The effects of mHealth in geriatric rehabilitation on health status: A systematic review.

Autor: Oostrik L; Leiden University Medical Center, Department of Public Health and Primary Care, Leiden, The Netherlands; University Network for the Care sector Zuid-Holland, Leiden University Medical Center, Leiden, the Netherlands; Healthcare organisation Pieter van Foreest, Department Rehabilitation and Recovery, Delft, The Netherlands. Electronic address: l.oostrik@lumc.nl., Holstege M; Omring, Department of Research Omring, Hoorn, The Netherlands; Inholland University of Applied Sciences, Research Group Geriatric Rehabilitation, Centre of Expertise Prevention in Health and Social Care, Faculty of Health, Sports and Social Work, Amsterdam, The Netherlands., Meesters J; Basalt Rehabilitation Centre, Department of Innovation, Quality + Research, The Hague and Leiden, The Netherlands; The Hague University for Applied Sciences, Faculty of Health, Nutrition and Sports, The Hague, The Netherlands., Achterberg W; Leiden University Medical Center, Department of Public Health and Primary Care, Leiden, The Netherlands; University Network for the Care sector Zuid-Holland, Leiden University Medical Center, Leiden, the Netherlands., Isselt EFVDV; Leiden University Medical Center, Department of Public Health and Primary Care, Leiden, The Netherlands; University Network for the Care sector Zuid-Holland, Leiden University Medical Center, Leiden, the Netherlands; Healthcare organisation Pieter van Foreest, Department Rehabilitation and Recovery, Delft, The Netherlands.
Jazyk: angličtina
Zdroj: Archives of gerontology and geriatrics [Arch Gerontol Geriatr] 2025 Feb; Vol. 129, pp. 105654. Date of Electronic Publication: 2024 Oct 10.
DOI: 10.1016/j.archger.2024.105654
Abstrakt: Background: Geriatric rehabilitation positively influences health outcomes in older adults after acute events. Integrating mobile health (mHealth) technologies with geriatric rehabilitation may further improve outcomes by increasing therapy time and independence, potentially enhancing functional recovery. Previous reviews have highlighted positive outcomes but also the need for further investigation of populations receiving geriatric rehabilitation.
Objective: Our main objective was to assess the effects of mHealth applications on the health status of older adults after acute events. A secondary objective was to examine the structure and process elements reported in these studies.
Methods: Systematic review, including studies from 2010 to January 2024. Studies were eligible if they involved older adults' post-acute care and used mHealth interventions, measured health outcomes and compared intervention and control groups. The adjusted Donabedian Structure-Process-Outcome (SPO) framework was used to present reported intervention processes and structures.
Results: After initial and secondary screenings of the literature, a total of nine studies reporting 26 health outcomes were included. mHealth interventions ranged from mobile apps to wearables to web platforms. While most outcomes showed improvement in both the intervention and control groups, a majority favored the intervention groups. Reporting of integration into daily practice was minimal.
Conclusion: While mHealth shows positive effects on health status in geriatric rehabilitation, the variability in outcomes and methodologies among studies, along with a generally high risk of bias, suggest cautious interpretation. Standardized measurement approaches and co-created interventions are needed to enhance successful uptake into blended care and keep geriatric rehabilitation accessible and affordable.
Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2024. Published by Elsevier B.V.)
Databáze: MEDLINE
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