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Perception of eHealth Programs for Cardiovascular Health: Qualitative Systematic Review and Meta-synthesis.
Journal of Cardiovascular Nursing ( IF 2 ) Pub Date : 2023-07-11 , DOI: 10.1097/jcn.0000000000001012
Jing Jing Su , Jonathan Bayuo , Hammoda Abu-Odah , Rose S Y Lin , Qijun He , Alex Molassiotis

BACKGROUND Despite emerging evidence on the effectiveness of eHealth interventions in improving cardiovascular health, little is known about the perception of use and efficacy of these interventions and real-world application. OBJECTIVE We sought to develop an in-depth understanding of the perceptions of eHealth interventions in improving cardiovascular health. METHODS This is a systematic review and meta-synthesis of qualitative studies. A comprehensive search of multiple databases and a manual search of the references list were conducted. Meta-synthesis of qualitative data was performed to review and interpret the findings. The study report followed the ENTREQ checklist. RESULTS Four themes emerged regarding perceptions of eHealth interventions: preferred eHealth intervention design features, enabling healthcare professionals' support, eHealth engagement for health benefits, and barriers to eHealth engagement. Intervention design features should integrate motivational elements, use an eHealth literacy lens, and enhance cultural relevance. Healthcare professionals appreciated these new working methods but voiced concern about competency building. Real-world usage initiation was driven by perceived needs and usefulness, whereas persistent engagement was inspired by intrinsic motivation in participants. CONCLUSIONS eHealth interventions were appreciated as a valuable opportunity for providing alternative/supplementary cardiac care for health optimization. Participants commented on the need for more explicit and accurate health information presentation, and they appreciated the motivational elements in empowering them with self-determination over daily self-care behaviors. Professionals raised the need for specific guidance to enhance competency and intervention fidelity when delivering eHealth care.

中文翻译:

对心血管健康电子健康计划的看法:定性系统评价和荟萃分析。

背景尽管有越来越多的证据表明电子健康干预措施在改善心血管健康方面的有效性,但人们对这些干预措施的使用和功效的看法以及现实世界的应用知之甚少。目标 我们试图深入了解电子健康干预措施在改善心血管健康方面的看法。方法 这是对定性研究的系统回顾和荟萃综合。对多个数据库进行了全面检索,并对参考文献列表进行了手动检索。对定性数据进行荟萃分析以审查和解释研究结果。研究报告遵循 ENTREQ 检查表。结果 关于电子卫生干预的看法出现了四个主题:首选的电子卫生干预设计特征、提供医疗保健专业人员的支持、电子医疗保健参与带来的健康益处以及电子医疗保健参与的障碍。干预设计的特点应整合激励元素,使用电子健康素养镜头,并增强文化相关性。医疗保健专业人员赞赏这些新的工作方法,但对能力建设表示担忧。现实世界的使用启动是由感知的需求和有用性驱动的,而持续的参与是由参与者的内在动机激发的。结论 电子健康干预措施被认为是提供替代/补充心脏护理以优化健康的宝贵机会。参与者评论说需要更明确和准确的健康信息呈现,他们赞赏激励因素赋予他们对日常自我护理行为的自我决定权。
更新日期:2023-07-11
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