Stefania Martignon, Andrea Cortes, Viviana Avila, Karina Velasco, Ninoska Abreu-Placeres, Vicente Aranguiz, Miriam Bullen, Rodrigo Giacaman, Zilson Malheiros, Amaury Pozos-Guillén, Fabio Sampaio, Constanza Ella Fernández, Mauricio García, Mónica González-Montero, Sylvia Gudiño-Fernandez, Fernando Neves Hugo, María Isabel Pardo-Silva, Lupe Salazar, Aldo Squassi, Olga Lucía Zarta, Bernal Stewart, Sofía Jácome-Liévano
Core Cariology Curriculum Framework in Spanish for Latin American dental schools: development and consensus
Brazilian oral research
world rapid digital technology development lack digital health literacy dhl among older people cannot ignored dhl becoming essential competency facilitate health status health management older adults dhl interventions feasible appropriate implemented large scale health care system older people purpose metaanalysis assess effectiveness dhl interventions older adults english publications pubmed web science embase cochrane library searched inception november 20 2022 two reviewers independently completed data extraction quality assessment review manager version 54 cochrane informatics technology services software used metaanalyses total 7 studies including 2 randomized controlled trials 5 quasiexperimental studies involving 710 older adults considered eligible main outcome scores ehealth literacy scale secondary outcomes knowledge selfefficacy skills quasiexperimental studies compared baseline postintervention outcomes randomized controlled trials compared pre postintervention outcomes intervention group 7 studies 3 used facetoface instruction 4 adopted webbased interventions among 4 interventions conducted using theoretical guidance 3 intervention duration varied 2 8 weeks addition studies included conducted developed countries mainly united states pooled analysis presented dhl interventions positive effects ehealth literacy efficacy standardized mean difference 115 95 ci 046 184 p001 subgroup analysis revealed dhl interventions chose facetoface teaching standardized mean difference 115 95 ci 046 184 p001 guided conceptual framework standardized mean difference 115 95 ci 046 184 p001 sustained 4 weeks standardized mean difference 11 95 ci 046 184 p001 significant effect moreover outcomes showed considerable gains knowledge standardized mean difference 093 95 ci 054 131 p001 selfefficacy standardized mean difference 096 95 ci 016 177 p02 statistically significant effect found skills standardized mean difference 077 95 ci 030 185 p16 small number studies variable study quality heterogeneity limitations review dhl interventions positive effects health status health management older adults practical effective dhl interventions crucial use modern digital information technology managing health older people prospero international prospective register systematic reviews crd42023410204 httpswwwcrdyorkacukprosperodisplayrecordphprecordid410204