Evidence map›Paper›PMID 41664064›Full record

SynthesisBMC public health2026

Effectiveness of mobile health applications with behaviour change techniques in improving maternal health outcomes: a systematic review.

Ying Ting Er, Yoke Mun Chan, Sook Yee Lim, Zalilah Mohd Shariff, Zulfitri 'Azuan Mat Daud, Habibah Abdul Hamid

Abstract readSystematic Review
In one paragraph

Synthesis in BMC public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

6 authors.

Ying Ting ErDepartment of Dietetics, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, 43400, Malaysia.
Yoke Mun ChanDepartment of Dietetics, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, 43400, Malaysia. cym@upm.edu.my.
Sook Yee LimMalaysian Research Institute on Ageing, Universiti Putra Malaysia, Serdang, 43400, Malaysia.
Zalilah Mohd ShariffDepartment of Nutrition, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, 43400, Malaysia.
Zulfitri 'Azuan Mat DaudDepartment of Dietetics, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, 43400, Malaysia.
Habibah Abdul HamidDepartment of Obstetrics & Gynaecology, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, 43400, Malaysia.

Funding

Universiti Putra Malaysia GP-IPS 9723700World Diabetes Foundation 6380063
6 · The paper itself

Abstract

backgroundMobile health (mHealth) has emerged as a scalable strategy for delivering timely health information and behavioural support to pregnant women. However, its effectiveness as an educational tool to improve maternal health remains unclear. This systematic review compares the impact of mHealth interventions with conventional nutrition education, with a focus on the integration of behaviour change techniques (BCTs) and their influence on maternal outcomes. Unlike earlier reviews, this study applies theory-based framework to identify effective BCTs and compare mHealth with traditional education, addressing existing gaps and guiding targeted intervention design.

method

designA systematic review following the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA).

settingThe search systematically spanned five databases (The Cochrane Library, PubMed, Scopus, CINAHL, and ACM Digital Library) of the literature published between 1 January 2015 and 30 November 2024. A systematic quality assessment of the included studies was conducted to evaluate methodological rigor, risk of bias, and the overall reliability of the evidence.

participantsThe review included 12 studies involving 1809 pregnant women participating in interventions that employed mobile health applications integrated with BCTs to enhance maternal health outcomes. 

resultsA total of 1785 publications were initially screened and twelve studies were ultimately included in the systematic review. The mHealth interventions used included mobile apps, web-based platforms, smart bands and short message service, with interventions targeted dietary intake (4 studies), gestational weight gain (3 studies), physical activity (2 studies), psychosocial well-being (2 studies), and maternal perinatal complications (1 study). While mHealth interventions show positive effects on maternal outcomes including gestational weight gain, dietary intake and physical activity, two-thirds of the studies exhibited risk of bias, possibly due to challenges in blinding participants and researchers.

conclusionsThis review highlights the promise of mHealth interventions in improving dietary adherence, physical activity, gestational weight gain, psychosocial well-being and pregnancy outcomes such as birth weight and gestational complications. Despite these promising findings, further research is required to confirm efficacy, cost-effectiveness and implementation scalability of mHealth applications in maternal health care.

trial registrationAs no primary data were collected, clinical trial registration is not applicable.

Indexed as

Behavior TherapyMaternal HealthMobile ApplicationsTelemedicineDigital HealthFemaleHumansPregnancyPregnancy OutcomeBehaviour changeMobile healthNutrition interventionPregnancy outcomesPregnant women

Identifiers

PMID41664064
PMCPMC13107704

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.