Platform-Based Patient-Clinician Digital Health Interventions for Care Transitions: Scoping Review.

Autor:	Backman C; University of Ottawa, Ottawa, ON, Canada., Papp R; University of Ottawa, Ottawa, ON, Canada., Tonjock Kolle A; University of Ottawa, Ottawa, ON, Canada., Papp S; The Ottawa Hospital, Ottawa, ON, Canada., Visintini S; University of Ottawa, Ottawa, ON, Canada., Schaefer Ferreira de Mello AL; Universidade Federal de Santa Catarina, Florianópolis, Brazil., de Melo Lanzoni GM; Universidade Federal de Santa Catarina, Florianópolis, Brazil., Harley A; Bruyère Continuing Care, Ottawa, ON, Canada.
Jazyk:	angličtina
Zdroj:	Journal of medical Internet research [J Med Internet Res] 2024 Dec 30; Vol. 26, pp. e55753. Date of Electronic Publication: 2024 Dec 30.
DOI:	10.2196/55753
Abstrakt:	Background: Care transitions are complex and can make patients vulnerable to adverse events. Poor communication among clinicians, patients, and their caregivers is a critical gap during these periods of transition. Technology solutions such as platform-based patient-clinician digital health interventions (DHIs) can provide support and education to patients. Objective: The aims of this scoping review were to explore the literature on platform-based patient-clinician DHIs specific to hospital-to-home care transitions and identify the barriers to and enablers of the uptake and implementation of these DHIs. Methods: A scoping review was conducted. A total of 4 databases (MEDLINE, CINAHL, Embase, and the Cochrane Central Register of Controlled Trials) were searched on July 13, 2022. Studies involving patients aged >18 years who used platform-based DHIs during their hospital-to-home transition were included. In total, 2 reviewers independently screened the articles for eligibility using a 2-stage process of title and abstract and full-text screening. Eligible studies underwent data extraction, and the results were analyzed using descriptive and narrative methods. Results: We screened 8322 articles, of which 97 (1.17%) met our inclusion criteria. DHIs were implemented using a mobile app (59/97, 61%), a web-based platform (28/97, 29%), or a combination of both (10/97, 10%). The 2 most common health conditions related to the DHIs were cardiac disease (22/97, 23%) and stroke (11/97, 11%). Outcomes varied greatly but were grouped by health care use, complications, and wellness outcomes. The top 2 barriers were lack of interest (13/97, 13%) and time constraints to use the DHIs (10/97, 10%), and the top 2 enablers were the ability to use the DHIs (17/97, 18%) and their ease of use (11/97, 11%). The main conflicting theme was access (enabler; 28/97, 29%) or limited access (barrier; 15/97, 15%) to technology or the internet. Conclusions: Platform-based DHIs could help improve communication, coordination, and information sharing between clinicians and patients during transition periods. Further research is needed to assess the effectiveness of these platform-based DHIs on patient outcomes. (©Chantal Backman, Rosie Papp, Aurelie Tonjock Kolle, Steve Papp, Sarah Visintini, Ana Lúcia Schaefer Ferreira de Mello, Gabriela Marcellino de Melo Lanzoni, Anne Harley. Originally published in the Journal of Medical Internet Research (https://www.jmir.org), 30.12.2024.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu