Patient-reported Benefits and Limitations of Mobile Health Technologies for Diabetes in Pregnancy: A Scoping Review

Sushko, Katelyn; Menezes, Holly Tschirhart; Wang, Qi Rui; Nerenberg, Kara; Fitzpatrick‐Lewis, Donna; Sherifali, Diana

doi:10.1016/j.jcjd.2022.08.001

Cited by 6 publications

(3 citation statements)

References 47 publications

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“…Female individuals afflicted with diabetes have articulated several advantages arising from the employment of mobile health (mHealth) technologies during gestation. The refinement of upcoming digital solutions through collaborative design processes, involving end-users, could potentially ameliorate the perceived constraints and augment the efficacy of mHealth technology [ 48 ].…”

Section: Discussionmentioning

confidence: 99%

Changes in screening, diagnosis, management, and outcomes of gestational diabetes during the COVID-19 pandemic: A systematic review

Qaderi,

Shamsabadi,

Haseli

et al. 2024

Heliyon

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Section: Discussionmentioning

confidence: 99%

Changes in screening, diagnosis, management, and outcomes of gestational diabetes during the COVID-19 pandemic: A systematic review

Qaderi,

Shamsabadi,

Haseli

et al. 2024

Heliyon

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“…To date, the collection of PGHD between in-person appointments to inform patient care has largely focused on physiologic measurement data, such as blood glucose levels and blood pressure [12][13][14][15][16][17][18]. The collection of these measurements is of particular interest during pregnancy, as diabetes and hypertension present common and serious risks to both mothers and their babies [19][20][21][22][23][24][25][26][27]. Although other aspects of patient-reported health status have been identified as important to informing patient care during pregnancy, such as quality of life, pain, and mental health status [28], limited evidence exists about the collection of these data between in-person appointments, or about the use of this information to inform patient care.…”

Section: Introductionmentioning

confidence: 99%

Patient and Provider Perspectives About the Use of Patient-Generated Health Data During Pregnancy: Qualitative Exploratory Study

MacEwan,

Olvera,

Jonnalagadda

et al. 2024

JMIR Form Res

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Background There is increasing interest in using patient-generated health data (PGHD) to improve patient-centered care during pregnancy. However, little research has examined the perspectives of patients and providers as they report, collect, and use PGHD to inform obstetric care. Objective This study aims to explore the perspectives of patients and providers about the use of PGHD during pregnancy, including the benefits and challenges of reporting, collecting, and using these data, as well as considerations for expanding the use of PGHD to improve obstetric care. Methods We conducted one-on-one interviews with 30 pregnant or postpartum patients and 14 health care providers from 2 obstetrics clinics associated with an academic medical center. Semistructured interview guides included questions for patients about their experience and preferences for sharing PGHD and questions for providers about current processes for collecting PGHD, opportunities to improve or expand the collection of PGHD, and challenges faced when collecting and using this information. Interviews were conducted by phone or videoconference and were audio recorded, transcribed verbatim, and deidentified. Interview transcripts were analyzed deductively and inductively to characterize and explore themes in the data. Results Patients and providers described how PGHD, including physiologic measurements and experience of symptoms, were currently collected during and between in-person clinic visits for obstetric care. Both patients and providers reported positive perceptions about the collection and use of PGHD during pregnancy. Reported benefits of collecting PGHD included the potential to use data to directly inform patient care (eg, identify issues and adjust medication) and to encourage ongoing patient involvement in their care (eg, increase patient attention to their health). Patients and providers had suggestions for expanding the collection and use of PGHD during pregnancy, and providers also shared considerations about strategies that could be used to expand PGHD collection and use. These strategies included considering the roles of both patients and providers in reporting and interpreting PGHD. Providers also noted the need to consider the unintended consequences of using PGHD that should be anticipated and addressed. Conclusions Acknowledging the challenges, suggestions, and considerations voiced by patients and providers can inform the development and implementation of strategies to effectively collect and use PGHD to support patient-centered care during pregnancy.

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“…Several studies showed that self-management in GDM is effective ( 8 , 9 ), but most of them focused on lectures or group discussions ( 10 – 12 ). During the COVID-19 epidemic, the self-management ability of women with GDM was particularly important, but they had limited channels to obtain professional and detailed self-management knowledge.…”

Section: Introductionmentioning

confidence: 99%

Improvement of stress adaptation and insulin resistance in women with GDM by WeChat group management during novel coronavirus pneumonia

Feng

Lv²,

Feng³

et al. 2023

Front. Nutr.

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AimTo evaluate the improvement of glycemic control and stress adaptation in patients with GDM by mobile phone WeChat management during novel coronavirus pneumonia.MethodsIn this study, 75 women with GDM were included, of whom 35 were included in mobile WeChat group management as the GDM-M group and 40 as the GDM group.ResultsAfter mobile WeChat group management for 4 weeks, E and NE were lower. MDA was lower, and SOD was higher. HOMA-IR was lower. E, NE, and cortisol were related to HOMA-IR positively, MDA was positively related to HOMA-IR, and SOD was negatively related to HOMA-IR. E and cortisol were positively related to MDA but negatively related to SOD.ConclusionThe stress adaptation disorder and insulin resistance in patients with GDM who have completed mobile WeChat group management can be improved during novel coronavirus pneumonia. Mobile WeChat management played a positive role in improving the insulin resistance of women with GDM under special circumstances, which may reduce the risk of maternal and fetal complications.

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Patient-reported Benefits and Limitations of Mobile Health Technologies for Diabetes in Pregnancy: A Scoping Review

Cited by 6 publications

References 47 publications

Changes in screening, diagnosis, management, and outcomes of gestational diabetes during the COVID-19 pandemic: A systematic review

Changes in screening, diagnosis, management, and outcomes of gestational diabetes during the COVID-19 pandemic: A systematic review

Patient and Provider Perspectives About the Use of Patient-Generated Health Data During Pregnancy: Qualitative Exploratory Study

Improvement of stress adaptation and insulin resistance in women with GDM by WeChat group management during novel coronavirus pneumonia

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