Telehealth interventions for transition to self‐management in adolescents with allergic conditions: A systematic review

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 telehe...

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Bibliographic Details
Published in:Allergy (Copenhagen) 2024-04, Vol.79 (4), p.861-883
Main Authors: Sullivan, Meg O', Curtin, Margaret, Flynn, Rachel, Cronin, Caoimhe, Mahony, James O', Trujillo, Juan
Format: Article
Language:English
Subjects:
Adolescent
Adolescents
Artificial intelligence
Asthma
Computer applications
Health care
Humans
Hypersensitivity - therapy
mobile applications
Self-Management - methods
self‐management
Teenagers
Telemedicine
transition to adult care
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Summary: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 articles were included, reporting on 15 telehealth interventions. A total of 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 utilization. The most common implementation outcomes reported were acceptability, appropriateness, feasibility and fidelity.
ISSN:0105-4538
1398-9995
1398-9995
DOI:10.1111/all.15963