Evidence map›Paper›PMID 34420918›Full record

SynthesisJournal of medical Internet research2021

eHealth in Geriatric Rehabilitation: Systematic Review of Effectiveness, Feasibility, and Usability.

Jules J M Kraaijkamp, Eléonore F van Dam van Isselt, Anke Persoon, Anke Versluis, Niels H Chavannes, Wilco P Achterberg

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Journal of medical Internet research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 5 pooled it
6.9field-weighted citation impact, top 2% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

52 citing papers in PubMed, 5 syntheses or guidelines pooled it, 80 citations in OpenAlex.

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  14. The psychometric properties of the Dubousset Functional Test in patients with thoracic hyperkyphosis.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
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  19. [Geriatrie rehabilitation in different settings].Zeitschrift fur Gerontologie und Geriatrie · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Jules J M KraaijkampDepartment of Public Health and Primary Care, Leiden University Medical Center, Leiden, Netherlands.ORCID 0000-0001-7262-8399
Eléonore F van Dam van IsseltDepartment of Public Health and Primary Care, Leiden University Medical Center, Leiden, Netherlands.ORCID 0000-0002-5584-6295
Anke PersoonDepartment of Primary and Community Care, Radboud University Medical Center Nijmegen, Nijmegen, Netherlands.ORCID 0000-0003-4581-4748
Anke VersluisDepartment of Public Health and Primary Care, Leiden University Medical Center, Leiden, Netherlands.ORCID 0000-0002-9489-7925
Niels H ChavannesDepartment of Public Health and Primary Care, Leiden University Medical Center, Leiden, Netherlands.ORCID 0000-0002-8607-9199
Wilco P AchterbergDepartment of Public Health and Primary Care, Leiden University Medical Center, Leiden, Netherlands.ORCID 0000-0001-9227-7135
Leiden University Medical Center · NLRadboud University Nijmegen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundeHealth has the potential to improve outcomes such as physical activity or balance in older adults receiving geriatric rehabilitation. However, several challenges such as scarce evidence on effectiveness, feasibility, and usability hinder the successful implementation of eHealth in geriatric rehabilitation.

objectiveThe aim of this systematic review was to assess evidence on the effectiveness, feasibility, and usability of eHealth interventions in older adults in geriatric rehabilitation.

methodsWe searched 7 databases for randomized controlled trials, nonrandomized studies, quantitative descriptive studies, qualitative research, and mixed methods studies that applied eHealth interventions during geriatric rehabilitation. Included studies investigated a combination of effectiveness, usability, and feasibility of eHealth in older patients who received geriatric rehabilitation, with a mean age of ≥70 years. Quality was assessed using the Mixed Methods Appraisal Tool and a narrative synthesis was conducted using a harvest plot.

resultsIn total, 40 studies were selected, with clinical heterogeneity across studies. Of 40 studies, 15 studies (38%) found eHealth was at least as effective as non-eHealth interventions (56% of the 27 studies with a control group), 11 studies (41%) found eHealth interventions were more effective than non-eHealth interventions, and 1 study (4%) reported beneficial outcomes in favor of the non-eHealth interventions. Of 17 studies, 16 (94%) concluded that eHealth was feasible. However, high exclusion rates were reported in 7 studies of 40 (18%). Of 40 studies, 4 (10%) included outcomes related to usability and indicated that there were certain aging-related barriers to cognitive ability, physical ability, or perception, which led to difficulties in using eHealth.

conclusionseHealth can potentially improve rehabilitation outcomes for older patients receiving geriatric rehabilitation. Simple eHealth interventions were more likely to be feasible for older patients receiving geriatric rehabilitation, especially, in combination with another non-eHealth intervention. However, a lack of evidence on usability might hamper the implementation of eHealth. eHealth applications in geriatric rehabilitation show promise, but more research is required, including research with a focus on usability and participation.

Indexed as

TelemedicineAgedAgingExerciseFeasibility StudiesHumansQualitative Researchdigital healtheffectivenesseHealthfeasibilitygeriatric rehabilitationmHealthsystematic reviewusability

Identifiers

PMID34420918
PMCPMC8414304
OpenAlexW3160249766

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.