Nursing research and practice · 2025
Digitising Medical Nutrition Therapy in Gestational Diabetes: A Multisite Pilot Study.
СтатьяНазвание и аннотация: Перевод в очереди
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Roesler Anna, Myles Amy, Varnfield Marlien, Butten Kaley
Аннотация
AIMS: Medical nutrition therapy, which incorporates dietary tracking, is routinely used in the management of gestational diabetes mellitus (GDM). However, paper-based tracking approaches are associated with several challenges. Based on user feedback, the M♡THer app, an existing digital platform for GDM management, was enhanced with a digital diet diary feature. This study aimed to evaluate the uptake, usage, usability and acceptability of the diet diary feature.
METHODS: The diary was codesigned and trialled in three hospital services. Data collection occurred over 6 months. User engagement metrics, surveys and interviews with healthcare providers (HCPs) and app users were analysed using thematic analysis and triangulation.
RESULTS: Of the 305 M♡THer app users, 95 used the diet diary with uptake varying from 13% to 53%. Users logged their diet for an average of 33.5 days. The diary improved patient-provider communication, reducing consultation time and supporting dietary literacy. Barriers to uptake and optimal engagement included the timing of the diary introduction and usability issues.
CONCLUSION: This study contributes to the growing evidence on digitally supported GDM care, highlighting the feasibility of applying a digital diet diary for individuals with GDM and their HCPs. The approach positively enhanced diet tracking and consultation efficiency. Future iterations should prioritise early introduction, a condensed user interface and comprehensive food library.
TRIAL REGISTRATION: Therapeutic Goods Administration (TGA): CT-2020-CTN-01167-1-v8.
METHODS: The diary was codesigned and trialled in three hospital services. Data collection occurred over 6 months. User engagement metrics, surveys and interviews with healthcare providers (HCPs) and app users were analysed using thematic analysis and triangulation.
RESULTS: Of the 305 M♡THer app users, 95 used the diet diary with uptake varying from 13% to 53%. Users logged their diet for an average of 33.5 days. The diary improved patient-provider communication, reducing consultation time and supporting dietary literacy. Barriers to uptake and optimal engagement included the timing of the diary introduction and usability issues.
CONCLUSION: This study contributes to the growing evidence on digitally supported GDM care, highlighting the feasibility of applying a digital diet diary for individuals with GDM and their HCPs. The approach positively enhanced diet tracking and consultation efficiency. Future iterations should prioritise early introduction, a condensed user interface and comprehensive food library.
TRIAL REGISTRATION: Therapeutic Goods Administration (TGA): CT-2020-CTN-01167-1-v8.