Leveraging digital technology for social connectedness among adults with chronic conditions: A systematic review.
Leveraging digital technology for social connectedness among adults with chronic conditions: A systematic review.
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DOI：
10.1177/20552076231204746
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发表时间：
2023-01
期刊：
影响因子：
3.9
通讯作者：
Patel, Khushi
中科院分区：
文献类型：
--
作者：
Wright, Pamela J.;Raynor, Phyllis A.;Bowers, Dana;Combs, Elizabeth M.;Corbett, Cynthia F.;Hardy, Hannah;Patel, Khushi
关键词：
回顾数字技术对患有一种或多种慢性健康状况的成年人的社会联系的影响的证据。对PubMed、Embase、Social Sciences、CINAHL和Compendex进行了系统性检索，以获得2012年至2023年期间发表的全文、同行评审经验证据，并使用PRISMA流程图进行了报告。使用Joanna Briggs Institute检查表对文章进行了批判性评价。具体的数据提取的基础上的框架，社会身份和技术方法的健康结果，然后进行分析和合成。34项研究符合研究标准。有证据表明，研究方法、慢性健康状况、数字技术和健康结果之间存在异质性。技术使用受到可用性、匿名性、可用性和控制等因素的影响。更先进的数字技术需要更高的数字素养和改进的可访问性功能/修改。社会支持是社会联系的最重要方面。情感和信息形式的社会支持最多的报告，工具性支持是最不可能提供。在7篇文章中考虑了使用技术的自我效能。16篇文章报告了健康结局：31.2%（n = 5）仅描述了心理健康结局，18.8%（n = 3）仅报告了身体健康结局，31.2%（n = 5）详细描述了身体和心理健康结局，而18.8%（n = 3）表示幸福或生活质量结局。大多数情况下，健康结果是积极的，也注意到某些群体的负面结果。利用数字技术促进社会联系有可能影响积极的健康结果。需要进一步研究，以更好地了解技术在不同背景和慢性健康状况的人群中的社会融合，以加强和调整数字干预措施。
To review the evidence about the impact of digital technology on social connectedness among adults with one or more chronic health conditions. PubMed, Embase, Social Sciences, CINAHL, and Compendex were systematically searched for full-text, peer-reviewed empirical evidence published between 2012 and 2023 and reported using the PRISMA flow diagram. Articles were critically appraised applying the Joanna Briggs Institute checklists. Specific data were extracted based on the framework for social identity and technology approaches for health outcomes and then analyzed and synthesized. Thirty-four studies met study criteria. Evidence showed heterogeneity among research methodology, chronic health conditions, digital technology, and health outcomes. Technology use was influenced by factors such as usability, anonymity, availability, and control. More advanced digital technologies require higher digital literacy and improved accessibility features/modifications. Social support was the most measured aspect of social connectedness. The emotional and informational forms of social support were most reported; instrumental support was the least likely to be delivered. Self-efficacy for using technology was considered in seven articles. Sixteen articles reported health outcomes: 31.2% (n = 5) described mental health outcomes only, 18.8% (n = 3) reported physical health outcomes only, 31.2% (n = 5) detailed both physical and mental health outcomes, whereas 18.8% (n = 3) denoted well-being or quality-of-life outcomes. Most often, health outcomes were positive, with negative outcomes for selected groups also noted. Leveraging digital technology to promote social connectedness has the potential to affect positive health outcomes. Further research is needed to better understand the social integration of technology among populations with different contexts and chronic health conditions to enhance and tailor digital interventions.
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