TY - JOUR
T1 - A narrative synthesis systematic review of digital self-monitoring interventions for middle-aged and older adults
AU - Bartels, Sara Laureen
AU - Van Knippenberg, Rosalia J. M.
AU - Dassen, Fania C. M.
AU - Asaba, Eric
AU - Patomella, Ann-Helen
AU - Malinowsky, Camilla
AU - Verhey, Frans R. J.
AU - de Vugt, Marjolein E.
N1 - Funding Information:
This research was carried out as part of the H2020 Marie Skłodowska-Curie Actions Innovative Training Network (ITN) action, H2020-MSCA-ITN-2015, under grant agreement number 676265 .
Publisher Copyright:
© 2019 The Authors
PY - 2019/12
Y1 - 2019/12
N2 - Objective: Self-monitoring is crucial to raise awareness for own behaviors and emotions, and thus facilitate self-management. The composition of self-monitoring within interventions, however, varies and guidelines are currently unavailable. This review aimed to provide a comprehensive overview of technology-based self-monitoring interventions that intend to improve health in middle-aged and older adults (> 45 years).Methods: Five online databases were systematically searched and articles were independently screened. A narrative synthesis of 26 studies with 21 unique interventions was conducted. Primary focus lay on the composition of self-monitoring within interventions, including technology used, health-aspects monitored, and type of feedback provided. Secondly, the usability of/adherence to the self-monitoring treatment, intervention effects, and their sustainability were examined.Findings: Studies concentrated on middle-aged adults (mean of 51 years). Mobile technologies seem necessary to ensure flexible self-monitoring in everyday life. Social health aspects were rarely monitored. Mechanisms and the sustainability of intervention effect are understudied.Conclusion: Digital self-monitoring technologies hold promise for future trials as they seem suitable to understand and support health-related self-management. Key elements including automatic and personal feedback following the blended care principle were highlighted and may guide study designs. Prospectively, research is especially needed to study sustained self-monitoring to support disease prevention and lasting lifestyle changes.
AB - Objective: Self-monitoring is crucial to raise awareness for own behaviors and emotions, and thus facilitate self-management. The composition of self-monitoring within interventions, however, varies and guidelines are currently unavailable. This review aimed to provide a comprehensive overview of technology-based self-monitoring interventions that intend to improve health in middle-aged and older adults (> 45 years).Methods: Five online databases were systematically searched and articles were independently screened. A narrative synthesis of 26 studies with 21 unique interventions was conducted. Primary focus lay on the composition of self-monitoring within interventions, including technology used, health-aspects monitored, and type of feedback provided. Secondly, the usability of/adherence to the self-monitoring treatment, intervention effects, and their sustainability were examined.Findings: Studies concentrated on middle-aged adults (mean of 51 years). Mobile technologies seem necessary to ensure flexible self-monitoring in everyday life. Social health aspects were rarely monitored. Mechanisms and the sustainability of intervention effect are understudied.Conclusion: Digital self-monitoring technologies hold promise for future trials as they seem suitable to understand and support health-related self-management. Key elements including automatic and personal feedback following the blended care principle were highlighted and may guide study designs. Prospectively, research is especially needed to study sustained self-monitoring to support disease prevention and lasting lifestyle changes.
KW - Mobile technology
KW - Intervention
KW - Self-monitoring
KW - Momentary assessment
KW - Middle-aged and older adults
KW - ECOLOGICAL MOMENTARY ASSESSMENT
KW - EXPERIENCE SAMPLING RESEARCH
KW - BEHAVIOR-CHANGE
KW - EHEALTH INTERVENTIONS
KW - MOBILE-TECHNOLOGY
KW - HEALTH
KW - DESIGN
KW - MODEL
KW - TIME
U2 - 10.1016/j.invent.2019.100283
DO - 10.1016/j.invent.2019.100283
M3 - Article
C2 - 31890630
SN - 2214-7829
VL - 18
JO - Internet Interventions
JF - Internet Interventions
M1 - 100283
T2 - 10th Scientific Meeting of the International-Society-for-Research-on-Internet-Interventions (ISRII)
Y2 - 13 February 2019 through 15 February 2019
ER -