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Digital health technologies for chronic disease self-management: A qualitative systematic review
Tingting Zhou1, Yanwei Li1, Mengyao Xing2
1Zhejiang Chinese Medicine University, School of Nursing, Hangzhou, Zhejiang Province, China.
Objective:
This review aimed to synthesize chronic disease patients' authentic experiences of using digital health technologies (DHTs) for self-management.
Methods:
10 databases were searched from inception to February 2026. Qualitative studies reporting patient experiences with DHTs for chronic disease self-management were included. Quality appraisal followed JBI guidelines, and data synthesis used thematic analysis.
Results:
40 studies were included. Three themes with 10 subthemes were identified: (1) Empowerment and Connection (cognitive empowerment, behavioral empowerment, emotional empowerment, and doctor-patient connection); (2) Coexistence of Empowerment and Burden (burden of data stewardship, information overload and misalignment, and heightened disease identity); and (3) Multi-level Factors Influencing Experience (individual agency, social support networks, system integration).
Conclusion:
Patients' experiences with DHTs involve both empowerment and burden. Effective implementation requires alignment between technology design, individual capacity, social support, and healthcare integration.
Practice Implications:
Clinicians should recognize the empowerment-burden duality when recommending DHTs. Designers should prioritize personalization, privacy, and user-friendly interfaces. Policymakers should address digital literacy and system integration to promote equitable access.
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Assessment