The effect of digital health interventions in older adults with frailty: a systematic review and meta-analysis

作者：Meng-Yao Liang, Jin-Rui Cui, Xing Fan, Junjie Zhang, Xiaoling Liu, D M Liu · 发表于：International Journal of Nursing Studies Advances · 年份：2025 · DOI：10.1016/j.ijnsa.2025.100470 · 被引用次数：6 · 研究领域：Frailty in Older Adults、Technology Use by Older Adults、Chronic Disease Management Strategies

Background: Frailty is prevalent among the elderly population and can lead to multiple negative health consequences. Objective: This study compares the effects of digital interventions versus either non-digital interventions with the same content or routine treatment/care alone (or both) on improving physical function and frailty status in older adults, and clarifies the formal advantages and comprehensive benefits of digital interventions. Design: Systematic review and meta-analysis of randomized controlled trials. Methods: Systematic searches of the PubMed, Embase, Web of Science, CINAHL, PsycINFO, the Cochrane Library, and CNKI for publications archived in the database between its launch and January 16, 2025. The meta-analysis was performed using stata 15.0 and 16.0. We used the 2019 Revised version of the Cochrane risk-of-bias tool (RoB 2.0) to evaluate the study's quality. Results: = 0.107). Meta-regression analyses revealed that covariates including sex distribution, country of origin, care setting, intervention type, intervention duration, and assessment methodology exhibited no significant moderating effects on grip strength, cognitive function, or quality of life outcomes. Conclusions: The study results showed that frail elderly individuals who received digital health interventions improved their frailty status, grip strength, cognitive function, and quality of life. Furthermore, compared with the usual care group, the digital exercise intervention group showed super...