背景:在全球范围内,移动健康(mHealth)应用程序或干预措施的使用有所增加。对mHealth应用程序的现有系统评价的强大综合可能会提供有用的见解,以指导孕产妇保健临床医生和政策制定者。
目的:本系统评价旨在评估mHealth应用程序对全球孕产妇保健服务的有效性或影响。
方法:我们系统地搜索了Scopus,WebofScience(核心合集),MEDLINE或PubMed,CINAHL,和使用预先开发的搜索策略的Cochrane系统评论数据库。评审的质量由3名评审员独立评估,而研究选择由2名独立评估者完成。我们对研究结果进行了叙述性综合,突出显示特定的mHealth应用程序,在哪里实施,以及它们对各种产妇状况的有效性或结果。
结果:共检索到2527份文件,其中16份文件被纳入审查。大多数mHealth应用程序都是通过使用手机发送SMS短信来实现的。健康干预措施在5个方面最有效:产妇焦虑和抑郁,妊娠期糖尿病,妊娠期体重管理,孕产妇保健使用,对戒烟的行为矫正,并控制怀孕期间的物质使用。我们注意到,产妇保健的m健康干预措施偏向高收入国家(13/16,81%)。
结论:最近在研究和实践中,mHealth应用程序在产妇保健方面的有效性引起了人们的关注。该研究表明,对mHealth应用程序及其使用的研究在高收入国家占主导地位。因此,低收入和中等收入国家必须加强对这些孕产妇保健应用程序的承诺,在使用和研究方面。
背景:PROSPEROCRD42022365179;https://tinyurl.com/e5yxyx77。
BACKGROUND: Globally, the use of mobile health (mHealth) apps or interventions has increased. Robust synthesis of existing systematic reviews on mHealth apps may offer useful insights to guide maternal health clinicians and policy makers.
OBJECTIVE: This systematic review aims to assess the effectiveness or impact of mHealth apps on maternal health care delivery globally.
METHODS: We systematically searched Scopus, Web of Science (Core Collection), MEDLINE or PubMed, CINAHL, and Cochrane Database of Systematic Reviews using a predeveloped search strategy. The quality of the reviews was independently assessed by 3 reviewers, while study selection was done by 2 independent raters. We presented a narrative synthesis of the findings, highlighting the specific mHealth apps, where they are implemented, and their effectiveness or outcomes toward various maternal conditions.
RESULTS: A total of 2527 documents were retrieved, out of which 16 documents were included in the review. Most mHealth apps were implemented by sending SMS text messages with mobile phones. mHealth interventions were most effective in 5 areas: maternal anxiety and depression, diabetes in pregnancy, gestational weight management, maternal health care use, behavioral modification toward smoking cessation, and controlling substance use during pregnancy. We noted that mHealth interventions for maternal health care are skewed toward high-income countries (13/16, 81%).
CONCLUSIONS: The effectiveness of mHealth apps for maternity health care has drawn attention in research and practice recently. The study showed that research on mHealth apps and their use dominate in high-income countries. As a result, it is imperative that low- and middle-income countries intensify their commitment to these apps for maternal health care, in terms of use and research.
BACKGROUND: PROSPERO CRD42022365179; https://tinyurl.com/e5yxyx77.