A systematic review of internet-based self-management interventions for youth with health conditions.
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.
Stinson
Jennifer
J
Child Health Evaluative Sciences, Research Institute, SickKids, 555 University Avenue, Toronto, Ontario M5G 1X8, Canada. jennifer.stinson@sickkids.ca
Wilson
Rita
R
Gill
Navreet
N
Yamada
Janet
J
Holt
Jessica
J
D000293:Adolescent; D002648:Child; D002908:Chronic Disease / Q000523:psychology / Q000628:therapy*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D020407:Internet; D001523:Mental Disorders / Q000523:psychology / Q000628:therapy*; D010353:Patient Education as Topic / Q000379:methods*; D016032:Randomized Controlled Trials as Topic; D012648:Self Care; D016896:Treatment Outcome