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Journal of Pediatric Psychology Advance Access published online on November 23, 2008
Journal of Pediatric Psychology, doi:10.1093/jpepsy/jsn115
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© The Author 2008. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org

A Systematic Review of Internet-based Self-Management Interventions for Youth with Health Conditions

Jennifer Stinson, RN, PhD, CPNP1,3,5, Rita Wilson, RN, BScN, MEd, MN2, Navreet Gill, RN, BScN3, Janet Yamada, RN, MSc3,4 and Jessica Holt, BHSc5

1Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, 2Ryerson University, 3Child Health Evaluative Sciences, 4Centre for Nursing and Research Institute, and 5Department of Anesthesia and Pain Medicine, The Hospital for Sick Children (SickKids)

All correspondence concerning this article should be addressed to Jennifer Stinson, Child Health Evaluative Sciences, Research Institute, SickKids, 555 University Avenue, Toronto, Ontario, M5G 1X8 Canada. E-mail: jennifer.stinson{at}sickkids.ca.


  Abstract

Objective Critically appraise research evidence on effectiveness of internet self-management interventions on health outcomes in youth with health conditions. Methods Published studies of internet interventions in youth with health conditions were evaluated. Electronic searches were conducted in EBM Reviews-Cochrane Central Register of Controlled Trials, Medline, EMBASE, CINAHL and PsychINFO. Two reviewers independently selected articles for review and assessed methodological quality. Of 29 published articles on internet interventions; only nine met the inclusion criteria and were included in analysis. Results While outcomes varied greatly between studies, symptoms improved in internet interventions compared to control conditions in seven of nine studies. There was conflicting evidence regarding disease-specific knowledge and quality of life, and evidence was limited regarding decreases in health care utilization. Conclusions There are the beginnings of an evidence base that self-management interventions delivered via the internet improve selected outcomes in certain childhood illnesses.

Key words: adolescent; child; chronic illness; internet; self-management.

Received March 6, 2008; revision received October 9, 2008; accepted October 14, 2008


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