JMIR Publications

ABSTRACT

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. COVID-19-induced barriers to face-to-face care have signalled the need for high-quality, patient-centred virtual healthcare 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-centred 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 PsychINFO. Following database searches, studies will be screened for eligibility at the title and 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:

Preliminary database searches are currently being conducted and the data extraction forms are undergoing development.

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-centred communication. Ultimately, our review can provide valuable information for guideline developers, policymakers, and clinicians related to mobile technologies to support virtual care delivery for women with diabetes in pregnancy. Clinical Trial: This scoping review protocol has been preregistered with Open Science Framework (OSF Preregistration, March 25, 2021).