Mobile phone apps for clinical decision support in pregnancy: a scoping review.
Decision support systems, clinical
Decision support techniques
Digital healthcare
Mobile applications
mHealth
Journal
BMC medical informatics and decision making
ISSN: 1472-6947
Titre abrégé: BMC Med Inform Decis Mak
Pays: England
ID NLM: 101088682
Informations de publication
Date de publication:
12 11 2019
12 11 2019
Historique:
received:
29
05
2019
accepted:
30
10
2019
entrez:
14
11
2019
pubmed:
14
11
2019
medline:
19
5
2020
Statut:
epublish
Résumé
The use of digital technology in healthcare has been found to be useful for data collection, provision of health information and communications. Despite increasing use of medical mobile phone applications (apps), by both clinicians and patients, there appears to be a paucity of peer-reviewed publications evaluating their use, particularly in pregnancy. This scoping review explored the use of mobile phone apps for clinical decision support in pregnancy. Specific objectives were to: 1. determine the current landscape of mobile phone app use for clinical decision support in pregnancy; 2. identify perceived benefits and potential hazards of use and 3. identify facilitators and barriers to implementation of these apps into clinical practice. Papers eligible for inclusion were primary research or reports on the development and evaluation of apps for use by clinicians for decision support in pregnancy, published in peer-reviewed journals. Research databases included Medline, Embase, PsychoInfo, the Cochrane Database of Systematic Reviews and the online digital health journals JMIR mHealth and uHealth. Charting and thematic analysis was undertaken using NVivo qualitative data management software and the Framework approach. After screening for eligibility, 13 papers were identified, mainly reporting early stage development of the mobile app, and feasibility or acceptability studies designed to inform further development. Thematic analysis revealed four main themes across the included papers: 1. acceptability and satisfaction; 2. ease of use and portability; 3. multi-functionality and 4. the importance of user involvement in development and evaluation. This review highlights the benefits of mobile apps for clinical decision support in pregnancy and potential barriers to implementation, but reveals a lack of rigorous reporting of evaluation of their use and data security. This situation may change, however, following the issue of FDA and MHRA guidelines and implementation of UK government and other international strategies. Overall, the findings suggest that ease of use, portability and multi-functionality make mobile apps for clinical decision support in pregnancy useful and acceptable tools for clinicians.
Sections du résumé
BACKGROUND
The use of digital technology in healthcare has been found to be useful for data collection, provision of health information and communications. Despite increasing use of medical mobile phone applications (apps), by both clinicians and patients, there appears to be a paucity of peer-reviewed publications evaluating their use, particularly in pregnancy. This scoping review explored the use of mobile phone apps for clinical decision support in pregnancy. Specific objectives were to: 1. determine the current landscape of mobile phone app use for clinical decision support in pregnancy; 2. identify perceived benefits and potential hazards of use and 3. identify facilitators and barriers to implementation of these apps into clinical practice.
METHODS
Papers eligible for inclusion were primary research or reports on the development and evaluation of apps for use by clinicians for decision support in pregnancy, published in peer-reviewed journals. Research databases included Medline, Embase, PsychoInfo, the Cochrane Database of Systematic Reviews and the online digital health journals JMIR mHealth and uHealth. Charting and thematic analysis was undertaken using NVivo qualitative data management software and the Framework approach.
RESULTS
After screening for eligibility, 13 papers were identified, mainly reporting early stage development of the mobile app, and feasibility or acceptability studies designed to inform further development. Thematic analysis revealed four main themes across the included papers: 1. acceptability and satisfaction; 2. ease of use and portability; 3. multi-functionality and 4. the importance of user involvement in development and evaluation.
CONCLUSIONS
This review highlights the benefits of mobile apps for clinical decision support in pregnancy and potential barriers to implementation, but reveals a lack of rigorous reporting of evaluation of their use and data security. This situation may change, however, following the issue of FDA and MHRA guidelines and implementation of UK government and other international strategies. Overall, the findings suggest that ease of use, portability and multi-functionality make mobile apps for clinical decision support in pregnancy useful and acceptable tools for clinicians.
Identifiants
pubmed: 31718627
doi: 10.1186/s12911-019-0954-1
pii: 10.1186/s12911-019-0954-1
pmc: PMC6852735
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
219Subventions
Organisme : Department of Health
ID : CDRF-2013-04-026
Pays : United Kingdom
Références
Stud Health Technol Inform. 2016;225:510-4
pubmed: 27332253
Trop Med Int Health. 2015 Aug;20(8):1003-14
pubmed: 25881735
J Am Med Inform Assoc. 2016 Jan;23(1):166-73
pubmed: 26026158
Telemed J E Health. 2017 Nov;23(11):891-898
pubmed: 28481167
J Med Internet Res. 2014 Feb 03;16(2):e32
pubmed: 24491911
JMIR Mhealth Uhealth. 2018 Jan 09;6(1):e7
pubmed: 29317380
JMIR Mhealth Uhealth. 2015 Apr 17;3(2):e37
pubmed: 25887292
Int J Gynaecol Obstet. 2015 Oct;131 Suppl 1:S10-5
pubmed: 26433496
Int J Med Inform. 2017 May;101:108-130
pubmed: 28347441
Ultrasound Obstet Gynecol. 2017 Sep;50(3):342-346
pubmed: 28436125
PLoS One. 2016 May 04;11(5):e0154664
pubmed: 27144393
J Diabetes Sci Technol. 2014 Nov;8(6):1105-14
pubmed: 25004915
J Midwifery Womens Health. 2018 May;63(3):330-334
pubmed: 29763990
J Med Internet Res. 2016 Aug 19;18(8):e226
pubmed: 27543152
J Midwifery Womens Health. 2014 Mar-Apr;59(2):184-91
pubmed: 24400748
BMC Med Inform Decis Mak. 2012 Oct 30;12:121
pubmed: 23110712
Arch Womens Ment Health. 2014 Oct;17(5):423-31
pubmed: 24682529
JMIR Res Protoc. 2016 Nov 18;5(4):e200
pubmed: 27864167
IEEE J Biomed Health Inform. 2014 Nov;18(6):1857-64
pubmed: 25375683
Healthc (Amst). 2015 Dec;3(4):180-4
pubmed: 26699340
J Med Eng Technol. 2016 Oct - Nov;40(7-8):356-371
pubmed: 27696915