Application and effectiveness of eHealth strategies for metabolic and bariatric surgery patients: A systematic review
To date the application of eHealth strategies among adults and adolescents undergoing metabolic and bariatric surgery (MBS) has not been systematically reviewed. This study comprehensively examines eHealth intervention studies among MBS patients within the RE-AIM framework to assess reach, effectiveness, adoption, implementation and maintenance of these efforts.
MethodsA search was conducted using PubMed, EMBASE, CINAHL, PsycNET and SCOPUS of original research relating to eHealth strategies for MBS patients published in peer-reviewed journals and revealed 38 published articles between 2011 and 2019.
ResultsStudies varied widely in terms of design (qualitative to randomized controlled trials) and eHealth delivery method (telemedicine to blog post content) with a balance of pre- or post-MBS use. No studies included adolescents and very few reported (1) a conceptual framework to support study design/outcomes; and (2) race/ethnicity composition.
ConclusionsAlthough some studies report that eHealth strategies/interventions are effective in producing post-MBS weight loss and other positive health outcomes, most are pilot studies or have study design limitations. There is an opportunity for development of (1) tailored eHealth interventions to support pre- and post-MBS sustained behavior change and improved outcomes; and (2) rigorous studies that employ robust conceptual frameworks so dissemination and implementation efforts can be mapped to construct-driven outcomes.
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AUTHORS (9)
CATEGORIES
- Health and Community Services
- Cardiology
- Endocrinology
- Geriatrics and Gerontology
- Nursing not elsewhere classified
- Oncology and Carcinogenesis not elsewhere classified
- Aged Health Care
- Public Health and Health Services not elsewhere classified
- Engineering not elsewhere classified
- Anthropology
- Cultural Studies not elsewhere classified
- Information and Computing Sciences not elsewhere classified
- Organisation and Management Theory
- Science Policy
- Social Policy
- Sociology