背景:在数字技术飞速发展的世界中,老年人缺乏数字健康素养(DHL)不容忽视。DHL正在成为一种基本能力,可以促进老年人的健康状况和健康管理。可行和适当的DHL干预措施可以通过老年人的医疗保健系统大规模实施。
目的:本荟萃分析的目的是评估DHL干预措施对老年人的有效性。
方法:PubMed中的英文出版物,WebofScience,Embase,从成立到2022年11月20日,搜索了Cochrane图书馆。两名评审员独立完成数据提取和质量评估。ReviewManager(5.4版;Cochrane信息学和技术服务)软件用于所有荟萃分析。
结果:共7项研究,包括2项随机对照试验和5项准实验研究,710名老年人被认为符合资格.主要结果是电子健康素养量表的得分,次要结果是知识,自我效能感,和技能。准实验研究比较了基线和干预后的结果,而随机对照试验比较了干预组干预前后的结局。在7项研究中,3使用面对面的指导,而4人采用了基于网络的干预措施。其中,其中4项干预措施是使用理论指导进行的,而3不是。干预持续时间从2到8周不等。此外,纳入的研究都是在发达国家进行的,主要在美国。汇总分析表明,DHL干预措施对电子健康素养功效有积极影响(标准化平均差异1.15,95%CI0.46至1.84;P=.001)。亚组分析显示,选择面对面教学的DHL干预措施(标准化均差1.15,95%CI0.46至1.84;P=0.001),以概念框架为指导(标准化平均差1.15,95%CI0.46至1.84;P=.001),并且持续超过4周(标准化平均差1.1,95%CI0.46~1.84;P=.001)有更显著的效果.此外,结果显示在知识(标准化平均差0.93,95%CI0.54~1.31;P<.001)和自我效能(标准化平均差0.96,95%CI0.16~1.77;P=.02)方面有相当大的提高.技能没有发现统计学上的显着影响(标准化平均差0.77,95%CI-0.30至1.85;P=.16)。少量的研究,可变的研究质量,和异质性是这篇综述的一些局限性。
结论:DHL干预措施对老年人的健康状况和健康管理具有积极影响。切实有效的DHL干预措施对于使用现代数字信息技术管理老年人的健康至关重要。
背景:PROSPERO国际系统评价前瞻性注册CRD42023410204;https://www.crd.约克。AC.uk/prospro/display_record.php?RecordID=410204。
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.
The purpose of this meta-analysis was to assess the effectiveness of DHL interventions for older adults.
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.
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<.001) and self-efficacy (standardized mean difference 0.96, 95% CI 0.16 to 1.77; P=.02). No statistically significant effect was found for
skills (standardized mean difference 0.77, 95% CI -0.30 to 1.85; P=.16). The small number of studies, variable study quality, and heterogeneity are some limitations of this review.
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.
PROSPERO International Prospective Register of Systematic Reviews CRD42023410204; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=410204.