Accepted for/Published in: Journal of Medical Internet Research
Date Submitted: Oct 12, 2023
Date Accepted: Apr 23, 2024
The effects of peer- or professional-led support in enhancing adherence to wearable monitoring devices among community-dwelling older adults: a systematic review of randomized controlled trials
ABSTRACT
Background:
Despite the health benefits provided, adherence to wearable monitoring devices (WMDs) among community-dwelling older adults is low. Little is known about their effectiveness and what intervention components may influence intervention effects.
Objective:
The aims of this systematic review were to examine the effects of peer- or professional-led intervention programmes designed to improve adherence to WMDs among community-dwelling older adults, and to identify the intervention components that may positively influence the effects of the intervention.
Methods:
We systematically searched seven databases from 1 January 2010 to 26 June 2023. We included randomized controlled trials that evaluated the effect of peer- or professional-led interventions aimed at enhancing WMD adherence (versus no intervention or the usual care) among community-dwelling people aged 60 or above.
Results:
Three randomized controlled trials involving 154 community-dwelling older adults were included. Our review found that awareness of being monitored and the SystemCHANGE approach, which is a habit change tool targeting personal goals with feedback, were effective in enhancing adherence to WMDs.
Conclusions:
Researchers should consider incorporating behavioural change components into intervention programmes. Additional empirical studies are needed to further evaluate the effectiveness of peer- or professional-led interventions in improving adherence to WMDs. Clinical Trial: The protocol was registered on the International Prospective Register of Systematic Reviews (PROSPERO; Reference No.: CRD42023395459).
Citation
Request queued. Please wait while the file is being generated. It may take some time.
Copyright
© The authors. All rights reserved. This is a privileged document currently under peer-review/community review (or an accepted/rejected manuscript). Authors have provided JMIR Publications with an exclusive license to publish this preprint on it's website for review and ahead-of-print citation purposes only. While the final peer-reviewed paper may be licensed under a cc-by license on publication, at this stage authors and publisher expressively prohibit redistribution of this draft paper other than for review purposes.