TY - JOUR AU - Birati, Yosefa AU - Yefet, Enav AU - Perlitz, Yuri AU - Shehadeh, Naim AU - Spitzer, Sivan PY - 2022 DA - 2022/10/14 TI -为妊娠期糖尿病孕妇设计的应用程序和基于web的系统的文化和数字健康素养的适宜性:范围审查JO - J医学互联网Res SP - e37844 VL - 24 IS - 10kw -妊娠糖尿病KW -孕产妇健康KW -移动健康KW -移动健康KW -移动应用程序KW -移动电话KW -远程医疗KW -文化KW -健康知识KW -弱势群体KW -妊娠结局AB -背景:诊断为妊娠糖尿病(GDM)的妇女的患病率正在急剧增加。增强患者自我管理的移动技术为诊断为GDM的女性提供了许多优势。然而，据我们所知，虽然存在用于GDM管理的移动医疗(mHealth)和远程医疗系统，但关于其文化和数字健康素养适当程度的证据有限。目的:本综述旨在搜索和评估为诊断为GDM的妇女设计的移动健康和远程医疗系统的文献。我们对这些技术的评估主要集中在其文化和数字健康素养的适当性，以及系统在改善血糖控制和母婴结局方面的有效性。方法:我们使用Arksey和O 'Malley的框架进行了范围审查。检索了四个电子数据库:PubMed、MEDLINE (EBSCO)、Web of Science和Scopus。这些数据库是在2010年1月至2022年1月期间搜索的。纳入标准为诊断为GDM的孕妇，使用远程医疗进行监测和管理，以及弱势或弱势患者。 We used terms related to mobile apps and telemedicine: GDM, vulnerable populations, periphery, cultural appropriateness, and digital health literacy. Studies were screened and selected independently by 2 authors. We extracted the study data on a Microsoft Excel charting table and categorized them into final themes. The results were categorized according to the cultural and digital health literacy features presented. Results: We identified 17 studies that reported on 12 telemedicine and mHealth app interventions. We assessed the studies in three domains: cultural appropriateness, digital health literacy, and maternal and infant outcomes. In the literature, we found that existing digital technologies may improve glycemic control and diabetes self-management. However, there is a lack of assessment of cultural and digital health literacy appropriateness for pregnant women diagnosed with GDM. Considerations in app design regarding cultural appropriateness were found in only 12% (2/17) of the studies, and only 25% (3/12) of the interventions scored ≥3 out of 5 in our assessment of digital health literacy. Conclusions: mHealth and telemedicine can be an effective platform to improve the clinical management of women with GDM. Although studies published on the use of mHealth and telemedicine systems exist, there is a limited body of knowledge on the digital health literacy and cultural appropriateness of the systems designed for women diagnosed with GDM. In addition, as our study was restricted to the English language, relevant studies may have been excluded. Further research is needed to evaluate, design, and implement better tailored apps regarding cultural and digital literacy appropriateness for enhancing pregnant women’s self-management as well as the effectiveness of these apps in improving maternal and infant health outcomes. SN - 1438-8871 UR - //www.mybigtv.com/2022/10/e37844 UR - https://doi.org/10.2196/37844 UR - http://www.ncbi.nlm.nih.gov/pubmed/36240008 DO - 10.2196/37844 ID - info:doi/10.2196/37844 ER -