Jern-Matintupa Mirjam M, Riipinen Anita M, Laine Merja K
Department of General Practice and Primary Health Care, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Terveystalo, Helsinki, Finland.
Mayo Clin Proc Digit Health. 2025 Mar 18;3(2):100216. doi: 10.1016/j.mcpdig.2025.100216. eCollection 2025 Jun.
To assess the existing body of evidence and impact of digital interventions on occupational health care.
The search strategy and review process were conducted in accordance with the PRISMA guidelines. The search was carried out during a period from January 1, 2013 to June 5, 2023, using the SCOPUS and Ovid Medline databases. After the identification of the relevant records, screening was conducted in 3 stages, following specific predetermined inclusion and exclusion criteria. A data-extraction model was created on the basis of the aim of the review. The quality of the selected studies was evaluated using the Effective Public Health Practice framework. Owing to the heterogeneity of the outcome measures, we used narrative synthesis to summarize the findings.
We identified 382 records in SCOPUS and 441 in Ovid Medline. We selected 54 studies to be included in the evidence synthesis. The health targets of the interventions varied widely, but we identified 2 main focus areas: sedentary behavior (n=17, 32%) and mental health (n=14, 26%). Even when the studies had the same health target, the outcomes and chosen measures varied widely. Given the considerable effect of the primary outcome, mental health appears to be a good target for digital interventions. Online training and computer software could be especially effective.
The potential positive impact of digital interventions on mental health, especially online training, should be leveraged by health care professionals and providers. In order to provide more specific recommendations for health care professionals, occupational health care researchers should strive for consensus on outcome measures.
评估数字干预措施对职业卫生保健的现有证据及影响。
检索策略和综述过程按照PRISMA指南进行。检索于2013年1月1日至2023年6月5日期间进行，使用SCOPUS和Ovid Medline数据库。在识别出相关记录后，按照特定的预先确定的纳入和排除标准分三个阶段进行筛选。根据综述目的创建了一个数据提取模型。使用有效的公共卫生实践框架评估所选研究的质量。由于结果测量的异质性，我们采用叙述性综合来总结研究结果。
我们在SCOPUS中识别出382条记录，在Ovid Medline中识别出441条记录。我们选择了54项研究纳入证据综合分析。干预措施的健康目标差异很大，但我们确定了两个主要重点领域：久坐行为（n = 17，32%）和心理健康（n = 14，26%）。即使研究有相同的健康目标，结果和所选测量方法也差异很大。鉴于主要结果的显著影响，心理健康似乎是数字干预的一个良好目标。在线培训和计算机软件可能特别有效。
医疗保健专业人员和提供者应利用数字干预措施对心理健康，尤其是在线培训的潜在积极影响。为了向医疗保健专业人员提供更具体的建议，职业卫生保健研究人员应努力就结果测量达成共识。
