Electronic monitoring device informed interventions for treatment adherence and clinical outcomes in children and adolescents: A systematic review

IF 7.5 1区医学 Q1 NURSING International Journal of Nursing Studies Pub Date : 2024-09-07 DOI:10.1016/j.ijnurstu.2024.104903

Nyasha V. Dzavakwa , Katharina Kranzer , Palwasha Khan , Constance R.S. Mackworth-Young , Hilda A. Mujuru , Rashida A. Ferrand , Victoria Simms

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引用次数: 0

Abstract

Objective

To systematically review literature from randomised controlled trials (RCTs) investigating the effectiveness of electronic monitoring device informed interventions on adherence and clinical outcomes in children and adolescents with chronic conditions.

Study design

A systematic review was conducted. An electronic literature search covering studies, with no pre-specified starting date up to June 2024, was performed in Medline, EMBASE, Web of Science, Cochrane and Trials databases was conducted.

Participants

RCTs of electronic monitoring device informed interventions in individuals aged 0 to 18 years with chronic conditions, were identified, with no restriction on geography or publication date.

Methods

Extracted data was synthesised. As a result of differences in definitions and analysis of adherence and clinical outcomes across the studies a pooled meta-analysis was not possible therefore, a descriptive analysis was conducted. Risk of bias across all studies was assessed using the Cochrane Collaboration risk of bias tool.

Results

11 RCTs, with 1485 children and adolescents were included. Studies were all from high- and middle-income countries, conducted among children and adolescents with asthma, and one each among children and adolescents with kidney transplant, multiple sclerosis, and epilepsy. Eight of the 11 studies reported a positive effect on adherence. Only four studies reported a positive effect on clinical outcomes and seven studies found no effect on clinical outcomes.

Conclusions

Electronic monitoring device interventions show promise in improving adherence in children and adolescents with chronic conditions, in a limited number of chronic conditions, mostly asthma. Evidence for the efficacy of electronic monitoring device informed interventions on clinical outcomes and from low-income settings is lacking.

Systematic review registration

PROSPERO, CRD42022312057, registered in March 2022.

Tweetable abstract

Electronic monitoring device informed interventions may improve treatment adherence in children and adolescents with chronic conditions but evidence from low-income settings is lacking @nyasha_dzavakwa @KatharinaKranz4 @dopapus @hilda_mujuru @rashida_abbferr @vickysimms_epi

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针对儿童和青少年治疗依从性和临床结果的电子监测设备知情干预：系统回顾

目的系统回顾随机对照试验（RCT）的文献，研究电子监控设备干预对患有慢性疾病的儿童和青少年的依从性和临床结果的有效性。我们在 Medline、EMBASE、Web of Science、Cochrane 和 Trials 数据库中进行了电子文献检索，涵盖了截至 2024 年 6 月的研究，没有预先指定起始日期。由于各研究对依从性和临床结果的定义和分析存在差异，因此无法进行汇总荟萃分析，只能进行描述性分析。所有研究的偏倚风险均采用 Cochrane 协作偏倚风险工具进行评估。研究均来自中高收入国家，研究对象为患有哮喘的儿童和青少年，肾移植、多发性硬化和癫痫的儿童和青少年各一项。11 项研究中有 8 项报告了对坚持用药的积极影响。只有四项研究报告了对临床结果的积极影响，七项研究发现对临床结果没有影响。结论电子监测设备干预措施有望改善患有慢性疾病的儿童和青少年的依从性，但仅限于少数慢性疾病，主要是哮喘。系统综述注册PROSPERO，CRD42022312057，2022年3月注册。Tweetable摘要电子监测设备知情干预可改善慢性病儿童和青少年的治疗依从性，但缺乏来自低收入环境的证据@nyasha_dzavakwa @KatharinaKranz4 @dopapus @hilda_mujuru @rashida_abbferr @vickysimms_epi

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来源期刊

International Journal of Nursing Studies 医学-护理

CiteScore

15.00

自引率

2.50%

发文量

181

审稿时长

21 days

期刊介绍： The International Journal of Nursing Studies (IJNS) is a highly respected journal that has been publishing original peer-reviewed articles since 1963. It provides a forum for original research and scholarship about health care delivery, organisation, management, workforce, policy, and research methods relevant to nursing, midwifery, and other health related professions. The journal aims to support evidence informed policy and practice by publishing research, systematic and other scholarly reviews, critical discussion, and commentary of the highest standard. The IJNS is indexed in major databases including PubMed, Medline, Thomson Reuters - Science Citation Index, Scopus, Thomson Reuters - Social Science Citation Index, CINAHL, and the BNI (British Nursing Index).