{"title":"利用信息和通信技术对老年人进行社区预防跌倒干预的效果:系统回顾与荟萃分析。","authors":"Kayoung Lee, Jungeun Yi, Seon-Heui Lee","doi":"10.1177/14604582241259324","DOIUrl":null,"url":null,"abstract":"<p><p><b>Objectives</b>: This systematic review and meta-analysis aimed to investigate the effect of fall prevention interventions using information and communication technology (ICT). <b>Methods</b>: A comprehensive search across four databases was performed. The inclusion criteria were fall prevention interventions including telehealth, computerized balance training, exergaming, mobile application education, virtual reality exercise, and cognitive-behavioral training for community-dwelling adults aged ≥60 years. <b>Results</b>: Thirty-four studies were selected. Telehealth, smart home systems, and exergames reduced the risk of falls (RR = 0.63, 95% CI [0.54, 0.75]). Telehealth and exergame improved balance (MD = 3.30, 95% CI [1.91, 4.68]; MD = 4.40, 95% CI [3.09, 5.71]). Telehealth improved physical function (SMD = 0.69, 95% CI [0.23, 1.16]). Overall, ICT fall interventions improved fall efficacy but not cognitive function. For quality of life (QOL), mixed results were found depending on the assessment tools. <b>Conclusion</b>: Future investigations on telehealth, smart home systems, or exergames are needed to motivate older adults to exercise and prevent falls.</p>","PeriodicalId":55069,"journal":{"name":"Health Informatics Journal","volume":"30 2","pages":"14604582241259324"},"PeriodicalIF":2.2000,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Effects of community-based fall prevention interventions for older adults using information and communication technology: A systematic review and meta-analysis.\",\"authors\":\"Kayoung Lee, Jungeun Yi, Seon-Heui Lee\",\"doi\":\"10.1177/14604582241259324\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p><b>Objectives</b>: This systematic review and meta-analysis aimed to investigate the effect of fall prevention interventions using information and communication technology (ICT). <b>Methods</b>: A comprehensive search across four databases was performed. The inclusion criteria were fall prevention interventions including telehealth, computerized balance training, exergaming, mobile application education, virtual reality exercise, and cognitive-behavioral training for community-dwelling adults aged ≥60 years. <b>Results</b>: Thirty-four studies were selected. Telehealth, smart home systems, and exergames reduced the risk of falls (RR = 0.63, 95% CI [0.54, 0.75]). Telehealth and exergame improved balance (MD = 3.30, 95% CI [1.91, 4.68]; MD = 4.40, 95% CI [3.09, 5.71]). Telehealth improved physical function (SMD = 0.69, 95% CI [0.23, 1.16]). Overall, ICT fall interventions improved fall efficacy but not cognitive function. For quality of life (QOL), mixed results were found depending on the assessment tools. <b>Conclusion</b>: Future investigations on telehealth, smart home systems, or exergames are needed to motivate older adults to exercise and prevent falls.</p>\",\"PeriodicalId\":55069,\"journal\":{\"name\":\"Health Informatics Journal\",\"volume\":\"30 2\",\"pages\":\"14604582241259324\"},\"PeriodicalIF\":2.2000,\"publicationDate\":\"2024-04-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Health Informatics Journal\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1177/14604582241259324\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"HEALTH CARE SCIENCES & SERVICES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Health Informatics Journal","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/14604582241259324","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
引用次数: 0
摘要
目的:本系统综述和荟萃分析旨在研究利用信息和通信技术(ICT)进行跌倒预防干预的效果。方法对四个数据库进行了全面检索。纳入标准为预防跌倒干预措施,包括远程医疗、计算机化平衡训练、外联网游戏、移动应用教育、虚拟现实运动和认知行为训练,对象为社区居住的年龄≥60 岁的成年人。研究结果共有 34 项研究入选。远程保健、智能家居系统和外部游戏降低了跌倒风险(RR = 0.63,95% CI [0.54,0.75])。远程保健和外部游戏提高了平衡能力(MD = 3.30,95% CI [1.91,4.68];MD = 4.40,95% CI [3.09,5.71])。远程保健改善了身体功能(SMD = 0.69,95% CI [0.23,1.16])。总体而言,信息和通信技术跌倒干预改善了跌倒效果,但没有改善认知功能。在生活质量(QOL)方面,根据评估工具的不同,结果也不尽相同。结论未来需要对远程保健、智能家居系统或外部游戏进行调查,以激励老年人锻炼身体并预防跌倒。
Effects of community-based fall prevention interventions for older adults using information and communication technology: A systematic review and meta-analysis.
Objectives: This systematic review and meta-analysis aimed to investigate the effect of fall prevention interventions using information and communication technology (ICT). Methods: A comprehensive search across four databases was performed. The inclusion criteria were fall prevention interventions including telehealth, computerized balance training, exergaming, mobile application education, virtual reality exercise, and cognitive-behavioral training for community-dwelling adults aged ≥60 years. Results: Thirty-four studies were selected. Telehealth, smart home systems, and exergames reduced the risk of falls (RR = 0.63, 95% CI [0.54, 0.75]). Telehealth and exergame improved balance (MD = 3.30, 95% CI [1.91, 4.68]; MD = 4.40, 95% CI [3.09, 5.71]). Telehealth improved physical function (SMD = 0.69, 95% CI [0.23, 1.16]). Overall, ICT fall interventions improved fall efficacy but not cognitive function. For quality of life (QOL), mixed results were found depending on the assessment tools. Conclusion: Future investigations on telehealth, smart home systems, or exergames are needed to motivate older adults to exercise and prevent falls.
期刊介绍:
Health Informatics Journal is an international peer-reviewed journal. All papers submitted to Health Informatics Journal are subject to peer review by members of a carefully appointed editorial board. The journal operates a conventional single-blind reviewing policy in which the reviewer’s name is always concealed from the submitting author.