Evidence map›Paper›PMID 41851021›Full record

ArticleJMIR pediatrics and parenting2026

Mobile Apps and Websites With Breastfeeding-Related Content in Germany: Cross-Sectional and Evaluation Study.

Monika Ziebart, Vanessa Jäger, Melissa A Theurich, Berthold Viktor Koletzko

Abstract read
In one paragraph

Article in JMIR pediatrics and parenting, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Monika ZiebartDivision of Metabolic and Nutritional Medicine, Department of Pediatrics, Dr. von Hauner Children's Hospital, Ludwig-Maximilians-University Munich Hospital, Lindwurmstr. 4, Munich, Bavaria, 80337, Germany, 49 8974675422.ORCID http://orcid.org/0009-0006-5524-1401
Vanessa JägerDivision of Metabolic and Nutritional Medicine, Department of Pediatrics, Dr. von Hauner Children's Hospital, Ludwig-Maximilians-University Munich Hospital, Lindwurmstr. 4, Munich, Bavaria, 80337, Germany, 49 8974675422.ORCID http://orcid.org/0000-0003-4368-8303
Melissa A TheurichDivision of Neonatology, Dr. von Hauner Children's Hospital & Perinatal Center, Ludwig-Maximilians-University Munich Hospital, Munich, Bavaria, Germany.ORCID http://orcid.org/0000-0001-8928-9004
Berthold Viktor KoletzkoDivision of Metabolic and Nutritional Medicine, Department of Pediatrics, Dr. von Hauner Children's Hospital, Ludwig-Maximilians-University Munich Hospital, Lindwurmstr. 4, Munich, Bavaria, 80337, Germany, 49 8974675422.ORCID http://orcid.org/0000-0002-5345-7165

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Digital technologies with breastfeeding content have become an important source of information for new parents in Germany. However, little is known about the content and quality of digital breastfeeding information sources. Objective: The objective of this paper was to evaluate the scope, content, and quality of free-of-charge smartphone mobile apps and websites with breastfeeding-related content in Germany. Methods: A cross-sectional study of mobile apps and websites was conducted in July 2023. The App Store for iOS and Google Play Store for Android were searched for mobile apps. Bing.de and Google.de were searched for websites. The quality, suitability of information, readability, and coverage of digital information on mobile apps and websites were evaluated. We used the user version of the Mobile Applications Rating Scale, the Health-Related Web Site Evaluation Form, the Suitability Assessment of Materials, and the Flesch Index tool, as well as a self-developed checklist. We report our results according to the STROBE (Strengthening the Reporting of Observational Studies in Epidemiology) statement. Results: Eight mobile apps and 13 websites were included. The quality of information sources was generally good for apps (median 83%, IQR 73%-87%) and websites (median 86%, IQR 83%-89%). The suitability of information was good for apps (median 84%, IQR 70%-89%) and websites (median 89%, IQR 78%-94%). The coverage of information was good for apps (median 68%, IQR 59%-86%) and websites (median 82%, IQR 73%-100%). However, digital information was difficult or challenging to read on most apps (median 59%, IQR 53%-68%) and websites (median 58%, IQR 47%-61%). Seven of 8 mobile apps and 9 of 13 websites were commercial, with embedded links to shopping sites without external certificates confirming the trustworthiness of the information. Conclusions: Assertive action from nonprofit and governmental institutions should be provided to support parents with reliable, unbiased, open-access digital breastfeeding information in Germany.

Indexed as

breastfeedingconsumer health informationcontent analysisdigital health literacyGerman parentsinternetmobile appsmartphone

Identifiers

PMID41851021
PMCPMC12999360

What OpenQuestion holds

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Registered trials

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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.