Table 9.

Implications of study.

Suggestion	Implications
	Information technology platforms
		It would be valuable to further evaluate IT platform-based interventions to form a more coherent picture of their effectiveness in encouraging patient engagement for the purpose of enhancing lasting health behavior change. A study with a long time frame may be useful to draw a clear conclusion on the effectiveness of these technologies and to determine the best ways to guarantee positive long-term effects in patients.
		Also, due to low availability of studies meeting our criteria, we could not provide or conclude relationships between factors. Therefore, we recommend doing another review when there are more studies available in future.
In future, we can increase the quality of the review by limiting sample size and study time frame.
IT platform interventions reviewed in this study are mutually inclusive; they use different labels and contexts to describe the same concepts and lack of formal definitions. Therefore, a common framework for analyzing these concepts is needed. A framework with an ontological approach may serve this purpose.
Patient engagements	The outreach and engagement period prior to the intervention enrollment are critical to the success of any intervention. Therefore, studies should consider that when implementing the interventions
	A study assessing determinant of patient engagement is highly recommended.
Usability	Assessment of user satisfaction toward IT platforms and their usability of these platforms are needed, and could be done through qualitative evaluations of user opinions of the respective IT platform(s).
Theories of health behavior	The literature also needs to focus more on referencing, selecting, and implementing behavioral theory to achieve the best possible impact. Reporting accurate information about interventions is essential to assessing the effectiveness of these interventions and facilitating their successful implementation.
	Also, new theories are needed to better understand how patients can participate and facilitate health behavior change, theories building on past conceptual and focus only on one aspect, a triangulation model would provide internally logical and comprehensible perception to achieve these goals.
Methods measure health outcomes	It would be valuable to further examine how different types of measurement could affect patient outcomes reported in the study. A comparison between direct and indirect methods could be helpful to draw a clear conclusion.