Digital Self-Monitoring Tools for the Management of Gestational Weight Gain: Protocol for a Systematic Review

BackgroundGestational weight gain (GWG) exceeding the recommendations of the Institute of Medicine (in the United States) is associated with numerous adverse maternal and infant health outcomes. While many behavioral interventions targeting nutrition and physical activity hav...

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Main Authors: Jan Mooney, Alicia A Dahl
Format: Article
Language:English
Published: JMIR Publications 2023-10-01
Series:JMIR Research Protocols
Online Access:https://www.researchprotocols.org/2023/1/e50145
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author Jan Mooney
Alicia A Dahl
author_facet Jan Mooney
Alicia A Dahl
author_sort Jan Mooney
collection DOAJ
description BackgroundGestational weight gain (GWG) exceeding the recommendations of the Institute of Medicine (in the United States) is associated with numerous adverse maternal and infant health outcomes. While many behavioral interventions targeting nutrition and physical activity have been developed to promote GWG within the Institute of Medicine guidelines, engagement and results are variable. Technology-mediated interventions can potentially increase the feasibility, acceptability, and reach of interventions, particularly for pregnant women, for whom integration of interventions into daily life may be critical to retention and adherence. Previous reviews highlight GWG self-monitoring as a common intervention component, and emerging work has begun to integrate digital self-monitoring into technology-mediated interventions. With rapid advances in technology-mediated interventions, a focused synthesis of literature examining the role of digital self-monitoring tools in managing GWG is warranted to guide clinical practice and inform future studies. ObjectiveThe proposed review aims to synthesize the emerging research base evaluating digital GWG self-monitoring interventions, primarily focusing on whether the intervention is effective in managing GWG. Depending on the characteristics of the included research, secondary focus areas will comprise intervention recruitment and retention, feasibility, acceptability, and differences between stand-alone and multicomponent interventions. MethodsThis protocol was developed following the PRISMA-P (Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols) guidelines for systematic review protocols. The proposed review would use a planned and systematic approach to identify, evaluate, and synthesize relevant and recent empirical quantitative studies (reported in English) examining the use of digital weight self-monitoring tools in the context of technology-mediated interventions to manage GWG in pregnant US adults, with at least 2 instances of data collection. Literature eligible for inclusion will have a publication date between January 2010 and July 2020. The Effective Public Health Practice Project Quality Assessment Tool for Quantitative Studies will be used to assess the methodological quality of included studies across various domains, and results will be synthesized and summarized per the synthesis without meta-analysis guidelines. ResultsThe initial queries of 1150 records have been executed and papers have been screened for inclusion. Data extractions are expected to be finished by December 2023. Results are expected in 2024. The systematic review that will be generated from this protocol will offer evidence for the use of digital self-monitoring tools in the management of GWG. ConclusionsThe planned, focused synthesis of relevant literature has the potential to inform the use of digital weight self-monitoring tools in the context of future technology-mediated interventions to manage GWG. In addition, the planned review has the potential to contribute as part of a broader movement in research toward empirically supporting the inclusion of specific components within more extensive, multicomponent interventions to balance parsimony and effectiveness. Trial RegistrationPROSPERO CRD42020204820; https://tinyurl.com/ybzt6bvr International Registered Report Identifier (IRRID)PRR1-10.2196/50145
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spelling doaj.art-78161c3b9b5e4554abba1b858e3cd2632023-10-26T12:30:44ZengJMIR PublicationsJMIR Research Protocols1929-07482023-10-0112e5014510.2196/50145Digital Self-Monitoring Tools for the Management of Gestational Weight Gain: Protocol for a Systematic ReviewJan Mooneyhttps://orcid.org/0000-0002-5632-4958Alicia A Dahlhttps://orcid.org/0000-0002-6229-0926 BackgroundGestational weight gain (GWG) exceeding the recommendations of the Institute of Medicine (in the United States) is associated with numerous adverse maternal and infant health outcomes. While many behavioral interventions targeting nutrition and physical activity have been developed to promote GWG within the Institute of Medicine guidelines, engagement and results are variable. Technology-mediated interventions can potentially increase the feasibility, acceptability, and reach of interventions, particularly for pregnant women, for whom integration of interventions into daily life may be critical to retention and adherence. Previous reviews highlight GWG self-monitoring as a common intervention component, and emerging work has begun to integrate digital self-monitoring into technology-mediated interventions. With rapid advances in technology-mediated interventions, a focused synthesis of literature examining the role of digital self-monitoring tools in managing GWG is warranted to guide clinical practice and inform future studies. ObjectiveThe proposed review aims to synthesize the emerging research base evaluating digital GWG self-monitoring interventions, primarily focusing on whether the intervention is effective in managing GWG. Depending on the characteristics of the included research, secondary focus areas will comprise intervention recruitment and retention, feasibility, acceptability, and differences between stand-alone and multicomponent interventions. MethodsThis protocol was developed following the PRISMA-P (Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols) guidelines for systematic review protocols. The proposed review would use a planned and systematic approach to identify, evaluate, and synthesize relevant and recent empirical quantitative studies (reported in English) examining the use of digital weight self-monitoring tools in the context of technology-mediated interventions to manage GWG in pregnant US adults, with at least 2 instances of data collection. Literature eligible for inclusion will have a publication date between January 2010 and July 2020. The Effective Public Health Practice Project Quality Assessment Tool for Quantitative Studies will be used to assess the methodological quality of included studies across various domains, and results will be synthesized and summarized per the synthesis without meta-analysis guidelines. ResultsThe initial queries of 1150 records have been executed and papers have been screened for inclusion. Data extractions are expected to be finished by December 2023. Results are expected in 2024. The systematic review that will be generated from this protocol will offer evidence for the use of digital self-monitoring tools in the management of GWG. ConclusionsThe planned, focused synthesis of relevant literature has the potential to inform the use of digital weight self-monitoring tools in the context of future technology-mediated interventions to manage GWG. In addition, the planned review has the potential to contribute as part of a broader movement in research toward empirically supporting the inclusion of specific components within more extensive, multicomponent interventions to balance parsimony and effectiveness. Trial RegistrationPROSPERO CRD42020204820; https://tinyurl.com/ybzt6bvr International Registered Report Identifier (IRRID)PRR1-10.2196/50145https://www.researchprotocols.org/2023/1/e50145
spellingShingle Jan Mooney
Alicia A Dahl
Digital Self-Monitoring Tools for the Management of Gestational Weight Gain: Protocol for a Systematic Review
JMIR Research Protocols
title Digital Self-Monitoring Tools for the Management of Gestational Weight Gain: Protocol for a Systematic Review
title_full Digital Self-Monitoring Tools for the Management of Gestational Weight Gain: Protocol for a Systematic Review
title_fullStr Digital Self-Monitoring Tools for the Management of Gestational Weight Gain: Protocol for a Systematic Review
title_full_unstemmed Digital Self-Monitoring Tools for the Management of Gestational Weight Gain: Protocol for a Systematic Review
title_short Digital Self-Monitoring Tools for the Management of Gestational Weight Gain: Protocol for a Systematic Review
title_sort digital self monitoring tools for the management of gestational weight gain protocol for a systematic review
url https://www.researchprotocols.org/2023/1/e50145
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