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儿童和青少年在使用健康技术自我管理长期疾病时的偏好和需求:范围综述。

Children and young people's preferences and needs when using health technology to self-manage a long-term condition: a scoping review.

机构信息

Nursing and Midwifery, Sheffield Hallam University College of Health Wellbeing and Life Sciences, Sheffield, UK

College of Health, Wellbeing and Life Sciences, Sheffield Hallam University, Sheffield, UK.

出版信息

Arch Dis Child. 2024 Sep 25;109(10):826-835. doi: 10.1136/archdischild-2023-326044.

Abstract

BACKGROUND

The use of patient-facing health technologies to manage long-term conditions (LTCs) is increasing; however, children and young people (CYP) may have preferences about health technologies which they interact or engage with, that influence their decision to use these technologies.

AIMS

To identify CYP's reported preferences about health technologies to self-manage LTCs.

METHODS

We undertook a scoping review, searching MEDLINE, PsycINFO and CINAHL in July 2021. Searches were limited to papers published between January 2015 and July 2021. We included any health technologies used to manage physical and mental LTCs. Qualitative content analysis of study data was undertaken to categorise data into themes and quantitative data were described and visually represented. We engaged CYP with LTCs to support the review design, interpretation of findings and development of recommendations.

RESULTS

161 journal articles were included, describing preferences of CYP. Most included studies were undertaken in high-income countries. CYP's main preferences and needs were: design and functionality; privacy and sharing; customisation and personalisation of the technology; and interaction options within the technology.

CONCLUSIONS

This review highlights important preferences and needs that CYP may have before using technologies to self-manage their LTC. These should be considered when developing technology for this population. Future research should involve CYP throughout the development of the technologies, from identifying their unmet needs through to final design, development, evaluation and implementation of the intervention.

摘要

背景

使用面向患者的健康技术来管理长期疾病(LTCs)的情况正在增加;然而,儿童和年轻人(CYP)可能对他们与之互动或使用的健康技术有偏好,这会影响他们使用这些技术的决定。

目的

确定 CYP 对自我管理 LTCs 的健康技术的报告偏好。

方法

我们进行了范围审查,于 2021 年 7 月在 MEDLINE、PsycINFO 和 CINAHL 上进行了搜索。搜索仅限于 2015 年 1 月至 2021 年 7 月期间发表的论文。我们纳入了用于管理身体和精神 LTCs 的任何健康技术。对研究数据进行定性内容分析,将数据分类为主题,并描述和可视化呈现定量数据。我们让患有 LTCs 的 CYP 参与到审查设计、发现解释和建议制定中。

结果

共纳入 161 篇期刊文章,描述了 CYP 的偏好。大多数纳入的研究都是在高收入国家进行的。CYP 的主要偏好和需求是:设计和功能;隐私和共享;技术的定制化和个性化;以及技术内的交互选项。

结论

本综述强调了 CYP 在自我管理 LTC 之前使用技术时可能存在的重要偏好和需求。在为这一人群开发技术时应考虑这些因素。未来的研究应让 CYP 参与到技术的开发过程中,从确定他们的未满足需求到最终的设计、开发、评估和干预实施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd34/11503065/af4e6a877ae3/archdischild-109-10-g001.jpg

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