Backman Chantal, Papp Steve, Harley Anne, Tonjock Kolle Aurelie, Visintini Sarah, Shah Soha, Berdusco Randa, Poitras Stéphane, Beaulé Paul E, French-Merkley Veronique
University of Ottawa, Ottawa, ON, Canada.
The Ottawa Hospital, Ottawa, ON, Canada.
JMIR Res Protoc. 2023 Apr 5;12:e42056. doi: 10.2196/42056.
With the increased adoption of technology, the use of digital health interventions in health care settings has increased. Patient-clinician digital health interventions have the potential to improve patient care, especially during important transitions between hospital and home. Digital health interventions can provide support to patients during these transitions, thereby leading to better patient outcomes.
This scoping review aims to explore the available literature, specifically (1) to examine the impact of platform-based digital health interventions focused on care transitions on patient outcomes, and (2) to identify the barriers to and enablers for the uptake and implementation of these digital health interventions.
This protocol was developed based on Arksey and O'Malley's, Levac and colleagues', and JBI scoping review methodologies, and it has been reported according to the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses Statement for the Scoping Reviews) format. The search strategies were developed for 4 databases: MEDLINE, CINAHL, EMBASE, and the Cochrane Central Register of Controlled Trials by using key words such as "hospital to home transition" and "platform-based digital health." Studies involving patients 16 years or older that used a platform-based digital health intervention during their hospital to home transition will be included in this review. Two reviewers will independently screen articles for eligibility by using a 2-stage process (ie, title and abstract screening and full-text screening). We expect to refine the eligibility criteria during the title and abstract screening process as we anticipate retrieving a significant number of articles. In addition, we will also perform a targeted search of the grey literature, as well as data extraction. Data analysis will consist of a narrative and descriptive synthesis.
The review is expected to identify research gaps that will inform the development of future patient-clinician digital health interventions. We have identified a total of 8333 articles. Screening began in September 2022, and data extraction is expected to commence in February 2023 and end by April 2023. Data analyses and final results will be submitted to a peer-reviewed journal in August 2023.
We expect to find a wide variety of postcare interventions, some gaps in the quality of research evidence, as well as a lack of detailed information on digital health interventions.
INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): PRR1-10.2196/42056.
随着技术应用的增加，医疗保健环境中数字健康干预措施的使用也有所增加。患者与临床医生之间的数字健康干预措施有改善患者护理的潜力，尤其是在医院与家庭之间的重要过渡阶段。数字健康干预措施可以在这些过渡阶段为患者提供支持，从而带来更好的患者治疗效果。
本范围综述旨在探索现有文献，具体而言，（1）研究以平台为基础的聚焦于护理过渡的数字健康干预措施对患者治疗效果的影响，以及（2）确定这些数字健康干预措施的采用和实施的障碍与促进因素。
本方案是根据阿克西和奥马利、莱瓦克及其同事以及循证卫生保健国际中心的范围综述方法制定的，并已按照PRISMA-ScR（范围综述的系统评价和Meta分析优先报告项目声明）格式进行报告。通过使用“医院到家过渡”和“基于平台的数字健康”等关键词，为4个数据库制定了检索策略：医学主题词表（MEDLINE）、护理学与健康领域数据库（CINAHL）、荷兰医学文摘数据库（EMBASE）和Cochrane对照试验中心注册库。本综述将纳入涉及16岁及以上患者、在从医院到家过渡期间使用基于平台的数字健康干预措施的研究。两名评审员将通过两阶段流程（即标题和摘要筛选以及全文筛选）独立筛选文章以确定其是否符合纳入标准。由于预计会检索到大量文章，我们期望在标题和摘要筛选过程中完善纳入标准。此外，我们还将对灰色文献进行定向检索以及数据提取。数据分析将包括叙述性和描述性综合分析。
该综述预计将识别出研究空白，为未来患者与临床医生之间的数字健康干预措施的开发提供参考。我们总共识别出8333篇文章。筛选于2022年9月开始，预计数据提取将于2023年2月开始并于2023年4月结束。数据分析和最终结果将于2023年8月提交给同行评审期刊。
我们预计会发现各种各样的出院后干预措施、研究证据质量方面的一些空白以及关于数字健康干预措施的详细信息的缺乏。
国际注册报告识别号（IRRID）：PRR1-10.2196/42056。
