Women’s expectations and experiences regarding e-health treatment: A systematic review

Verhoeks, Carmen; Teunissen, Doreth; Stelt-Steenbergen, Anke van der; Lagro-Janssen, Antoine L. M.

doi:10.1177/1460458217720394

Cited by 38 publications

(53 citation statements)

References 59 publications

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“…25,26 The successful use of eHealth in health promotion programmes depends on the motivation and support that people can receive. 27,28,44 The current health literature is limited regarding eHealth ethical issues, especially from the service users' and citizens' perspective. 20,21 This is an important gap in ethics research given the wide use and planned increases in the adoption of eHealth technology discussed earlier.…”

Section: Ethical Issues Of Ehealthmentioning

confidence: 99%

“…20,21 Earlier studies have found varying and disparate use of eHealth in specific areas of health, for example, in telehealth, [21][22][23] in mental health and eHealth technologies, [24][25][26] and in varying diagnoses such as urinary incontinence and diabetes. 27,28 However, the user perspective concerned with, for example, which health technology and services are needed, along with their acceptability and feasibility, has rarely been investigated.…”

Section: Introductionmentioning

confidence: 99%

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Ethical issues related to eHealth: An integrative review

Jokinen

Stolt²,

Suhonen

2020

Nurs Ethics

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Background: Identifying and safeguarding ethics in eHealth services from the service users’ perspective in social care and healthcare is important. The use of eHealth services should not prejudice the quality of services or the social interaction required in care. There is a lack of studies about the ethics of eHealth services from the service users’ perspective. Aim: The aim of this study is to identify and analyse ethical issues related to eHealth in social care and healthcare from the service users’ perspective. Research design: An integrative literature review. Ethical considerations: The review followed good scientific conduct. Research context and data sources: A systematic literature search was performed using CINAHL, Scopus, PubMed/MEDLINE, Web of Science, Cochrane Library and Academic Search Premier to find relevant empirical studies published in English from their earliest up to 30 November 2018. In addition, reference lists from the identified research papers were searched. A quality appraisal of each paper included in the review was conducted before thematic analysis. Results: In total, 26 studies were included in the review, and from these four ethical themes were identified: (1) privacy in eHealth, (2) beneficence and nonmaleficence in eHealth, (3) justice in eHealth and (4) trust in eHealth. The ethical issues within these themes were related to information sharing; ownership; access to information and data protection; informed consent; defence of rights; and equity, equality and proportionality of response. Conclusion: eHealth inequality occurs in social care and healthcare. eHealth service designers and social care and healthcare professionals need to act to maintain and improve user access and data accuracy and provide different levels of security in eHealth services, relative to the information stored. There is a need for further research about ethical issues of eHealth from the user’s perspective, including the customer-oriented availability and usability of eHealth services which avoid discrimination.

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Section: Ethical Issues Of Ehealthmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Ethical issues related to eHealth: An integrative review

Jokinen

Stolt²,

Suhonen

2020

Nurs Ethics

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“…Accessibility and flexibility, social motives and an option for anonymity and confidentiality are common arguments for choosing digital options 4–10. A recent review also suggests that it may be easier to seek care and to incorporate the training into daily life when it is accompanied by the flexibility and anonymity that online delivery provides, and that some people even rated their relationship with the online therapist higher than their relationship with their ordinary therapist 6. However, web-based or digital management for musculoskeletal disorders have thus far not been studied to any great extent 11…”

Section: Introductionmentioning

confidence: 99%

‘I would never have done it if it hadn’t been digital’: a qualitative study on patients’ experiences of a digital management programme for hip and knee osteoarthritis in Sweden

et al. 2019

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ObjectivesTo investigate the experiences of a digital management programme for hip and knee osteoarthritis (OA), including education and exercises as well as an option to chat with an assigned physical therapist for feedback, questions and support.SettingThis study was conducted at a regional hospital in the southern part of Sweden.MethodsNineteen patients (10 women), median age of 66 (q1–q3, 57–71) years, with confirmed hip or knee OA were interviewed after completing their first 6 weeks in the programme, using a semistructured interview guide. The interviews were transcribed verbatim and were qualitatively analysed using systematic text condensation.ResultsThree categories emerged during the interviews:(1) Management options for mitigating the consequences of OA; (2) Experiences of the digital programme and (3) Perceived effects of the digital programme over time. The participants had mostly positive experiences of the programme. Particularly important for these experiences were no waiting list, the flexibility of taking part in the programme with regards to location and time and the possibility to have daily contact with a physical therapist. These aspects were also emphasised as advantages compared with traditional care.ConclusionsDigital management of OA, including education and exercise, was experienced as a valid alternative to traditional treatment in enabling the implementation of OA guidelines in a wider community. Easy access, exercising at one’s own convenience, flexible options, daily follow-up and support by a physical therapist were mentioned as the most important features. In addition, the results will contribute to further development and improvement of digital OA management programmes.

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“…Finally, TBIs may be especially suitable for reducing substance use risks among women of childbearing age. Studies show that women reported that the anonymity of TBIs helps them feel less embarrassment and fear of being judged (Verhoeks et al., ) and thus makes it easier for them to discuss their feelings and express themselves (Beattie et al., ).…”

mentioning

confidence: 99%

The Efficacy of Technology‐Based Interventions for Alcohol and Illicit Drug Use Among Women of Childbearing Age: A Systematic Review and Meta‐Analysis

Hai

Hammock

Velasquez

2019

Alcoholism Clin & Exp Res

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Background: Alcohol and illicit drug use is prevalent among women of childbearing age and may lead to higher risk for substance-exposed pregnancy and related health consequences for both women and their offspring. Technology-based interventions (TBIs) are increasingly used to prevent or reduce substance use among women of childbearing age. The efficacy of these approaches, however, is unclear. This review critically reviewed existing research evidence from randomized controlled trials (RCTs) on the efficacy of TBIs in preventing and reducing alcohol and illicit drug use among childbearing-aged women.Methods: Seven electronic databases were searched to identify eligible studies. Two reviewers independently screened studies, extracted data, and assessed risks of bias. Robust variance estimation in meta-regression was used to estimate effect sizes and conduct moderator analyses.Results: Fifteen RCTs including 3,488 participants were included in the systematic review. Metaanalysis results based on 13 RCTs suggest that TBIs were efficacious relative to control conditions in preventing and reducing substance use among women of childbearing age (d = 0.19, 95% CI = 0.02, 0.35). Preliminary moderator analysis results suggest that the efficacy of TBIs might not vary by participant age, race/ethnicity, the type of technology used, or whether a virtual health assistant was used. TBIs' efficacy in terms of specific substance use types (alcohol use and illicit drug use) or control types (inactive control and active controls) was inconclusive, due to the limited number of studies in each category.Conclusions: This systematic review and meta-analysis found evidence of TBIs' efficacy in reducing alcohol and illicit drug use among women of childbearing age. Implications for future research and practice are discussed.

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Women’s expectations and experiences regarding e-health treatment: A systematic review

Cited by 38 publications

References 59 publications

Ethical issues related to eHealth: An integrative review

Ethical issues related to eHealth: An integrative review

‘I would never have done it if it hadn’t been digital’: a qualitative study on patients’ experiences of a digital management programme for hip and knee osteoarthritis in Sweden

The Efficacy of Technology‐Based Interventions for Alcohol and Illicit Drug Use Among Women of Childbearing Age: A Systematic Review and Meta‐Analysis

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