Effectiveness and Usability of Digital Tools to Support Dietary Self-Management of Gestational Diabetes Mellitus: A Systematic Review

Adesina, Nurudeen; Doğan, Hüseyin; Green, Sue; Tsofliou, Fotini

doi:10.3390/nu14010010

Cited by 19 publications

(9 citation statements)

References 56 publications

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“…More recently, mobile health (mHealth) and electronic health (eHealth) technologies have been employed to improve the delivery of DM-self management and patient education. A systematic review revealed that digital tools effectively support self-management related to diet, health behavior, and treatment adherence in women with GDM [ 5 ]. Furthermore, participants receiving mHealth- and eHealth-delivered interventions demonstrated a low attrition rate and a correspondingly high retention rate, suggesting that digital tools might increase treatment adherence among women with GDM [ 5 ].…”

mentioning

confidence: 99%

Medical Nutrition Therapy in Diabetes Mellitus: New Insights to an Old Problem

Grammatikopoulou

Goulis

2022

Nutrients

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confidence: 99%

Medical Nutrition Therapy in Diabetes Mellitus: New Insights to an Old Problem

Grammatikopoulou

Goulis

2022

Nutrients

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“…17,22,25 Women with GDM are interested in receiving health information on their smartphones and are willing to use them. 20,26 These data suggest that smartphones are a promising medium for women with GDM to use in the behavior change.…”

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confidence: 90%

Effectiveness of Smartphone-Based Lifestyle Interventions on Women with Gestational Diabetes: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Wang¹,

Jiang²,

Wiley³

et al. 2022

PRBM

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Background: Gestational diabetes mellitus (GDM) is a condition that causes poor glucose tolerance during pregnancy and usually resolves after birth. Having GDM impacts the mother and baby. Smartphone-based lifestyle interventions may offer innovative solutions. Aim: To examine the effects of smartphone-based lifestyle interventions on compliance, Hemoglobin A1c (HbA1c), maternal outcomes, infant outcomes, psychological status, satisfaction, and cost effectiveness among women with GDM. Methods: Randomized controlled trials (RCTs) of smartphone-based lifestyle interventions for women with GDM aged over 18 years were included. A systematic search of PubMed, Embase, Web of Science, CINAHL, and Cochrane Library for articles published from January 2007 to March 2022 and updated on 12 October 2022. Data were extracted independently by two researchers, and the risk of bias in individual trials was rated using the Cochrane risk-of-bias tool (RoB 2). Meta-analysis was conducted by using RevMan 5.3. Results: Ten studies were included involving 1626 participants. The mean ages of the women were 32.42 ±4.68 years. Eight out of 10 studies were conducted in developed countries. Meta-analysis found that smartphone-based lifestyle interventions statistically improved compliance [SMD = 7.36, 95% CI = (4.05 to 10.68), P < 0.0001] and decreased the incidences of neonatal intensive care unit (NICU) admission [RR = 0.64, 95% CI = (0.47,0.86), P = 0.003], compared with controls. However, intervention effects on HbA1c, maternal outcomes, neonatal hypoglycemia, and infant birth weight were non significant. Moreover, the satisfaction of intervention is high in this review. Contrastingly, no significant effects were observed for psychological status and cost-effectiveness. Conclusion: Smartphone-based lifestyle interventions may improve patient compliance and reduce NICU admissions. These findings may aid in developing future intervention strategies, help elucidate future research directions, and guide clinical practice for women with GDM. Future high-quality RCTs must be further studied at larger scales to examine smartphone-based lifestyle interventions' long-term effects and cost-effectiveness.

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“…Smartphone and other Internet-based health platforms promote greater patient involvement, appointment keeping, and early reporting of any health indicators of concern to health care practitioners, in addition to minimizing needless visits to health care services for health advice [ 33 ]. As a result, public interest in more inexpensive and simpler access to their health requirements is growing [ 35 ].…”

Section: Future Researchmentioning

confidence: 99%

Self-management and self-efficacy of women with gestational diabetes mellitus: a systematic review

Karavasileiadou

Almegewly

Alanazi

et al. 2022

Global Health Action

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Background Gestational diabetes mellitus (GDM) is a temporary form of diabetes induced by pregnancy and is potentially harmful to both the mother and fetus The impact of GDM diagnosis on pregnant women needs to be taken into account. This is related to the capacity for self-management of GDM, for which quality evidence is still lacking. Objective to identify several aspects of self-management and self- efficacy for women with GDM. Method Electronic databases were searched for studies related to the self-management, self-efficacy, and glycemic control of women with GDM, from January 2012 to January 2021. The extraction of study features was based on study location, reported research aims, study design, methodology, and the analytical approach, using Endnote Version X7.7.1. The Critical Appraisal Skills Program Qualitative Checklist (CASP) was used to assess quality, as recommended by the Cochrane Qualitative Research Methods Group. Results Ten out of 70 studies were identified as meeting the established criteria and including a diverse population. The synthesis revealed seven major themes: preliminary psychological impact, communicating the diagnosis, knowledge of GDM, self-efficacy and self-management of GDM, risk perception, the burden of GDM, and gaining control. The benefits of a diagnosis were behavioral and were mostly crystalized if a particular level of self-management and self-efficacy was reached and women were able to have specific control over their diet and body weight. On the other hand, women reported that the diagnosis increased their responsibility, as they had to take extra precautions regarding their dietary regimen. Conclusion Self-management and self-efficacy for GDM management are possible, despite the psychological hurdles that most women confront. There is still potential for improvement in terms of developing a healthy lifestyle that not only manages GDM for the best pregnancy result, but also prevents diabetes after pregnancy.

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Effectiveness and Usability of Digital Tools to Support Dietary Self-Management of Gestational Diabetes Mellitus: A Systematic Review

Cited by 19 publications

References 56 publications

Medical Nutrition Therapy in Diabetes Mellitus: New Insights to an Old Problem

Medical Nutrition Therapy in Diabetes Mellitus: New Insights to an Old Problem

Effectiveness of Smartphone-Based Lifestyle Interventions on Women with Gestational Diabetes: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Self-management and self-efficacy of women with gestational diabetes mellitus: a systematic review

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