Accepted for/Published in: JMIR Diabetes
Date Submitted: Jul 9, 2018
Open Peer Review Period: Jul 11, 2018 - Aug 30, 2018
Date Accepted: Dec 31, 2018
(closed for review but you can still tweet)
Diabetes, Technology and Care Homes: The Influence of Technology on Practice and Care Delivery in Care Homes: A Systematic Review and Interpretive Synthesis.
ABSTRACT
Background:
Diabetes is increasing in prevalence and complexity in the care home setting, affecting up to a quarter of care home residents. Health outcomes for these residents are impacted by management of the disease, healthcare professionals’ decision-making skills within the care home setting, and access to specialist services. The use of technology has the potential to recognise opportunities for early intervention enabling efficient responsive care, and taking a fundamental role in linking the care home community to wider multi-disciplinary teams for support.
Objective:
To identify evidence that explores factors relevant to the use of technology in and around the care home setting for the management of diabetes.
Methods:
Databases searched using a structured pre-specified approach included: PUBMED, CINAHL, OVID Nursing database, SCOPUS, MEDLINE, Cochrane Library and the KINGS FUND from 2012- 2017, handsearching was undertaken additionally for any grey literature. PRISMA P was used as protocol with ROBIS to assess the risk of bias across studies. Studies had to include interventions that combined technology to or from the care home setting to support residents living with diabetes.
Results:
The combined search strategy identified a total of 493 electronic records.171 were screened for eligibility, 66 full papers were accessed and 13 have been included in this study. Interpretive synthesis has identified different strands of research evidence in what and how technology is currently being used in and around care homes to enhance diabetes management. New initiatives and implementations of technology and emerging models of care that included the use of technology have also been included.
Conclusions:
By triangulating the perspectives of healthcare professionals, practitioners, specialists and members of the care home community, the authors anticipate that this review will represent an up to date, evidenced-based overview of the potential for using technology within the care home setting for diabetes management as well as stimulate research in this area. Clinical Trial: N/A
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Copyright
© The authors. All rights reserved. This is a privileged document currently under peer-review/community review (or an accepted/rejected manuscript). Authors have provided JMIR Publications with an exclusive license to publish this preprint on it's website for review and ahead-of-print citation purposes only. While the final peer-reviewed paper may be licensed under a cc-by license on publication, at this stage authors and publisher expressively prohibit redistribution of this draft paper other than for review purposes.