Utilising Digital Health Technology to Support Patient-Healthcare Provider Communication in Fragility Fracture Recovery: Systematic Review and Meta-Analysis
The objective of this review is to evaluate the effectiveness of digital health supported targeted patient communication versus usual provision of health information, on the recovery of fragility fractures. The review considered studies including older people, aged 50 and above, with a fragility fra...
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doaj-8a8da7bb15344312bf9ba9fb122c2bb42020-11-25T02:50:06ZengMDPI AGInternational Journal of Environmental Research and Public Health1660-46012019-10-011620404710.3390/ijerph16204047ijerph16204047Utilising Digital Health Technology to Support Patient-Healthcare Provider Communication in Fragility Fracture Recovery: Systematic Review and Meta-AnalysisLalit Yadav0Ayantika Haldar1Unyime Jasper2Anita Taylor3Renuka Visvanathan4Mellick Chehade5Tiffany Gill6National Health and Medical Research Council Center for Research Excellence in Frailty and Healthy Ageing, Adelaide Medical School, The University of Adelaide, Adelaide, SA 5011, AustraliaAged and Extended Care Services, The Queen Elizabeth Hospital, Central Adelaide Local Health Network, Adelaide, SA 5011, AustraliaNational Health and Medical Research Council Center for Research Excellence in Frailty and Healthy Ageing, Adelaide Medical School, The University of Adelaide, Adelaide, SA 5011, AustraliaDepartment of Orthopaedics and Trauma, Royal Adelaide Hospital, Central Adelaide Local Health Network, Adelaide, SA 5000, AustraliaNational Health and Medical Research Council Center for Research Excellence in Frailty and Healthy Ageing, Adelaide Medical School, The University of Adelaide, Adelaide, SA 5011, AustraliaNational Health and Medical Research Council Center for Research Excellence in Frailty and Healthy Ageing, Adelaide Medical School, The University of Adelaide, Adelaide, SA 5011, AustraliaAdelaide Medical School, Faculty of Health and Medical Sciences, The University of Adelaide, Adelaide, SA 5000, AustraliaThe objective of this review is to evaluate the effectiveness of digital health supported targeted patient communication versus usual provision of health information, on the recovery of fragility fractures. The review considered studies including older people, aged 50 and above, with a fragility fracture. The primary outcome was prevention of secondary fractures by diagnosis and treatment of osteoporosis, and its adherence. This review considered both experimental and quasi-experimental study designs. A comprehensive search strategy was built to identify key terms including Medical subject headings (MeSH) and applied to the multiple electronic databases. An intention to treat analysis was applied to those studies included in the meta-analysis and odds ratio was calculated with random effects. Altogether, 15 studies were considered in the final stage for this systematic review. Out of these, 10 studies were Randomised controlled trials (RCT) and five were quasi experimental studies, published between the years 2003 and 2016 with a total of 5037 participants. Five Randomised control trails were included in the meta-analysis suggesting that digital health supported interventions were overall, twice as effective when compared with the usual standard care (OR 2.13, 95% CI 1.30−3.48), despite the population sample not being homogeneous. Findings from the remaining studies were narratively interpreted.https://www.mdpi.com/1660-4601/16/20/4047digital healthtelemedicinehealth literacypatient educationrehabilitation |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Lalit Yadav Ayantika Haldar Unyime Jasper Anita Taylor Renuka Visvanathan Mellick Chehade Tiffany Gill |
spellingShingle |
Lalit Yadav Ayantika Haldar Unyime Jasper Anita Taylor Renuka Visvanathan Mellick Chehade Tiffany Gill Utilising Digital Health Technology to Support Patient-Healthcare Provider Communication in Fragility Fracture Recovery: Systematic Review and Meta-Analysis International Journal of Environmental Research and Public Health digital health telemedicine health literacy patient education rehabilitation |
author_facet |
Lalit Yadav Ayantika Haldar Unyime Jasper Anita Taylor Renuka Visvanathan Mellick Chehade Tiffany Gill |
author_sort |
Lalit Yadav |
title |
Utilising Digital Health Technology to Support Patient-Healthcare Provider Communication in Fragility Fracture Recovery: Systematic Review and Meta-Analysis |
title_short |
Utilising Digital Health Technology to Support Patient-Healthcare Provider Communication in Fragility Fracture Recovery: Systematic Review and Meta-Analysis |
title_full |
Utilising Digital Health Technology to Support Patient-Healthcare Provider Communication in Fragility Fracture Recovery: Systematic Review and Meta-Analysis |
title_fullStr |
Utilising Digital Health Technology to Support Patient-Healthcare Provider Communication in Fragility Fracture Recovery: Systematic Review and Meta-Analysis |
title_full_unstemmed |
Utilising Digital Health Technology to Support Patient-Healthcare Provider Communication in Fragility Fracture Recovery: Systematic Review and Meta-Analysis |
title_sort |
utilising digital health technology to support patient-healthcare provider communication in fragility fracture recovery: systematic review and meta-analysis |
publisher |
MDPI AG |
series |
International Journal of Environmental Research and Public Health |
issn |
1660-4601 |
publishDate |
2019-10-01 |
description |
The objective of this review is to evaluate the effectiveness of digital health supported targeted patient communication versus usual provision of health information, on the recovery of fragility fractures. The review considered studies including older people, aged 50 and above, with a fragility fracture. The primary outcome was prevention of secondary fractures by diagnosis and treatment of osteoporosis, and its adherence. This review considered both experimental and quasi-experimental study designs. A comprehensive search strategy was built to identify key terms including Medical subject headings (MeSH) and applied to the multiple electronic databases. An intention to treat analysis was applied to those studies included in the meta-analysis and odds ratio was calculated with random effects. Altogether, 15 studies were considered in the final stage for this systematic review. Out of these, 10 studies were Randomised controlled trials (RCT) and five were quasi experimental studies, published between the years 2003 and 2016 with a total of 5037 participants. Five Randomised control trails were included in the meta-analysis suggesting that digital health supported interventions were overall, twice as effective when compared with the usual standard care (OR 2.13, 95% CI 1.30−3.48), despite the population sample not being homogeneous. Findings from the remaining studies were narratively interpreted. |
topic |
digital health telemedicine health literacy patient education rehabilitation |
url |
https://www.mdpi.com/1660-4601/16/20/4047 |
work_keys_str_mv |
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