Faculty of Medicine and Pharmacy, Department of Public Health Sciences, Biostatistics and Medical Informatics(BISI) Research Group, Vrije Universiteit Brussel (VUB), Brussels, Belgium.
École des sciences infirmières et des études de la santé/School of Nursing and Health Studies, Université de Saint-Boniface, Winnipeg, Manitoba, Canada.
Syst Rev. 2020 Jun 3;9(1):128. doi: 10.1186/s13643-020-01385-8.
Healthy aging (HA) is a contemporary challenge for population health worldwide. Electronic health (e-Health) interventions have the potential to support empowerment and education of adults aged 50 and over.
To summarize evidence on the effectiveness of e-Health interventions on HA and explore how specific e-Health interventions and their characteristics effectively impact HA.
A systematic review was conducted based on the Cochrane Collaboration methods including any experimental study design published in French, Dutch, Spanish, and English from 2000 to 2018.
Fourteen studies comparing various e-Health interventions to multiple components controls were included. The target population, type of interventions, and outcomes measured were very heterogeneous across studies; thus, a meta-analysis was not possible. However, effect estimates indicate that e-Health interventions could improve physical activity. Positive effects were also found for other healthy behaviors (e.g., healthy eating), psychological outcomes (e.g., memory), and clinical parameters (e.g., blood pressure). Given the low certainty of the evidence related to most outcomes, these results should be interpreted cautiously.
This systematic review found limited evidence supporting the effectiveness of e-Health interventions, although the majority of studies show positive effects of these interventions for improving physical activity in older adults. Thus, better quality evidence is needed regarding the effects of e-Health on the physiological, psychological, and social dimensions of HA.
The review protocol was registered in PROSPERO (registration number: CRD42016033163).
健康老龄化（HA）是全球人口健康的当代挑战。电子健康（e-Health）干预措施有可能支持 50 岁及以上成年人的赋权和教育。
总结电子健康干预措施对 HA 的有效性的证据，并探讨特定的电子健康干预措施及其特征如何有效影响 HA。
根据 Cochrane 协作方法进行系统评价，包括 2000 年至 2018 年期间以法语、荷兰语、西班牙语和英语发表的任何实验研究设计。
共纳入 14 项比较各种电子健康干预措施与多种对照措施的研究。研究人群、干预类型和测量的结果在研究之间非常不同；因此，不可能进行荟萃分析。然而，效应估计表明，电子健康干预措施可以改善身体活动。对于其他健康行为（如健康饮食）、心理结果（如记忆）和临床参数（如血压）也发现了积极的影响。鉴于大多数结果的证据确定性较低，应谨慎解释这些结果。
这项系统评价发现了有限的证据支持电子健康干预措施的有效性，尽管大多数研究表明这些干预措施对改善老年人的身体活动有积极影响。因此，需要更好的电子健康对 HA 的生理、心理和社会维度影响的证据。
该综述方案已在 PROSPERO（注册号：CRD42016033163）中注册。
