Treatment outcomes of the e-Health in the elderly: A systematic review
DOI:
https://doi.org/10.56294/saludcyt2024610Keywords:
Telemedicine, Treatment Outcome, Aged, Aged 80 and over, Systematic ReviewAbstract
Introduction: the E-Health, is a relevant service provision since the SARS-Cov-2 pandemic, when it became a patient care alternative, however, few studies have evidenced the treatment outcomes of this tool in elderly people.
Objectives: to analyze the treatment outcomes of telemedicine in the elderly.
Methods: a systematic review was carried out according to six stages. The PubMed, CINAHL and Science Direct databases were used. Experimental studies between 2017 and 2022 were included. All references were exported to the EndNote manager. The methodological quality was analyzed using the Mixed Method Appraisal Tools (MMAT) checklist. The deductive thematic analysis of the data was based on the Model for Assessment of Telemedicine Applications (MAST).
Results: out of a total of 2 628 articles identified and 10 included. Of the total number of studies analyzed, two of them used a digital platform, two by telephone follow-up, four mixed telemedicine interventions and two by tele-rehabilitation. According to the evaluation of the methodological quality of the studies, five of them met all the criteria and five studies met more than 80 % of the criteria.
Conclusions: mixed e-Health tools improve treatment outcomes in the psychosocial perspective in the older adult. Future studies should delve into other aspects of the impact of treatment outcomes of other digital tools used in health for this age group, such as somatic, physical, and cultural aspects
References
1. Mowrer O. Psychotherapy: theory and research. Oxford, editor. Ronald Press Co; 1953.
2. Lewis JE. Cross-cultural Clinical Interventions. In: Bellack AS, Hersen MBTCCP, editors. Bellack AS, Hersen M Comprehensive Clinical Psychology, Oxford: Elsevier; 1998. p. 93–125.
3. World Health Organization. WHO EMRO | eHealth | Health topics. World Health Organization. 2022. https://www.emro.who.int/index.html
4. World Health Organization. Implementing telemedicine services during COVID-19: guiding principles and considerations for a stepwise approach. Manila PP - Manila: WHO Regional Office for the Western Pacific; 2020. https://apps.who.int/iris/handle/10665/336862
5. European Observatory on Health Systems and Policies, Williams GA, Fahy N, Aissat D, Lenormand MC, Stüwe L, et al. COVID-19 and the use of digital health tools: opportunity amid crisis that could transform health care delivery. Eurohealth (Lond). 2022;28(1):29–34. https://apps.who.int/iris/handle/10665/351081
6. Maguire R, McCann L, Kotronoulas G, Kearney N, Ream E, Armes J, et al. Real time remote symptom monitoring during chemotherapy for cancer: European multicentre randomised controlled trial (eSMART). BMJ. 2021;374:n1647. http://dx.doi.org/10.1136/bmj.n1647
7. Chen J, Sun D, Zhang S, Shi Y, Qiao F, Zhou Y, et al. Effects of home-based telerehabilitation in patients with stroke: A randomized controlled trial: A randomized controlled trial. Neurology. 2020;95(17):e2318–30. http://dx.doi.org/10.1212/WNL.0000000000010821
8. Jia W, Zhang P, Zhu D, Duolikun N, Li H, Bao Y, et al. Evaluation of an mHealth-enabled hierarchical diabetes management intervention in primary care in China (ROADMAP): A cluster randomized trial. PLoS Med [Internet]. 2021;18(9):e1003754. http://dx.doi.org/10.1371/journal.pmed.1003754
9. Gayot C, Laubarie-Mouret C, Zarca K, Mimouni M, Cardinaud N, Luce S, et al. Effectiveness and cost-effectiveness of a telemedicine programme for preventing unplanned hospitalisations of older adults living in nursing homes: the GERONTACCESS cluster randomized clinical trial. BMC Geriatr. 2022;22(1):991. http://dx.doi.org/10.1186/s12877-022-03575-6
10. Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021;372:n71. https://doi.org/10.1136/bmj.n71
11. Moher D, Liberati A, Telzlaff J, Altman D. Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement. PLoS Med. 2009;6(6):e1000097. http://dx.doi.org/10.1371/journal.pmed.1000097
12. Higgins JPT. Cochrane handbook for systematic reviews of interventions. 2nd ed. Higgins J, Thomas J, editors. Hoboken, NJ: Wiley-Blackwell; 2019. http://dx.doi.org/10.1002/9781119536604
13. Hong QN, Pluye P, Fàbregues S, Bartlett G, Boardman F, Cargo M, et al. Improving the content validity of the mixed methods appraisal tool: a modified e-Delphi study. J Clin Epidemiol. 2019;111:49-59.e1. http://dx.doi.org/10.1016/j.jclinepi.2019.03.008
14. Hong QN, Gonzalez-Reyes A, Pluye P. Improving the usefulness of a tool for appraising the quality of qualitative, quantitative, and mixed methods studies, the Mixed Methods Appraisal Tool (MMAT). J Eval Clin Pract. 2018;24(3):459–67. http://dx.doi.org/10.1111/jep.12884
15. Pace R, Pluye P, Bartlett G, Macaulay AC, Salsberg J, Jagosh J, et al. Testing the reliability and efficiency of the pilot Mixed Methods Appraisal Tool (MMAT) for systematic mixed studies review. Int J Nurs Stud. 2012;49(1):47–53. http://dx.doi.org/10.1016/j.ijnurstu.2011.07.002
16. Kidholm K, Clemensen J, Caffery LJ, Smith AC. The Model for Assessment of Telemedicine (MAST): A scoping review of empirical studies. Journal of telemedicine and telecare. 2017 Oct 1;23(9):803–13. http://dx.doi.org/10.1177/1357633X17721815
17. Kidholm K, Ekeland AG, Jensen LK, Rasmussen J, Pedersen CD, Bowes A, et al. A model for assessment of telemedicine applications: mast. International journal of technology assessment in health care. 2012 Jan;28(1):44–51. http://dx.doi.org/10.1177/1357633X17721815
18. Clarke V, Braun V. Teaching thematic analysis: Over- coming challenges and developing strategies for effective learning. Psychologist. 2013;26(2):120–3. http://eprints.uwe.ac.uk/21155%5Cnhttp://www.thepsychologist.org.uk/archive/archive_home.cfm?volumeID=26&editionID=222&Article
19. Ali L, Wallström S, Fors A, Barenfeld E, Fredholm E, Fu M, et al. Effects of Person-Centered Care Using a Digital Platform and Structured Telephone Support for People with Chronic Obstructive Pulmonary Disease and Chronic Heart Failure: Randomized Controlled Trial. J Med Internet Res 2021;23(12):e26794. http://dx.doi.org/10.2196/26794
20. Ali L, Wallström S, Ekman I, Swedberg K, Fors A. Effects of person-centred care via telephone on self-efficacy in patients with chronic obstructive pulmonary disease: Subgroup analysis of a randomized controlled trial. Nursing open. 2021;8(2):927–35. http://dx.doi.org/10.1002/nop2.701
21. An J, Ryu HK, Lyu SJ, Yi HJ, Lee BH. Effects of preoperative telerehabilitation on muscle strength, range of motion, and functional outcomes in candidates for total knee arthroplasty: A single-blind randomized controlled trial. Int J Environ Res Public Health. 2021;18(11):6071. http://dx.doi.org/10.3390/ijerph18116071
22. Delbaere K, Valenzuela T, Lord SR, Clemson L, Zijlstra G, Close J. E-health StandingTall balance exercise for fall prevention in older people: results of a two-year randomised controlled trial. BMJ. 2021;373. https://doi.org/10.1136/bmj.n740
23. Esmaeilpour-BandBoni M, Gholami-Shilsar F, Khanaki K. The Effects of Telephone-Based Telenursing on Glycated Hemoglobin Among Older Adults with Type 2 Diabetes Mellitus: A Randomized Controlled Trial. Journal for Nurse Practitioners. 2021 Mar 1;17(3):305–9. http://dx.doi.org/10.1016/j.nurpra.2020.09.015
24. Gao L, Dahmen A, Keller FM, Becker P, Lippke S. The mediation effect of phobic anxiety on the treatment outcome of activity and participation across age: Comparison between online and face-to-face rehabilitation aftercare of an RCT. Int J Environ Res Public Health. 2021;18(20):10919. http://dx.doi.org/10.3390/ijerph182010919
25. Główczyńska R, Piotrowicz E, Szalewska D, Piotrowicz R, Kowalik I, Pencina MJ, et al. Effects of hybrid comprehensive telerehabilitation on cardiopulmonary capacity in heart failure patients depending on diabetes mellitus: subanalysis of the TELEREH-HF randomized clinical trial. Cardiovasc Diabetol. 2021;20(1):106. http://dx.doi.org/10.1186/s12933-021-01292-9
26. McGillion MH, Parlow J, Borges FK, Marcucci M, Jacka M, Adili A, et al. Post-discharge after surgery Virtual Care with Remote Automated Monitoring-1 (PVC-RAM-1) technology versus standard care: randomised controlled trial. BMJ. 2021;374:n2209. http://dx.doi.org/10.1136/bmj.n2209
27. Munk T, Svendsen JA, Knudsen AW, Østergaard TB, Thomsen T, Olesen SS, et al. A multimodal nutritional intervention after discharge improves quality of life and physical function in older patients - a randomized controlled trial. Clin Nutr. 2021;40(11):5500–10. http://dx.doi.org/10.1016/j.clnu.2021.09.029
28. Van Loon-van Gaalen M, van der Linden MC, Gussekloo J, van der Mast RC. Telephone follow-up to reduce unplanned hospital returns for older emergency department patients: A randomized trial. J Am Geriatr Soc. 2021;69(11):3157–66. http://dx.doi.org/10.1111/jgs.17336
29. Ali L, Wallström S, Barenfeld E, Fors A, Fredholm E, Gyllensten H, et al. Person-centred care by a combined digital platform and structured telephone support for people with chronic obstructive pulmonary disease and/or chronic heart failure: study protocol for the PROTECT randomised controlled trial. BMJ Open. 2020;10(7):e036356. http://dx.doi.org/10.1136/bmjopen-2019-036356
30. Fors A, Blanck E, Ali L, Ekberg-Jansson A, Fu M, Lindström Kjellberg I, et al. Effects of a person-centred telephone-support in patients with chronic obstructive pulmonary disease and/or chronic heart failure - A randomized controlled trial. PLoS One. 2018;13(8):e0203031. http://dx.doi.org/10.1371/journal.pone.0203031
31. An JA, Ryu HK, Lyu SJ, Yi HJ, Lee BH. Effects of preoperative rehabilitation program with smart technology on muscle strength, pain, physical function, gait and psychosocial attribute in elderly woman with total knee arthroplasty Status: Approved First Submitted Date: 2021/01/11 Registered. 2021.
32. Delbaere K, Valenzuela T, Woodbury A, Davies T, Yeong J, Steffens D, et al. Evaluating the effectiveness of a home-based exercise programme delivered through a tablet computer for preventing falls in older community-dwelling people over 2 years: study protocol for the Standing Tall randomised controlled trial. BMJ Open. 2015;5(10):e009173. http://dx.doi.org/10.1136/bmjopen-2015-009173
33. Dahmen Alina. Effectiveness and Equivalence of an Internet-based Virtual Classroom Intervention for Psychosomatic Aftercare [Internet]. U. S. National Library of Medicine. 2022. https://www.clinicaltrials.gov/study/NCT04989842?cond=Effectiveness and Equivalence of an Internet-based Virtual Classroom Intervention for Psychosomatic Aftercare&rank=1
34. Piotrowicz E, Pencina MJ, Opolski G, Zareba W, Banach M, Kowalik I, et al. Effects of a 9-week hybrid comprehensive telerehabilitation program on long-term outcomes in patients with heart failure: The telerehabilitation in Heart Failure Patients (TELEREH-HF) randomized clinical trial: JAMA Cardiol. 2020;5(3):300–8. http://dx.doi.org/10.1001/jamacardio.2019.5006
35. Piotrowicz E, Piotrowicz R, Opolski G, Pencina M, Banach M, Zaręba W. Hybrid comprehensive telerehabilitation in heart failure patients (TELEREH-HF): A randomized, multicenter, prospective, open-label, parallel group-controlled trial-Study design and description of the intervention. American heart journal. 2019 Nov 1;217:148–58. http://dx.doi.org/10.1016/j.ahj.2019.08.015
36. Główczyńska R, Piotrowicz E, Szalewska D, Piotrowicz R, Kowalik I, Pencina MJ. Applying Telemedicine in a Model of Implementing Cardiac Rehabilitation in Heart Failure Patients. https://clinicaltrials.gov/study/NCT02523560?tab=results
37. McGillion MH, Parlow J, Borges FK, Marcucci M, Jacka M, Adili A, et al. Post Discharge after Surgery Virtual Care with Remote Automated Monitoring Technology (PVC-RAM): protocol for a randomized controlled trial. CMAJ Open. 2021;9(1):E142–8. http://dx.doi.org/10.9778/cmajo.20200176
38. Munk T, Svendsen JA, Knudsen AW, Østergaard TB, Beck AM. Effect of nutritional interventions on discharged older patients: study protocol for a randomized controlled trial. Trials. 2020;21(1). http://dx.doi.org/10.1186/s13063-020-04301-6
39. World Health Organization. WHO guideline: recommendations on digital interventions for health system strengthening. [Internet]. Geneva: World Health Organization. 2019;2(1):1–3. https://www.who.int/publications/i/item/9789241550505
40. Pan American Health Organization (PAHO). COVID-19 and telemedicine [Internet]. 2020 [cited 2023 Jul 6]. p. 1–13. https://www3.paho.org/ish/index.php/en/telemedicine
41. Buyl R, Beogo I, Fobelets M, Deletroz C, Van Landuyt P, Dequanter S, et al. e-Health interventions for healthy aging: a systematic review. Syst Rev. 2020;9(1):128. http://dx.doi.org/10.1186/s13643-020-01385-8
42. Chen YY, Guan BS, Li ZK, Yang QH, Xu TJ, Li HB, et al. Application of telehealth intervention in Parkinson’s disease: A systematic review and meta-analysis. J Telemed Telecare. 2020;26(1–2):3–13. http://dx.doi.org/10.1177/1357633X18792805
43. Wang Q, Lee RLT, Hunter S, Chan SWC. The effectiveness of internet-based telerehabilitation among patients after total joint arthroplasty: A systematic review and meta-analysis of randomised controlled trials. J Telemed Telecare. 2023;29(4):247–60. http://dx.doi.org/10.1177/1357633X20980291
44. Huang Z, Wu S, Yu T, Hu A. Efficacy of telemedicine for patients with chronic wounds: A meta-analysis of randomized controlled trials. Adv Wound Care (New Rochelle). 2021;10(2):103–12. http://dx.doi.org/10.1089/wound.2020.1169
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