Digital health interventions in palliative care: a systematic meta-review

Finucane, Anne; O’Donnell, Hannah; Lugton, Jean; Gibson-Watt, Tilly; Swenson, Connie; Pagliari, Claudia

doi:10.1038/s41746-021-00430-7

Cited by 74 publications

(99 citation statements)

References 64 publications

(144 reference statements)

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“…Tablets, smartwatches, or smartphones were utilized in 15 studies for information sharing, such as reminding participants about using another wearable technology, providing information/advice about the importance of participation in physical activity/exercise, or connecting with a health professional or with other study participants. Examples from other areas demonstrate that wearable technologies incorporating an information-sharing function within the device can enhance communication between patients, professionals, and caregivers, provide more opportunities to express feelings, increase connectedness and caregiver support and improve advanced care planning [ 91 ]. Smartphones, tablets and/or smartwatches are accessible and can be delivered conveniently and easily to the target audience.…”

Section: Discussionmentioning

confidence: 99%

Applications of Wearable Technology in a Real-Life Setting in People with Knee Osteoarthritis: A Systematic Scoping Review

Cudejko

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Willott

et al. 2021

JCM

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With the growing number of people affected by osteoarthritis, wearable technology may enable the provision of care outside a traditional clinical setting and thus transform how healthcare is delivered for this patient group. Here, we mapped the available empirical evidence on the utilization of wearable technology in a real-world setting in people with knee osteoarthritis. From an analysis of 68 studies, we found that the use of accelerometers for physical activity assessment is the most prevalent mode of use of wearable technology in this population. We identify low technical complexity and cost, ability to connect with a healthcare professional, and consistency in the analysis of the data as the most critical facilitators for the feasibility of using wearable technology in a real-world setting. To fully realize the clinical potential of wearable technology for people with knee osteoarthritis, this review highlights the need for more research employing wearables for information sharing and treatment, increased inter-study consistency through standardization and improved reporting, and increased representation of vulnerable populations.

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Section: Discussionmentioning

confidence: 99%

Applications of Wearable Technology in a Real-Life Setting in People with Knee Osteoarthritis: A Systematic Scoping Review

Cudejko

Button

Willott

et al. 2021

JCM

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“…Based on the literature, one of the characteristics that does not allow for a consistent and generalizable assessment of digital health interventions, not only in the case of palliative care but also in other types of care, is the wide heterogeneity in methodology ( 21 ). In particular, there is a wide variety of types of interventions ranging from text messaging and videoconferencing to eHealth applications ( 22 ). Furthermore, the purpose of the interventions is not universal either, as they can be used for provision of information, education or symptom management, while they can also be designed not only for patients but also for caregiver support.…”

Section: Discussionmentioning

confidence: 99%

Economic Evaluation of Digital Health Interventions in Palliative Care: A Systematic Review of the Literature

Naoum

Pavi

Athanasakis

2021

Front. Digit. Health

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Introduction: Digital health interventions can facilitate the provision of palliative care. However, the economic evaluation of such interventions has not yet been a standard practice. The present study aimed to identify the existing literature on the particular subject.Methods: A systematic search was conducted in six literature databases between 2010 and 2021: PubMed, Scopus, DARE, NHS EED, Cochrane Database of Systematic Reviews, and Cochrane Central Register of Controlled Trials. Methodological quality was assessed with the Drummond Checklist.Results: The search identified 423 publications, 66 of which were removed as duplicates, resulting in 357 records to be screened by title and abstract. Ten studies were subjected to full-text review and 3 were included in the analysis. The interventions of these studies referred to video consultations and eHealth interventions for symptom management. Overall, the digital health interventions incurred lower costs compared with usual care or no intervention and were considered cost saving and cost-effective. The methodological quality of the studies was considered good.Conclusion: The results of this systematic review indicate that the use of digital health interventions has the potential to be cost-effective in palliative care. However, applicability and generalizability of the evidence is uncertain, mainly due to methodological heterogeneity and scarcity of research.

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“…In (2), 24 relevant publications reviewed, concluding that the proposed digital health interventions are positively evaluated by end-users and that ePRO interventions could have a significant positive impact on health outcomes. Similarly, a recent metareview presented by Finucane et al (3) concluded that digital health interventions in palliative care could positively affect patients, especially regarding education, information sharing, decision-making, communication, and costs. More specifically, a number of research works highlight the benefits in specific aspects like physical activity (4), reduction in anxiety and drowsiness (5), fatigue, nausea, and insomnia (6).…”

Section: Introductionmentioning

confidence: 96%

Fostering Palliative Care Through Digital Intervention: A Platform for Adult Patients With Hematologic Malignancies

Koumakis¹,

Schera²,

Parker³

et al. 2021

Front. Digit. Health

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Patient-reported outcomes (PROs) are an emerging paradigm in clinical research and healthcare, aiming to capture the patient's self-assessed health status in order to gauge efficacy of treatment from their perspective. As these patient-generated health data provide insights into the effects of healthcare processes in real-life settings beyond the clinical setting, they can also be viewed as a resolution beyond what can be gleaned directly by the clinician. To this end, patients are identified as a key stakeholder of the healthcare decision making process, instead of passively following their doctor's guidance. As this joint decision-making process requires constant and high-quality communication between the patient and his/her healthcare providers, novel methodologies and tools have been proposed to promote richer and preemptive communication to facilitate earlier recognition of potential complications. To this end, as PROs can be used to quantify the patient impact (especially important for chronic conditions such as cancer), they can play a prominent role in providing patient-centric care. In this paper, we introduce the MyPal platform that aims to support adults suffering from hematologic malignancies, focusing on the technical design and highlighting the respective challenges. MyPal is a Horizon 2020 European project aiming to support palliative care for cancer patients via the electronic PROs (ePROs) paradigm, building upon modern eHealth technologies. To this end, MyPal project evaluate the proposed eHealth intervention via clinical studies and assess its potential impact on the provided palliative care. More specifically, MyPal platform provides specialized applications supporting the regular answering of well-defined and standardized questionnaires, spontaneous symptoms reporting, educational material provision, notifications etc. The presented platform has been validated by end-users and is currently in the phase of pilot testing in a clinical study to evaluate its feasibility and its potential impact on the quality of life of palliative care patients with hematologic malignancies.

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Digital health interventions in palliative care: a systematic meta-review

Cited by 74 publications

References 64 publications

Applications of Wearable Technology in a Real-Life Setting in People with Knee Osteoarthritis: A Systematic Scoping Review

Applications of Wearable Technology in a Real-Life Setting in People with Knee Osteoarthritis: A Systematic Scoping Review

Economic Evaluation of Digital Health Interventions in Palliative Care: A Systematic Review of the Literature

Fostering Palliative Care Through Digital Intervention: A Platform for Adult Patients With Hematologic Malignancies

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