Next Article in Journal
Tobacco Smoke Exposure, Urban and Environmental Factors as Respiratory Disease Predictors in Italian Adolescents
Next Article in Special Issue
A Predictive Model for Height Tracking in an Adult Male Population in Bangladesh to Reduce Input Errors
Previous Article in Journal
Study on Status and Willingness towards Hepatitis B Vaccination among Migrant Workers in Chongqing, China: A Cross-Sectional Study
Previous Article in Special Issue
A Pilot Study to Evaluate the Acceptability of Using a Smart Pillbox to Enhance Medication Adherence Among Primary Care Patients
 
 
Font Type:
Arial Georgia Verdana
Font Size:
Aa Aa Aa
Line Spacing:
Column Width:
Background:
Article

Utilising Digital Health Technology to Support Patient-Healthcare Provider Communication in Fragility Fracture Recovery: Systematic Review and Meta-Analysis

1
National Health and Medical Research Council Center for Research Excellence in Frailty and Healthy Ageing, Adelaide Medical School, The University of Adelaide, Adelaide, SA 5011, Australia
2
Department of Orthopaedics and Trauma, Royal Adelaide Hospital, Central Adelaide Local Health Network, Adelaide, SA 5000, Australia
3
Adelaide Medical School, Faculty of Health and Medical Sciences, The University of Adelaide, Adelaide, SA 5000, Australia
4
Aged and Extended Care Services, The Queen Elizabeth Hospital, Central Adelaide Local Health Network, Adelaide, SA 5011, Australia
*
Author to whom correspondence should be addressed.
These joint senior authors contributed equally to this paper.
Int. J. Environ. Res. Public Health 2019, 16(20), 4047; https://doi.org/10.3390/ijerph16204047
Submission received: 5 August 2019 / Revised: 15 October 2019 / Accepted: 16 October 2019 / Published: 22 October 2019
(This article belongs to the Special Issue Digital Health Interventions in Everyday Settings)

Abstract

The objective of this review is to evaluate the effectiveness of digital health supported targeted patient communication versus usual provision of health information, on the recovery of fragility fractures. The review considered studies including older people, aged 50 and above, with a fragility fracture. The primary outcome was prevention of secondary fractures by diagnosis and treatment of osteoporosis, and its adherence. This review considered both experimental and quasi-experimental study designs. A comprehensive search strategy was built to identify key terms including Medical subject headings (MeSH) and applied to the multiple electronic databases. An intention to treat analysis was applied to those studies included in the meta-analysis and odds ratio was calculated with random effects. Altogether, 15 studies were considered in the final stage for this systematic review. Out of these, 10 studies were Randomised controlled trials (RCT) and five were quasi experimental studies, published between the years 2003 and 2016 with a total of 5037 participants. Five Randomised control trails were included in the meta-analysis suggesting that digital health supported interventions were overall, twice as effective when compared with the usual standard care (OR 2.13, 95% CI 1.30–3.48), despite the population sample not being homogeneous. Findings from the remaining studies were narratively interpreted.
Keywords: digital health; telemedicine; health literacy; patient education; rehabilitation digital health; telemedicine; health literacy; patient education; rehabilitation

Share and Cite

MDPI and ACS Style

Yadav, L.; Haldar, A.; Jasper, U.; Taylor, A.; Visvanathan, R.; Chehade, M.; Gill, T. Utilising Digital Health Technology to Support Patient-Healthcare Provider Communication in Fragility Fracture Recovery: Systematic Review and Meta-Analysis. Int. J. Environ. Res. Public Health 2019, 16, 4047. https://doi.org/10.3390/ijerph16204047

AMA Style

Yadav L, Haldar A, Jasper U, Taylor A, Visvanathan R, Chehade M, Gill T. Utilising Digital Health Technology to Support Patient-Healthcare Provider Communication in Fragility Fracture Recovery: Systematic Review and Meta-Analysis. International Journal of Environmental Research and Public Health. 2019; 16(20):4047. https://doi.org/10.3390/ijerph16204047

Chicago/Turabian Style

Yadav, Lalit, Ayantika Haldar, Unyime Jasper, Anita Taylor, Renuka Visvanathan, Mellick Chehade, and Tiffany Gill. 2019. "Utilising Digital Health Technology to Support Patient-Healthcare Provider Communication in Fragility Fracture Recovery: Systematic Review and Meta-Analysis" International Journal of Environmental Research and Public Health 16, no. 20: 4047. https://doi.org/10.3390/ijerph16204047

APA Style

Yadav, L., Haldar, A., Jasper, U., Taylor, A., Visvanathan, R., Chehade, M., & Gill, T. (2019). Utilising Digital Health Technology to Support Patient-Healthcare Provider Communication in Fragility Fracture Recovery: Systematic Review and Meta-Analysis. International Journal of Environmental Research and Public Health, 16(20), 4047. https://doi.org/10.3390/ijerph16204047

Note that from the first issue of 2016, this journal uses article numbers instead of page numbers. See further details here.

Article Metrics

Back to TopTop