PDF(Pubmed)
Abstract：
BACKGROUND: Despite the well-documented health benefits associated with wearable monitoring devices (WMDs), adherence among community-dwelling older adults remains low. By providing guidance on the purpose and benefits of using WMDs, facilitating goal-setting aligned with the device\'s features, promoting comprehension of the health data captured by the device, and assisting in overcoming technological challenges, peers and health care professionals can potentially enhance older adults\' adherence to WMDs. However, the effectiveness of such support mechanisms in promoting adherence to WMDs among older adults remains poorly understood.
OBJECTIVE: The aims of this systematic review were to examine the effects of peer- or professional-led intervention programs designed to improve adherence to WMDs among community-dwelling older adults and to identify the intervention components that may positively influence the effects of the intervention.
METHODS: We conducted a comprehensive search across 7 electronic databases (Cochrane Central Register of Controlled Trials [CENTRAL], PubMed, EMBASE, PsycINFO, British Nursing Index, Web of Science, and CINAHL) to identify articles published between January 1, 2010, and June 26, 2023. We specifically targeted randomized controlled trials that examined the impact of peer- or professional-led interventions on enhancing adherence to WMDs among individuals aged 60 years and older residing in the community. Two independent reviewers extracted data from the included studies and assessed the potential risk of bias in accordance with the Cochrane Risk of Bias tool for randomized trials, version 2.
RESULTS: A total of 10,511 studies were identified through the database search. Eventually, we included 3 randomized controlled trials involving 154 community-dwelling older adults. The participants had a mean age of 65 years. Our review revealed that increasing awareness of being monitored and implementing the SystemCHANGE approach, a habit change tool focusing on personal goals and feedback, were effective strategies for enhancing adherence to WMDs among older adults. All of the included studies exhibited a low risk of bias.
CONCLUSIONS: By collaboratively designing specific goals related to WMDs with health care professionals, including nurses and physicians, older adults exhibited a higher likelihood of adhering to the prescribed use of WMDs. These goal-setting tools provided a framework for structure and motivation, facilitating the seamless integration of WMDs into their daily routines. Researchers should prioritize interventions that target awareness and goal-setting as effective approaches to enhance adherence to WMDs among older adults, thereby maximizing the realization of associated health benefits.
OBJECTIVE: The aims of this systematic review were to examine the effects of peer- or professional-led intervention programs designed to improve adherence to WMDs among community-dwelling older adults and to identify the intervention components that may positively influence the effects of the intervention.
METHODS: We conducted a comprehensive search across 7 electronic databases (Cochrane Central Register of Controlled Trials [CENTRAL], PubMed, EMBASE, PsycINFO, British Nursing Index, Web of Science, and CINAHL) to identify articles published between January 1, 2010, and June 26, 2023. We specifically targeted randomized controlled trials that examined the impact of peer- or professional-led interventions on enhancing adherence to WMDs among individuals aged 60 years and older residing in the community. Two independent reviewers extracted data from the included studies and assessed the potential risk of bias in accordance with the Cochrane Risk of Bias tool for randomized trials, version 2.
RESULTS: A total of 10,511 studies were identified through the database search. Eventually, we included 3 randomized controlled trials involving 154 community-dwelling older adults. The participants had a mean age of 65 years. Our review revealed that increasing awareness of being monitored and implementing the SystemCHANGE approach, a habit change tool focusing on personal goals and feedback, were effective strategies for enhancing adherence to WMDs among older adults. All of the included studies exhibited a low risk of bias.
CONCLUSIONS: By collaboratively designing specific goals related to WMDs with health care professionals, including nurses and physicians, older adults exhibited a higher likelihood of adhering to the prescribed use of WMDs. These goal-setting tools provided a framework for structure and motivation, facilitating the seamless integration of WMDs into their daily routines. Researchers should prioritize interventions that target awareness and goal-setting as effective approaches to enhance adherence to WMDs among older adults, thereby maximizing the realization of associated health benefits.
摘要：
背景：尽管与可穿戴监测设备（WMD）相关的健康益处有据可查，社区居住的老年人的依从性仍然很低。通过提供有关使用大规模杀伤性武器的目的和好处的指导，促进与设备功能一致的目标设定，促进对设备捕获的健康数据的理解，协助克服技术挑战，同龄人和医疗保健专业人员可能会提高老年人对大规模杀伤性疾病的依从性。然而,这种支持机制在促进老年人坚持使用WMD方面的有效性仍然知之甚少.
目的：本系统评价的目的是研究同行或专业主导的干预计划的效果，这些计划旨在提高社区居住老年人对WMD的依从性，并确定可能对干预效果产生积极影响的干预因素。
方法：我们在7个电子数据库（Cochrane中央对照试验注册[CENTRAL]，PubMed,EMBASE,PsycINFO,英国护理指数，WebofScience,和CINAHL)来识别2010年1月1日至2023年6月26日之间发表的文章。我们特别针对随机对照试验，研究了同行或专业主导的干预措施对提高社区60岁及以上人群对WMD依从性的影响。两名独立评审员从纳入的研究中提取数据，并根据随机试验的Cochrane偏差风险工具评估潜在的偏差风险。版本2。
结果：通过数据库搜索确定了总共10,511项研究。最终,我们纳入了3项随机对照试验,涉及154名社区老年人.参与者的平均年龄为65岁。我们的审查表明，人们越来越意识到被监测和实施SystemCHANGE方法，一种专注于个人目标和反馈的习惯改变工具，是提高老年人对WMD依从性的有效策略。所有纳入的研究均显示出低偏倚风险。
结论：通过与卫生保健专业人员合作设计与大规模杀伤性武器相关的具体目标，包括护士和医生，老年人坚持使用WMD的可能性更高。这些目标设定工具为结构和动机提供了框架，促进大规模杀伤性武器无缝集成到他们的日常生活中。研究人员应优先考虑以意识和目标设定为目标的干预措施，作为提高老年人对大规模杀伤性武器依从性的有效方法，从而最大限度地实现相关的健康益处。
目的：本系统评价的目的是研究同行或专业主导的干预计划的效果，这些计划旨在提高社区居住老年人对WMD的依从性，并确定可能对干预效果产生积极影响的干预因素。
方法：我们在7个电子数据库（Cochrane中央对照试验注册[CENTRAL]，PubMed,EMBASE,PsycINFO,英国护理指数，WebofScience,和CINAHL)来识别2010年1月1日至2023年6月26日之间发表的文章。我们特别针对随机对照试验，研究了同行或专业主导的干预措施对提高社区60岁及以上人群对WMD依从性的影响。两名独立评审员从纳入的研究中提取数据，并根据随机试验的Cochrane偏差风险工具评估潜在的偏差风险。版本2。
结果：通过数据库搜索确定了总共10,511项研究。最终,我们纳入了3项随机对照试验,涉及154名社区老年人.参与者的平均年龄为65岁。我们的审查表明，人们越来越意识到被监测和实施SystemCHANGE方法，一种专注于个人目标和反馈的习惯改变工具，是提高老年人对WMD依从性的有效策略。所有纳入的研究均显示出低偏倚风险。
结论：通过与卫生保健专业人员合作设计与大规模杀伤性武器相关的具体目标，包括护士和医生，老年人坚持使用WMD的可能性更高。这些目标设定工具为结构和动机提供了框架，促进大规模杀伤性武器无缝集成到他们的日常生活中。研究人员应优先考虑以意识和目标设定为目标的干预措施，作为提高老年人对大规模杀伤性武器依从性的有效方法，从而最大限度地实现相关的健康益处。
