Core characteristics, and effectiveness of mobile health interventions on dyspnoea and quality of life in older persons with chronic obstructive pulmonary disease: A systematic review and meta-analysis of randomised controlled trials

IF 2.5 3区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatric Nursing Pub Date : 2025-04-15 DOI:10.1016/j.gerinurse.2025.03.041

Ziyu Wang , Lin Yu , Tingting Yang , Huiping Cao , Zhuo Yang , Yanyan Liu , Jiao Xie

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引用次数: 0

Abstract

Aim

To systematically review the core characteristics, and effectiveness of mobile health interventions (MHIs) on dyspnoea and quality of life (QoL) in older persons with chronic obstructive pulmonary disease (COPD).

Methods

A comprehensive search was conducted from inception to 21 February 2023 in Chinese and English databases, with an updated search performed on 30 April 2024. Randomised controlled trials (RCTs) involving MHIs with four core functions — customisation, self-monitoring, alerts, and goal-setting — in older persons with COPD were included. Two reviewers independently identified the core characteristics of MHIs using the Template for Intervention Description and Replication (TIDieR) checklist. The Cochrane risk-of-bias tool and the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) approach were used to assess the methodological quality of RCTs and the overall quality of evidence.

Results

28 RCTs were included, with 43% of studies adequately reported core characteristics of MHIs according to the TIDieR checklist. Meta-analysis suggested that MHIs may alleviate dyspnoea and improve disease-specific QoL questionnaires (CRQ and CCQ) and generic-related QoL questionnaires (SF-36 and EQ-5D), but not other disease-specific QoL questionnaires (SGRQ and CAT). Subgroup analyses showed that multi-component MHIs were effective in improving dyspnoea. Dyspnoea showed statistically significant improvement at 3 months, 6 months and 12 months, whereas QoL improved at 4 months (SGRQ), 2 months (CAT) and 6 months (CAT).

Conclusion

Reporting on the core characteristics of MHIs is currently incomplete, and it is recommended that healthcare professionals develop and report multi-component MHIs based on the TIDieR checklist to help alleviate dyspnoea and enhance QoL in older persons with COPD.

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移动医疗干预措施的核心特征及其对患有慢性阻塞性肺病的老年人呼吸困难和生活质量的影响：随机对照试验的系统回顾和荟萃分析

目的系统回顾移动健康干预（MHIs）对老年慢性阻塞性肺疾病（COPD）患者呼吸困难和生活质量（QoL）的核心特征和有效性。方法从研究开始至2023年2月21日在中英文数据库中进行全面检索，并于2024年4月30日进行更新检索。随机对照试验（RCTs）纳入了老年COPD患者中具有四种核心功能（定制、自我监测、警报和目标设定）的MHIs。两位审稿人使用干预描述和复制模板（TIDieR）检查表独立确定了MHIs的核心特征。采用Cochrane偏倚风险工具和推荐、评估、发展和评价分级（GRADE）方法评估随机对照试验的方法学质量和证据的总体质量。结果纳入28项随机对照试验，其中43%的研究根据TIDieR检查表充分报告了MHIs的核心特征。meta分析显示，MHIs可以缓解呼吸困难，改善疾病特异性生活质量问卷（CRQ和CCQ）和一般相关生活质量问卷（SF-36和EQ-5D），但对其他疾病特异性生活质量问卷（SGRQ和CAT）没有作用。亚组分析显示，多组分MHIs对改善呼吸困难是有效的。呼吸困难在3个月、6个月和12个月时均有统计学意义的改善，而生活质量在4个月（SGRQ）、2个月（CAT）和6个月（CAT）时均有改善。结论目前对MHIs核心特征的报道尚不完整，建议卫生保健专业人员根据TIDieR检查表开发和报告多组分MHIs，以帮助缓解老年COPD患者的呼吸困难，提高生活质量。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Geriatric Nursing 医学-护理

CiteScore

3.80

自引率

7.40%

发文量

257

审稿时长

>12 weeks

期刊介绍： Geriatric Nursing is a comprehensive source for clinical information and management advice relating to the care of older adults. The journal''s peer-reviewed articles report the latest developments in the management of acute and chronic disorders and provide practical advice on care of older adults across the long term continuum. Geriatric Nursing addresses current issues related to drugs, advance directives, staff development and management, legal issues, client and caregiver education, infection control, and other topics. The journal is written specifically for nurses and nurse practitioners who work with older adults in any care setting.