Michael Stellefson|Beth H. Chaney|Adam E. Barry|Enmanuel A. Chavarria|Bethany Tennant|Kim Walsh-Childers|Sriram Pothapregada|Justin Zagora
Web 2.0 Chronic Disease Self-Management for Older Adults: A Systematic Review
University of Florida Health|University of Florida Health|University of Florida Health|University of Florida Health|University of Florida Health|University of Florida|University of Florida|University of Florida Health
participatory web 20 interventions promote collaboration support chronic disease selfmanagement growth web 20 interventions led emergence epatient communication tools enable older adults 1 locate share disease management information 2 receive interactive healthcare advice evolution older epatients contributing web 20 health medical forums led greater opportunities achieving better chronic disease outcomes date review articles investigating planning implementation evaluation web 20 chronic disease selfmanagement interventions older adultsto review planning implementation overall effectiveness web 20 selfmanagement interventions older adults mean age 50 one chronic diseasesa systematic literature search conducted using six popular health science databases reaim reach efficacy adoption implementation maintenance model used organize findings compute study quality score sqs 15 reviewed articlesmost interventions adopted delivery multidisciplinary healthcare teams tested among small samples white females diabetes studies indicated web 20 participants felt greater selfefficacy managing diseases benefitted communicating health care providers andor website moderators receive feedback social support participants noted asynchronous communication tools eg email discussion boards progress tracking features eg graphical displays uploaded personal data particularly useful selfmanagement support despite high attrition noted problematic review suggests greater web 20 engagement may associated improvements health behaviors eg physical activity health status eg hrqol however studies indicated statistically significant improvements medication adherence biological outcomes health care utilization mean sqs scores notably low mean63 sd 18 studies judged weakest maintenance dimension reaim 13 reviewed studies 87 describe measures taken sustain web 20 effects past designated study time periods detailed process impact evaluation frameworks also missing almost half n7 reviewed interventionsthere need greater understanding costs benefits associated using patientcentered web 20 technologies chronic disease selfmanagement research needed determine whether longterm effectiveness programs sustainable among larger diverse samples chronically ill patients effective translation new knowledge social technologies engagement techniques likely result novel approaches empowering engaging educating older adults chronic disease