OBJECTIVE: In this scoping review, we aimed to (1) identify the different areas of women\'s health monitored using PGHD from connected health devices, (2) explore personal metrics collected through these technologies, and (3) synthesize facilitators of and barriers to women\'s adoption and use of connected health devices.
METHODS: Following the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines for scoping reviews, we searched 5 databases for articles published between January 1, 2015, and February 29, 2020. Papers were included if they targeted women or female individuals and incorporated digital health tools that collected PGHD outside a clinical setting.
RESULTS: We included a total of 406 papers in this review. Articles on the use of PGHD for women steadily increased from 2015 to 2020. The health areas that the articles focused on spanned several topics, with pregnancy and the postpartum period being the most prevalent followed by cancer. Types of digital health used to collect PGHD included mobile apps, wearables, websites, the Internet of Things or smart devices, 2-way messaging, interactive voice response, and implantable devices. A thematic analysis of 41.4% (168/406) of the papers revealed 6 themes regarding facilitators of and barriers to women\'s use of digital health technology for collecting PGHD: (1) accessibility and connectivity, (2) design and functionality, (3) accuracy and credibility, (4) audience and adoption, (5) impact on community and health service, and (6) impact on health and behavior.
CONCLUSIONS: Leading up to the COVID-19 pandemic, the adoption of digital health tools to address women\'s health concerns was on a steady rise. The prominence of tools related to pregnancy and the postpartum period reflects the strong focus on reproductive health in women\'s health research and highlights opportunities for digital technology development in other women\'s health topics. Digital health technology was most acceptable when it was relevant to the target audience, was seen as user-friendly, and considered women\'s personalization preferences while also ensuring accuracy of measurements and credibility of information. The integration of digital technologies into clinical care will continue to evolve, and factors such as liability and health care provider workload need to be considered. While acknowledging the diversity of individual needs, the use of PGHD can positively impact the self-care management of numerous women\'s health journeys. The COVID-19 pandemic has ushered in increased adoption and acceptance of digital health technology. This study could serve as a baseline comparison for how this field has evolved as a result.
UNASSIGNED: RR2-10.2196/26110.
目的:在本范围审查中,我们的目的是(1)确定使用PGHD从连接的健康设备监测妇女健康的不同领域,(2)探索通过这些技术收集的个人指标,和(3)综合促进和障碍妇女采用和使用连接的健康设备。
方法:遵循PRISMA(系统审查和荟萃分析的首选报告项目)范围审查指南,我们在5个数据库中搜索了2015年1月1日至2020年2月29日发表的文章.如果论文针对女性或女性个人,并纳入了在临床环境之外收集PGHD的数字健康工具,则包括在内。
结果:本综述共纳入406篇论文。从2015年到2020年,关于女性使用PGHD的文章稳步增加。文章关注的健康领域跨越了几个主题,妊娠和产后是最普遍的,其次是癌症。用于收集PGHD的数字健康类型包括移动应用程序,可穿戴设备,网站,物联网或智能设备,双向消息传递,交互式语音响应,和可植入装置。对41.4%(168/406)的论文进行的主题分析显示,有关妇女使用数字健康技术收集PGHD的促进者和障碍的6个主题:(1)可访问性和连通性,(2)设计和功能,(3)准确性和可信度,(4)观众和收养,(5)对社区卫生服务的影响,(6)对健康和行为的影响。
结论:在COVID-19大流行之前,数字健康工具的采用,以解决妇女的健康问题正在稳步上升。与怀孕和产后相关的工具的突出反映了妇女健康研究对生殖健康的强烈关注,并突出了其他妇女健康主题中数字技术开发的机会。当数字健康技术与目标受众相关时,它是最可接受的,被认为是用户友好的,并考虑了女性的个性化偏好,同时还确保了测量的准确性和信息的可信度。将数字技术整合到临床护理中将继续发展,以及诸如责任和医疗保健提供者工作量等因素需要考虑。在承认个人需求的多样性的同时,PGHD的使用可以对众多女性健康旅程的自我护理管理产生积极影响。COVID-19大流行带来了越来越多的数字医疗技术的采用和接受。这项研究可以作为该领域如何演变的结果的基线比较。
■RR2-10.2196/26110。