The Impact of eHealth Interventions on the Improvement of Self-Care in Chronic Patients: An Overview of Systematic Reviews.

chronic diseases eHealth self-care

Journal

Life (Basel, Switzerland)
ISSN: 2075-1729
Titre abrégé: Life (Basel)
Pays: Switzerland
ID NLM: 101580444

Informations de publication

Date de publication:
17 Aug 2022
Historique:
received: 01 08 2022
revised: 15 08 2022
accepted: 16 08 2022
entrez: 26 8 2022
pubmed: 27 8 2022
medline: 27 8 2022
Statut: epublish

Résumé

Promoting self-care is one of the most promising strategies for managing chronic conditions. This overview aimed to investigate the effectiveness of eHealth interventions at improving self-care in patients with type-2 diabetes mellitus, cardiovascular disease, and chronic obstructive pulmonary disease when compared to standard care. We carried out a review of systematic reviews on PubMed, Scopus, Cochrane, PsychInfo, and CINAHL. AMSTAR-2 was used for quality appraisal. Eight systematic reviews (six with meta-analysis) were included, involving a total of 41,579 participants. eHealth interventions were categorized into three subgroups: (i) reminders via messaging apps, emails, and apps; (ii) telemonitoring and online operator support; (iii) internet and web-based educational programs. Six systematic reviews showed an improvement in self-care measurements through eHealth interventions, which also led to a better quality of life and clinical outcomes (HbA1C, blood pressure, hospitalization, cholesterol, body weight). This overview provided some implications for practice and research: eHealth is effective in increasing self-care in chronic patients; however, it is required to designate the type of eHealth intervention based on the needed outcome (e.g., implementing telemonitoring to increase self-monitoring of blood pressure). In addition, there is a need to standardize self-care measures through increased use of validated assessment tools.

Identifiants

pubmed: 36013432
pii: life12081253
doi: 10.3390/life12081253
pmc: PMC9409893
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

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Auteurs

Erika Renzi (E)

Department of Public Health and Infectious Diseases, Sapienza University of Rome, 00185 Rome, Italy.

Valentina Baccolini (V)

Department of Public Health and Infectious Diseases, Sapienza University of Rome, 00185 Rome, Italy.

Giuseppe Migliara (G)

Department of Public Health and Infectious Diseases, Sapienza University of Rome, 00185 Rome, Italy.

Corrado De Vito (C)

Department of Public Health and Infectious Diseases, Sapienza University of Rome, 00185 Rome, Italy.

Giulia Gasperini (G)

Department of Translational and Precision Medicine, Umberto I Teaching Hospital, 00161 Rome, Italy.
Department of Biomedicine and Prevention, University of Rome Tor Vergata, 00133 Rome, Italy.

Angelo Cianciulli (A)

Department of Public Health and Infectious Diseases, Sapienza University of Rome, 00185 Rome, Italy.

Carolina Marzuillo (C)

Department of Public Health and Infectious Diseases, Sapienza University of Rome, 00185 Rome, Italy.

Paolo Villari (P)

Department of Public Health and Infectious Diseases, Sapienza University of Rome, 00185 Rome, Italy.

Azzurra Massimi (A)

Department of Public Health and Infectious Diseases, Sapienza University of Rome, 00185 Rome, Italy.

Classifications MeSH