Accepted for/Published in: JMIR mHealth and uHealth
Date Submitted: Nov 13, 2023
Date Accepted: Jun 25, 2024
Barriers to m-Health Access Among Patients with Stroke: Current Status and Steps Towards the Digital Health Era — A Systematic Review
ABSTRACT
Background:
Mobile health (m-Health) offers significant benefits for stroke patients, facilitating remote monitoring and personalized healthcare solutions beyond traditional settings. However, there's a dearth of comprehensive data, particularly qualitative insights, on the barriers to m-Health access. Understanding these barriers is crucial for devising strategies to enhance m-Health utilization among stroke patients.
Objective:
This study aims to examine the recent literature focusing on barriers to m-Health access for stroke patients.
Methods:
A systematic search of PubMed, MEDLINE, Web of Science, and CINAHL Plus Full Text was conducted for literature published between 2017 and 2023. Abstracts and full texts were independently screened based on predetermined inclusion and exclusion criteria. Data synthesis was performed using the convergent integrated analysis framework recommended by the Joanna Briggs Institute.
Results:
Twelve studies met the inclusion criteria. The majority were qualitative studies (about 42%), followed by mixed methods (25%), pilot studies (about 17%), non-randomized control trials (about 8%), and observational studies (about 8%). Participants included stroke patients, caregivers, and various healthcare professionals. The most common m-Health practices were home-based telerehabilitation (30%) and post-stroke m-Health and telecare services (20%). Identified barriers encompassed health-related issues, patient acceptance, infrastructure challenges (including software, networking, and hardware), support system deficiencies, time constraints, and data privacy and security concerns.
Conclusions:
This systematic review underscores significant barriers to m-Health adoption among stroke patients. Addressing these barriers in future research is imperative to ensure that m-Health solutions effectively meet patients' needs. Clinical Trial: Not applicable
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