Journal of Industrial Convergence (산업융합연구)

DAEHAN Society of Industrial Management (대한산업경영학회)
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The use of digital health care for the relief of depression in the elderly: A systematic review and meta-analysis

노인의 우울 완화를 위한 디지털 헬스케어의 활용: 체계적 문헌고찰 및 메타분석

  • Seo, Eunju (Dept. of Nursing, Pai Chai University) ;
  • Park, Myung-Bae (Dept. of Health and Welfare, Pai Chai University) ;
  • Im, Jinseop (Dept. of Health and Welfare, Pai Chai University)
  • 서은주 (배재대학교 간호학과) ;
  • 박명배 (배재대학교 보건의료복지학과) ;
  • 임진섭 (배재대학교 보건의료복지학과)
  • Received : 2022.06.21
  • Accepted : 2022.09.20
  • Published : 2022.09.28
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Abstract

This study comprised a systematic review and meta-analysis to determine how digital health care to relieve depression of the elderly. The CINAHL, Embase, Medline, DBpia, KERIS, KISS and RISS were used. As a result of the systematic search, a total of 4,071 studies were assessed and six studies were ultimately selected based on the inclusion and exclusion criteria. Of these, a total of five studies were available for meta-analysis; the effect size was calculated. The effect size of digital health care was statistically significant in reducing depression(SMD=-4.73, 95% CI -7.44 to -2.01, Z=3.41, p=.0007). Since only web-based programs are included in the analysis among types of digital health care, we suggest that we consider ways to reduce depression in the elderly by applying various digital health care in the future.

본 연구는 디지털 헬스케어가 노인의 우울 완화에 미치는 영향을 알아보기 위하여 체계적 문헌고찰을 수행하였으며, 메타분석을 통해 그 효과를 분석하였다. 체계적 문헌고찰을 위해 CINHAL, Embase, Medline, DBpia, KERIS, KISS, RISS를 검색한 결과 총 4,071편이 검색되었고, 문헌 선정 및 배제 기준에 따라 최종적으로 6편의 논문이 분석에 포함되었다. 그 중 메타분석이 가능한 5편의 연구를 분석한 결과 우울 감소에 효과가 있는 것으로 나타났다(SMD=-4.73, 95% CI -7.44 to -2.01, Z=3.41, p=.0007). 디지털 헬스케어를 제공한 프로그램의 종류로는 웹 기반 프로그램만이 포함되었으므로, 향후 스마트 기기 등 다양한 부분에서의 디지털 헬스케어의 적용으로 노인의 우울 증상을 줄이는 방안을 모색할 것을 제안한다.

Keywords

References

  1. Taquet M, Holmes EA & Harrison PJ. (2021). Depression and anxiety disorders during the COVID-19 pandemic: Knowns and unknowns. The Lancet, 398(10312), 1665-1666. DOI : 10.1016/S0140-6736(21)02221-2
  2. J. Y. Heo. (2020). Clinical and Epidemiological Characteristics of Coronavirus Disease 2019 in the Early Stage of Outbreak. The Korean Journal of Medicine, 95(2), 67-73. DOI : 10.3904/kjm.2020.95.2.67
  3. J. E. Kim. (2020). Clinical Feature of Coronavirus Disease 2019 in Elderly. The Korean Academy of Clinical Geriatirics, 21(1), 1-8. DOI : 10.15656/kjcg.2020.21.1.1
  4. Chan, A., Malhotra, C., Malhotra, R. & Ostbye, T. (2011). Living arrangements, social networks and depressive symptoms among older men and women in Singapore. International Journal of Geriatric Psychiatry, 26(6), 630-639. DOI : 10.1002/gps.2574
  5. J. E. Kim. (2021). Influence of Social Contact, Depression and Anxiety on Suicidal Ideation of the Elderly in the COVID-19 pandemic. The Journal of the Korea Contents Association, 21(12), 870-878. DOI : 10.5392/JKCA.2021.21.12.870
  6. Ministry of Health & Welfare. Temporary perission for phone consultations or prescriptions and proxy prescriptions. http://www.mohw.go.kr/react/al/sal0101vw.jsp?PAR_MENU_ID=04&MENU_ID=040101&page=1&CONT_SEQ=353269
  7. K. H. Seo. (2020). The latest global trends in digital health. MEdical Policy Forum, 18(2), 98-103.
  8. Frank, S. R. (2000). Digital health care-the convergence of health care and the Internet. The Journal of ambulatory care management, 23(2), 8-17. https://doi.org/10.1097/00004479-200004000-00003
  9. Patel, S. et al. (2020). The acceptability and usability of digital health interventions for adults with depression, anxiety, and somatoform disorders: Qualitative systematic review and meta-synthesis. Journal of medical Internet research, 22(7), e16228. DOI : 10.2196/16228
  10. S. Y. Rhee, C. Kim, D. W. Shin & Steinhubl, S. R. (2020). Present and future of digital health in diabetes and metabolic disease. Diabetes & Metabolism Journal, 44(6), 819-827. DOI : 10.4093/dmj.2020.0088
  11. Widmer, R. J., Collins, N. M., Collins, C. S., West, C. P., Lerman, L. O. & Lerman, A. (2015, April). Digital health interventions for the prevention of cardiovascular disease: a systematic review and meta-analysis. In Mayo Clinic Proceedings, 90(4), 469-480. DOI : 10.1016/j.mayocp.2014.12.026
  12. S. A. Min, M. J. Lee & M. J. Im. (2018). Effects of the Result of In-Company Medical Checkup and Diet and Exercise Monitoring using a Mobile Application on Changes in Employees' Body Composition. Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology, 8(5), 559-568. https://doi.org/10.35873/AJMAHS.2018.8.5.053
  13. Gallup. (2021. 6. 3.). 2012-2021 A study on Smartphone usage rate & brand, Smart watch, Wireless earphone. https://www.gallup.co.kr/gallupdb/reportContent.asp?seqNo=1217
  14. Higgins, J. P., Thomas, J., Chandler, J., Cumpston, M., Li, T., Page, M. J. & Welch, V. A. (2019). C-ochrane handbook for systematic reviews of interventions. John Wiley & Sons.
  15. Higgins, J. P., Altman, D. G., Gotzsche, P. C., Juni, P., Moher, D., Oxman, A. D., ... & Sterne, J. A. (2011). The Cochrane Collaboration's tool for assessing risk of bias in randomised trials. Bmj, 343.
  16. Dear, B. F., Zou, J. B., Ali, S., Lorian, C. N., Johnston, L., Sheehan, J., ... & Titov, N. (2015). Clinical and cost-effectiveness of therapist-gui- ded internet-delivered cognitive behavior therapy for older adults with symptoms of anxiety: a randomized controlled trial. Behavior Therapy, 46(2), 206-217. DOI : 10.1016/j.beth.2014.09.007
  17. Bennion, M. R., Hardy, G. E., Moore, R. K., Kellett, S. & Millings, A. (2020). Usability, acceptability, and effectiveness of web-based conversational agents to facilitate problem solving in older adults: controlled study. Journal of Medical Internet Research, 22(5), e16794. DOI : 10.2196/16794
  18. Titov, N., Dear, B. F., Ali, S., Zou, J. B., Lorian, C. N., Johnston, L., ... & Fogliati, V. J. (2015). Clinical and cost-effectiveness of therapist-gui- ded internet-delivered cognitive behavior therapy for older adults with symptoms of depression: a randomized controlled trial. Behavior therapy, 46(2), 193-205. DOI : 10.1016/j.beth.2014.09.008
  19. Proyer, R. T., Gander, F., Wellenzohn, S. & Ruch, W. (2014). Positive psychology interventions in people aged 50-79 years: Long-term effects of placebo-controlled online interventions on well-being and depression. Aging & mental health, 18(8), 997-1005. DOI : 10.1080/13607863.2014.899978
  20. Spek, V., Nyklicek, I., Smits, N., Cuijpers, P. I. M., Riper, H., Keyzer, J. & Pop, V. (2007). Internet-based cognitive behavioural therapy for subthreshold depression in people over 50 years old: a randomized controlled clinical trial. Psychological medicine, 37(12), 1797-1806. DOI : 10.1017/S0033291707000542
  21. Shapira, S., Yeshua-Katz, D., Cohn-Schwartz, E., Aharonson-Daniel, L., Sarid, O. & Clarfield, A. M. (2021). A pilot randomized controlled trial of a group intervention via Zoom to relieve loneliness and depressive symptoms among older persons during the COVID-19 outbreak. Internet interventions, 24, 100368. DOI : 10.1016/j.invent.2021.100368
  22. S. H. Chung & W. T. Kim. (2014). A Study on Improvement of Smartphone Use for Seniors - Improvement plans in perspectives of bodily perception and understanding of terms, concepts and technologies. Design Convergence Study, 13(2), 277-295
  23. Hwang, S. H., Lee, H. J., O.T.R., Ha, E. H., Kim, S. H. Jung, G. K. & Choi, H. J. (2017). The Effects of Use of Smartphone and Cognitive Function on Depression, and Loneliness of Life in Elders. The Journal of Occupational Therapy for the Aged and Dementia, 11(1), 9-19.
  24. Lee, H. S., Choi, G. H., Yu, Y. K. & Im, S. I. (2012). Meta-analysis of study of the education and the effective treatment programs for the aged. Jornal of Welfare for the Aged, 56, 93-114.
  25. J. H. Kim. (2019). Older Adults' Perspectives on Chronological Definition for Old Age. The Korean Gerontological Research Society, 28(2), 109-117. https://doi.org/10.25280/kjrg.28.2.5
  26. M. Y. Kim. (2018). The Effects of Smartphone Use on Life Satisfaction, Depression, Social Activity and Social Support of Older Adults. The Korea Academia-Industrial cooperation Society, 19(11), 264-277. DOI : 10.5762/KAIS.2018.19.11.264
  27. J. K. Ahn, J. H. Kwon & H. Y. Yoon. (2014). Effectiveness of the Internet-Based Self-Help Program for Social Anxiety Disorder. Korean Journal of Clinical Psychology, 33(4), 695-721. https://doi.org/10.15842/KJCP.2014.33.4.003
  28. J. S. Yoo, K. S. Lee & J. A. Gwon. (2017). Design and Implementation of Smartphone Application for Measurement and Management of Depressive Emotion in Adolescents Using Cognitive Behavioral Therapy. Digital Contents Society. 18(3), 443-455. DOI : 10.9728/dcs.2017.18.3.443
  29. Kroenke, K., Spitzer, R. L. & Williams, J. B. (2001). The PHQ-9: validity of a brief depression severity measure. Journal of general internal medicine, 16(9), 606-613. https://doi.org/10.1046/j.1525-1497.2001.016009606.x
  30. Karim, J., Weisz, R. & Bibi, Z. (2015). Validation of the eight-item center for epidemiologic studies depression scale (CES-D) among older adults. Current Psychology, 34(4), 681-692. DOI : 10.1007/s12144-014-9281-y
  31. Kernot, J., Olds, T., Lewis, L. K. & Maher, C. (2015). Test-retest reliability of the English version of the Edinburgh Postnatal Depression Scale. Archives of women's mental health, 18(2), 255-257. DOI : 10.1007/s00737-014-0461-4
  32. Davies, E. B., Morriss, R. & Glazebrook, C. (2014). Computer-delivered and web-based interventions to improve depression, anxiety, and psychological well-being of university students: a systematic review and meta-analysis. Journal of medical Internet research, 16(5), e3142. DOI : 10.2196/jmir.3142
  33. Pospos, S., Young, I. T., Downs, N., Iglewicz, A., Depp, C., Chen, J. Y., ... & Zisook, S. (2018). Web-based tools and mobile applications to mitigate burnout, depression, and suicidality among healthcare students and professionals: a systematic review. Academic psychiatry, 42(1), 109-120. DOI : 10.1007/s40596-017-0868-0
  34. Charova, E., Dorstyn, D., Tully, P. & Mittag, O. (2015). Web-based interventions for comorbid depression and chronic illness: a systematic review. Journal of Telemedicine and Telecare, 21(4), 189-201. DOI : 10.1177/1357633X15571997
  35. S. H. Chung & W. T. Kim. (2014). A Study on Improvement of Smartphone Use for Seniors - Improvement plans in perspectives of bodily perception and understanding of terms, concepts and technologies. Society of Design Convergence, 13(2), 277-295.