Evidence map›Paper›PMID 39998875›Full record

ArticleJournal of medical Internet research2025

Effects of the Modern Digital Information Environment on Maternal Health Care Professionals, the Role of Midwives, and the People in Their Care: Scoping Review.

Elisabeth Wilhelm, Victoria Vivilaki, Jean Calleja-Agius, Elena Petelos, Maria Tzeli, Paraskevi Giaxi, Elena Triantiafyllou, Eleni Asimaki, Faye Alevizou, Tina D Purnat

Abstract readScoping Review
In one paragraph

Article in Journal of medical Internet research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Paracetamol, pregnancy and law: What the Texas Tylenol case teaches SA doctors.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2026
    Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Digital Dialogs on Rhesus Incompatibility: A Thematic Analysis of Web-Based Parental Narratives.Transfusion medicine and hemotherapy : offizielles Organ der Deutschen Gesellschaft fur Transfusionsmedizin und Immunhamatologie · 2025
    Article
  11. Article
  12. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Elisabeth WilhelmDepartment of Midwifery, School of Healthcare and Care Sciences, University of West Attica, Athens, Greece.ORCID https://orcid.org/0000-0002-4641-516X
Victoria VivilakiDepartment of Midwifery, School of Healthcare and Care Sciences, University of West Attica, Athens, Greece.ORCID https://orcid.org/0000-0002-7111-481X
Jean Calleja-AgiusDepartment of Anatomy, Faculty of Medicine & Surgery, University of Malta, Msida, Malta.ORCID https://orcid.org/0000-0001-6369-0297
Elena PetelosCAPHRI Care and Public Health Research Institute, Maastricht University, Maastricht, The Netherlands.ORCID https://orcid.org/0000-0001-8838-7470
Maria TzeliDepartment of Midwifery, School of Healthcare and Care Sciences, University of West Attica, Athens, Greece.ORCID https://orcid.org/0009-0008-0804-9841
Paraskevi GiaxiDepartment of Midwifery, School of Healthcare and Care Sciences, University of West Attica, Athens, Greece.ORCID https://orcid.org/0000-0001-5368-2816
Elena TriantiafyllouDepartment of Midwifery, School of Healthcare and Care Sciences, University of West Attica, Athens, Greece.ORCID https://orcid.org/0000-0002-2924-2172
Eleni AsimakiDepartment of Midwifery, School of Healthcare and Care Sciences, University of West Attica, Athens, Greece.ORCID https://orcid.org/0000-0003-1785-0434
Faye AlevizouDepartment of Midwifery, School of Healthcare and Care Sciences, University of West Attica, Athens, Greece.ORCID https://orcid.org/0000-0002-2359-2796
Tina D PurnatTH Chan School of Public Health, Harvard University, Boston, MA, United States.ORCID https://orcid.org/0000-0002-0257-6631

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe digital information environment poses challenges for pregnant women and other people seeking care, as well as for their midwives and other health care professionals (HCPs). They can encounter questions, concerns, information gaps, and misinformation, which can influence health care decisions.

objectiveThis scoping review examines how HCPs are affected by the modern digital information environment including health misinformation, its effects on the women and people they care for, and its implications for care provision.

methodsEnglish-language peer-reviewed literature, published from January 1, 2020, to May 31, 2024, with keywords related to midwifery, misinformation, and health equity collected and analyzed by a team of midwives and maternal care professionals and mapped onto a patient-centered conceptual model.

resultsA total of 105 studies were ultimately included. Further, 95 papers identified specific digital information environment issues that affected clients; 58 specifically highlighted digital information environment issues impacting HCPs; 91 papers identified specific topics of common questions, concerns, misinformation, information voids, or narratives; 57 papers identified patient or population vulnerability; and 75 included mentions of solutions or recommendations for addressing a digital information environment issue around clients seeking care from midwives and other HCPs. When mapped onto the Journey to Health model, the most prominent barrier was access to care and information. Individual-level issues dominate the step related to knowledge, awareness, and belief, with more social norms and wider engagement appearing at steps related to intent. Client-specific themes dominate the left-hand side of the model and provider-specific issues dominate the right-hand side of the model.

conclusionsMisinformation, information voids, unaddressed questions and concerns, and lack of access to high-quality health information are worldwide prevalent barriers that affect both patients and HCPs. We identified individual, provider-level, health systems, and societal-level strategies that can be used to promote healthier digital information environments.

Indexed as

Health PersonnelMaternal Health ServicesMidwiferyCommunicationFemaleHumansPregnancydigital healthhealth information seekinginformation-seeking midwiferymedical misinformationmidwiferymisinformationsocial media

Identifiers

PMID39998875
PMCPMC11897670

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.