scholarly journals Patient-Reported Benefits and Limitations of Mobile Health Technologies for Diabetes in Pregnancy: Protocol for a Scoping Review

10.2196/29727 ◽  
2021 ◽  
Vol 10 (10) ◽  
pp. e29727
Author(s):  
Katelyn Sushko ◽  
Qi Rui Wang ◽  
Holly Tschirhart Menezes ◽  
Donna Fitzpatrick-Lewis ◽  
Diana Sherifali
Keyword(s):  
Mobile Health ◽  
Scoping Review ◽  
Best Practice ◽  
Diabetes In Pregnancy ◽  
Patient Centered ◽  
Face To Face ◽  
Patient Reported ◽  
Practice Standards ◽  
Mhealth Technology ◽  
In Pregnancy

Background For women with pre-existing and gestational diabetes mellitus, pregnancy involves specialized and intensive medical care to improve maternal and infant outcomes. Medical management for patients with diabetes in pregnancy typically occurs via frequent face-to-face outpatient appointments. Barriers to face-to-face care during the COVID-19 pandemic have signaled the need for high-quality, patient-centered virtual health care modalities, such as mobile health (mHealth). Objective The objective of the proposed scoping review is to identify the patient-reported benefits and limitations of mHealth technology among women with diabetes in pregnancy. We also aim to determine how the women’s experiences align with the best practice standards for patient-centered communication. Methods Arksey and O’Malley’s framework for conducting scoping reviews with refinements by Levac et al will be used to guide the conduct of this scoping review. Relevant studies will be identified through comprehensive database searches of MEDLINE, Embase, Emcare, and PsycINFO. Following database searches, studies will be screened for eligibility at the title, abstract, and full-text level by two independent reviewers, with the inclusion of a third reviewer if required to reach consensus. Data charting of included studies will be conducted by one reviewer using a standardized data extraction form and verified independently by a second reviewer. Synthesis of results will be guided by Thomas and Harden’s “Methods for the Thematic Synthesis of Qualitative Research in Systematic Reviews.” Results As of August 2020, we have carried out the qualitative searches in the electronic databases MEDLINE, Embase, Emcare, and PsycINFO (Ovid interface) for a combined total of 8207 articles. Next, we plan to conduct the quantitative searches in the electronic databases MEDLINE, Embase, and Emcare (Ovid interface). We also plan to review the reference lists of relevant studies to identify additional eligible studies. Conclusions With the results of this review, we hope to describe the patient-reported benefits and limitations of mHealth technology for women with diabetes in pregnancy. Furthermore, we aim to determine how women’s experiences align with the best practice standards for patient-centered communication. Ultimately, our review can provide valuable information for guideline developers, policy makers, and clinicians related to mobile technologies to support virtual care delivery for women with diabetes in pregnancy. International Registered Report Identifier (IRRID) PRR1-10.2196/29727

scholarly journals Patient-Reported Benefits and Limitations of Mobile Health Technologies for Diabetes in Pregnancy: Protocol for a Scoping Review (Preprint)

2021 ◽  
Author(s):  
Katelyn Sushko ◽  
Qi Rui Wang ◽  
Holly Tschirhart Menezes ◽  
Donna Fitzpatrick-Lewis ◽  
Diana Sherifali
Keyword(s):  
Mobile Health ◽  
Scoping Review ◽  
Best Practice ◽  
Diabetes In Pregnancy ◽  
Patient Centered ◽  
Face To Face ◽  
Patient Reported ◽  
Practice Standards ◽  
Mhealth Technology ◽  
In Pregnancy

BACKGROUND For women with pre-existing and gestational diabetes mellitus, pregnancy involves specialized and intensive medical care to improve maternal and infant outcomes. Medical management for patients with diabetes in pregnancy typically occurs via frequent face-to-face outpatient appointments. Barriers to face-to-face care during the COVID-19 pandemic have signaled the need for high-quality, patient-centered virtual health care modalities, such as mobile health (mHealth). OBJECTIVE The objective of the proposed scoping review is to identify the patient-reported benefits and limitations of mHealth technology among women with diabetes in pregnancy. We also aim to determine how the women’s experiences align with the best practice standards for patient-centered communication. METHODS Arksey and O’Malley’s framework for conducting scoping reviews with refinements by Levac et al will be used to guide the conduct of this scoping review. Relevant studies will be identified through comprehensive database searches of MEDLINE, Embase, Emcare, and PsycINFO. Following database searches, studies will be screened for eligibility at the title, abstract, and full-text level by two independent reviewers, with the inclusion of a third reviewer if required to reach consensus. Data charting of included studies will be conducted by one reviewer using a standardized data extraction form and verified independently by a second reviewer. Synthesis of results will be guided by Thomas and Harden’s “Methods for the Thematic Synthesis of Qualitative Research in Systematic Reviews.” RESULTS As of August 2020, we have carried out the qualitative searches in the electronic databases MEDLINE, Embase, Emcare, and PsycINFO (Ovid interface) for a combined total of 8207 articles. Next, we plan to conduct the quantitative searches in the electronic databases MEDLINE, Embase, and Emcare (Ovid interface). We also plan to review the reference lists of relevant studies to identify additional eligible studies. CONCLUSIONS With the results of this review, we hope to describe the patient-reported benefits and limitations of mHealth technology for women with diabetes in pregnancy. Furthermore, we aim to determine how women’s experiences align with the best practice standards for patient-centered communication. Ultimately, our review can provide valuable information for guideline developers, policy makers, and clinicians related to mobile technologies to support virtual care delivery for women with diabetes in pregnancy. INTERNATIONAL REGISTERED REPORT PRR1-10.2196/29727

Closing the Loop in Computer Agent/Patient Communication

2020 ◽  
Vol 64 (1) ◽  
pp. 711-715
Keyword(s):  
Older Adults ◽  
Best Practice ◽  
Self Care ◽  
Effective Teacher ◽  
Care Providers ◽  
Conversational Agents ◽  
Patient Centered ◽  
Face To Face ◽  
Communication Techniques ◽  
Improve Instruction

While patient-centered communication supports patient self-care, providers rarely have enough time to consistently use patient- centered communication techniques. Technology has potential to support patient-centered communication, but frequently older adults prefer face-to-face communication with providers. Conversational agents (CAs) may support provider communication with older adults by emulating best practices from face-to-face communication. We investigated older adults’ response to a prototype CA communication system that served as a virtual provider and presented medication instructions using teachback, a recommended best practice that involves asking patients questions to ‘close the communication loop’. Older adults were told how to take medications by a CA who used (or did not use) teachback, and then were interviewed. Older adults were open to interacting with the CA and thought it would help support self-care. They thought the CA was a more effective teacher when using teachback and that this interactive strategy helped them remember the instructions. However, teachback did not improve instruction memory.

scholarly journals Use of mHealth Technology for Patient-Reported Outcomes in Community-Dwelling Adults with Acquired Brain Injuries: A Scoping Review

2021 ◽  
Vol 18 (4) ◽  
pp. 2173
Author(s):  
Shannon B. Juengst ◽  
Lauren Terhorst ◽  
Andrew Nabasny ◽  
Tracey Wallace ◽  
Jennifer A. Weaver ◽  
...  
Keyword(s):  
Brain Injury ◽  
Scoping Review ◽  
Patient Reported Outcomes ◽  
Brain Injuries ◽  
Community Dwelling ◽  
Ovid Medline ◽  
Affective Symptoms ◽  
Patient Reported ◽  
Mhealth Technology ◽  
Ecological Momentary

The purpose of our scoping review was to describe the current use of mHealth technology for long-term assessment of patient-reported outcomes in community-dwelling individuals with acquired brain injury (ABI). Following PRISMA guidelines, we conducted a scoping review of literature meeting these criteria: (1) civilians or military veterans, all ages; (2) self-reported or caregiver-reported outcomes assessed via mobile device in the community (not exclusively clinic/hospital); (3) published in English; (4) published in 2015–2019. We searched Ovid MEDLINE(R) < 1946 to 16 August 2019, MEDLINE InProcess, EPub, Embase, and PsycINFO databases for articles. Thirteen manuscripts representing 12 distinct studies were organized by type of ABI [traumatic brain injury (TBI) and stroke] to extract outcomes, mHealth technology used, design, and inclusion of ecological momentary assessment (EMA). Outcomes included post-concussive, depressive, and affective symptoms, fatigue, daily activities, stroke risk factors, and cognitive exertion. Overall, collecting patient-reported outcomes via mHealth was feasible and acceptable in the chronic ABI population. Studies consistently showed advantage for using EMA despite variability in EMA timing/schedules. To ensure best clinical measurement, research on post-ABI outcomes should consider EMA designs (versus single time-point assessments) that provide the best timing schedules for their respective aims and outcomes and that leverage mHealth for data collection.

scholarly journals Perspectives and experiences of collecting antenatal colostrum in women who have had diabetes during pregnancy: a North Queensland semistructured interview study

BMJ Open ◽  
2019 ◽  
Vol 9 (1) ◽  
pp. e021513 ◽  
Author(s):  
Jordan Rita Rose Casey ◽  
Erin Louise Mogg ◽  
Jennifer Banks ◽  
Kathleen Braniff ◽  
Clare Heal
Keyword(s):  
Semistructured Interview ◽  
Diabetes In Pregnancy ◽  
Previous Pregnancy ◽  
Face To Face ◽  
Antenatal Period ◽  
Semistructured Interviews ◽  
High Prevalence ◽  
Precious Resource ◽  
Early Relationships ◽  
In Pregnancy

ObjectivesTo explore and describe the experiences and perspectives of collecting and storing colostrum in the antenatal period in women who have had diabetes in pregnancy.DesignFace-to-face, semistructured interviews analysed with purposive sampling and thematic analysis.SettingA regional hospital in North Queensland with a high prevalence of diabetes in pregnancy.ParticipantsSix women with a previous pregnancy complicated by diabetes who were advised to collect and store colostrum in pregnancy.ResultsSix themes were identified: wariness of medicalisation (adjusting to an ‘abnormal’ pregnancy, seeking continuity of care, determination to reduce formula, fear of invasive intervention); underlying altruism (providing the best for baby, preparing for complications, eager for milk donation); internal pressure to succeed (coping with confronting information, disheartened by failures, constant fear of insufficient supply, overwhelming guilt, concern for future breastfeeding success); self-management and ownership (adapting to awkwardness, developing strategies for success, actively seeking education, gaining confidence to request help, accepting personal limitations); frustrated by waste (encroaching on time, squandering a precious resource, ambiguous about necessity) and building fortitude for motherhood (physically preparing for breast feeding, symbolic of the imminent infant, establishing early relationships with supports, approaching challenges with realistic optimism).ConclusionWomen with diabetes in pregnancy experience guilt and stress about the added risk of hypoglycaemia to their babies and strive to provide the best for their babies by collecting and storing colostrum, even if this leads to distress to themselves. It is crucial that these women be provided accurate, realistic advice about the benefits and disadvantages of collecting colostrum in the antenatal period.

scholarly journals Implementation and utilization of gynecological teaching associate and male urogenital teaching associate programs: a scoping review

2021 ◽  
Vol 6 (1) ◽  
Author(s):  
Holly Hopkins ◽  
Chelsea Weaks ◽  
Elise Napier
Keyword(s):  
Health Professional ◽  
Learning Outcomes ◽  
Scoping Review ◽  
Best Practice ◽  
Psychological Safety ◽  
Specific Information ◽  
Patient Centered ◽  
Wide Variability ◽  
Teaching Associates ◽  
Professional Learners

Abstract Background Gynecological Teaching Associates (GTAs) and Male Urogenital Teaching Associates (MUTAs) are individuals trained to instruct health professional learners with their own body to conduct accurate, patient-centered breast, pelvic, urogenital, rectal, and/or prostate examinations. Evidence indicates that this results in improvements in technical competence and communication skills, but there is wide variability to how such programs are implemented and engaged within the curriculum. In this scoping review, we mapped evidence regarding (1) how GTA/MUTA programs are utilized with health professional learners, (2) how GTA/MUTA programs are implemented using the Association of Standardized Patient Educators (ASPE) Standards of Best Practice (SOBP) as a framework, and (3) what broad outcomes are addressed in publications. Methods PubMed, ERIC, PsychINFO, CINAHL, and Sociological Abstracts were searched for all publications addressing instruction of physical examinations with a GTA/MUTA and/or administration of GTA/MUTA programs. Studies were charted in tandem until consensus was identified and then charted individually, using an iterative process. The scoping review protocol was registered prospectively. Results One hundred and one articles were identified, and nearly all highlighted positive results regarding GTA/MUTA programs. Most studies addressed medical students within the USA and Europe. During instructional sessions, three (SD=1.4) learners worked with each GTA/MUTA and an average of 32 min (SD=17) was allocated per learner. GTAs/MUTA instructed both independently (n=33) and in pairs (n=51). Thirty-eight articles provided detailed information consistent with one or more of the Domains of the ASPE SOBP, with six providing specific information regarding safe work environments. Conclusions While studies demonstrate consistently positive outcomes for learners, there is wide variability in implementation patterns. This variability may impact learning outcomes and impact both physical and psychological safety for GTAs/MUTAs and learners. Terminology used to refer to GTAs/MUTAs is inconsistent and may obscure relevant publications. Additional research is indicated to explore the pedagogical variables that result in positive learning outcomes and examine methods to ensure physical and psychological safety of GTAs/MUTAs and learners. Trial registration https://osf.io/x9w2u/.

scholarly journals Antenatal Care Experience In Pregnant Women With Gestational Diabetes

2021 ◽  
Vol 1 (3) ◽  
pp. 20-29
Author(s):  
Imelda Rismayani Gampur ◽  
Herlin Fitriani Kurniawati
Keyword(s):  
Gestational Diabetes ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Scoping Review ◽  
Significant Risk ◽  
Diabetes In Pregnancy ◽  
Care Experience ◽  
Quantitative And Qualitative Research ◽  
Diabetes Gestational ◽  
In Pregnancy

Background: Globally, one of the increasing health problems that occur during pregnancy is gestational diabetes. The experience of women diagnosed with diabetes in pregnancy has the possibility of experiencing risks such as pre-eclampsia and polyhydramnios (excess amniotic fluid). Babies of mothers who experience this are also at risk for complications such as macrosomia (birth weight > 4000g). Meanwhile, the experience of women during antenatal visits who have a diagnosis of diabetes in pregnancy, often feel anxious about themselves and the fetus and the risks that will occur in the future. Purpose: To review the evidence related to the experience of antenatal care in pregnant women with gestational diabetes. Methods: The method used is the scoping review. created a framework, selecting article studies with Prism Flow Charts, mapping charting data and Critical Appraisal. Results: Based on 9 articles with quantitative and qualitative research types, it was found that there were 8 articles with grade A and 1 article with grade B. The tool used in the scoping review was the Mixed Method Appraisal Tool (MMAT). Based on the articles collected, 4 themes were selected consisting of Antenatal Care (ANC), Knowledge of Pregnant Women, Gestational Impact of Diabetes, and Health Service Efforts. Conclusion: Antenatal care experiences for mothers with gestational diabetes carry a significant risk of maternal and fetal complications and a significant risk of developing type 2 diabetes. Gestational diabetes can contribute to potential emotional imbalances during pregnancy that can trigger depressive symptoms.

Self-management education among women with pre-existing diabetes in pregnancy: A scoping review

2021 ◽  
Vol 117 ◽  
pp. 103883
Author(s):  
Katelyn Sushko ◽  
Holly Tschirhart Menezes ◽  
Patricia Strachan ◽  
Michelle Butt ◽  
Diana Sherifali
Keyword(s):  
Scoping Review ◽  
Management Education ◽  
Self Management ◽  
Diabetes In Pregnancy ◽  
In Pregnancy

scholarly journals Psychosocial aspects of diabetes in pregnancy

2014 ◽  
Vol 02 (01) ◽  
pp. 025-029
Author(s):  
Bharti Kalra ◽  
Yatan Balhara ◽  
Sanjay Kalra
Keyword(s):  
South Asian ◽  
Social Factors ◽  
Postpartum Period ◽  
Psychiatric Morbidity ◽  
Holistic Approach ◽  
Psychosocial Issues ◽  
Diabetes In Pregnancy ◽  
Patient Centered ◽  
Psychosocial Model ◽  
In Pregnancy

AbstractRecent guidelines promote a patient-centered approach to the management of diabetes. The relevance of the bio-psychosocial model or holistic approach has also been explored in women′s health. Specifically, psychosocial and psychiatric morbidity has been appreciated and analyzed in pregnancy and the postpartum period. However, minimal attention has been focused on the psychosocial and social factors that impact pregnancy complicated by diabetes. This is even more surprising from a South Asian perspective, where deep-rooted sociocultural mores create a milieu that may not be very friendly to the antenatal woman with diabetes. This review discusses the psychosocial issues relevant in the context of pregnancy among diabetics. An approach to address these issues has also been highlighted.

scholarly journals Electronic patient-reported outcome measures using mobile health technology in rheumatology: A scoping review

PLoS ONE ◽  
2021 ◽  
Vol 16 (7) ◽  
pp. e0253615
Author(s):  
Jaclyn Shelton ◽  
Sierra Casey ◽  
Nathan Puhl ◽  
Jeanette Buckingham ◽  
Elaine Yacyshyn
Keyword(s):  
Rheumatic Disease ◽  
Outcome Measures ◽  
Mobile Health ◽  
Scoping Review ◽  
Inflammatory Arthritis ◽  
Health Technology ◽  
Patient Reported Outcome Measures ◽  
Patient Reported Outcome ◽  
Mobile Health Technology ◽  
Patient Reported

Objective This scoping review aims to characterize the current literature on electronic patient-reported outcome measures (ePROMs) in rheumatology and assess the feasibility and utility of ePROMs and mobile health technology in the management of rheumatic disease. Introduction Patient-reported outcome measures (PROMs) are commonly used in rheumatology as they are important markers of disease activity and overall function, encourage shared decision-making, and are associated with high rates of patient satisfaction. With the widespread use of mobile devices, there is increasing interest in the use of mobile health technology to collect electronic PROMs (ePROM). Inclusion criteria All primary studies that involve the collection of ePROMs using mobile devices by individuals with a rheumatic disease were included. Articles were excluded if ePROMs were measured during clinic appointments. Methods A scoping review was performed using Medline, Embase, PsycINFO, and CINAHL with index terms and key words related to “patient-reported outcome measures”, “rheumatic diseases”, and “mobile health technology”. Results A total of 462 records were identified after duplicates were removed. Of the 70 studies selected for review, 43% were conference proceedings and 57% were journal articles, with the majority published in 2016 or later. Inflammatory arthritis was the most common rheumatic disease studied. Generic ePROMs were used over three times more often than disease-specific ePROMs. A total of 39 (56%) studies directly evaluated the feasibility of ePROMs in clinical practice, 19 (27%) were clinical trials that used ePROMs as study endpoints, 9 (13%) were focus groups or surveys on smartphone application development, and 3 (4%) did not fit into one defined category. Conclusion The use of ePROMs in rheumatology is a growing area of research and shows significant utility in clinical practice, particularly in inflammatory arthritis. Further research is needed to better characterize the feasibility of ePROMs in rheumatology and their impact on patient outcomes.

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