The Efficacy of Internet-Based Interventions in Family-Centered Empowerment Among Children with Chronic Diseases: A Mixed-Methods Systematic Review

Abstract

Background The incidence of chronic diseases in children is increasing worldwide, which can disrupt the quality of life. Family empowerment (FE) is one approach to strengthen family care among children with chronic diseases. In addition, internet has the potential in healthcare service interventions for families. Purpose This study aimed to determine the efficacy of internet-based family empowerment interventions among children with chronic diseases. Methods The study used a mixed-methods systematic review. A literature review was conducted following PRISMA guidelines using the PubMed, Scopus, ScienceDirect, and CINAHL databases. We used the PCC framework: chronic diseases (Population), family empowerment (Concept), and internet-based intervention (Context). Studies were eligible if published between 2013 and 2023, full-text, original study design, and focused on family empowerment in children with chronic diseases. Studies would be excluded if they were not in English or if the population was adults. The quality of the studies was assessed using the Mixed Methods Appraisal Tool (MMAT) version 2018. The study analysis used Sequential Explanatory Synthesis, which is a quantitative study (QUAN) synthesis followed by a qualitative study (QUAL) synthesis, then integrated using the QUAL data transformation technique. Results We highlight the quantitative study findings that an internet-based family empowerment intervention positively impacted family members’ ability to care for children with chronic diseases with a mean Family Empowerment Scale (FES) total score of 4.13. We analyzed six study and identified four themes regarding efficacy of internet-based interventions in empowering families with children with chronic diseases: knowledge; availability of resources and time-saving; connectedness and communication; and family management and self-confidence. Conclusion Our study highlights that online-based interventions in family empowerment positively impact enhancing all domains of empowerment. This findings suggest that internet-based family interventions need to be adopted to fulfill the care needs of children with chronic diseases sustainably.

Pengembangan Media Edukasi Kreatif Berbasis Digital untuk Peningkatan Kesejahteraan Mental Anak dengan Stunting di Kabupaten Pangandaran

“…Media digital memiliki manfaat untuk menjangkau masyarakat secara luas, meningkatkan pemahaman pendidikan berbentuk audio dan visual, serta menarik untuk diikuti (Janitra et al, 2021;Mulyana et al, 2023). Potensi ini dapat dikembangkan menjadi inovasi sosialisasi dan pembelajaran bagi masyarakat di Pangandaran sebagai program yang berkelanjutan dengan pemanfaatan teknologi digital.…”

“…Pemanfaatan media untuk memberikan edukasi dan promosi kesehatan sangat membantu tenaga kesehatan dalam melakukan pelayanan kepada masyarakat. Sehingga memudahkan masyarakat dalam menerima informasi yang cepat dan akurat (Permatasari et al, 2023;Mulyana et al, 2023;Kurniawan et al, 2022). Peran inovasi berbasis teknologi digital sangat penting, agar pemanfaatan teknologi digital dapat dilakukan secara luas dan optimal (Ambarwati et al, 2022).…”

“…Tujuan diadakannya edukasi yaitu untuk meningkatkan pengetahuan dan kesadaran masyarakat untuk memelihara serta meningkatkan kesehatannya sendiri (Khoirunnisa et al, 2023;Kurniawan et al, 2023). Oleh karena itu, tentu diperlukan upaya penyediaan dan penyampaian informasi untuk mengubah, menumbuhkan, atau mengembangkan perilaku positif (Maulana, 2009;Mulyana et al, 2023;Kurniawan et al, 2022). Di era digital saat ini edukasi dapat dilakukan dengan memanfaatkan media edukasi dalam bentuk digital yang menarik dan mudah dipahami.…”