Wright Pamela J, Raynor Phyllis A, Bowers Dana, Combs Elizabeth M, Corbett Cynthia F, Hardy Hannah, Patel Khushi
Department of Biobehavioral Health and Nursing Science, College of Nursing, University of South Carolina, Columbia, SC, USA.
Advancing Chronic Care Outcomes through Research and iNnovation (ACORN) Center, College of Nursing, University of South Carolina, Columbia, SC, USA.
Digit Health. 2023 Oct 3;9:20552076231204746. doi: 10.1177/20552076231204746. eCollection 2023 Jan-Dec.
To review the evidence about the impact of digital technology on social connectedness among adults with one or more chronic health conditions.
PubMed, Embase, Social Sciences, CINAHL, and Compendex were systematically searched for full-text, peer-reviewed empirical evidence published between 2012 and 2023 and reported using the PRISMA flow diagram. Articles were critically appraised applying the Joanna Briggs Institute checklists. Specific data were extracted based on the framework for social identity and technology approaches for health outcomes and then analyzed and synthesized.
Thirty-four studies met study criteria. Evidence showed heterogeneity among research methodology, chronic health conditions, digital technology, and health outcomes. Technology use was influenced by factors such as usability, anonymity, availability, and control. More advanced digital technologies require higher digital literacy and improved accessibility features/modifications. Social support was the most measured aspect of social connectedness. The emotional and informational forms of social support were most reported; instrumental support was the least likely to be delivered. Self-efficacy for using technology was considered in seven articles. Sixteen articles reported health outcomes: 31.2% ( = 5) described mental health outcomes only, 18.8% ( = 3) reported physical health outcomes only, 31.2% ( = 5) detailed both physical and mental health outcomes, whereas 18.8% ( = 3) denoted well-being or quality-of-life outcomes. Most often, health outcomes were positive, with negative outcomes for selected groups also noted.
Leveraging digital technology to promote social connectedness has the potential to affect positive health outcomes. Further research is needed to better understand the social integration of technology among populations with different contexts and chronic health conditions to enhance and tailor digital interventions.
回顾关于数字技术对患有一种或多种慢性健康状况的成年人社交联系影响的证据。
系统检索了PubMed、Embase、社会科学数据库、护理学与健康领域数据库（CINAHL）和工程索引数据库（Compendex），以获取2012年至2023年间发表的全文、同行评审的实证证据，并使用PRISMA流程图进行报告。根据乔安娜·布里格斯研究所的清单对文章进行严格评估。基于社会认同框架和健康结果的技术方法提取特定数据，然后进行分析和综合。
34项研究符合研究标准。证据显示，研究方法、慢性健康状况、数字技术和健康结果之间存在异质性。技术使用受到可用性、匿名性、可及性和控制权等因素的影响。更先进的数字技术需要更高的数字素养和改进的可及性特征/修改。社会支持是社交联系中测量最多的方面。最常报告的是社会支持的情感和信息形式；工具性支持最不可能提供。七篇文章考虑了使用技术的自我效能感。16篇文章报告了健康结果：31.2%（n = 5）仅描述了心理健康结果，18.8%（n = 3）仅报告了身体健康结果，31.2%（n = 5）详细说明了身心健康结果，而18.8%（n = 3）表示幸福感或生活质量结果。大多数情况下，健康结果是积极的，也注意到了特定群体的负面结果。
利用数字技术促进社交联系有可能影响积极的健康结果。需要进一步研究，以更好地了解不同背景和慢性健康状况人群中技术的社会整合情况，以加强和定制数字干预措施。
