Web-based interventions for pregnant women with gestational diabetes mellitus: a systematic review and meta-analysis protocol

Introduction Gestational diabetes mellitus (GDM) is one of the most prevalent diseases during pregnancy, which is closely associated with many short-term and long-term maternal and neonatal complications and can incur heavy financial burden on both families and society. Web-based interventions have...

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Main Authors: Ping Xu, Wei Zhang, Xiaojuan Wang, Dan Dan Chen, Pingping Guo, Yin Jin, Zhenzhen Xiang, Minna Mao, Qiong Zheng, Suwen Feng
Format: Article
Language:English
Published: BMJ Publishing Group 2022-06-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/12/6/e061151.full
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author Ping Xu
Wei Zhang
Xiaojuan Wang
Dan Dan Chen
Pingping Guo
Yin Jin
Zhenzhen Xiang
Minna Mao
Qiong Zheng
Suwen Feng
author_facet Ping Xu
Wei Zhang
Xiaojuan Wang
Dan Dan Chen
Pingping Guo
Yin Jin
Zhenzhen Xiang
Minna Mao
Qiong Zheng
Suwen Feng
author_sort Ping Xu
collection DOAJ
description Introduction Gestational diabetes mellitus (GDM) is one of the most prevalent diseases during pregnancy, which is closely associated with many short-term and long-term maternal and neonatal complications and can incur heavy financial burden on both families and society. Web-based interventions have been used to manage GDM because of the advantages of high accessibility and flexibility, but their effectiveness has remained inconclusive. This systematic review and meta-analysis aims to comprehensively investigate the multidimensional effectiveness of web-based interventions for pregnant women with GDM, thereby aiding implementation decisions in clinical settings.Methods and analysis This systematic review protocol strictly adheres to the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols guidelines. Six electronic databases (PubMed, Web of Science, Cochrane Central Register of Controlled Trials, Embase, CINAHL and PsycINFO) will be comprehensively searched from their inception to 26 January 2022 to identify randomised controlled trials and controlled clinical trials regarding the efficacy of web-based interventions for pregnant women with GDM on glycaemic control, behavioural outcomes, cognitive and attitudinal outcomes, mental health, maternal and neonatal clinical outcomes, and medical service utilisation and costs. Two reviewers will independently conduct the study selection, data extraction and quality assessment. The methodological quality of included studies will be assessed using the Effective Public Health Practice Project assessment tool. The overall meta-analyses for each of the interested outcomes will be performed if the outcome data are sufficient and provides similar effect measures, as well as subgroup analyses for glycaemic control indicators based on the different types of intervention format, interactivity and technology. We will conduct a qualitative synthesis for studies that cannot be quantitatively synthesised.Ethics and dissemination Ethics approval is not required for this review as no human participants will be involved. The results will be disseminated via a peer-reviewed journal or an academic conference.PROSPERO registration number CRD42022296625.
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spelling doaj-art-d4dda066c6044729a0fcd580fab18bd72025-01-27T17:45:10ZengBMJ Publishing GroupBMJ Open2044-60552022-06-0112610.1136/bmjopen-2022-061151Web-based interventions for pregnant women with gestational diabetes mellitus: a systematic review and meta-analysis protocolPing Xu0Wei Zhang1Xiaojuan Wang2Dan Dan Chen3Pingping Guo4Yin Jin5Zhenzhen Xiang6Minna Mao7Qiong Zheng8Suwen Feng9Faculty of Nursing, Zhejiang University School of Medicine, Hangzhou, ChinaWomen`s Hospital School of Medicine Zhejiang University, Hangzhou, Zhejiang, ChinaWomen’s Hospital, Zhejiang University School of Medicine, Hangzhou, ChinaFaculty of Nursing, Zhejiang University School of Medicine, Hangzhou, ChinaWomen`s Hospital School of Medicine Zhejiang University, Hangzhou, Zhejiang, ChinaWomen’s Hospital, Zhejiang University School of Medicine, Hangzhou, ChinaWomen’s Hospital, Zhejiang University School of Medicine, Hangzhou, ChinaZhejiang University School of Medicine, Hangzhou, Zhejiang, ChinaFaculty of Nursing, Zhejiang University School of Medicine, Hangzhou, ChinaWomen`s Hospital School of Medicine Zhejiang University, Hangzhou, Zhejiang, ChinaIntroduction Gestational diabetes mellitus (GDM) is one of the most prevalent diseases during pregnancy, which is closely associated with many short-term and long-term maternal and neonatal complications and can incur heavy financial burden on both families and society. Web-based interventions have been used to manage GDM because of the advantages of high accessibility and flexibility, but their effectiveness has remained inconclusive. This systematic review and meta-analysis aims to comprehensively investigate the multidimensional effectiveness of web-based interventions for pregnant women with GDM, thereby aiding implementation decisions in clinical settings.Methods and analysis This systematic review protocol strictly adheres to the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols guidelines. Six electronic databases (PubMed, Web of Science, Cochrane Central Register of Controlled Trials, Embase, CINAHL and PsycINFO) will be comprehensively searched from their inception to 26 January 2022 to identify randomised controlled trials and controlled clinical trials regarding the efficacy of web-based interventions for pregnant women with GDM on glycaemic control, behavioural outcomes, cognitive and attitudinal outcomes, mental health, maternal and neonatal clinical outcomes, and medical service utilisation and costs. Two reviewers will independently conduct the study selection, data extraction and quality assessment. The methodological quality of included studies will be assessed using the Effective Public Health Practice Project assessment tool. The overall meta-analyses for each of the interested outcomes will be performed if the outcome data are sufficient and provides similar effect measures, as well as subgroup analyses for glycaemic control indicators based on the different types of intervention format, interactivity and technology. We will conduct a qualitative synthesis for studies that cannot be quantitatively synthesised.Ethics and dissemination Ethics approval is not required for this review as no human participants will be involved. The results will be disseminated via a peer-reviewed journal or an academic conference.PROSPERO registration number CRD42022296625.https://bmjopen.bmj.com/content/12/6/e061151.full
spellingShingle Ping Xu
Wei Zhang
Xiaojuan Wang
Dan Dan Chen
Pingping Guo
Yin Jin
Zhenzhen Xiang
Minna Mao
Qiong Zheng
Suwen Feng
Web-based interventions for pregnant women with gestational diabetes mellitus: a systematic review and meta-analysis protocol
BMJ Open
title Web-based interventions for pregnant women with gestational diabetes mellitus: a systematic review and meta-analysis protocol
title_full Web-based interventions for pregnant women with gestational diabetes mellitus: a systematic review and meta-analysis protocol
title_fullStr Web-based interventions for pregnant women with gestational diabetes mellitus: a systematic review and meta-analysis protocol
title_full_unstemmed Web-based interventions for pregnant women with gestational diabetes mellitus: a systematic review and meta-analysis protocol
title_short Web-based interventions for pregnant women with gestational diabetes mellitus: a systematic review and meta-analysis protocol
title_sort web based interventions for pregnant women with gestational diabetes mellitus a systematic review and meta analysis protocol
url https://bmjopen.bmj.com/content/12/6/e061151.full
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