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Telehealth interventions for transition to self-management in adolescents with allergic conditions: a systematic review
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  • Meg O’ Sullivan,
  • Margaret Curtin,
  • Rachel Flynn,
  • Caoimhe Cronin,
  • James O’ Mahony,
  • Juan Trujillo
Meg O’ Sullivan
University College Cork

Corresponding Author:[email protected]

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Margaret Curtin
University College Cork
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Rachel Flynn
University College Cork
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Caoimhe Cronin
University College Cork
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James O’ Mahony
University College Cork
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Juan Trujillo
University College Cork
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Abstract

Telehealth is an emerging approach that uses technology to provide healthcare remotely. Recent publications have outlined the importance of supporting the transition to self-management of adolescents with allergic conditions. However, no synthesis of the evidence base on the use and impact of telehealth interventions for this purpose has been conducted to date. This review achieves these aims, in addition to exploring the language use surrounding these interventions, and their implementation. Four databases were searched systematically. References were independently screened by two reviewers. Methodological quality was assessed using the Mixed Methods Appraisal Tool. A narrative synthesis was undertaken. Eighteen papers were included, reporting on fifteen telehealth interventions. 86% targeted adolescents with asthma. Mobile applications were the most common telehealth modality used, followed by video-conferencing, web-based, virtual reality and artificial intelligence Five intervention content categories were identified; educational, monitoring, behavioural, psychosocial and healthcare navigational. Peer and/or healthcare professional interaction, gamification and tailoring may increase engagement. The studies showed positive effects of the interventions or no difference from active controls, in self-management outcomes such as knowledge, health outcomes such as quality-of-life, and economic outcomes such as healthcare utilisation. The most common implementation outcomes reported were acceptability, appropriateness, feasibility and fidelity.
05 Oct 2023Submitted to Allergy
05 Oct 2023Submission Checks Completed
05 Oct 2023Assigned to Editor
05 Oct 2023Review(s) Completed, Editorial Evaluation Pending
05 Oct 2023Reviewer(s) Assigned
18 Oct 2023Editorial Decision: Revise Minor
15 Nov 20231st Revision Received
15 Nov 2023Submission Checks Completed
15 Nov 2023Assigned to Editor
15 Nov 2023Review(s) Completed, Editorial Evaluation Pending
19 Nov 2023Editorial Decision: Accept