Digital Health Education for Chronic Lung Disease: Scoping Review
BackgroundChronic lung disease (CLD) is one of the most prevalent noncommunicable diseases globally, significantly burdening patients and increasing health care expenditures. Digital health education (DHE) is increasingly important in chronic disease prevention and management...
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JMIR Publications
2025-03-01
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| Series: | Journal of Medical Internet Research |
| Online Access: | https://www.jmir.org/2025/1/e53142 |
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| author | Chao Sun Huohuo Dai Rianne M.J.J. van der Kleij Rong Li Hengchang Wu Cynthia Hallensleben Sofie H Willems Niels H Chavannes |
| author_facet | Chao Sun Huohuo Dai Rianne M.J.J. van der Kleij Rong Li Hengchang Wu Cynthia Hallensleben Sofie H Willems Niels H Chavannes |
| author_sort | Chao Sun |
| collection | DOAJ |
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BackgroundChronic lung disease (CLD) is one of the most prevalent noncommunicable diseases globally, significantly burdening patients and increasing health care expenditures. Digital health education (DHE) is increasingly important in chronic disease prevention and management. However, DHE characteristics and impacts in CLD are rarely reported.
ObjectiveThis study aimed to provide an overview of the existing literature on DHE for CLD, with a focus on exploring the DHE mediums, content, mechanisms, and reported outcomes in patients with CLD.
MethodsWe searched PubMed, Web of Science, Embase, PsycINFO, and The Cochrane Library with the assistance of a librarian specialist. Articles were screened by the reviewer team with ASReview (Utrecht University) and EndNote X9 (Clarivate Analytics) based on predefined inclusion and exclusion criteria and the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews) checklist. Quality assessment was conducted with the Critical Appraisal Skills Program tool. A descriptive analysis was used to summarize the study characteristics, DHE characteristics, and outcomes.
ResultsA total of 22 studies were included in this review with medium or high quality. They were published between 2000 and 2022, showing an increasing publication trend with the year, mostly in developed countries (16/22, 73%). Websites and mobile apps (10/22, 45%) were the most widely used DHE medium. Education on self-management skills of CLD was the primary topic (21/22, 95%), 4/22 (18%) of which mentioned DHE mechanisms. The majority of studies reported positive changes in CLD awareness (14/16, 88%), clinical outcomes (3/6, 50%), DHE feasibility, acceptability, and satisfaction (6/8, 75%), lifestyle outcomes (3/3, 100%), and psychosocial outcomes (7/8, 88%). Only 2 studies reported cost-effectiveness (2/22, 9%).
ConclusionsDespite the heterogeneity of the study situation, some aspects can be concluded. DHE can improve disease awareness and clinical outcomes in patients with chronic lung disease, with good feasibility, acceptability, and satisfaction through different mediums and learning content. There is still relatively little research among people in low- and middle-income countries. Future research should consider the impact on cost-effectiveness, duration, frequency, and theoretical mechanisms of the DHE to maximize the potential impact. It should also be conducted in the context of health services research to better reflect the real world. |
| format | Article |
| id | doaj-art-3b87dcd350044ad2bc5f3e968d34c204 |
| institution | DOAJ |
| issn | 1438-8871 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | JMIR Publications |
| record_format | Article |
| series | Journal of Medical Internet Research |
| spelling | doaj-art-3b87dcd350044ad2bc5f3e968d34c2042025-08-20T03:02:55ZengJMIR PublicationsJournal of Medical Internet Research1438-88712025-03-0127e5314210.2196/53142Digital Health Education for Chronic Lung Disease: Scoping ReviewChao Sunhttps://orcid.org/0000-0001-6353-5385Huohuo Daihttps://orcid.org/0000-0001-7109-1163Rianne M.J.J. van der Kleijhttps://orcid.org/0000-0002-8638-4978Rong Lihttps://orcid.org/0009-0003-6932-7490Hengchang Wuhttps://orcid.org/0009-0002-2722-6344Cynthia Hallenslebenhttps://orcid.org/0000-0003-3881-5419Sofie H Willemshttps://orcid.org/0000-0002-9403-0491Niels H Chavanneshttps://orcid.org/0000-0002-8607-9199 BackgroundChronic lung disease (CLD) is one of the most prevalent noncommunicable diseases globally, significantly burdening patients and increasing health care expenditures. Digital health education (DHE) is increasingly important in chronic disease prevention and management. However, DHE characteristics and impacts in CLD are rarely reported. ObjectiveThis study aimed to provide an overview of the existing literature on DHE for CLD, with a focus on exploring the DHE mediums, content, mechanisms, and reported outcomes in patients with CLD. MethodsWe searched PubMed, Web of Science, Embase, PsycINFO, and The Cochrane Library with the assistance of a librarian specialist. Articles were screened by the reviewer team with ASReview (Utrecht University) and EndNote X9 (Clarivate Analytics) based on predefined inclusion and exclusion criteria and the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews) checklist. Quality assessment was conducted with the Critical Appraisal Skills Program tool. A descriptive analysis was used to summarize the study characteristics, DHE characteristics, and outcomes. ResultsA total of 22 studies were included in this review with medium or high quality. They were published between 2000 and 2022, showing an increasing publication trend with the year, mostly in developed countries (16/22, 73%). Websites and mobile apps (10/22, 45%) were the most widely used DHE medium. Education on self-management skills of CLD was the primary topic (21/22, 95%), 4/22 (18%) of which mentioned DHE mechanisms. The majority of studies reported positive changes in CLD awareness (14/16, 88%), clinical outcomes (3/6, 50%), DHE feasibility, acceptability, and satisfaction (6/8, 75%), lifestyle outcomes (3/3, 100%), and psychosocial outcomes (7/8, 88%). Only 2 studies reported cost-effectiveness (2/22, 9%). ConclusionsDespite the heterogeneity of the study situation, some aspects can be concluded. DHE can improve disease awareness and clinical outcomes in patients with chronic lung disease, with good feasibility, acceptability, and satisfaction through different mediums and learning content. There is still relatively little research among people in low- and middle-income countries. Future research should consider the impact on cost-effectiveness, duration, frequency, and theoretical mechanisms of the DHE to maximize the potential impact. It should also be conducted in the context of health services research to better reflect the real world.https://www.jmir.org/2025/1/e53142 |
| spellingShingle | Chao Sun Huohuo Dai Rianne M.J.J. van der Kleij Rong Li Hengchang Wu Cynthia Hallensleben Sofie H Willems Niels H Chavannes Digital Health Education for Chronic Lung Disease: Scoping Review Journal of Medical Internet Research |
| title | Digital Health Education for Chronic Lung Disease: Scoping Review |
| title_full | Digital Health Education for Chronic Lung Disease: Scoping Review |
| title_fullStr | Digital Health Education for Chronic Lung Disease: Scoping Review |
| title_full_unstemmed | Digital Health Education for Chronic Lung Disease: Scoping Review |
| title_short | Digital Health Education for Chronic Lung Disease: Scoping Review |
| title_sort | digital health education for chronic lung disease scoping review |
| url | https://www.jmir.org/2025/1/e53142 |
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