Molinari-Ulate Mauricio, Mahmoudi Aysan, Parra-Vidales Esther, Muñoz-Sánchez Juan-Luis, Franco-Martín Manuel A, van der Roest Henriëtte G
Psycho-Sciences Research Group, Institute of Biomedical Research of Salamanca, University of Salamanca, Salamanca, Spain.
Department of Research and Development, Iberian Institute of Research in Psycho-Sciences, INTRAS Foundation, Zamora, Spain.
Digit Health. 2023 Jul 28;9:20552076231191008. doi: 10.1177/20552076231191008. eCollection 2023 Jan-Dec.
To provide high-quality elderly care, digital health technologies (DHTs) can potentially assist in reaching the full capacity of comprehensive geriatric assessments (CGAs) to improve communication and data transfer on patients' medical and treatment plan information and health decision-making. This systematic review aimed to describe the evidence on the feasibility and usability, efficacy and effectiveness, and implementation outcomes of DHTs developed to facilitate the administration of CGAs for long-term care settings or community care and to describe their technical features and components.
A search strategy was conducted in three databases, targeting studies evaluating the DHTs facilitating the administration of CGAs used in long-term care settings or community care. Studies in English and Spanish published up to 5 April 2023 were considered.
Four DHTs supporting the administration of the CGAs were identified. Limited information was found on the technical features and required hardware. Some of the barriers identified regarding usability can be overcome with novel technologies; however, training of health professionals on the assessments and staff knowledge regarding the purpose of the data collected are not technology related and need to be addressed.
Barriers regarding usability were related to experienced difficulties navigating the software, unstable network connectivity, and length of the assessment. Feasibility obstacles were associated with the lack of training to use the DHT, availability and accessibility to hardware (e.g. laptops), and lack of insight into the clinical benefits of collected data. Further research must focus on these areas to improve the implementation and usefulness of these DHTs.
为提供高质量的老年护理，数字健康技术（DHTs）有可能协助全面老年评估（CGAs）充分发挥其能力，以改善患者医疗和治疗计划信息的沟通与数据传输以及健康决策。本系统评价旨在描述为促进长期护理机构或社区护理中CGAs的实施而开发的DHTs在可行性和可用性、有效性和效能以及实施结果方面的证据，并描述其技术特征和组成部分。
在三个数据库中进行检索，目标是评估促进长期护理机构或社区护理中使用的CGAs实施的DHTs的研究。纳入截至2023年4月5日发表的英文和西班牙文研究。
确定了四种支持CGAs实施的DHTs。关于技术特征和所需硬件的信息有限。在可用性方面发现的一些障碍可以通过新技术克服；然而，对卫生专业人员进行评估培训以及工作人员对所收集数据目的的了解与技术无关，需要加以解决。
可用性方面的障碍与软件操作困难、网络连接不稳定以及评估时间长度有关。可行性障碍与缺乏使用DHT的培训、硬件（如笔记本电脑）的可用性和可及性以及对所收集数据临床益处的认识不足有关。进一步的研究必须聚焦于这些领域，以改善这些DHTs的实施和实用性。
