ArticleJournal of medical Internet research2014
Evaluation of an eHealth intervention in chronic care for frail older people: why adherence is the first target.
Article in Journal of medical Internet research, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
26 citing papers in PubMed, 2 syntheses or guidelines pooled it, 65 citations in OpenAlex.
- Adherence to Electronic Health Tools Among Vulnerable Groups: Systematic Literature Review and Meta-Analysis.Journal of medical Internet research · 2020Pooled it
- The Empirical Foundations of Telemedicine Interventions in Primary Care.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2016Pooled it
- Experiences of a remote, person-centred intervention in older persons living with frailty - a qualitative study.BMC geriatrics · 2025Article
- Tension between timeliness and completeness of data in the initiation of cancer treatment: A qualitative study of oncology practice workflows and enduring health IT challenges.medRxiv : the preprint server for health sciences · 2025Article
- Impact of tailored message notifications for frailty prevention in older adults: a quasi-randomized controlled study using a regression discontinuity design.Journal of physical therapy science · 2024Article
- Exploring the Experiences of Community-Dwelling Older Adults on Using Wearable Monitoring Devices With Regular Support From Community Health Workers, Nurses, and Social Workers: Qualitative Descriptive Study.Journal of medical Internet research · 2024Article
- Digital home care interventions and quality of primary care for older adults: a scoping review.BMC geriatrics · 2024Article
- HomeCoRe system for telerehabilitation in individuals at risk of dementia: A usability and user experience study.Frontiers in medicine · 2023Article
- eHealth in Care Coordination for Older Adults Living at Home: Scoping Review.Journal of medical Internet research · 2022Article
- Article
- Article
- Health information technology to improve care for people with multiple chronic conditions.Health services research · 2021Review
- Perceived Impact of an Online Community Care Platform for Dutch Older Adults on Local Participation, Informal Caregiving, and Feelings of Connectedness: Pretest-Posttest Observational Study.Journal of medical Internet research · 2020Observational
- Analysis of Feasibility, Adherence, and Appreciation of a Newly Developed Tele-Rehabilitation Program for People With MCI and VCI.Frontiers in neurology · 2020Article
- Examining Predictors of Real-World User Engagement with Self-Guided eHealth Interventions: Analysis of Mobile Apps and Websites Using a Novel Dataset.Journal of medical Internet research · 2018Article
- Development and testing of an online community care platform for frail older adults in the Netherlands: a user-centred design.BMC geriatrics · 2018Article
- Using eHealth Technologies: Interests, Preferences, and Concerns of Older Adults.Interactive journal of medical research · 2017Article
- How Professionals Share an E-Care Plan for the Elderly in Primary Care: Evaluating the Use of an E-Communication Tool by Different Combinations of Professionals.Journal of medical Internet research · 2016Article
- Strategies to Improve Medication Adherence in Older Persons: Consensus Statement from the Senior Italia Federanziani Advisory Board.Drugs & aging · 2016Article
- Innovatively Supporting Teachers' Implementation of School-Based Sex Education: Developing A Web-Based Coaching Intervention From Problem to Solution.Journal of medical Internet research · 2016Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundOlder people suffering from frailty often receive fragmented chronic care from multiple professionals. According to the literature, there is an urgent need for coordination of care.
objectiveThe objective of this study was to investigate the effectiveness of an online health community (OHC) intervention for older people with frailty aimed at facilitating multidisciplinary communication.
methodsThe design was a controlled before-after study with 12 months follow-up in 11 family practices in the eastern part of the Netherlands. Participants consisted of frail older people living in the community requiring multidisciplinary (long-term) care. The intervention used was the health and welfare portal (ZWIP): an OHC for frail elderly patients, their informal caregivers and professionals. ZWIP contains a secure messaging system supplemented by a shared electronic health record. Primary outcomes were scores on the Instrumental Activities of Daily Living scale (IADL), mental health, and social activity limitations.
resultsThere were 290 patients in the intervention group and 392 in the control group. Of these, 76/290 (26.2%) in the intervention group actively used ZWIP. After 12 months follow-up, we observed no significant improvement on primary patient outcomes. ADL improved in the intervention group with a standardized score of 0.21 (P=.27); IADL improved with 0.50 points, P=.64.
conclusionsOnly a small percentage of frail elderly people in the study intensively used ZWIP, our newly developed and innovative eHealth tool. The use of this OHC did not significantly improve patient outcomes. This was most likely due to the limited use of the OHC, and a relatively short follow-up time. Increasing actual use of eHealth intervention seems a precondition for large-scale evaluation, and earlier adoption before frailty develops may improve later use and effectiveness of ZWIP.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.