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移动健康技术对改善老年人群健康行为的有效性——一项系统综述

Effectiveness of the mHealth technology in improvement of healthy behaviors in an elderly population-a systematic review.

作者信息

Changizi Maryam, Kaveh Mohammad H

机构信息

Department of Health Education & Promotion, Abadan school of Medical Sciences, Abadan, Iran.

Department of Health Education & Promotion, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran.

出版信息

Mhealth. 2017 Nov 27;3:51. doi: 10.21037/mhealth.2017.08.06. eCollection 2017.

Abstract

Demographic changes in the 21st century, increased population of the elderly and high prevalence of related diseases call for new healthcare strategies that can change the behavior and lifestyle of elderly individuals. Innovative information and communication technology, such as mobile health (mHealth), can play a significant role. The present study was conducted aiming to assess the effectiveness of mHealth in improving health behaviors among an elderly population. This paper presents a systematic review involving a search of PubMed, Web of Science (ISI), Scopus, Science Direct and Embase databases from [2012-2016]. Our search resulted after initial evaluations 12 articles. Inclusion criteria mostly revolved around interventional studies, other studies were excluded because of their methodology, non-elderly target groups and irrelevant to the subject. Findings showed that mHealth can improve care, self-management, self-efficacy, behavior promotion (quality of sleep, diet, physical activity mental health) and medication adherence. The mHealth technology has proven effective for disease prevention, lifestyle changes, management of cardiovascular disease and diabetes, and is a suitable tool for elderly people. In conclusion, it seems that mHealth can facilitate behavioral changes; although, further research is necessary in this regard.

摘要

21世纪的人口结构变化、老年人口的增加以及相关疾病的高患病率,都需要能够改变老年人行为和生活方式的新医疗策略。创新的信息通信技术,如移动健康(mHealth),可以发挥重要作用。本研究旨在评估移动健康在改善老年人群健康行为方面的有效性。本文呈现了一项系统综述,涉及对2012年至2016年期间PubMed、科学引文索引(ISI)、Scopus、Science Direct和Embase数据库的检索。经过初步评估,我们的检索得到了12篇文章。纳入标准主要围绕干预性研究,其他研究因方法、非老年目标群体以及与主题不相关而被排除。研究结果表明,移动健康可以改善护理、自我管理、自我效能、行为促进(睡眠质量、饮食、身体活动、心理健康)以及药物依从性。移动健康技术已被证明对疾病预防、生活方式改变、心血管疾病和糖尿病的管理有效,并且是适合老年人的工具。总之,移动健康似乎可以促进行为改变;不过,在这方面仍需要进一步研究。

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