Educational technologies in literacy training for pregnant women with gestational diabetes mellitus: scoping review.
Abstract
Introduction: Diabetes Mellitus self-management can be achieved through educational technologies that help healthcare professionals do their job better.
Objective: To map evidence on educational technologies aimed at literacy for pregnant women with gestational diabetes.
Method: This is a scoping review, conducted under the guidelines of the Joanna Briggs Institute and PRISMA-ScR, with no language or time restrictions. The search was conducted in the following databases: PubMed, SCOPUS, LILACS, Web of Science, CINAHL (EBSCO), CAPES Thesis and Dissertation Catalog, IEEE Xplore Digital Library, and Google Scholar.
Results: A total of 6,503 studies were identified, and 13 studies were included after analysis. The English language and randomized clinical trials were predominant. The use of mobile applications, educational films, and web-based interventions was identified. The forms of development and evaluation of these technologies were predominantly the use of literature and the division into intervention and control groups, respectively.
Conclusion: Technologies with an emphasis on health literacy were used in longitudinal care, covering diagnosis, monitoring, and health promotion.
Downloads
-
Abstract201
-
ESP_PDF (Español (España))72
-
ENG_PDF48
-
XML (Español (España))0
References
Choudhury AA, Devi Rajeswari V. Gestational diabetes mellitus - A metabolic and reproductive disorder. Biomed Pharmacother. 2021 [cited 2024 jul 01]; 143: 112183. DOI: https://doi.org/10.1016/j.biopha.2021.112183.
Sociedade Brasileira de Diabetes [site de internet]. Diabetes gestacional exige cuidados. 2022 [cited 2024 dez 19]. Available from: https://diabetes.org.br/diabetes-gestacional-exige-cuidados/#:~:text=No%20Brasil,%20estima-se%20que,milhões%20de%20nascimentos%20por%20ano.
Martins, RMG. et al. Tecnologias em saúde da hanseníase no âmbito da Atenção Primária à Saúde: revisão de escopo. Rev Enfermagem UERJ. 2024 [cited 2024 Jul 04]; 32. DOI: https://doi.org/10.12957/reuerj.2024.79681.
Tang F, Xiaoying Z, Liu S, Guo X, Li D. Pathway analysis of the impact of health literacy, social support and self-efficacy on self-management behaviors in pregnant women with gestational diabetes mellitus. Frontiers in Public Health. 2023 [cited 2024 jul 01]; 10:11:1188072. DOI: https://doi.org/10.3389/fpubh.2023.1188072.
Moshki, M., Gholamiyan Bajestani, R., Hossein, H., Bahri, N. The effects of group discussion and multimedia package education interventions on healthy lifestyle of pregnant women: A field trial study. J Res Health. 2023 [cited 2024 jul 06]; 13(3):189-196. DOI: http://dx.doi.org/10.32598/JRH.13.3.72.4.
Safiee L, Rough DJ, Whitford H. Barriers to and facilitators of using eHealth to support gestational diabetes mellitus self-management: systematic literature review of perceptions of health care professionals and women with gestational diabetes mellitus. Journal of Medical Internet Research. 2022 [cited 2024 jul 06]; 24(10):e39689. DOI: https://doi.org/10.2196/39689.
Mattos SM, Cestari VRF, Moreira TMM. Scoping protocol review: PRISMA-ScR guide refinement. Rev Enferm UFPI. 2023 [cited 2024 jul 14]; 12:e3062. DOI: https://doi.org/10.26694/reufpi.v12i1.3062.
Aromataris, E., Lockwood, C., Porritt, K., Pilla, B., Jordan, Z., editors. JBI Manual for Evidence Synthesis [site de Internet]. JBI; 2024. [cited 2024 Jul 14]. Available from: https://jbi-global-wiki.refined.site/space/MANUAL.
Tricco AC, Lillie E, Zarin W, O'Brien KK, Colquhoun H, Levac D, et al. PRISMA extension for scoping reviews (PRISMA-ScR): checklist and explanation. Ann Intern Med. 2018 [cited 2024 Jul 14]; 169(7):467-473. DOI: https://doi.org/10.7326/M18-0850.
Skar JB, Garnweidner-Holme LM, Lukasse M, Terragni L. Women's experiences with using a smartphone app (the Pregnant+ app) to manage gestational diabetes mellitus in a randomised controlled trial. Midwifery. 2018 [cited 2024 Nov 9]; 58:102-8. DOI: http://dx.doi.org/10.1016/j.midw.2017.11.010.
Garnweidner-Holme L, Henriksen L, Torheim LE, Lukasse M. Effect of the Pregnant+ Smartphone App on the Dietary Behavior of Women With Gestational Diabetes Mellitus: Secondary Analysis of a Randomized Controlled Trial. JMIR Mhealth Uhealth. 2020 [cited 2024 Nov 9]; 8(6):e17950. DOI: http://dx.doi.org/10.2196/17950.
Garnweidner-Holme LM, Borgen I, Garitano I, Noll J, Lukasse M. Designing and Developing a Mobile Smartphone Application for Women with Gestational Diabetes Mellitus Followed-Up at Diabetes Outpatient Clinics in Norway. Healthcare. 2015 [cited 2024 Nov 9]; 3(2):310-23. DOI: http://dx.doi.org/10.3390/healthcare3020310.
Oakley LL, R D, Namara A, Sahu B, Papachristou Nadal I, Ana Y, et al,. Educational films for improving screening and self-management of gestational diabetes in India and Uganda (GUIDES): study protocol for a cluster-randomised controlled trial. Trials. 2021 [cited 2024 Nov 10]; 22:501. DOI: https://doi.org/10.1186/s13063-021-05435-x.
Carolan-Olah M, Sayakhot P. A randomized controlled trial of a web-based education intervention for women with Gestational Diabetes Mellitus. Midwifery. 2018 [cited 2024 Nov 10]; 63: 102-9. DOI: https://doi.org/10.1016/j.midw.2018.08.019.
Alves DS, Gomes MCdM, Novaes MdA. An Obstetric Application Architecture for Information, Diagnosis and Control of Diabetes in High Risk Pregnancy. Stud Health Technol Inform. 2019 [cited 2024 Nov 10]; 264:778-782. DOI: https://doi.org/10.3233/SHTI190329.
Draffin CR, Alderdice FA, McCance DR, Maresh M, Harper R, Patterson CC, et al. Impact of an educational DVD on anxiety and glycaemic control in women diagnosed with gestational diabetes mellitus (GDM): A randomised controlled trial. Diabet Res Clin Pract. 2017 [cited 2024 Nov 10]; 123: 16-24. DOI: https://doi.org/10.1016/j.diabres.2017.02.016.
Adesina N, Dogan H, Green S, Tsofliou F. Effectiveness and usability of digital tools to support dietary self-management of gestational diabetes mellitus: a systematic review. Nutrients. 2022 [cited 2024 nov 10]; 14(1):10. DOI: https://doi.org/10.3390/nu14010010.
Miremberg H, Ben-Ari T, Betzer T, Raphaeli H, Gasnier R, Barda G, Bar J, Weiner E. The impact of a daily smartphone-based feedback system among women with gestational diabetes on compliance, glycemic control, satisfaction, and pregnancy outcome: a randomized controlled trial. AJOG. 2018 [cited 2024 Nov 12]; 218(6): 632.e1-632.e7. DOI: https://doi.org/10.1016/j.ajog.2018.01.044.
Medeiros VA, Alves VH, Vieira BDG, Calandrini TDS. Educational technologies for women with gestational diabetes in primary care: a scope review. CED. 2024 [cited 2024 Nov 11]; 16(4): 1-25. DOI: https://doi.org/10.55905/cuadv16n4-024.
Birati Y, Yefet E, Perlitz Y, Shehadeh N, Spitzer S. Cultural and digital health literacy appropriateness of app- and web-based systems designed for pregnant women with gestational diabetes mellitus: scoping review. J Med Internet Res. 2022 [cited 2024 nov 12]; 24(10):e37844. DOI: https://doi.org/10.2196/37844
Sayakhot P, Carolan-Olah M, Steele C. Use of a web-based educational intervention to improve knowledge of healthy diet and lifestyle in women with Gestational Diabetes Mellitus compared to standard clinic-based education. BMC Pregnancy Childbirth. 2016 [cited 2024 Nov 13]; 16:208. DOI: https://doi.org/10.1186/s12884-016-0996-7.
Wickramasinghe N, Gururajan R. Innovation practice using pervasive mobile technology solutions to improve population health management: A pilot study of gestational diabetes patient care in Australia. J Healthc Qual. 2016 [cited 2024 Nov 13]; 38(2):93-105. DOI: https://doi.org/10.1097/JHQ.0000000000000033.
Dłuski DF, Ruszała M, Rudziński G, Pożarowska K, Brzuszkiewicz K, Leszczyńska-Gorzelak B. Evolution of gestational diabetes mellitus across continents in 21st century. Int J Environ Res Public Health. 2022 [cited 2024 nov 15]; 19(23):15804. DOI: https://doi.org/10.3390/ijerph192315804.
Peres F. Alfabetização, letramento ou literacia em saúde? Traduzindo e aplicando o conceito de health literacy no Brasil. Ciênc saúde coletiva. 2023 [cited 2024 nov 15]; 28(5):1563–73. DOI: https://doi.org/10.1590/1413-81232023285.14562022.
Sharma N, Srivastav AK, Samuel AJ. Ensaio clínico randomizado: padrão ouro de desenhos experimentais - importância, vantagens, desvantagens e preconceitos. Rev Pesq Fisio. 2020 [citado 2024 nov 17]; 10(3):512-9. DOI: https://doi.org/10.17267/2238-2704rpf.v10i3.3039.
Ameyaw EK, Amoah PA, Ezezika O. Effectiveness of mHealth apps for maternal health care delivery: systematic review of systematic reviews. J Med Internet Res. 2024 [cited 2024 nov 15]; 26:e49510. DOI: https://doi.org/10.2196/49510.
Okolo CA, Babawarun O, Arowoogun JO, Adeniyi AO, Chidi R. The role of mobile health applications in improving patient engagement and health outcomes: a critical review. IJSR. 2024 [cited 2024 dez 01]; 11(1):2566-2574. DOI: https://doi.org/10.30574/ijsra.2024.11.1.0334.
Nezamdoust S, Abdekhoda M, Ranjbaran F, Azami-Aghdash S. Adopting mobile health applications by nurses: a scoping review. J Res Nurs. 2022 [cited 2024 nov 13]; 27(5):480-491. DOI: https://doi.org/10.1177/17449871221077080.
McGovern L, O'Toole L, Houshialsadat Z, O'Reilly SL. Women's perspectives on mHealth behavior change interventions for the management of overweight, obesity, or gestational diabetes: A qualitative meta‐synthesis. Obes Rev. 2024 [cited 2024 nov 13]; e13761. DOI: https://doi.org/10.1111/obr.13761.
Deshpande N, Wu M, Kelly C, Woodrick N, Werner DA, Volerman A, Press VG. Video-based educational interventions for patients with chronic illnesses: systematic review. J Med Internet Res. 2023 [cited 2024 dez 19]; 25:e41092. DOI: https://doi.org/10.2196/41092.
Gentili A, Failla G, Melnyk A, Puleo V, Tanna GLD, Ricciardi W, Cascini F. The cost-effectiveness of digital health interventions: a systematic review of the literature. Front Public Health. 2022 [cited 2025 Jan 03]; 10:787135. DOI: https://doi.org/10.3389/fpubh.2022.787135.
Hao J, Yang L, Wang Y, Lan Y, Xu X, Wang Z, et al. Mobile prenatal education and its impact on reducing adverse pregnancy outcomes: retrospective real-world study. JMIR Mhealth Uhealth. 2023 [cited 2024 dez 22]; 11:e46910. DOI: https://doi.org/10.2196/46910.
Bittencourt Pantoja LR, Pereira Rodrigues D, Herdy Alves V, dos Santos Calandrini TDS, Costa dos Reis L, de Oliveira Moura LD, et al. Creation of educational technology on obstetric violence for pregnant women. Rev Baiana Enferm. 2023 [cited 2025 jan 05]; 37. DOI: https://doi.org/10.18471/rbe.v37.52958.
Nascimento CCLD, Rodrigues ILA, Nogueira LMV, Nunes HHDM, Brasil GDB, Moraes CMDS, et al. Vaccination in pregnancy: construction and validation of educational technology. Cogitare Enferm. 2023 [cited 2025 jan 05]; 28: e90023. DOI: https://doi.org/10.1590/ce.v28i0.93165.
Franco MS, Santos JRFM, Moreira WC, Veloso ML, Brito AA, Lima LHO. Development of an educational technology podcast to promote breastfeeding. J Nurs UFPE. 2023 [cited 2025 jan 05]; 17(1). DOI: https://doi.org/10.5205/1981-8963.2023.253636.
Naderbagi A, Loblay V, Zahed IUM, Ekambareshwar M, Poulsen A, Song YJ, et al. Cultural and contextual adaptation of digital health interventions: narrative review. J Med Internet Res. 2024 [cited 2025 jan 05]; 26: e55130. DOI: https://doi.org/10.2196/55130.
Pereira PF, Santos JC, Cortez DN, Reis IA, Torres HC. Evaluation of group education strategies and telephone intervention for type 2 diabetes. Revista da Escola de Enfermagem da USP. 2021 [cited 2024 fev 05]; 55:e03746. DOI: https://doi.org/10.1590/S1980-220X2020002603746
Copyright (c) 2025 Global Nursing
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
The works published in this magazine are subject to the following terms:
1. The Publications Service of the University of Murcia (the publisher) preserves the copyright of the published works, and encourages and allows the reuse of the works under the license for use stated in point 2.
© Servicio de Publicaciones, Universidad de Murcia, 2011 (© Publications Service, University of Murcia, 2011)
2. The works are published in the electronic edition of the journal under Creative Commons Reconocimiento-NoComercial-SinObraDerivada 3.0 España(texto legal) “ a Attribution-NonCommercial-NoDerivatives 3.0 Spain license (legal text)”. They can be copied, used, broadcasted, transmitted and publicly displayed, provided that: i) the authorship and original source of their publication (journal, publisher and URL) are cited; (ii) are not used for commercial purposes; iii) the existence and specifications of this license is mentioned.
3. Conditions of self-archiving. Authors are allowed and encouraged to electronically disseminate the pre-print (pre-reviewed ) and / or post-print (reviewed and accepted for publication) versions of their works prior to publication, as it ensures a wider circulation and dissemination which may lead to a possible increase in its mention and a higher scope among the academic community. RoMEO color: green.
