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卡塔尔世界杯8强波胆分析的适宜性:%A Birati,Yosefa %A Yefet,Enav %A Perlitz,Yuri %A Shehadeh,Naim %A Spitzer,Sivan %+巴伊兰大学Azrieli医学院，Safed, 1311502，以色列，972 522684065，ebirati1@hotmail.com %K妊娠糖尿病%K产妇健康%K移动健康%K移动手机%K远程医疗%K文化%K健康知识%K弱势群体%K妊娠结局%D 2022 %7 14.10.2022 %9综述%J J医学互联网Res %G英语%X背景:被诊断患有妊娠糖尿病(GDM)的妇女的患病率正在急剧上升。增强患者自我管理的移动技术为被诊断为GDM的女性提供了许多优势。然而，据我们所知，尽管存在用于GDM管理的移动卫生(mHealth)和远程医疗系统，但关于其文化和数字卫生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的女性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预后方面的有效性。方法:我们使用Arksey和O’malley改编的框架进行了范围审查。我们搜索了四个相关研究的电子数据库:PubMed、MEDLINE (EBSCO)、Web of Science和Scopus。这些数据库是在2010年1月至2022年1月之间进行搜索的。 The inclusion criteria were pregnant women diagnosed with GDM, use of telemedicine for monitoring and management, and vulnerable or disadvantaged patients. 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. %M 36240008 %R 10.2196/37844 %U //www.mybigtv.com/2022/10/e37844 %U https://doi.org/10.2196/37844 %U http://www.ncbi.nlm.nih.gov/pubmed/36240008