacy of maternal and neonatal outcomes. Seven electronic databases were searched from inception up to July 13, 2016, including the Cumulative Index to Nursing and Allied Health Literature, Cochrane Library, EMBASE, ProQuest Dissertations and Theses, PsycINFO, PubMed and Scopus. Among the 1,145 studies retrieved, 14 randomized controlled trials were selected among 17 publications. The Cochrane risk of bias tool was used to appraise the quality assessment. The meta-analyses demonstrated a significant result for limiting gestational weight gain, losing postnatal weight in 1-2 months, increasing self-reported moderate and vigorous physical activity and reducing caloric intake using diet-related software. Our review shows that an e-based lifestyle intervention is an acceptable approach. The findings reveal the variability in intervention methods and provide limited conclusive evidence. Thus, future studies should examine the efficacy and essential components as well as the various approaches using optimal portions of in-person and phone sessions. Further evaluations comparing the effectiveness of different e-based lifestyle intervention approaches toward activity-related and diet-related outcomes are necessary.

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Section: Discussionmentioning

confidence: 99%

Electronic‐based lifestyle interventions in overweight or obese perinatal women: a systematic review and meta‐analysis

et al. 2017

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“…With regard to interactivity, users preferred flexible communication with health care professionals through the provision of Web-based discussion and access to individualized expert advice. Cloud computing offers flexible dissemination channels between health settings and health care providers [ 58 ]. Peer support is an important element of the intervention, which allows users to share their experiences, knowledge, and emotional, social, or practical support with one another [ 51 ].…”

Section: Discussionmentioning

confidence: 99%

Development of a Healthy Lifestyle Mobile App for Overweight Pregnant Women: Qualitative Study

Lau¹,

Cheng²,

Chi³

et al. 2018

JMIR Mhealth Uhealth

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BackgroundMobile apps are becoming an increasingly ubiquitous platform for delivery of health behavior interventions among overweight and obese perinatal women. However, only a few methodological guidelines on integrating theory, evidence, and qualitative research for their designs are available.ObjectiveThe aim of this study was to develop a theory-based, evidence-driven, and user-centered healthy lifestyle app targeting overweight and obese multiethnic pregnant women.MethodsThis paper illustrates how intervention development may be enriched with theoretical basis, systematic review, and qualitative study. An individual face-to-face interview was performed to incorporate the user’s involvement in the design. These interviews were audiotaped and transcribed. Thematic analysis technique was used for emerging themes.ResultsIntegrated concepts of social cognitive theory of self-regulation, self-regulation model, and strength model of self-control were selected as bases of the intervention. Evidence from our systematic review and meta-analysis provided the strongest evidence for the development of intervention. We invited 16 obese or overweight pregnant women to participate in a semistructured interview . The following key themes emerged: content, platform, interactivity, format, and functionality. Apps are a favorable technology platform for healthy diet advice, appropriate physical exercise, and weight management because they are user-friendly and convenient. The app used in this study contains culture-specific, pregnancy-related, and credible contents, including educational, professional and peer support, and self-monitoring domains. The design should include aesthetic appeal, visualized features, and interactive multimedia.ConclusionsA 3-step process integrating theoretical basis, evidence from systematic review, and research findings from target users can be considered a guide for future app development.

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“…Multimedia features and interactivity can accommodate different learning styles (Bert et al 2013). Data visualisation capabilities and cloud computing offer accessible display of outcome information, flexible dissemination channels within and between service settings, and ready access to collaborative communication and shared resources for consumers and providers (Davidesko et al 2014). E-technology will continue to become increasing popular as the cost of transportation increases and the cost of technology decreases, and more technologically literate women will use these feasible and promising methods to increase access to BF service everywhere (Macnab et al 2012).…”

Section: Discussionmentioning

confidence: 99%

“…E‐technologies cover a diverse range of information and communication technologies (ICTs) applications for exchanging information and gaining knowledge (Davidesko et al . ). Such ICT applications include the use of web‐based technologies (Huang et al .…”

Section: Introductionmentioning

confidence: 97%

“…Electronic technologies (e-technologies) are a revolutionary development in health care services. E-technologies cover a diverse range of information and communication technologies (ICTs) applications for exchanging information and gaining knowledge (Davidesko et al 2014). Such ICT applications include the use of web-based technologies (Huang et al 2007;Hannula et al 2014), mobile technologies (Jiang et al 2014), compact disc read-only memory (CD-ROM)-based technologies (Labarère et al 2011), interactive computer agent (Edwards et al 2013), electronic prompt (e-prompt; Bonuck et al 2014), etc.…”

Section: Introductionmentioning

confidence: 99%

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Efficacy of e‐technologies in improving breastfeeding outcomes among perinatal women: a meta‐analysis

Lau

Htun

Tam

et al. 2015

Maternal & Child Nutrition

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A growing line of research has highlighted that e-technologies may play a promising role in improving breastfeeding outcomes. The objective of this review was to synthesise the best of available evidence by conducting a meta-analysis to evaluate whether e-technologies have had any effect in improving breastfeeding outcomes among perinatal women. The review was conducted using nine electronic databases to search for English-language research studies from 2007 to 2014. A 'risk of bias' table was used to assess methodological quality. Meta-analysis was performed with the RevMan software. The Q test and I(2) test was used to assess the heterogeneity. The test of overall effect was assessed using z-statistics at P < 0.05. Of 1842 studies identified through electronic searches and reference lists, 16 experimental studies were selected after applying the inclusion and exclusion criteria. Half of the selected studies had a low risk of bias, from which a total of 5505 women in six countries in these studies were included. Meta-analyses revealed that e-technologies significantly improved exclusive breastfeeding initiation (z = 6.90, P < 0.00001), exclusive breastfeeding at 4 weeks (z = 2.12, P = 0.03) and 6 months (z = 3.2, P = 0.001), breastfeeding attitude (z = 3.01, P = 0.003) and breastfeeding knowledge (z = 4.54, P = < 0.00001) in subgroup analyses. This review provides support for the development of web-based, texting messaging, compact disc read-only memory, electronic prompts and interactive computer agent interventions for promoting and supporting breastfeeding.

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Online Medicine for Pregnant Women

Cited by 6 publications

References 17 publications

Electronic‐based lifestyle interventions in overweight or obese perinatal women: a systematic review and meta‐analysis

Electronic‐based lifestyle interventions in overweight or obese perinatal women: a systematic review and meta‐analysis

Development of a Healthy Lifestyle Mobile App for Overweight Pregnant Women: Qualitative Study

Efficacy of e‐technologies in improving breastfeeding outcomes among perinatal women: a meta‐analysis

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