Department of Medicine, University of Otago, Wellington, New Zealand
Department of Medicine, University of Otago, Wellington, New Zealand.
BMJ Open. 2020 Nov 10;10(11):e041730. doi: 10.1136/bmjopen-2020-041730.
To map the extant literature evaluating the use of technology for goal setting in adult rehabilitation and the impact of technology for patient outcomes.
Scoping review.
MEDLINE (via Ovid), CINAHL (via EBSCO), AMED and Scopus were searched for articles describing observational or interventional studies. ProQuest Dissertations and Theses database were searched for grey literature. Two review authors independently screened all titles and abstracts for potentially relevant articles. We included articles describing studies that had evaluated the development or application of technology to facilitate goal setting in rehabilitation for adults. Articles were excluded if the technology described did not include features to facilitate goal setting or were not in English. Narrative reviews, opinion pieces and editorials were also excluded.
After screening 1640 publications of potential interest, we identified 27 studies for inclusion. These 27 articles described studies involving a total of 16 different technologies including, seven mobile apps, three websites, two mobile apps/website hybrids, two apps and two websites connected to a pedometer. We found that most technologies described were designed to facilitate self-management with goal setting as a feature and that only five included a shared decision moment around goal setting. Only six of the 16 technologies had research providing evidence of effectiveness in terms of improved patient outcomes, with the best evidence of beneficial effects associated with technologies that linked goal setting to pedometer use.
The identified technologies for use in adult rehabilitation that included goal setting as a feature were largely accepted and valued by patients and health professionals. The limited data suggest that there is a need for further research; specific foci may include the impact of incorporation of a shared decision-making moment and evaluation of effectiveness on patient outcomes.
绘制评估技术在成人康复中用于目标设定以及技术对患者结局影响的现有文献图谱。
范围综述。
通过 Ovid 检索 MEDLINE、通过 EBSCO 检索 CINAHL、AMED 和 Scopus 以检索描述观察性或干预性研究的文章。通过 ProQuest Dissertations and Theses 数据库检索灰色文献。两名综述作者独立筛选所有标题和摘要，以确定可能相关的文章。我们纳入了描述评估技术在成人康复中促进目标设定的开发或应用的研究文章。如果描述的技术不包括促进目标设定的功能或不是英文的，则排除在外。还排除了叙述性评论、意见文章和社论。
在筛选了 1640 篇可能感兴趣的出版物后，我们确定了 27 项研究纳入分析。这 27 篇文章描述了总共涉及 16 种不同技术的研究，包括 7 个移动应用程序、3 个网站、2 个移动应用程序/网站混合体、2 个应用程序和 2 个连接到计步器的网站。我们发现，大多数描述的技术旨在促进自我管理，将目标设定作为一个功能，只有 5 项研究包括围绕目标设定的共享决策时刻。在 16 种技术中，仅有 6 种技术的研究提供了改善患者结局的有效性证据，与将目标设定与计步器使用联系起来的技术相关的有益效果的最佳证据。
确定的用于成人康复的技术包括目标设定作为一个功能，这些技术得到了患者和卫生专业人员的广泛接受和重视。有限的数据表明需要进一步研究；具体重点可能包括纳入共享决策时刻的影响以及对患者结局的有效性评估。
