Department of Nursing Science, University of Turku, Turku, Finland.
Department of Paediatrics and Adolescent Medicine, Turku University Hospital, Turku, Finland.
J Adv Nurs. 2020 Jun;76(6):1293-1306. doi: 10.1111/jan.14323. Epub 2020 Feb 19.
To define digital health services that have been studied among chronically ill adolescents and to describe e-health coaching elements that may have an impact on transition outcomes.
Systematic review without meta-analysis.
MEDLINE (Ovid), Pub Med, Scopus and CINAHL on 28 May 2018.
Peer-reviewed articles published between January 2008-May 2018 were reviewed following the Cochrane Handbook for Systematic Reviews of Interventions and reported according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses statement.
Twelve randomized controlled trials were included. The interventions varied significantly in duration and content. E-coaching that included human and social support showed positive impact on transition outcomes. Digital health services incorporated into usual care provide efficient and accessible care.
E-coaching elements enable tailoring and personalization and present a tool for supporting and motivating chronically ill adolescents during transition of care. Future research should evaluate the effectiveness of e-coaching elements.
Digital services are considered a means for increasing adolescents' motivation for self-care and for increasing their accessibility to health care. The coaching elements in digital services consist of a theoretical basis, human support, interactive means and social support. Included interventions varied in terms of duration, dose, content and design. Our results may serve the development of digital health services for adolescents in transition. E-coaching can be used to engage and motivate chronically ill adolescents to improve health behaviour and self-management during transition of care.
定义在慢性病青少年中进行研究的数字健康服务，并描述可能对过渡结果产生影响的电子健康教练要素。
系统评价，无荟萃分析。
2018 年 5 月 28 日，在 MEDLINE（Ovid）、Pub Med、Scopus 和 CINAHL 上进行了系统评价。
根据 Cochrane 干预系统评价手册对 2008 年 1 月至 2018 年 5 月期间发表的同行评审文章进行了审查，并根据系统评价和荟萃分析报告的首选报告项目进行了报告。
纳入了 12 项随机对照试验。干预措施在持续时间和内容上差异很大。包括人和社会支持的电子教练对过渡结果有积极影响。纳入常规护理的数字健康服务提供了高效和便捷的护理。
电子教练要素能够实现定制化和个性化，并为慢性病青少年在护理过渡期间提供支持和激励的工具。未来的研究应评估电子教练要素的有效性。
数字服务被认为是提高青少年自我保健动机和增加获得医疗保健机会的一种手段。数字服务中的教练要素包括理论基础、人员支持、互动手段和社会支持。纳入的干预措施在持续时间、剂量、内容和设计方面存在差异。我们的研究结果可以为过渡时期青少年数字健康服务的发展提供参考。电子教练可用于吸引和激励慢性病青少年，在护理过渡期间改善健康行为和自我管理。
