University of Dundee, UK.
NHS Tayside, UK.
Health Informatics J. 2017 Sep;23(3):218-233. doi: 10.1177/1460458216641479. Epub 2016 May 26.
Tailored messages are those that specifically target individuals following an assessment of their unique characteristics. This systematic review assesses the evidence regarding the effectiveness of tailoring within eHealth interventions aimed at chronic disease management. OVID Medline/Embase databases were searched for randomised control trials, controlled clinical, trials, before -after studies, and time series analyses from inception - May 2014. Objectively measured clinical processes/outcomes were considered. Twenty-two papers were eligible for inclusion: 6/22 used fully tailored messaging and 16/22 used partially tailored messages. Two studies isolated tailoring as the active component. The remainder compared intervention with standard care. In all, 12/16 studies measuring clinical processes and 2/6 studies reporting clinical outcomes showed improvements, regardless of target group. Study quality was low and design did not allow for identification of interventions' active component. Heterogeneity precluded meta-analysis. This review has demonstrated that there is a lack of evidence to suggest that tailoring within an eHealth context confers benefit over non-tailored eHealth interventions.
定制信息是指根据个体的独特特征进行特定目标定位的信息。本系统评价评估了针对慢性病管理的电子健康干预措施中定制信息的有效性的证据。从建库至 2014 年 5 月，我们在 OVID Medline/Embase 数据库中检索了随机对照试验、对照临床试验、前后对照研究和时间序列分析。考虑了客观测量的临床过程/结局。22 篇论文符合纳入标准：6/22 篇使用了完全定制的信息，16/22 篇使用了部分定制的信息。有两项研究将定制作为有效成分进行了单独研究。其余研究将干预与标准护理进行了比较。在所有测量临床过程的 12/16 项研究和报告临床结局的 2/6 项研究中，无论目标群体如何，都显示出了改善。研究质量较低，设计无法确定干预措施的有效成分。由于存在异质性，因此无法进行荟萃分析。本综述表明，没有证据表明电子健康环境中的定制信息比非定制的电子健康干预措施更有优势。
