Digital Technologies for Health Promotion and Disease Prevention in Older People: Scoping Review

Journal of Medical Internet Research, Journal Year: 2023, Volume and Issue: 25, P. e43542 - e43542

Published: March 23, 2023

Background Digital technologies have the potential to contribute health promotion and disease prevention in aging world. Objective This study aims identify digital for that could be used independently by older people nonclinical settings using a scoping review. Methods Through database (MEDLINE, PsycINFO, CINAHL, SCOPUS; March 3, 2022) manual searches (to June 14, 2022), 90 primary studies 8 systematic reviews were included this The eligibility was based on PCC (Population, Concept, Context) criteria: (1) aged 50 years or (population), (2) any (health) technology (eg, smartphone apps, websites, virtual reality; concept), (3) daily life noninstitutional (context). Data items characteristics, criteria, opportunities versus challenges, evidence gaps. synthesized descriptive statistics narratively described identifying common themes. Results published 2005-2022 originated predominantly from North America Europe. Most nonrandomized, reported quantitative data, investigated effectiveness feasibility acceptance usability) of people. participants 99 years, female, affluent (ie, with high income, education, competence), intended use median 3 months at home community settings. mobile nonmobile reality. “modern devices” smartphones, wearables, gaming consoles) modern “older computers phones). users interacted via emails, text messages, Health targets mobility, mental health, nutrition, cognition. challenges benefits unclear no some outcomes, monitoring ethical issues data collection management, implications functioning prolong independent living) application clinical management care, (4) tailoring technical properties content toward general use, (5) importance human support other factors required improve feasibility, (6) reduction social isolation access technologies, (7) improvement competence divide. Conclusions Various prevention. Future should focus more diverse populations people, new (clinical care) settings, outcome evaluation enhance technologies. International Registered Report Identifier (IRRID) RR2-10.2196/37729

Language: Английский

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Conducting a systematic review and evaluation of commercially available mobile applications (apps) on a health-related topic: the TECH approach and a step-by-step methodological guide

BMJ Open, Journal Year: 2023, Volume and Issue: 13(6), P. e073283 - e073283

Published: June 1, 2023

Objectives To provide an overview of the methodological considerations for conducting commercial smartphone health app reviews (mHealth reviews), with aim systematising process and supporting high-quality evaluations mHealth apps. Design Synthesis our research team’s experiences publishing various apps available on stores hand-searching top medical informatics journals (eg, The Lancet Digital Health, npj Medicine, Journal Biomedical Informatics American Medical Association) over last five years (2018–2022) to identify other contribute discussion this method framework developing a (review) question determining eligibility criteria. Results We present seven steps support rigour in market: (1) writing or aims, (2) scoping searches protocol, (3) criteria using TECH framework, (4) final search screening apps, (5) data extraction, (6) quality, functionality assessments (7) analysis synthesis findings. introduce novel approach review questions criteria, which considers Target user, Evaluation focus, Connectedness Health domain. Patient public involvement engagement opportunities are acknowledged, including co-developing protocol undertaking quality usability assessments. Conclusion Commercial can important insights into market, availability their functionality. have outlined key rigorous addition acronym, researchers Future work will include collaborative effort develop reporting guidelines appraisal tool ensure transparency systematic reviews.

Language: Английский

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Online dissemination of Cochrane reviews on digital health technologies: a cross-sectional study

Systematic Reviews, Journal Year: 2024, Volume and Issue: 13(1)

Published: May 15, 2024

Abstract Background This cross-sectional study investigated the online dissemination of Cochrane reviews on digital health technologies. Methods We searched Database Systematic Reviews from inception up to May 2023. with any population (P), intervention or concept supported by technology (I), no comparison (C), and outcome (O) were included. Data review characteristics (bibliographic information, PICO, evidence quality) strategies extracted processed. Dissemination was assessed using information website Altmetric data that trace mentions academic publications in nonacademic channels. analysed descriptive statistics binary logistic regression analysis. Results Out 170 records identified search, 100 reviews, published between 2005 2023, The focused consumers (e.g. patients, n = 86), people age ( 44), clinical populations 68). All addressed interventions concepts technologies devices 73), mobile 17), computers 10). outcomes disease treatment 56), promotion prevention 27), management care delivery 17). included 1–132 studies, half 1–10 studies. Meta-analysis performed 69 certainty rated as high moderate for at least one 46 reviews. In agreement guidelines, all had a plain language summary (PLS) available 3–14 languages. disseminated (i.e. mentioned online) predominantly via X/Twitter 99) Facebook 69). Overall, 51 25% 49 5% research outputs traced data. higher scores) associated bibliographic earlier publication year PLS more languages), but not quality rating, number meta-analysis review). Conclusions Online attention towards is high. older translations. Measures are required improve based quality. registration prospectively registered Open Science Framework https://osf.io/mpw8u/ ).

Language: Английский

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Digital Physical Activity and Sedentary Behavior Interventions for Community-Living Adults: Umbrella Review

Journal of Medical Internet Research, Journal Year: 2025, Volume and Issue: 27, P. e66294 - e66294

Published: March 18, 2025

Background Digital interventions hold significant potential for improving physical activity (PA) and reducing sedentary behavior (SB) in adults. Despite increasing interest, there remain surprising gaps the current knowledge of how best to deliver these interventions, including incorporating appropriate theoretical frameworks change techniques. Following numerous systematic reviews, is now umbrella reviews provide an overview evidence. Objective This review aimed explore digital PA SB community-living adults across effectiveness, key components, methodological quality. Methods followed Joanna Briggs Institute framework reviews. Key search terms were developed iteratively, alongside interventions. We searched 7 online databases (Web Science Core Collection, CINAHL, APA PsycINFO, Inspec, Cochrane Library, MEDLINE [Ovid], PROSPERO) gray literature databases. Information was extracted tabulated from each included article on intervention content acknowledging both human elements. The study quality appraised using A Measurement Tool Assess Reviews 2 (AMSTAR 2). corrected covered area method used assess overlap primary studies All relevant research findings reported. Results Search identified 330 articles, which 5 (1.5%) met inclusion criteria. most common outcomes daily steps, moderate-to-vigorous PA, total change. with meta-analysis reported that improved multiple (daily time, time). However, remaining mixed. Similarly, contrasting. Regarding monitor- sensor-only delivery methods frequently implemented. Eleven identified, social cognitive theory being prominent theory. In total, 28 different techniques reported, goal setting, self-monitoring, feedback, support used. low or critically quality, unique (corrected area=0%). Conclusions highlights increase reduce among disparate nature academic means potentially efficacious may not realistically translate real work impact. Our a lack consensus around components at individual (eg, difficult collate compare findings) (poor reviews) levels. Collective, concerted action required standardize improve reporting optimize future learning adults, traditionally overlooked populations, like informal carers. Trial Registration PROSPERO CRD42023450773; https://www.crd.york.ac.uk/PROSPERO/view/CRD42023450773

Language: Английский

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Digital readiness among 3,555 individuals with hip or knee osteoarthritis initiating a supervised education and exercise therapy program: a cross-sectional study

Research Square (Research Square), Journal Year: 2025, Volume and Issue: unknown

Published: April 7, 2025

Background Digital health solutions can support exercise and symptom management in hip knee osteoarthritis (OA), but their uptake may depend on digital readiness, as measurement of motivation, confidence, capability using solutions. This study assesses readiness profiles individuals with OA starting in-person physiotherapist-supervised therapy education primary care (GLA:D®) associations sociodemographic, health, functional characteristics. Methods Baseline GLA:D® registry questionnaire data were analyzed. The eHealth Readiness Scale (7–42, lowest to highest) measures (e.g., use solutions). Latent class analysis identified profiles, multinomial logistic regression was used assess selected characteristics the profiles. Results We included 3,555 participants (mean age 66.7 years, 67% female), a mean score 25.6 (SD 8.1). Confidence internet reported by 53%, whereas 32% agreed that it improved efficiency, only 26% lifestyle tracking devices. Three emerged: low, intermediate, high. Compared high profile, low profile associated older (odds ratio (OR) 1.96, 95% confidence interval (CI) 1.71 2.24)), being female (OR 0.72, CI 0.57 0.90), having lower level 0.62, 0.45 0.88), living alone 1.39, 1.11 1.76), more comorbidities 1.10, 1.04 1.17). intermediate showed similar patterns relation also less likely among obese (0.70, 0.54 0.91) those higher walking speeds 0.50 0.98). Conclusion three such age, sex, education, emphasize potential assessing improve resource allocation when designing implementing clinical settings. Future research should focus improvement strategies.

Language: Английский

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Digital tools’ effectiveness on physical activity practice in healthy children and adolescents: an umbrella review within the DigitAl Lifelong pREvention (DARE) project (Preprint)

Published: April 11, 2025

Children and adolescents do not meet the current guidelines for physical activity (PA). Interventions aimed at increasing their PA have been worldwide implemented through use of different digital tools, but a clearer view effectiveness is needed. The present review to summarize evidence on characteristics approaches used increase in healthy schoolchildren aged 6-17. A systematic reviews meta-analyses (MAs) that collected randomized controlled trials (RCTs), hereafter referred as an umbrella review, was performed. PRISMA-P (Preferred Reporting Items Systematic Meta-Analysis Protocols) checklist followed. Papers published between 2018 2023 were searched SCOPUS PubMed/MEDLINE databases, using combination terms addressing type tool (such apps, wearables, social media, messaging, exergames, or web coaching), main outcomes related PA, outcomes. Eligibility criteria included MAs targeted people (including overweight obese people) 6-17 years, comparison with any other intervention no intervention. methodological quality assessed AMSTAR 2 tool. Results study efficacy are summarized presented frequencies, chi-square test reveal significant differences studies relation efficacy. total 41 reviews/MAs 61 RCTs considered detailed analysis. overall moderate poor. Main moderate-to-vigorous (MVPA) (59.0%) steps (34.4%); around half also sedentary behaviors (SB) such sitting screening time. 63.9% interventions effective partially one more PA/SB With regard MVPA, higher rates found wearables device component delivery (100%) web-based tools (61.5%). Step counts increased computer, tablet iPod delivery, text wearable components (100%). For SB outcomes, (100%), (70.0%) mix (60.0%). In general, conducted American Asian populations showed rates, than those from Europe Australia/New Zealand. large heterogeneity among analyzed RCTs. Authors recommend rigor future aiming children tools. PROSPERO, registration number CRD42024510602, https://www.crd.york.ac.uk/PROSPERO/view/CRD42024510602

Language: Английский

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Digital Technologies for Health Promotion and Disease Prevention in Older People: Protocol for a Scoping Review

JMIR Research Protocols, Journal Year: 2022, Volume and Issue: 11(7), P. e37729 - e37729

Published: July 21, 2022

Background Digital technologies could contribute to health promotion and disease prevention. It is unclear if how such digital address the needs of older people in nonclinical settings (ie, daily life). Objective This study aims identify for prevention that target by performing a scoping review published literature. The guided framework Arksey O’Malley. Methods Our follows PRISMA-ScR (Preferred Reporting Items Systematic Reviews Meta-Analyses Extension Scoping Reviews) guidelines. information sources are bibliographic databases (MEDLINE, PsycINFO, CINAHL, SCOPUS) bibliographies any included systematic reviews. Manual searches additional studies will be performed Google Scholar most relevant journals. electronic search strategy was developed collaboration with librarian who on targeting people. Study selection data coding independently 2 authors. Consensus reached discussion. Eligibility based PCC (Population, Concept, Context) criteria as follows: (1) (population); (2) (health) technology, websites, smartphone apps, or wearables (concept); (3) (daily life, home, community) (context). Primary design reviews methodology peer-reviewed academic journals included. Data items designs, criteria, benefits barriers related technology use people, evidence gaps. synthesized using descriptive statistics narratively described identifying common themes. Quality appraisal reviews, validated instrument this type (A Measurement Tool Assess Reviews, version [AMSTAR2]). Results Following preliminary literature test calibrate syntax, March 2022 manual were completed June 2022. titles abstracts July 2022, full-text screen initiated Conclusions types technologies, targets context prevention, associated settings. knowledge guide further research can support healthy aging. International Registered Report Identifier (IRRID) PRR1-10.2196/37729

Language: Английский

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Effectiveness of a Digital Health Intervention Leveraging Reinforcement Learning to Increase Daily Steps Among Adults with Diabetes and Depression: Results from the DIAMANTE Randomized Clinical trial (Preprint)

Journal of Medical Internet Research, Journal Year: 2024, Volume and Issue: 26, P. e60834 - e60834

Published: Aug. 23, 2024

Background Digital and mobile health interventions using personalization via reinforcement learning algorithms have the potential to reach large number of people support physical activity help manage diabetes depression in daily life. Objective The Diabetes Mental Health Adaptive Notification Tracking Evaluation (DIAMANTE) study tested whether a digital intervention personalized text messaging could increase step counts diverse, multilingual sample with symptoms. Methods From January 2020 June 2022, participants were recruited from 4 San Francisco, California–based public primary care clinics through web-based platforms participate 24-week randomized controlled trial. Eligibility criteria included English or Spanish language preference documented diagnosis elevated trial had 3 arms: Control group receiving weekly mood monitoring message, Random randomly selected feedback motivational messages daily, an by algorithm daily. Randomization was performed 1:1:1 allocation. outcome, changes counts, passively collected app. analysis assessed count linear mixed-effects model. An priori subanalysis compared outcome within recruitment samples. Results In total, 168 analyzed, including those 24% (40/168) 37.5% (63/168) clinic-based recruitment. results model indicated that arm cumulatively gained average 3.6 steps each day (95% CI 2.45-4.78; P<.001) over (average 608 total steps), whereas both significantly decreased rates change. Postintervention estimates suggest showed significant 19% (606/3197; P<.001), contrast 1.6% (59/3698) 3.9% (136/3480) arms, respectively. Intervention effectiveness differences observed between Francisco platforms, trend persisting across samples for group. Conclusions Our supports use personalizing diverse depression. It is first test this approach large, sample. Trial Registration ClinicalTrials.gov NCT03490253; https://clinicaltrials.gov/study/NCT03490253 International Registered Report Identifier (IRRID) RR2-10.1136/bmjopen-2019-034723

Language: Английский

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Efficacy of digital interventions on physical activity promotion in individuals with noncommunicable diseases: an overview of systematic reviews

BMC Digital Health, Journal Year: 2024, Volume and Issue: 2(1)

Published: July 22, 2024

Abstract Background Physical inactivity is considered one of the main modifiable risk factors for noncommunicable diseases. It has been proven that an active lifestyle efficient means preventing and managing Multiple barriers have identified hinder engagement in conventional physical activity programs achievement recommendations. Digital interventions may expand opportunities to resolve these empower people with diseases be physically active. This overview systematic reviews aims evaluate efficacy digital on promotion among individuals major Method A protocol was registered PROSPERO database (CRD42022364350). qualitative synthesis method applied summarize data. The assessment methodological quality using AMSTAR-2 each review performed by two independent reviewers. Results Searches nine databases resulted seven inclusion. Most primary studies included were conducted high-income countries. addressed five populations: participants cancers, cardiovascular diseases, chronic obstructive pulmonary disease, type 2 diabetes, osteoarthritis. classified into categories: based trackers remote via facilities. Additional components both categories such as motivational content, counseling, goal setting, tailored feedback/reminders, other behavioral change techniques. overall ranged from critically low low. findings provided some evidence effective promoting activity. Conclusion this suggest types interventions, self-monitoring facilities, across should interpreted cautiously since low, there no consistent certainty evidence. Further are required more rigorous conducting reporting methodologies.

Language: Английский

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Digitisation and health: Second nationwide survey of internet users in Germany

Digital Health, Journal Year: 2024, Volume and Issue: 10

Published: Jan. 1, 2024

Rapid digitisation of health occurred during the COVID-19 pandemic worldwide. In October 2020, we conducted a survey on digital technology use in Germany. This study aimed to conduct second investigate more detail internet context and for promotion disease prevention

Language: Английский

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