Efikasnost intervencija digitalne zdravstvene pismenosti kod starijih odraslih: meta-analiza sa jednom rukom.
Journal of medical Internet research
Sažetak istraživanja
Pozadina U svijetu brzog razvoja digitalne tehnologije, nedostatak digitalne zdravstvene pismenosti (DHL) među starijim ljudima ne može se zanemariti. DHL postaje ključna kompetencija koja može olakšati zdravstveni status i upravljanje zdravljem starijih osoba. DHL intervencije koje su izvodljive i prikladne mogu se implementirati u velikom obimu kroz zdravstveni sistem za starije osobe.
Cilj Svrha ove meta-analize bila je da se proceni efikasnost DHL intervencija za starije odrasle osobe.
Metode Publikacije na engleskom u PubMed-u, Web of Science, Embase i Cochrane biblioteci pretražene su od početka do 20. novembra 2022. Dva recenzenta su nezavisno završila ekstrakciju podataka i procjenu kvaliteta. Za sve meta-analize korišten je softver Review Manager (verzija 5.4; Cochrane Informatics & Technology Services).
Rezultati Ukupno 7 studija, uključujući 2 randomizirana kontrolirana ispitivanja i 5 kvazi-eksperimentalnih studija, koje su uključivale 710 starijih osoba, smatralo se prihvatljivim. Glavni ishod bili su rezultati na skali pismenosti e-zdravstva, a sekundarni ishodi bili su znanje, samoefikasnost i vještine. Kvazi-eksperimentalne studije upoređivale su ishode na početku i nakon intervencije, dok su randomizirana kontrolirana ispitivanja upoređivala ishode prije i nakon intervencije u grupi intervencije. Od 7 studija, 3 su koristile instrukcije licem u lice, dok su 4 usvojile internetske intervencije. Među njima su 4 intervencije provedene uz teorijske smjernice, dok 3 nisu. Trajanje intervencije variralo je od 2 do 8 sedmica. Osim toga, sve uključene studije provedene su u razvijenim zemljama, uglavnom u Sjedinjenim Državama. Objedinjena analiza je pokazala da su DHL intervencije imale pozitivne efekte na efikasnost pismenosti u e-zdravstvu (standardizovana srednja razlika 1,15, 95% CI 0,46 do 1,84; P=.001). Analiza podgrupa otkrila je da su DHL intervencije koje su odabrale nastavu licem u lice (standardizovana srednja razlika 1,15, 95% CI 0,46 do 1,84; P=.001), bile vođene konceptualnim okvirom (standardizovana srednja razlika 1,15, 95% CI 0,46 do 1,801), a srednja vrednost je bila održavana preko 4 standardne nedelje; razlika 1,1, 95% CI 0,46 do 1,84) imala je značajniji efekat. Štaviše, rezultati su pokazali značajan napredak u znanju (standardizovana srednja razlika 0,93, 95% CI 0,54 do 1,31; P
Zaključci DHL intervencije imaju pozitivne efekte na zdravstveni status i upravljanje zdravstvenim stanjem starijih odraslih osoba. Praktične i efikasne DHL intervencije su ključne za korišćenje moderne digitalne informacione tehnologije u upravljanju ljudima. Trial Health System of older people. Recenzije CRD42023410204 https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=410204.
Prikaži originalni naslov i sažetak na engleskom
Effectiveness of Digital Health Literacy Interventions in Older Adults: Single-Arm Meta-Analysis.
Background In a world of rapid digital technology development, the lack of digital health literacy (DHL) among older people cannot be ignored. DHL is becoming an essential competency that can facilitate the health status and health management of older adults. DHL interventions that are feasible and appropriate can be implemented on a large scale through the health care system for older people.
Objective The purpose of this meta-analysis was to assess the effectiveness of DHL interventions for older adults.
Methods English publications in PubMed, Web of Science, Embase, and the Cochrane Library were searched from inception to November 20, 2022. Two reviewers independently completed the data extraction and quality assessment. Review Manager (version 5.4; Cochrane Informatics & Technology Services) software was used for all meta-analyses.
Results A total of 7 studies, including 2 randomized controlled trials and 5 quasi-experimental studies, involving 710 older adults were considered eligible. The main outcome was scores on the eHealth Literacy Scale, and secondary outcomes were knowledge, self-efficacy, and skills. Quasi-experimental studies compared baseline and postintervention outcomes, while randomized controlled trials compared pre- and postintervention outcomes in the intervention group. Of the 7 studies, 3 used face-to-face instruction, while 4 adopted web-based interventions. Among them, 4 of the interventions were conducted using theoretical guidance, while 3 were not. Intervention duration varied from 2 to 8 weeks. In addition, the studies included were all conducted in developed countries, mainly in the United States. Pooled analysis presented that DHL interventions had positive effects on eHealth literacy efficacy (standardized mean difference 1.15, 95% CI 0.46 to 1.84; P=.001). Subgroup analysis revealed that DHL interventions that chose face-to-face teaching (standardized mean difference 1.15, 95% CI 0.46 to 1.84; P=.001), were guided by a conceptual framework (standardized mean difference 1.15, 95% CI 0.46 to 1.84; P=.001), and were sustained over 4 weeks (standardized mean difference 1.1, 95% CI 0.46 to 1.84; P=.001) had a more significant effect. Moreover, the outcomes showed considerable gains in knowledge (standardized mean difference 0.93, 95% CI 0.54 to 1.31; P
Conclusions DHL interventions have positive effects on the health status and health management of older adults. Practical and effective DHL interventions are crucial for the use of modern digital information technology in managing the health of older people. Trial registration PROSPERO International Prospective Register of Systematic Reviews CRD42023410204; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=410204.
Izvorni podaci
- DOI
- 10.2196/48166
- PMID
- 37379077
- PMCID
- PMC10365623
- Provjereno
- 2026-07-26
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