Jelena Arsenijevic|Lars Tummers|Niels Bosma
Adherence to Electronic Health Tools Among Vulnerable Groups: Systematic Literature Review and Meta-Analysis
Utrecht University|Utrecht University|Utrecht University
electronic health ehealth tools increasingly applied health care expected improve access health care quality health care health outcomes although advantages using tools health care well described unknown extent ehealth tools effective used vulnerable population groups elderly people low socioeconomic status single parents minorities immigrantsthis study aimed examine whether design implementation characteristics ehealth tools contribute better use tools among vulnerable groupsin systematic review assessed design implementation characteristics ehealth tools used vulnerable groups metaanalysis used adherence rate effect size measure adherence rate defined number people repetitive users ie use ehealth tool also performed metaregression analysis examine different design implementation characteristics influenced adherence ratecurrently ehealth tools continuously used vulnerable groups small extent ehealth tools use multimodal content videos possibility direct communication providers show improved adherence among vulnerable groupsehealth tools use multimodal content provide possibility direct communication providers higher adherence among vulnerable groups however ehealth tools embedded within health care system usually focused specific problems diabetes obesity hence provide comprehensive services patients limits use ehealth tools replacement existing health care services