The role of digital patient education in maternal health: A systematic review

Schnitman, Gabriel; Wang, Tianci; Kundu, Shreenik; Turkdogan, Sena; Gotlieb, Raphael; How, Jeffrey; Gotlieb, Walter H.

doi:10.1016/j.pec.2021.06.019

Cited by 17 publications

(9 citation statements)

References 80 publications

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“…This adds weight to the idea that exposure to the internet increases the likelihood of improving maternal health service use [ 20 , 22 , 23 ] as the internet has emerged as a common source of information on maternal health [ 24 ]. These results correspond with the idea that maternal health information, accessible in household and hospital settings aided by internet and mobile devices, helps women to be better aware of health and better prepared for delivery services [ 25 , 26 ]. Women may choose to take ANC services and have delivery in health facilities following high consumption of information during their pregnancy [ 27 ].…”

Section: Discussionsupporting

confidence: 80%

Association between media exposure and maternal health service use in Nepal: A further analysis of Nepal Demographic and Health Survey-2022

Sharma,

Adhikari,

Pandey

et al. 2024

PLoS ONE

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Background Nepal has made incremental progress in improving coverage of maternal health services leading to improved health outcomes. Government and other health sector stakeholders have consistently considered dissemination of educational messages on maternal health through mass media. However, in Nepal’s context, the media’s influence on the uptake of maternal health services is less known. This study examines the links between media exposure and maternal health service use in Nepal. Method Our analysis is based on the nationally representative Nepal Demographic and Health Survey (NDHS) 2022 data. We analyzed data from 1933 women aged 15–49 who had given birth in the two years preceding the survey. Weight analysis was performed to account for complex survey design. We presented categorical variables as frequency, percentage, and corresponding 95% Confidence Interval (CI). Univariable and multivariable logistic regression assessed the association between media exposure and maternal health service use, and the results are presented as crude (COR) and adjusted odds ratios (AOR) along with 95% CI. Results Women exposed to internet use had 1.59 times [AOR = 1.59, 95% CI = 1.16, 2.19], and those exposed to radio and television health programs had 1.73 times [AOR = 1.73, 95% CI = 1.17, 2.56] higher odds of having four or more Antenatal Care (ANC) visits. Similarly, women exposed to mass media had 1.32 times [AOR = 1.32, 95% CI = 1.00, 1.74] and those exposed to health programs had 1.50 times [AOR = 1.50, 95% CI = 1.02, 2.21] higher odds of having an institutional delivery. However, mass media exposure, internet use, and health program exposure were not significantly associated with increased postnatal care of mother and newborn. Conclusion Exposure to health programs and internet use are positively associated with four or more ANC visits. Exposure to mass media and health programs are positively associated with increased institutional delivery. Our findings imply that well-designed campaigns and awareness programs delivered through mass media platforms play a vital role in enhancing the uptake of maternal health services.

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Section: Discussionsupporting

confidence: 80%

Association between media exposure and maternal health service use in Nepal: A further analysis of Nepal Demographic and Health Survey-2022

Sharma,

Adhikari,

Pandey

et al. 2024

PLoS ONE

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“…This can give physicians extra time during consultations [ 1 , 2 ] and assist patients in recalling recommendations and information [ 19 , 23 , 24 ]. In contrast to reading widely circulated brochures, leaflets, and generalized online sources [ 28 , 29 , 31 , 32 , 107 ], patients receive personalized information matching their specific circumstances and treatment plans. This saves time by reducing the need to guide patients away from potentially incorrect self-diagnosis [ 30 ].…”

Section: Discussionmentioning

confidence: 99%

Physicians’ and Patients’ Expectations From Digital Agents for Consultations: Interview Study Among Physicians and Patients

Färber,

Schwabe,

Stalder

et al. 2024

JMIR Hum Factors

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Background Physicians are currently overwhelmed by administrative tasks and spend very little time in consultations with patients, which hampers health literacy, shared decision-making, and treatment adherence. Objective This study aims to examine whether digital agents constructed using fast-evolving generative artificial intelligence, such as ChatGPT, have the potential to improve consultations, adherence to treatment, and health literacy. We interviewed patients and physicians to obtain their opinions about 3 digital agents—a silent digital expert, a communicative digital expert, and a digital companion (DC). Methods We conducted in-depth interviews with 25 patients and 22 physicians from a purposeful sample, with the patients having a wide age range and coming from different educational backgrounds and the physicians having different medical specialties. Transcripts of the interviews were deductively coded using MAXQDA (VERBI Software GmbH) and then summarized according to code and interview before being clustered for interpretation. Results Statements from patients and physicians were categorized according to three consultation phases: (1) silent and communicative digital experts that are part of the consultation, (2) digital experts that hand over to a DC, and (3) DCs that support patients in the period between consultations. Overall, patients and physicians were open to these forms of digital support but had reservations about all 3 agents. Conclusions Ultimately, we derived 9 requirements for designing digital agents to support consultations, treatment adherence, and health literacy based on the literature and our qualitative findings.

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“…Accessible group-level interventions (i.e., including peer support) could be delivered through digital media. Research has already shown that maternal education through digital tools and social networking-based health interventions can be effective in changing behavior [ 38 , 39 ]. In addition, it is suggested to add (online) professional support to meet the need for reliable, scientific and personalized support.…”

Section: Discussionmentioning

confidence: 99%

Recommendations for the Development of Family-Based Interventions Aiming to Prevent Unhealthy Changes in Energy Balance-Related Behavior during the Transition to Parenthood: A Focus Group Study

et al. 2022

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Feasible interventions addressing unhealthy changes in energy balance-related behavior (EBRB) during pregnancy and early postpartum are needed. This study identified the needs and wishes of expecting and first-time parents concerning EBRB interventions during the transition to parenthood. Thirteen focus group discussions (n = 74) were conducted. Couples provided information about whether an intervention targeting unhealthy EBRB changes during pregnancy and postpartum would be acceptable, how such an intervention should look like, and in which way and during which period they needed support. Guided by the TiDIER checklist, all quotes were divided into five main categories (i.e., ‘what’, ‘how’, ‘when and how much’, ‘where’, ‘for and from whom’). Interventions should aim for changes at the individual, social, environmental and policy levels. The accessibility and approach (indirect or face-to-face) together with communicational aspects should be taken into account. A focus should go to delivering reliable and personalized information and improving self-regulation skills. Interventions should be couple- or family-based. Authorities, healthcare professionals, the partner and peers are important sources for intervention delivery and support. In the prevention of unhealthy EBRB changes around childbirth, the involvement of both parents is needed, while health care professionals play an important role in providing personalized advice.

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The role of digital patient education in maternal health: A systematic review

Cited by 17 publications

References 80 publications

Association between media exposure and maternal health service use in Nepal: A further analysis of Nepal Demographic and Health Survey-2022

Association between media exposure and maternal health service use in Nepal: A further analysis of Nepal Demographic and Health Survey-2022

Physicians’ and Patients’ Expectations From Digital Agents for Consultations: Interview Study Among Physicians and Patients

Recommendations for the Development of Family-Based Interventions Aiming to Prevent Unhealthy Changes in Energy Balance-Related Behavior during the Transition to Parenthood: A Focus Group Study

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