Wearable Devices to Improve Physical Activity and Reduce Sedentary Behaviour: An Umbrella Review

Sports Medicine - Open, Journal Year: 2024, Volume and Issue: 10(1)

Published: Jan. 14, 2024

Abstract Background Several systematic reviews (SRs), with and without meta-analyses, have investigated the use of wearable devices to improve physical activity, there is a need for frequent updated syntheses on topic. Objective We aimed evaluate whether using increased activity reduced sedentary behaviour in adults. Methods conducted an umbrella review searching PubMed, Cumulative Index Nursing Allied Health Literature, Cochrane Library, MedRxiv, Rxiv bioRxiv databases up February 5th, 2023. included all SRs that evaluated efficacy interventions when were used measure adults aged over 18 years. The primary outcomes measured as number steps per day, minutes moderate vigorous (MVPA) week, (SB) day. assessed methodological quality each SR Assessment Multiple Systematic Reviews, version 2 (AMSTAR 2) certainty evidence outcome GRADE (Grading Recommendations, Assessment, Development, Evaluations). interpreted results decision-making framework examining clinical relevance concordances or discordances effect size. Results Fifty-one included, which 38 meta-analyses (302 unique studies). Of SRs, 72.5% rated ‘critically low quality’. Overall, slight overlap studies (corrected cover area: 3.87% 3.12% MVPA, 4.06% SB) low-to-moderate evidence, WDs may increase PA by median 1,312.23 (IQR 627–1854) day 57.8 37.7 107.3) week MVPA. Uncertainty present pathologies older subgroups SB mixed (large confidence intervals). Conclusions Our findings suggest middle-aged Further are needed investigate effects specific (such adults) different follow-up lengths, role other intervention components.

Language: Английский

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A scoping review and expert consensus on digital determinants of health

Bulletin of the World Health Organization, Journal Year: 2025, Volume and Issue: 103(02), P. 110 - 125H

Published: Feb. 1, 2025

To map how social, commercial, political and digital determinants of health have changed or emerged during the recent transformation society to identify priority areas for policy action. We systematically searched MEDLINE, Embase Web Science on 24 September 2023, eligible reviews published in 2018 later. ensure we included most literature, supplemented our review with non-systematic searches PubMed® Google Scholar, along records identified by subject matter experts. Using thematic analysis, clustered extracted data into five societal domains affected digitalization. The clustering also informed a novel framework, which authors contributors reviewed comprehensiveness accuracy. two-round consensus process, rated high, moderate low urgency actions. 13 804 records, 204 met inclusion criteria. A total 127 were found (37 digital, 33 commercial economic determinants). Of these, 30 (23.6%) considered particularly urgent This offers comprehensive overview across economic, domains, highlighting decisions, individual behaviours broader factors influence findings deepen understanding outcomes manifest within ecosystem inform strategies addressing complex evolving networks determinants.

Language: Английский

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Análisis de retos y dilemas que deberá afrontar la bioética del siglo xxi, en la era de la salud digital

Atención Primaria, Journal Year: 2024, Volume and Issue: 56(7), P. 102901 - 102901

Published: March 6, 2024

The medical history underscores the significance of ethics in each advancement, with bioethics playing a pivotal role addressing emerging ethical challenges digital health (DH). This article examines dilemmas innovations DH, focusing on healthcare system, professionals, and patients. Artificial Intelligence (AI) raises concerns such as confidentiality algorithmic biases. Mobile applications (Apps) empower but pose access literacy. Telemedicine (TM) democratizes reduces costs requires divide interconsultation dilemmas; it necessitates high-quality standards patient information protection attention to equity access. Wearables Internet Things (IoT) transform face like privacy equity. 21st-century must be adaptable DH tools demand constant review consensus, necessitating science faculties' preparedness for forthcoming changes.

Language: Английский

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Digital technologies as solutions to China’s aging population: a systematic review of their opportunities and challenges in rural development

Frontiers in Public Health, Journal Year: 2025, Volume and Issue: 12

Published: Jan. 15, 2025

Differences exist in the rate of aging between individuals residing urban and rural areas China, with experiencing a more pronounced impact. Smart represents prevalent future trend this regard, though its development will inevitably face challenges. However, studies focusing on are scarce. Future models less developed regions, including townships, expected to integrate draw inspiration from smart paradigm. We present systematic review current application digital technologies caring for older people areas. conducted extracted screened 26 articles out 823, sourced five databases: Web Science, IEEE Xplore, Engineering Village, PubMed/MEDLINE CNKI. The focus that cater daily life, medical care, spiritual comfort, cultural entertainment needs people. In our review, we focused four aspects technology: mobile applications (apps), websites platforms, devices terminals, VR or other unspecified technologies. found have room improvement meeting recreational mental comfort adults. Digital predominantly applied community/rural healthcare sectors, limited home sector. should explore smart-home adults care services address cognitive barriers faced by

Language: Английский

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Acceptability, values, and preferences of older people for chronic low back pain management; a qualitative evidence synthesis

BMC Geriatrics, Journal Year: 2024, Volume and Issue: 24(1)

Published: Jan. 5, 2024

Abstract Background Chronic primary low back pain (CPLBP) and other musculoskeletal conditions represent a sizable attribution to the global burden of disability, with rates greatest in older age. There are multiple varied interventions for CPLBP, delivered by wide range health care workers. However, it is not known if these acceptable or align values preferences recipients. The objective this synthesis was understand key factors influencing acceptability of, for, interventions/care CPLBP from perspective people over 60 their caregivers. Methods We searched MEDLINE, CINAHL OpenAlex, eligible studies inception until April 2022. included that used qualitative methods data collection analysis; explored perceptions experiences caregivers about treat CPLBP; any setting globally. conducted best fit framework using developed specifically review. assessed our certainty findings GRADE-CERQual. Results All 22 represented people’s had representation across geographies economic contexts. No were identified on Older living express relate therapeutic encounters importance alliance, irrespective type treatment, choice intervention, intervention delivery modalities. value validate, legitimise, respect experience, consider context holistically, prioritise needs preferences, adopt person-centred tailored approach care, supported interprofessional communication. valued provided benefit them, beyond analgesic medicines alone financially geographically accessible. Conclusions These provide critical implementation clinical guidelines into practice, particularly related how providers interact components delivered, location cost. Further research needed focusing low- middle-income settings, vulnerable populations,

Language: Английский

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Cognitive, psychological, and physiological effects of a web-based mindfulness intervention in older adults during the COVID-19 pandemic: an open study

BMC Geriatrics, Journal Year: 2024, Volume and Issue: 24(1)

Published: Feb. 14, 2024

Abstract Background The development of effective strategies to maintain good mental health older adults is a public priority. Mindfulness-based interventions have the potential improve psychological well-being and cognitive functions adults, but little known about effect such when delivered through internet. During COVID-19 pandemic we evaluated short- long-term cognitive, psychological, physiological effects mindfulness-based intervention (MBI) via web-based videoconference in healthy adults. Methods Fifty participated an 8-week MBI, which comprised structured 2-h weekly group sessions. A comprehensive evaluation encompassing (verbal memory, attention processing speed, executive functions) assessments (depression anxiety symptoms, mindfulness, worries, emotion regulation strategies, well-being, interoceptive awareness sleep) was conducted. Additionally, electroencephalography (EEG) data were recorded before after MBI at 6-month follow-up (T6). Data analyzed using intention-to-treat approach, linear mixed models adjusted for age. size time computed as omega squared. Results We observed significant improvements from pre-MBI post-MBI T6 across several measures. These notable areas verbal memory (California Verbal Learning Test, p ≤ .007), (Trail Making Test BA, < .050), (Multidimensional Assessment Interoceptive Awareness, = .0002 self-regulation .05 noticing, body listening, trusting dimensions), rumination (Heidelberg Form Emotion Regulation Strategies, .018). changes associated with low medium size. Moreover, EEG patterns, decrease alpha1 ( .004) increase alpha2 .0001) T6. Notably, TMTBA correlated while TMTA linked .025). Conclusions results our study show that leads measures, modulations specific brain rhythms. While these findings are promising, further controlled studies required validate preliminary results. Trial registration trial has been registered United States National Library Medicine Institutes Health Registry Clinical Trials under code NCT05941143 on July 12, 2023.

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 Health Technologies for Metabolic Disorders in Older Adults: A Scoping Review Protocol

medRxiv (Cold Spring Harbor Laboratory), Journal Year: 2024, Volume and Issue: unknown

Published: Feb. 27, 2024

Abstract Introduction Metabolic disorders (type 2 diabetes, insulin resistance, hyperglycemia, obesity, hyperlipidemia, hypertension, nonalcoholic fatty liver disease, and metabolic syndrome) are leading causes of mortality disability worldwide disproportionately affect older adults relative to those younger. Digital health technologies (DHTs), such as patient monitoring, digital diagnostics, therapeutics, emerge promising tools for navigating in day-to-day life. However, their role targeting disorders, particularly among a key demographic adults, is not yet fully understood. Thus, this work aims scope the use DHTs managing adults. Methods Analysis We will conduct scoping review following recommended framework by Arksey O’Malley (1). Our search focus on three primary concepts: DHTs, plan five online databases—Cochrane, Embase, PubMed, Scopus, Web Science—to identify original research articles published between January 2014 2024. Two reviewers independently screen inclusion based predetermined criteria, separate reviewer resolve conflicts. Data be extracted using standardized form, findings synthesized reported qualitatively quantitatively. Ethics dissemination No ethics approval required protocol review, data used only from studies with appropriate approval. Results disseminated peer-reviewed publication. This has been preregistered OSF Repository at: https://osf.io/9s8fm . Strengths limitations study To our knowledge, first landscape apply DHT Ecosystem Categorization more overview empirical literature across multiple databases follow rigorous reporting guidelines. Consistent nature reviews, does include an assessment quality included studies, involves English, non-peer reviewed industry reports, which may also provide relevant information. Since pre-existing definition focuses various pre-defined major conditions, there exists possibility that we comprehensively capture all possible instances

Language: Английский

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Caregivers’ Role in In-Home Video Telehealth: National Survey of Occupational Therapy Practitioners

JMIR Rehabilitation and Assistive Technologies, Journal Year: 2024, Volume and Issue: 11, P. e52049 - e52049

Published: March 14, 2024

Background Older adults face barriers to specialty care, such as occupational therapy (OT), and these challenges are worse for rural older adults. While in-home video telehealth may increase access OT, adults’ health- technology-related necessitate caregiver assistance. Objective This study examines assistance with OT visits from the perspectives of practitioners at Veterans Health Administration (VHA). Methods A web-based national survey VHA about caregivers’ role in was conducted between January February 2022. Survey items were developed input subject matter experts geriatrics identified patient factors that participation; extent which caregivers assist different types tasks (technological clinical tasks); perceived facilitators of, benefits involvement. Results Of approximately 1787 eligible practitioners, 286 (16% response rate) participated. Not all required completion, resulting denominators. Most respondents female (183/226, 81%), White (163/225, 72.4%), therapists (275/286, 96.2%). Respondents 87 medical centers, catchment areas served a population 34% rural, on average (SD 0.22). participants (162/232, 69.8%) had >10 years experience serving cohort mostly aged ≥65 (189/232, 81.5%) primarily outpatient rehabilitation (132/232, 56.9%). The top necessitating involvement lack technical skills, cognitive impairment, advanced age, health-related impairments (eg, hearing or vision loss) less frequent. Technological most frequently assisted holding, angling, moving, repositioning, operating camera (136/250, 54.4%) enabling microphone setting volume (126/248, 50.8%). Clinical providing history (143/239, 59.8%) assisting communication (124/240, 51.7%). facilitator participation clinician-delivered education what expect (152/275, 55.3%), whereas barrier poor connectivity (80/235, 34%). Increased (212/235, 90.2%) top-rated benefit participation. (164/232, 70.7%) indicated least sometimes unavailable unable telehealth, case appointment often shifted phone. Conclusions Caregivers routinely patients visits, is invaluable who have complex needs. Barriers include inability assist, available caregivers. By elucidating support this provides clinicians strategies effectively partner enhance patients’ visits.

Language: Английский

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Influence mechanism of Internet use on the physical and mental health of the Chinese elderly—Based on Chinese General Social Survey

PLoS ONE, Journal Year: 2025, Volume and Issue: 20(1), P. e0312664 - e0312664

Published: Jan. 3, 2025

Based on Chinese General Social Survey data (CGSS 2021), binary logistic regression and stepwise were used to explore how Internet use improves the physical mental health of elderly people its influence mechanisms. The research found that has a positive significant impact elderly, results are robust with variable replacement model tests. In mechanism, it promotes through exercise, social interaction, learning frequency, which have partial mediating effect. effectiveness in promoting frequency is higher than exercise highlighting importance continuous for digital age. At same time, an unequal greater socio-economic status. Therefore, proposes following three suggestions. First, improve popularity among elderly. Second, accelerate development application products suitable Third, provide education different regions groups, implement targeted assistance poor

Language: Английский

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