The Impact of Digital Health Tools on Health Self-Management Ability and Chronic Disease Control Among Community-Dwelling Elderly: A Global Multicenter Study

Authors

  • Sarah M. Williams *

    School of Public Health, University of Melbourne, Melbourne VIC 3010, Australia

Keywords:

Digital Health Tools; Community-Dwelling Elderly; Health Self-Management; Chronic Disease Control; Digital Literacy; Remote Monitoring; Professional Guidance; Cultural Adaptation

Abstract

This study explored digital health tools (DHTs)’ impact on health self-management and chronic disease control among 8,000 community-dwelling elderly (≥65 years) in 12 cities across 8 countries.Using 2023–2026 longitudinal data and mixed methods (quantitative regression, 350 interviews), results showed: 1) Regular DHT use (≥5 times/week) raised self-management scores by 42% (β=0.42, p<0.001), reduced HbA1c by 0.8±0.2% and systolic blood pressure by 7.5±1.8 mmHg (both p<0.001); 2) „APP + remote monitoring + professional guidance“ DHT combinations outperformed standalone APPs (β=0.38/0.32, p<0.001); 3) Key factors: digital literacy (score ≥8/10 doubled adherence), device usability, cultural adaptation. Policies: Expand digital literacy training, mandate DHT usability standards, integrate professional guidance.

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Issue

Vol. 1 No. 1 (December 2025)

Section

Articles