Effectiveness of Online Health Information Tools for Older Patients: A Systematic Review

• In Event: Aging and Health Communication

Abstract

This systematic literature review provides an overview of online health information tool effectiveness for older patients using a two-dimensional framework of OHIT functions (i.e., providing information, enhancing information exchange, and promoting self-management) and outcomes (i.e., immediate, intermediate, and long term outcomes). Comprehensive searches of the PubMed, EMBASE, and PsycINFO databases are conducted to identify eligible studies. Articles describing RCT outcomes of patient-directed OHITs in which a mean sample or subgroup of age ≥ 65 years was used are included in the literature review. A Best Evidence Synthesis analysis provides evidence that OHITs improve self-efficacy, blood pressure, hemoglobin and cholesterol levels. Limited evidence is found in support of OHIT effects on knowledge, perceived social support, health service utilization, glycemic control, self-care adherence, exercise performance, and quality of life. Future studies should evaluate the effectiveness of OHITs for older patients to achieve stronger levels of evidence.

Authors

• Sifra Bolle, University of Amsterdam / ASCoR

• Julia C.M. van Weert, ASCoR, U of Amsterdam

• Joost Daams, Amsterdam Medical Centre, U of Amsterdam

• Eugène F. Loos, ASCoR, U of Amsterdam

• Hanneke C.J.M. de Haes, Academic Medical Center, U of Amsterdam

• Ellen M.A. Smets, Academic Medical Center, U of Amsterdam