Accepted for/Published in: Journal of Medical Internet Research
Date Submitted: Oct 31, 2023
Date Accepted: Dec 20, 2024
Digital health education for chronic lung disease: a scoping review
ABSTRACT
Background:
Chronic lung disease (CLD) is one of the most prevalent non-communicable diseases globally, significantly burdening patients and increasing healthcare expenditures. Digital health education (DHE) is increasingly important in chronic disease prevention and management.
Objective:
We aimed to review the literature on digital health education for CLD and compare the satisfaction, feasibility, usability, reliability, and effectiveness in CLD patients between different DHE mediums.
Methods:
We searched PubMed, Web of Science, Embase, PsycINFO, and The Cochrane Library with the assistance of a librarian specialist. Articles were screened by the reviewer team with ASReview and Endnote X9 based on pre-defined inclusion and exclusion criteria and PRISMA guidelines. Quality assessment was conducted with the Critical Appraisal Skills Program tool. A descriptive analysis was used to summarize the study characteristics and DHE outcomes.
Results:
A total of 22 studies were included in this review. They were published between 2000 and 2022, showing an increasing publication trend with year, mostly in developed countries (17/22, 77.3%). Websites and mobile applications (10, 45.5%) were the most widely used DHE medium. Education on self-management skills of CLD was the primary topic (21, 95.5%), 4 (18.2%) of which mentioned DHE mechanisms. Majority of studies reported positive changes in CLD awareness (14/16, 87.5%), clinical outcomes (3/6, 50.0%), DHE feasibility, acceptability, and satisfaction (6/8, 75.0%), lifestyle outcomes (3/3, 100.0%), and psychosocial outcomes (7/8, 87.5%) were reported. Only two studies reported cost-effectiveness outcomes (2/22, 9.1%).
Conclusions:
Digital health education can improve disease awareness, clinical, psychosocial outcomes among chronic lung disease patients with good feasibility, satisfaction and acceptability. Future research should focus on how to reach and engage people with little access to digital technology in low- and middle-income countries, examine ideal intervention frequency and mechanisms, and consider the impact of DHE on lifestyle and cost-effectiveness outcomes.
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