Christie Rachel, Sadler Euan, Sait Matthew, Light Karen, Cox Chantel, Board Michele, Thomas Sarah, Walker Dawn-Marie, Allen-Pick Mark, Bradbury Katherine, Murphy Jane
Faculty of Health and Social Sciences, Bournemouth University, Bournemouth, UK.
School of Health Sciences, University of Southampton, Southampton, UK.
Digit Health. 2024 Dec 12;10:20552076241302230. doi: 10.1177/20552076241302230. eCollection 2024 Jan-Dec.
Globally, the prevalence of long-term conditions (LTCs) continues to rise. The impact of LTCs presents significant challenges for international health and social care systems and continues to be a leading cause of mortality. Despite this, digital health coaching interventions (DHCIs) appear to be a promising strategy for managing chronic disease. The aims of this systematic review and narrative synthesis were to explore the barriers and enablers for the use of DHCIs and to gather valuable information to inform the development of a new DHCI for LTC management.
Six major databases were searched for studies published in the English language between January 2012 and December 2022. Qualitative and mixed methods studies were included if there was an intervention of digital health coaching alongside the use of a digital component. Interventions were suitable if completed in community settings, amongst adults aged over 18 with a LTC, or amongst informal carers, health coaches, or health and care professionals. Included studies were assessed for quality, and results were analysed with narrative synthesis.
Ten studies met the inclusion criteria, covering a range of LTCs and interventions which included digital health coaching (telephone, video, online, text) and the use of a digital component (online, application-based). Results showed that DHCIs require personalisation and feedback, and cannot be overcomplex. Importantly, an element of human connection is favourable.
The acceptability of DHCIs is variable- and context-dependent. Further research is needed to focus on the breadth of LTCs in order to generalise findings.
在全球范围内，长期病症（LTCs）的患病率持续上升。长期病症的影响给国际卫生和社会护理系统带来了重大挑战，并且仍然是主要的死亡原因。尽管如此，数字健康指导干预措施（DHCIs）似乎是管理慢性病的一种有前景的策略。本系统评价和叙述性综合分析的目的是探讨使用数字健康指导干预措施的障碍和促进因素，并收集有价值的信息，为开发用于长期病症管理的新型数字健康指导干预措施提供参考。
检索了六个主要数据库，以查找2012年1月至2022年12月期间发表的英文研究。如果存在数字健康指导干预措施以及数字组件的使用，则纳入定性和混合方法研究。如果干预措施是在社区环境中、针对18岁以上患有长期病症的成年人、或针对非正式护理人员、健康指导师或卫生和护理专业人员完成的，则认为是合适的。对纳入的研究进行质量评估，并采用叙述性综合分析方法分析结果。
十项研究符合纳入标准，涵盖了一系列长期病症和干预措施，包括数字健康指导（电话、视频、在线、文本）以及数字组件的使用（在线、基于应用程序）。结果表明，数字健康指导干预措施需要个性化和反馈，且不能过于复杂。重要的是，人际联系的元素是有利的。
数字健康指导干预措施的可接受性是可变的且取决于具体情况。需要进一步开展研究，关注长期病症的范围，以便推广研究结果。
