Bashir Ayisha Z, Yetman Anji, Wehrmann Melissa
The Child Health Research Institute (CHRI), The University of Nebraska Medical Center (UNMC), Omaha, NE 68198, USA.
Department of Pediatrics, Division of Cardiology, The University of Nebraska Medical Center, Omaha, NE 68198, USA.
Healthcare (Basel). 2024 Oct 16;12(20):2055. doi: 10.3390/healthcare12202055.
: The aim of the narrative review is to identify information on the impact of technological interventions (such as telehealth and mobile health) on the health promotion of cardiac patients from diverse populations. : The online databases of PubMed and the Cochrane Library were searched for articles in the English language regarding technological interventions for health promotion in cardiac patients. In addition, a methodological quality control process was conducted. Exclusion was based on first reading the abstract, and then the full manuscript was scanned to confirm that the content was not related to cardiac patients and technological interventions. : In all, 11 studies were included in this review after quality control analysis. The sample size reported in these studies ranged from 12 to 1424 subjects. In eight studies mobile phones, smartphones, and apps were used as mHealth interventions with tracking and texting components; two studies used videoconferencing as a digital intervention program, while three studies focused on using physical activity trackers. : This review highlights the positive aspects of patient satisfaction with the technological interventions including, but not limited to, accessibility to health care providers, sense of security, and well-being. The digital divide becomes apparent in the articles reviewed, as individuals with limited eHealth literacy and lack of technological knowledge are not motivated or able participate in these interventions. Finding methods to overcome these barriers is important and can be solved to some extent by providing the technology and technical support.
本叙述性综述的目的是确定有关技术干预措施(如远程医疗和移动医疗)对不同人群心脏病患者健康促进影响的信息。在PubMed和Cochrane图书馆的在线数据库中检索了关于心脏病患者健康促进技术干预措施的英文文章。此外,还进行了方法学质量控制过程。排除标准是先阅读摘要,然后扫描全文以确认内容与心脏病患者和技术干预措施无关。经过质量控制分析,本综述共纳入11项研究。这些研究报告的样本量从12至1424名受试者不等。八项研究将手机、智能手机和应用程序用作具有跟踪和短信功能的移动医疗干预措施;两项研究将视频会议用作数字干预项目,而三项研究专注于使用身体活动追踪器。本综述强调了患者对技术干预措施满意度的积极方面,包括但不限于与医疗服务提供者的可及性、安全感和幸福感。在所审查的文章中,数字鸿沟显而易见,因为电子健康素养有限且缺乏技术知识的个人没有动力或无法参与这些干预措施。找到克服这些障碍的方法很重要,并且可以通过提供技术和技术支持在一定程度上加以解决。