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The Effect of Telehealth Interventions on Function and Quality of Life for Older Adults with Pre-Frailty or Frailty: A Systematic Review and Meta-Analysis

The Effect of Telehealth Interventions on Function and Quality of Life for Older Adults with... Telehealth interventions improve health outcomes by increasing access to care. We conducted a systematic review to synthesize evidence on the effect of telehealth interventions compared with no intervention or usual care for older adults with pre-frailty or frailty for physical function, quality of life (QOL), and frailty. We searched for randomized controlled trials (RCTs) in MEDLINE, PubMed, Embase, CINAHL, Cochrane, PsycINFO, and SPORTDiscus. Two authors reviewed records and assessed risk of bias. A narrative synthesis of findings was conducted. When appropriate, the standard mean difference (SMD) was used to compare telehealth interventions with control conditions. We used GRADE to determine the certainty of the evidence. Twelve RCTs were included. Low certainty evidence highlighted positive effects for the function and mental component of QOL favoring telehealth interventions (SMD = 0.31, 95% CI = [0.15, 0.47]; and SMD = 0.43, 95% CI = [0.22, 0.64], respectively). Despite a small positive effect of telehealth interventions, insufficient, and low certainty evidence precludes making definitive recommendations. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Applied Gerontology SAGE

The Effect of Telehealth Interventions on Function and Quality of Life for Older Adults with Pre-Frailty or Frailty: A Systematic Review and Meta-Analysis

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References (47)

Publisher
SAGE
Copyright
© The Author(s) 2021
ISSN
0733-4648
eISSN
1552-4523
DOI
10.1177/0733464820983630
Publisher site
See Article on Publisher Site

Abstract

Telehealth interventions improve health outcomes by increasing access to care. We conducted a systematic review to synthesize evidence on the effect of telehealth interventions compared with no intervention or usual care for older adults with pre-frailty or frailty for physical function, quality of life (QOL), and frailty. We searched for randomized controlled trials (RCTs) in MEDLINE, PubMed, Embase, CINAHL, Cochrane, PsycINFO, and SPORTDiscus. Two authors reviewed records and assessed risk of bias. A narrative synthesis of findings was conducted. When appropriate, the standard mean difference (SMD) was used to compare telehealth interventions with control conditions. We used GRADE to determine the certainty of the evidence. Twelve RCTs were included. Low certainty evidence highlighted positive effects for the function and mental component of QOL favoring telehealth interventions (SMD = 0.31, 95% CI = [0.15, 0.47]; and SMD = 0.43, 95% CI = [0.22, 0.64], respectively). Despite a small positive effect of telehealth interventions, insufficient, and low certainty evidence precludes making definitive recommendations.

Journal

Journal of Applied GerontologySAGE

Published: Nov 1, 2021

Keywords: technology; health-related quality of life; physical function; mobility; balance

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