To define digital health services that
have been studied among chronically ill adolescents and to describe
e-health coaching elements that may have an impact on transition
outcomes.

Systematic review without meta-analysis.

MEDLINE (Ovid), Pub Med, Scopus and CINAHL on 28 May 2018.

Peer-reviewed
articles published between January 2008 - May 2018 were reviewed
following the Cochrane Handbook for Systematic Reviews of Interventions
and reported according to the Preferred Reporting Items for Systematic
Reviews and Meta-analyses statement.

Twelve
randomised controlled trials were included. The interventions varied
significantly in duration and content. E-coaching that included human
and social support showed positive impact on transition outcomes.
Digital health services incorporated into usual care provide efficient
and accessible care.

E-coaching elements
enable tailoring and personalization and present a tool for supporting
and motivating chronically ill adolescents during transition of care.
Future research should evaluate the effectiveness of e-coaching
elements.

Digital services are considered a means
for increasing adolescents´ motivation for selfcare and for increasing
their accessibility to healthcare. The coaching elements in digital
services consist of a theoretical basis, human support, interactive
means and social support. Included interventions varied in terms of
duration, dose, content and design. Our results may serve the
development of digital health services for adolescents in transition.
E-coaching can be used to engage and motivate chronically ill
adolescents to improve health behaviour and self-management during
transition of care.

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