{
  "abstract": "Background: Digital health education interventions are widely promoted to support chronic disease self-management. However, existing umbrella reviews pool evidence across all ages and have not assessed community-dwelling older adults, who face barriers to digital access. This umbrella review aimed to determine whether current evidence supports the effectiveness of digital health education interventions for chronic disease self-management in community-dwelling adults aged 60 years or older.\n\nMethods: We conducted an umbrella review of systematic reviews evaluating digital health education interventions for chronic disease self-management in community-dwelling adults aged 60 years or older. Six databases were searched for systematic reviews published between 2015 and 2026. Meta-analytic outcomes were re-estimated using random-effects models, evidence was graded according to the Ioannidis criteria, methodological quality was assessed with AMSTAR 2, and primary-study overlap was quantified using the corrected covered area (CCA).\n\nResults: Of the 1,272 records identified, 11 met the eligibility criteria, and 10 contributed 44 meta-analytic outcomes derived from 199 primary randomized controlled trials (RCTs) across five chronic disease clusters. The evidence base showed minimal overlap among primary studies (overall CCA was 0.76%). None of the outcomes met the criteria for convincing (Class I), highly suggestive (Class II), or suggestive (Class III) evidence. Fifteen outcomes (34.1%) were classified as weak (Class IV), whereas 29 (65.9%) were non-significant. According to AMSTAR 2, only three of the 10 systematic reviews were rated as high confidence, whereas two were rated as low and five as critically low confidence; the 95% prediction interval crossed the null for all 44 outcomes.\n\nConclusion: When the evidence is limited to community-dwelling older adults, no digital health education intervention for chronic disease self-management is supported by high-credibility evidence at the umbrella review level. This finding most likely reflects the immaturity of the current evidence base—characterized by a limited number of trials, short follow-up periods, and substantial heterogeneity—rather than a lack of intervention effectiveness. Well-powered RCTs with longer follow-up and higher-quality systematic reviews specifically focused on older adults are needed to strengthen the evidence base.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Nursing, Faculty of Health Sciences, Acibadem Mehmet Ali Aydinlar University, Istanbul, Türkiye"
  ],
  "article_type": "systematic review",
  "arxiv": null,
  "author_total": 2,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Esra Sezer"
    },
    {
      "affs": [
        0
      ],
      "name": "Gözde Gür"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/3af8x97ns0rf7.bib",
  "cited_by": 0,
  "doi": "10.3389/fpubh.2026.1948010",
  "fulltext_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13696277/",
  "id": "3af8x97ns0rf7",
  "issns": [
    "2296-2565"
  ],
  "landing_url": "https://doi.org/10.3389/fpubh.2026.1948010",
  "language": "en",
  "licence": "CC-BY-4.0",
  "licence_label": "CC BY 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Systematic Review"
    ],
    [
      "openalex",
      "3317|Technology Use by Older Adults"
    ]
  ],
  "openalex": "W7221468831",
  "pdf_url": "https://europepmc.org/articles/PMC13696277?pdf=render",
  "pmcid": "PMC13696277",
  "pmid": "42935759",
  "published": "2026-10-12",
  "publisher": "Frontiers Media SA",
  "ris": "https://research.draconitic.com/paper/3af8x97ns0rf7.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:17:39Z",
      "native_id": "PMC13696277",
      "source": "pmc",
      "url": "https://doi.org/10.3389/fpubh.2026.1948010"
    },
    {
      "first_seen": "2026-10-30T12:20:22Z",
      "native_id": "10.3389/fpubh.2026.1948010",
      "source": "crossref",
      "url": "https://www.frontiersin.org/articles/10.3389/fpubh.2026.1948010/full"
    },
    {
      "first_seen": "2026-10-30T12:22:24Z",
      "native_id": "MED:42935759",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42935759"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "issn:2296-2565",
      "subfield": "epidemiology-public-health"
    }
  ],
  "title": "Effectiveness of digital health education interventions for chronic disease self-management in community-dwelling older adults: an umbrella review and evidence classification",
  "title_text": "Effectiveness of digital health education interventions for chronic disease self-management in community-dwelling older adults: an umbrella review and evidence classification",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:33:38Z",
  "url": "https://research.draconitic.com/paper/3af8x97ns0rf7",
  "venue": "Frontiers in Public Health",
  "versions": []
}