Patient engagement practice within perinatal eHealth: A scoping review

Nurs Open. 2023 Aug;10(8):4971-4984. doi: 10.1002/nop2.1822. Epub 2023 May 21.

Abstract

Background: There is a gap in knowledge about how perinatal eHealth programs function to support autonomy for new and expectant parents from pursuing wellness goals.

Objectives: To examine patient engagement (access, personalization, commitment and therapeutic alliance) within the practice of perinatal eHealth.

Design: Scoping review.

Methods: Five databases were searched in January 2020 and updated in April 2022. Reports were vetted by three researchers and included if they documented maternity/neonatal programs and utilized World Health Organization (WHO) person-centred digital health intervention (DHI) categories. Data were charted using a deductive matrix containing WHO DHI categories and patient engagement attributes. A narrative synthesis was conducted utilizing qualitative content analysis. Preferred Reporting Items for Systematic Reviews and Meta-Analyses 'extension for scoping reviews' guidelines were followed for reporting.

Results: Twelve eHealth modalities were found across 80 included articles. The analysis yielded two conceptual insights: (1) The nature of perinatal eHealth programs: (1) emergence of a complex structure of practice and (2) practising patient engagement within perinatal eHealth.

Conclusion: Results will be used to operationalize a model of patient engagement within perinatal eHealth.

Keywords: implementation; perinatal care; technology.

Publication types

  • Review

MeSH terms

  • Data Management
  • Female
  • Humans
  • Infant, Newborn
  • Parents
  • Patient Participation
  • Pregnancy
  • Telemedicine* / methods
  • Therapeutic Alliance*