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支持医疗保健专业人员和家庭护理人员照料认知障碍患者的数字健康技术:范围综述

Digital Health Technology to Support Health Care Professionals and Family Caregivers Caring for Patients With Cognitive Impairment: Scoping Review.

作者信息

Choukou Mohamed-Amine, Olatoye Funminiyi, Urbanowski Reg, Caon Maurizio, Monnin Caroline

机构信息

Department of Occupational Therapy, College of Rehabilitation Sciences, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB, Canada.

Centre on Aging, University of Manitoba, Winnipeg, MB, Canada.

出版信息

JMIR Ment Health. 2023 Jan 11;10:e40330. doi: 10.2196/40330.


DOI:10.2196/40330
PMID:36630174
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9878361/
Abstract

BACKGROUND: Digital health technology is a promising way of supporting health care providers and family caregivers as they care for patients with cognitive impairment. OBJECTIVE: This scoping review aimed to portray the use of digital health technology to assist health care providers and family caregivers in caring for patients with cognitive impairment who live in the community or in a facility. METHODS: We conducted a scoping review of peer-reviewed scientific articles available in MEDLINE, PsycINFO, Scopus, and CINAHL with Full Text, as well as gray literature available in preprint servers, theses depositories, and various national and international dementia organizations' websites. The search yielded 975 articles, of which we included 7 (0.7%) in the review. RESULTS: Of the 7 interventions included in the retrieved manuscripts, 2 (29%) were digital calendar reminder systems to support activities of daily living and medication management; 2 (29%) were apps on tablet devices to simulate the presence of family before therapy interventions; 1 (14%) was a social robot used in therapeutic sessions to include elements of musicotherapy, reminiscence, cognitive games, and relaxation; 1 (14%) was a commercially available computer system that provides access to various recreational leisure activities; and 1 (14%) was a web-based self-management support system that helps family caregivers to deal with behavior changes in a relative with dementia. Of the 7 articles, only 1 (14%) reported on the use of a behavior change theory, namely a comprehensive process model of engagement coupled with cognitive stimulation therapy. CONCLUSIONS: Literature on the topic is scarce, recent, and heterogeneous. There is a clear need for a theoretical framework to conceptualize and govern the use of behavior change models that incorporate technology for patients with cognitive impairment.

摘要

背景:数字健康技术是一种很有前景的方式,可在医疗保健提供者和家庭护理人员照顾认知障碍患者时提供支持。 目的:本范围综述旨在描述数字健康技术在协助医疗保健提供者和家庭护理人员照顾社区或机构中生活的认知障碍患者方面的应用。 方法:我们对MEDLINE、PsycINFO、Scopus和CINAHL全文数据库中同行评审的科学文章以及预印本服务器、论文库和各种国家及国际痴呆症组织网站上的灰色文献进行了范围综述。检索到975篇文章,其中我们纳入了7篇(0.7%)进行综述。 结果:在所检索到的手稿中纳入的7项干预措施中,2项(29%)是支持日常生活活动和药物管理的数字日历提醒系统;2项(29%)是平板电脑设备上的应用程序,用于在治疗干预前模拟家人在场;1项(14%)是治疗过程中使用的社交机器人,包含音乐疗法、回忆疗法、认知游戏和放松等元素;1项(14%)是可提供各种娱乐休闲活动的商用计算机系统;1项(14%)是基于网络的自我管理支持系统,可帮助家庭护理人员应对患有痴呆症亲属的行为变化。在这7篇文章中,只有1篇(14%)报告了行为改变理论的应用,即参与的综合过程模型与认知刺激疗法相结合。 结论:关于该主题的文献稀缺、最新且具有异质性。显然需要一个理论框架来概念化和管理将技术纳入认知障碍患者行为改变模型的应用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9f9/9878361/3d9405d4d4ad/mental_v10i1e40330_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9f9/9878361/3d9405d4d4ad/mental_v10i1e40330_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9f9/9878361/3d9405d4d4ad/mental_v10i1e40330_fig1.jpg

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本文引用的文献

[1]
A systematic literature review and meta-analysis on digital health interventions for people living with dementia and Mild Cognitive Impairment.

Int J Geriatr Psychiatry. 2022-6

[2]
Technological Applications Contributing to Relieve Care Burden or to Sleep of Caregivers and People With Dementia: A Scoping Review From the Perspective of Social Isolation.

Front Public Health. 2022

[3]
Digital technology for addressing cognitive impairment in recent-onset psychosis: A perspective.

Schizophr Res Cogn. 2022-3-10

[4]
Role of new digital technologies and telemedicine in pulmonary rehabilitation : Smart devices in the treatment of chronic respiratory diseases.

Wien Klin Wochenschr. 2021-11

[5]
Embodied Conversational Agents for Patients With Dementia: Thematic Literature Analysis.

JMIR Mhealth Uhealth. 2021-7-16

[6]
Describing people with cognitive impairment and their complex treatment needs during routine care in the hospital - cross-sectional results of the intersec-CM study.

BMC Geriatr. 2021-7-12

[7]
Challenges and opportunities of digital health in a post-COVID19 world.

J Res Med Sci. 2021-2-16

[8]
Barriers and facilitators of the uptake of digital health technology in cardiovascular care: a systematic scoping review.

Eur Heart J Digit Health. 2021-2-4

[9]
Is Digital Technology the Solution for Pulmonary Rehabilitation in Developing Countries During the COVID-19 Pandemic?

Turk Thorac J. 2021-3

[10]
Electronic Health Record Portal Use by Family Caregivers of Patients Undergoing Hematopoietic Cell Transplantation: United States National Survey Study.

JMIR Cancer. 2021-3-9

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