Translational and Clinical Research Institute, Newcastle University, Newcastle, UK.
Centre for Health Technology, School of Nursing and Midwifery, University of Plymouth, Plymouth, UK.
J Parkinsons Dis. 2024;14(7):1387-1404. doi: 10.3233/JPD-240137.
BACKGROUND: Digital self-management tools including mobile apps and wearables can enhance personalized care in Parkinson's disease, and incorporating patient and clinician feedback into their evaluation can empower users and nurture patient-clinician relationships, necessitating a review to assess the state of the art and refine their use. OBJECTIVE: This review aimed to summarize the state of the art of self-management systems used in Parkinson's disease management, detailing the application of self-management techniques and the integration of clinicians. It also aimed to provide a concise synthesis on the acceptance and usability of these systems from the clinicians' standpoint, reflecting both patient engagement and clinician experience. METHODS: The review was organized following the PRISMA extension for Scoping Reviews and PICOS frameworks. Studies were retrieved from PubMed, CINAHL, Scopus, ACM Digital Library, and IEEE Xplore. Data was collected using a predefined form and then analyzed descriptively. RESULTS: Of the 15,231 studies retrieved, 33 were included. Five technology types were identified, with systems combining technologies being the most evaluated. Common self-management strategies included educational material and symptom journals. Only 11 studies gathered data from clinicians or reported evidence of clinician integration; out of those, six studies point out the importance of raw data availability, data visualization, and integrated data summaries. CONCLUSIONS: While self-management systems for Parkinson's disease are well-received by patients, the studies underscore the urgency for more research into their usability for clinicians and integration into daily medical workflows to enhance overall care quality.
背景:数字自我管理工具,包括移动应用程序和可穿戴设备,可以增强帕金森病的个性化护理,将患者和临床医生的反馈纳入其评估中可以增强用户的能力并培养医患关系,因此需要进行审查以评估现状并改进其使用。
目的:本综述旨在总结用于帕金森病管理的自我管理系统的最新技术,详细说明自我管理技术的应用和临床医生的整合。它还旨在从临床医生的角度出发,简明扼要地综合这些系统的接受度和可用性,反映患者参与和临床医生的经验。
方法:该综述按照 PRISMA 扩展的范围综述框架和 PICOS 框架进行组织。从 PubMed、CINAHL、Scopus、ACM 数字图书馆和 IEEE Xplore 检索研究。使用预定义的表格收集数据,然后进行描述性分析。
结果:在检索到的 15231 篇研究中,有 33 篇被纳入。确定了五种技术类型,其中组合技术的系统评估最多。常见的自我管理策略包括教育材料和症状日记。只有 11 项研究从临床医生那里收集数据或报告了临床医生整合的证据;其中 6 项研究指出了原始数据可用性、数据可视化和集成数据摘要的重要性。
结论:虽然帕金森病自我管理系统受到患者的欢迎,但这些研究强调了需要更多研究其对临床医生的可用性,并将其整合到日常医疗工作流程中,以提高整体护理质量。
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