Functionality, Implementation, Impact, and the Role of Health Literacy in Mobile Phone Apps for Gestational Diabetes: Scoping Review.
Functionality, Implementation, Impact, and the Role of Health Literacy in Mobile Phone Apps for Gestational Diabetes: Scoping Review.
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DOI：
10.2196/diabetes.8045
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发表时间：
2017-10-04
期刊：
影响因子：
--
通讯作者：
Carbone ET
中科院分区：
文献类型：
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作者：
Chen Q;Carbone ET
随着移动的拥有量的增加以及硬件和软件的进步，这些设备成为妊娠糖尿病（GDM）女性健康促进和管理的经济高效的个性化工具。在线提供了许多移动的手机应用程序;然而，据我们所知，没有审查记录了这些应用程序是如何开发和评估GDM的。我们综述的目的是回答以下2个研究问题：（1）从现有文献中了解到移动的手机应用程序在GDM预防和管理方面的可用性、功能和有效性吗？(2)健康素养在这些应用程序中的作用是什么？我们使用与移动的手机应用程序、GDM和健康素养相关的术语检索了7个相关电子数据库的原始研究文献。我们使用改编自Arksey和O 'Malley的框架对选定的文章进行主题分类。我们在最终分析中纳入了与7个应用程序或系统相关的12篇文章。我们围绕2个主题对文章进行分类：（1）描述应用程序或系统的开发、可行性或可用性，以及（2）试验方案。GDM应用程序的个性化程度各不相同，决策支持系统可用于为患者和医疗保健提供者生成高效的个性化反馈。健康素养在开发过程中被考虑，或被一些应用程序作为一个结果来衡量。关于移动的手机应用程序与GDM预防和管理的研究有限。移动的手机应用程序可以为GDM提供具有时间和成本效益的个性化干预措施。最近已经启动了几项随机对照试验，以评估这些应用程序的有效性。在开发应用程序功能时，应加强对健康素养的考虑。
The increasing ownership of mobile phones and advances in hardware and software position these devices as cost-effective personalized tools for health promotion and management among women with gestational diabetes mellitus (GDM). Numerous mobile phone apps are available online; however, to our knowledge, no review has documented how these apps are developed and evaluated in relation to GDM. The objective of our review was to answer the following 2 research questions: (1) What is known from the existing literature about the availability, functionality, and effectiveness of mobile phone apps on GDM prevention and management? (2) What is the role of health literacy in these apps? We searched 7 relevant electronic databases for original research documents using terms related to mobile phone apps, GDM, and health literacy. We thematically categorized selected articles using a framework adapted from Arksey and O’Malley. We included 12 articles related to 7 apps or systems in the final analysis. We classified articles around 2 themes: (1) description of the development, feasibility, or usability of the apps or systems, and (2) trial protocols. The degree of personalization varied among the apps for GDM, and decision support systems can be used to generate time-efficient personalized feedback for both patients and health care providers. Health literacy was considered during the development or measured as an outcome by some apps. There is a limited body of research on mobile phone apps in relation to GDM prevention and management. Mobile phone apps can provide time- and cost-efficient personalized interventions for GDM. Several randomized controlled trials have been launched recently to evaluate the effectiveness of the apps. Consideration of health literacy should be improved when developing features of the apps.