SynthesisJournal of medical Internet research2020
Adherence to Electronic Health Tools Among Vulnerable Groups: Systematic Literature Review and Meta-Analysis.
Synthesis in Journal of medical Internet research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 7 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
49 citing papers in PubMed, 7 syntheses or guidelines pooled it.
- Effects of mindfulness-based digital health interventions on BMI and weight-related behaviours in adults: a systematic review and meta-analysis.Frontiers in nutrition · 2026Pooled it
- Understanding Adherence to Digital Health Technologies: Systematic Review of Predictive Factors.Journal of medical Internet research · 2025Pooled it
- The effect of personalized intelligent digital systems for self-care training on type II diabetes: a systematic review and meta-analysis of clinical trials.Acta diabetologica · 2023Pooled it
- Barriers to and Facilitators of Digital Health Among Culturally and Linguistically Diverse Populations: Qualitative Systematic Review.Journal of medical Internet research · 2023Pooled it
- eHealth literacy and its associated factors in Ethiopia: Systematic review and meta-analysis.PloS one · 2023Pooled it
- Blended Care Interventions to Promote Physical Activity: A Systematic Review of Randomized Controlled Trials.Sports medicine - open · 2022Pooled it
- Virtually delivered lifestyle interventions for overweight and obese pregnant people: A systematic review.Women's health (London, England)Pooled it
- Assessment of electronic health literacy and its associated factors among internet -using primary health care attendees in Mansoura district, Egypt: a cross-sectional study.BMC public health · 2026Article
- Feasibility, Usability, and Acceptability of an Adaptive Mobile Health Medication Adherence Intervention for Youth: Iterative Mixed Methods Human-Centered Design Study.JMIR formative research · 2026Article
- Usability and potential impact of a web-based literacy-oriented intervention for community-dwelling patients with complex care needs: a mixed methods case report.Journal of the Medical Library Association : JMLA · 2026Article
- Exploring factors influencing digitally disadvantaged students' behavioral intention to use educational television programs.Frontiers in psychology · 2026Article
- Digital health equity among older adult(s): a conceptual analysis.Frontiers in public health · 2026Review
- Investigating the early uptake of digital self-management interventions amongst Dutch cancer survivors using nationwide registry data-the OncoAppstore case.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025Article
- Multi-Level Factors Influencing eHealth Literacy Among Chinese Older Adults: A Longitudinal Study.Journal of advanced nursing · 2025Article
- Understanding Dermatologists' Acceptance of Digital Health Interventions: Cross-Sectional Survey and Cluster Analysis.JMIR human factors · 2025Article
- Factors Affecting the Adoption of Electronic Prescription by Physicians and Pharmacists.Health science reports · 2025Article
- Improving Digital Cancer Care for Older Black Adults: Qualitative Study.Journal of medical Internet research · 2025Article
- The impact of internet use on physical activity among Chinese older adults: the mediating role of social support.Frontiers in public health · 2025Article
- An eHealth intervention for patients with a low socioeconomic position during their waiting period preceding cardiac rehabilitation: a randomized feasibility study.European heart journal. Digital health · 2025Article
- A preventive integrated eHealth approach for individuals with a low socioeconomic position: protocol for a realist evaluation.BMC public health · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundElectronic health (eHealth) tools are increasingly being applied in health care. They are expected to improve access to health care, quality of health care, and health outcomes. Although the advantages of using these tools in health care are well described, it is unknown to what extent eHealth tools are effective when used by vulnerable population groups, such as the elderly, people with low socioeconomic status, single parents, minorities, or immigrants.
objectiveThis study aimed to examine whether the design and implementation characteristics of eHealth tools contribute to better use of these tools among vulnerable groups.
methodsIn this systematic review, we assessed the design and implementation characteristics of eHealth tools that are used by vulnerable groups. In the meta-analysis, we used the adherence rate as an effect size measure. The adherence rate is defined as the number of people who are repetitive users (ie, use the eHealth tool more than once). We also performed a meta-regression analysis to examine how different design and implementation characteristics influenced the adherence rate.
resultsCurrently, eHealth tools are continuously used by vulnerable groups but to a small extent. eHealth tools that use multimodal content (such as videos) and have the possibility for direct communication with providers show improved adherence among vulnerable groups.
conclusionseHealth tools that use multimodal content and provide the possibility for direct communication with providers have a higher adherence among vulnerable groups. However, most of the eHealth tools are not embedded within the health care system. They are usually focused on specific problems, such as diabetes or obesity. Hence, they do not provide comprehensive services for patients. This limits the use of eHealth tools as a replacement for existing health care services.
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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.