Please use this identifier to cite or link to this item: https://doi.org/10.2196/26786
Title: The Influence of Web-Based Tools on Maternal and Neonatal Outcomes in Pregnant Adolescents or Adolescent Mothers: Mixed Methods Systematic Review
Authors: Wu, Jania JY
Ahmad, Nurulhuda
Samuel, Miny 
Logan, Susan 
Mattar, Citra NZ 
Keywords: Science & Technology
Life Sciences & Biomedicine
Health Care Sciences & Services
Medical Informatics
pregnancy in adolescence
teenagers
adolescents
pregnancy
postpartum
internet
digital health
digital media
new digital media
eHealth
social media
social network
communications media
BREAST-FEEDING EDUCATION
TEENAGE PREGNANCY
BIRTH OUTCOMES
SOCIAL SUPPORT
DIGITAL MEDIA
INTERNET USE
PROGRAM
WOMEN
INTERVENTION
INFORMATION
Issue Date: 26-Aug-2021
Publisher: JMIR PUBLICATIONS, INC
Citation: Wu, Jania JY, Ahmad, Nurulhuda, Samuel, Miny, Logan, Susan, Mattar, Citra NZ (2021-08-26). The Influence of Web-Based Tools on Maternal and Neonatal Outcomes in Pregnant Adolescents or Adolescent Mothers: Mixed Methods Systematic Review. JOURNAL OF MEDICAL INTERNET RESEARCH 23 (8). ScholarBank@NUS Repository. https://doi.org/10.2196/26786
Abstract: Background: Pregnant adolescent women increasingly seek support during pregnancy and the puerperium through digital platforms instead of the traditional support system of family, friends, and the community. However, it is uncertain whether digital, web-based tools are reliable and effective in providing information to the user on a variety of topics such as fetal development, pregnancy outcomes, delivery, and breastfeeding to improve maternal and infant outcomes. Objective: We aimed to identify web-based tools designed to promote knowledge, attitudes, and skills of pregnant adolescents or adolescent mothers and determine the efficacy of such web-based tools compared with conventional resources in promoting good pregnancy and infant outcomes. Methods: A systematic search was conducted using Medline, Scopus, CINAHL, and PsycINFO for articles published from January 2004 to November 2020 to identify randomized trials and observational studies that evaluated digital, web-based platforms to deliver resources to pregnant adolescents. All articles written in the author's languages were included. Two authors independently reviewed abstracts and full-text articles for inclusion and assessed study quality. Risk of bias in each study was assessed using appropriate tools recommended by PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analyses) and the Joanna Briggs Institute. We adopted a qualitative synthesis and presented the results in a narrative format due to the heterogenous nature of the studies. Results: Seven articles met the inclusion criteria and were analyzed. The majority of the studies were graded to be of low to moderate risk for bias. The research methodologies represented were varied, ranging from randomized (n=1) and nonrandomized controlled trials (n=1) and prospective cohort studies (n=1) to mixed methods studies (n=1) and longitudinal surveys (n=3). Four studies included active web-based interventions, and 3 described exposure to web-based tools, including the use of social media and/or other internet content. Web-based tools positively influenced treatment-seeking intentions (intervention 17.1%, control 11.5%, P=.003) and actual treatment-seeking behavior for depression among postpartum adolescents (intervention 14.1%, control 6.5%, P<.001). In contrast, readily available information on the internet may leave adolescents with increased anxiety. The critical difference lies in information curated by health care professionals specifically to address targeted concerns versus self-acquired data sourced from various websites. Conclusions: Despite almost universal web use, few studies have used this platform for health promotion and disease prevention. Social media interventions or web-based tools have the potential to positively influence both maternal and infant outcomes in adolescent pregnancy, but there is a need for more well-conducted studies to demonstrate the effectiveness of these support programs. The vastness of the information available on the web limits the ability of health care professionals to monitor or control sources of information sought by patients. Thus, it is important to create professionally curated platforms to prevent or limit exposure to potentially misleading or harmful information on the internet while imparting useful knowledge to the user.
Source Title: JOURNAL OF MEDICAL INTERNET RESEARCH
URI: https://scholarbank.nus.edu.sg/handle/10635/208596
ISSN: 14388871
DOI: 10.2196/26786
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