Accepted for/Published in: Journal of Medical Internet Research
Date Submitted: Dec 22, 2023
Open Peer Review Period: Dec 22, 2023 - Feb 16, 2024
Date Accepted: Nov 7, 2024
(closed for review but you can still tweet)
Platform-based patient-clinician digital health interventions for care transitions: A Scoping Review
ABSTRACT
Background:
Care transitions are complex and can make patients vulnerable to adverse events. Poor communication between clinicians, patients, and their caregivers is a critical gap during these periods of transitions. Technology solutions, such as platform-based patient-clinician digital health interventions (DHI) can provide support and education to patients.
Objective:
The aims of this scoping review were to explore the literature on platform-based patient-clinician DHIs specific to hospital-to-home care transitions and to identify the barriers and enablers for the uptake and implementation of platform-based patient-clinician DHIs.
Methods:
A scoping review was conducted. Four databases: MEDLINE, CINAHL, EMBASE, and the Cochrane Central Register of Controlled Trials were searched on July 13, 2022. Studies involving patients aged > 18 years who used a platform-based DHI during their hospital-to-home transition were included. Two reviewers independently screened the articles for eligibility by using a two-stage process of title/abstract and full-text screening. Eligible studies underwent data extraction and results were analyzed using descriptive and narrative methods.
Results:
We screened 8,322 articles, of which 97 studies met our inclusion criteria. DHIs were implemented using a mobile app (n=59), a web-based platform (n=28) or a combination of both (n=10). The two most common health conditions related to the DHIs were cardiac disease (n=22) and stroke (n=11). Outcomes varied greatly but were grouped by health utilization and complication outcomes, and wellness outcomes. The two top barriers were lack of interest (n=13) and time constraints to use the DHI (n=10) and the two top enablers were the ability to use the DHI (n=17) and its ease of use (n=11). The main conflicting theme was access (enabler, n=28) or limited access (barrier, n=15) to technology and/or the internet.
Conclusions:
Platform-based DHIs could help improv communication, coordination, and information-sharing between clinicians and patients during this transition period. Further research is needed to assess the effectiveness of these platform-based DHIs. Clinical Trial: not applicable
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