Impact of Digital Interventions in Occupational Health Care: A Systematic Review

Mirjam M. Jern-Matintupa MD, MPH , Anita M. Riipinen MD, PhD , Merja K. Laine MD, PhD
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Abstract

Objective

To assess the existing body of evidence and impact of digital interventions on occupational health care.

Methods

The search strategy and review process were conducted in accordance with the PRISMA guidelines. The search was carried out during a period from January 1, 2013 to June 5, 2023, using the SCOPUS and Ovid Medline databases. After the identification of the relevant records, screening was conducted in 3 stages, following specific predetermined inclusion and exclusion criteria. A data-extraction model was created on the basis of the aim of the review. The quality of the selected studies was evaluated using the Effective Public Health Practice framework. Owing to the heterogeneity of the outcome measures, we used narrative synthesis to summarize the findings.

Results

We identified 382 records in SCOPUS and 441 in Ovid Medline. We selected 54 studies to be included in the evidence synthesis. The health targets of the interventions varied widely, but we identified 2 main focus areas: sedentary behavior (n=17, 32%) and mental health (n=14, 26%). Even when the studies had the same health target, the outcomes and chosen measures varied widely. Given the considerable effect of the primary outcome, mental health appears to be a good target for digital interventions. Online training and computer software could be especially effective.

Conclusion

The potential positive impact of digital interventions on mental health, especially online training, should be leveraged by health care professionals and providers. In order to provide more specific recommendations for health care professionals, occupational health care researchers should strive for consensus on outcome measures.
数字干预对职业卫生保健的影响:系统综述
目的评估现有证据和数字化干预对职业卫生保健的影响。方法按照PRISMA指南进行检索策略和评审过程。检索时间为2013年1月1日至2023年6月5日,检索对象为SCOPUS和Ovid Medline数据库。在确定相关记录后,按照特定的预定纳入和排除标准,分3个阶段进行筛查。根据综述的目的,建立了数据提取模型。所选研究的质量采用有效公共卫生实践框架进行评估。由于结果测量的异质性,我们使用叙事综合来总结研究结果。结果SCOPUS检索到382条,Ovid Medline检索到441条。我们选择了54项研究纳入证据综合。干预措施的健康目标差异很大,但我们确定了两个主要关注领域:久坐行为(n= 17,32%)和心理健康(n= 14,26%)。即使这些研究有相同的健康目标,结果和选择的测量方法也有很大的不同。鉴于主要结果的巨大影响,心理健康似乎是数字干预的一个很好的目标。在线培训和电脑软件可能特别有效。结论数字干预对心理健康的潜在积极影响,特别是在线培训,应被卫生保健专业人员和提供者利用。为了向卫生保健专业人员提供更具体的建议,职业卫生保健研究人员应该努力在结果测量上达成共识。
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来源期刊
Mayo Clinic Proceedings. Digital health
Mayo Clinic Proceedings. Digital health Medicine and Dentistry (General), Health Informatics, Public Health and Health Policy
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