Recommendations for the Design and Delivery of Transitions-Focused Digital Health Interventions: Rapid Review

Singh, Hardeep; Tang, Terence; Gray, Carolyn Steele; Kokorelias, Kristina M; Thombs, Rachel; Plett, Donna; Heffernan, Matthew; Jarach, Carlotta Micaela; Armas, Alana; Law, Susan; Cunningham, Heather; Nie, Jason X; Ellen, Moriah; Thavorn, Kednapa; Nelson, Michelle

doi:10.2196/35929

Cited by 6 publications

(2 citation statements)

References 249 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although only 3/21 studies in our review specifically included methods to improve clinician engagement, one recent rapid review of transition-focused digital health interventions specifically highlighted the importance of involving clinicians in the design and implementation of these interventions to ensure better uptake [ 41 ]. Similarly, another review recommended to better engage clinicians in the design and implementation of technologies [ 42 ].…”

Section: Discussionmentioning

confidence: 99%

Patient-clinician digital health interventions for the hip fracture population: a scoping review

Backman,

Papp,

Harley

et al. 2023

BMC Health Serv Res

View full text Add to dashboard Cite

Introduction Older adults with hip fracture often require extensive post-surgery care across multiple sectors, making follow-up care even more important to ensure an ideal recovery. With the increased adoption of technology, patient-clinician digital health interventions can potentially improve post-surgery outcomes of hip fracture patients by helping them and their caregivers better understand the various aspects of their care, post-hip fracture surgery. The purpose of this study was to examine the available literature on the impact of hip fracture-specific, patient-clinician digital health interventions on patient outcomes and health care delivery processes. We also aimed to identify the barriers and enablers to the uptake and implementation of these technologies and to provide strategies for improved use of these digital health interventions. Methods We conducted a scoping review following the six stages of Arksey and O’Malley’s framework and following the PRISMA-ScR reporting format. Searches were conducted in five databases. In addition to hand searching for relevant studies from the references of all included studies, we also conducted a grey literature search to identify relevant primary studies. Screening of titles and abstracts as well as full texts were performed independently by two reviewers. Two reviewers also performed the data extraction of the included studies. Results After screening 3,638 records, 20 articles met the criteria and 1 article was identified through hand searching. Various patient-clinician digital health interventions were described including telehealth /telerehabilitation programs (n = 6), care transition /follow-up interventions (n = 5), online resources (n = 2), and wearable devices /sensor monitoring (n = 1). Outcomes were varied and included functional status, gait/mobility, quality of life, psychological factors, satisfaction, survival/complications, caregiver outcomes, compliance, technology-user interactions, and feedback on the use of the digital health interventions. For clinicians, a key barrier to the use of the digital health interventions was the acceptability of the technology. However, the usefulness of the digital health intervention by clinicians was seen as both a barrier and an enabler. For patients and caregivers, all the themes were seen as both a barrier and an enabler depending on the study. These themes included: 1) availability and access, 2) usability, 3) knowledge and skills, 4) acceptability, and 5) usefulness of the digital health intervention. Conclusion Many behavioural factors affect the use of patient-clinician digital health interventions. However, a specific attention should be focused on the acceptability of the technology by the clinicians to encourage uptake of the digital health interventions. The results of this scoping review can help to better understand the factors that may be targeted to increase the use of these technologies by clinicians, patients, and caregivers.

show abstract

Section: Discussionmentioning

confidence: 99%

Patient-clinician digital health interventions for the hip fracture population: a scoping review

Backman,

Papp,

Harley

et al. 2023

BMC Health Serv Res

View full text Add to dashboard Cite

show abstract

“…Furthermore, the more comprehensive or detailed a solution is, the more time is required to set it up. However, when transitions need to happen very rapidly, this is not always feasible [35][36][37][38].…”

Section: Principal Findingsmentioning

confidence: 99%

Exploring the Role of Active Assisted Living in the Continuum of Care for Older Adults: Thematic Analysis

Noon¹,

Hanjahanja-Phiri²,

Dave³

et al. 2023

JMIR Aging

View full text Add to dashboard Cite

Background Active assisted living (AAL) refers to systems designed to improve the quality of life, aid in independence, and create healthier lifestyles for those who need assistance at any stage of their lives. As the population of older adults in Canada grows, there is a pressing need for nonintrusive, continuous, adaptable, and reliable health monitoring tools to support aging in place and reduce health care costs. AAL has great potential to support these efforts with the wide variety of solutions currently available; however, additional work is required to address the concerns of care recipients and their care providers with regard to the integration of AAL into care. Objective This study aims to work closely with stakeholders to ensure that the recommendations for system-service integrations for AAL aligned with the needs and capacity of health care and allied health systems. To this end, an exploratory study was conducted to understand the perceptions of, and concerns with, AAL technology use. Methods A total of 18 semistructured group interviews were conducted with stakeholders, with each group comprising several participants from the same organization. These participant groups were categorized into care organizations, technology development organizations, technology integration organizations, and potential care recipient or patient advocacy groups. The results of the interviews were coded using a thematic analysis to identify future steps and opportunities regarding AAL. Results The participants discussed how the use of AAL systems may lead to improved support for care recipients through more comprehensive monitoring and alerting, greater confidence in aging in place, and increased care recipient empowerment and access to care. However, they also raised concerns regarding the management and monetization of data emerging from AAL systems as well as general accountability and liability. Finally, the participants discussed potential barriers to the use and implementation of AAL systems, especially addressing the question of whether AAL systems are even worth it considering the investment required and encroachment on privacy. Other barriers raised included issues with the institutional decision-making process and equity. Conclusions Better definition of roles is needed in terms of who can access the data and who is responsible for acting on the gathered data. It is important for stakeholders to understand the trade-off between using AAL technologies in care settings and the costs of AAL technologies, including the loss of patient privacy and control. Finally, further work is needed to address the gaps, explore the equity in AAL access, and develop a data governance framework for AAL in the continuum of care.

show abstract

Initiation of the smart home wards as a new model for home-based rehabilitation for the elderly

Wang¹,

Lian²,

Cheng³

et al. 2023

Global Transitions

View full text Add to dashboard Cite

Recommendations for the Design and Delivery of Transitions-Focused Digital Health Interventions: Rapid Review

Cited by 6 publications

References 249 publications

Patient-clinician digital health interventions for the hip fracture population: a scoping review

Patient-clinician digital health interventions for the hip fracture population: a scoping review

Exploring the Role of Active Assisted Living in the Continuum of Care for Older Adults: Thematic Analysis

Initiation of the smart home wards as a new model for home-based rehabilitation for the elderly

Contact Info

Product

Resources

About