@文章{信息:doi/10.2196/14321，作者=“侯赛因，Saima N和Jaglal，苏珊B和Shepherd，约翰和Perrier, Laure和Tomasone，詹妮弗R和Sweet, Shane N和Luong, Dorothy和Allin, Sonya和Nelson, Michelle L A和Guilcher, Sara J T和Munce, Sarah E P”，标题=“基于网络的慢性疾病成人同伴支持干预:范围综述”，期刊=“JMIR Rehabil Assist Technol”，年=“2021”，月=“5”，日=“25”，卷=“8”，数=“2”，页=“e14321”，关键词=“在线;同伴支持;自我管理;慢性疾病;背景:在全球范围内，三分之一的成年人患有多种慢性疾病。因此，需要采取有效的干预措施来预防和管理这些慢性疾病，并减少相关的卫生保健费用。向慢性病患者传授有效的自我管理实践是解决慢性病负担的一项战略。随着互联网的可用性和可访问性的增加，基于网络的同伴支持项目的实施已经变得越来越普遍。目的:本范围综述的目的是综合现有文献和基于网络的慢性疾病患者同伴支持计划的主要特点。 Methods: This scoping review follows the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) extension for scoping reviews guidelines. Studies were identified by searching MEDLINE, CINAHL, Embase, PsycINFO, and the Physiotherapy Evidence Database. Chronic diseases identified by the Public Health Agency of Canada were included. Our review was limited to peer support interventions delivered on the web. Peers providing support had to have the chronic condition that they were providing support for. The information abstracted included the year of publication, country of study, purpose of the study, participant population, key characteristics of the intervention, outcome measures, and results. Results: After duplicates were removed, 12,641 articles were screened. Data abstraction was completed for 41 articles. There was a lack of participant diversity in the included studies, specifically with respect to the conditions studied. There was a lack of studies with older participants aged ≥70 years. There was inconsistency in how the interventions were described in terms of the duration and frequency of the interventions. Informational, emotional, and appraisal support were implemented in the studied interventions. Few studies used a randomized controlled trial design. A total of 4 of the 6 randomized controlled trials reported positive and significant results, including decreased emotional distress and increased health service navigation, self-efficacy, social participation, and constructive attitudes and approaches. Among the qualitative studies included in this review, there were several positive experiences related to participating in a web-based peer support intervention, including increased compassion and improved attitudes toward the individual's chronic condition, access to information, and empowerment. Conclusions: There is limited recent, high-level evidence on web-based peer support interventions. Where evidence exists, significant improvements in social participation, self-efficacy, and health-directed activity were demonstrated. Some studies incorporated a theoretical framework, and all forms of peer support---emotional, informational, and appraisal support---were identified in the studies included in this review. We recommend further research on web-based peer support in more diverse patient groups (eg, for older adults and chronic conditions outside of cancer, cardiovascular disease, and HIV or AIDS). Key gaps in the area of web-based peer support will serve to inform the development and implementation of future programs. ", issn="2369-2529", doi="10.2196/14321", url="https://rehab.www.mybigtv.com/2021/2/e14321", url="https://doi.org/10.2196/14321", url="http://www.ncbi.nlm.nih.gov/pubmed/34032572" }