电子健康评估研究中与伦理方面相关的审查实践：一项范围审查的方案

Examining Practices Related to Ethical Aspects in eHealth Evaluation Research: Protocol for a Scoping Review.

作者信息

Wienands Linda, Valenta Sabine, Leppla Lynn, De Geest Sabina, Kovács László, Teynor Alexandra, Krumme Julia

机构信息

Department of Medicine, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany.

Institute of Nursing Science, Department Public Health, University of Basel, Basel, Switzerland.

出版信息

JMIR Res Protoc. 2025 May 5;14:e60849. doi: 10.2196/60849.

DOI:10.2196/60849

PMID:40324162

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12089876/

Abstract

BACKGROUND

eHealth technologies, including remote patient monitoring (RPM) applications, have the potential to improve care for diseases such as cancer and cardiovascular conditions. However, they also raise ethical aspects that are often inadequately addressed in eHealth evaluation research. This is problematic, as evaluations guide decision-making at multiple levels. To improve evaluation practices, it is essential to understand how ethical aspects are addressed in terms of both content and methodology, enabling the development of tailored recommendations for enhancement.

OBJECTIVE

This scoping review systematically examines how ethical aspects are addressed in eHealth research, focusing on original studies evaluating RPM applications for cancer and cardiovascular diseases.

METHODS

Using Joanna Briggs Institute (JBI) methodology and PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews) guidelines, this review implemented a comprehensive search strategy with the terms "cancer or cardiovascular diseases," "eHealth or telemonitoring," and "evaluation designs." Searches included MEDLINE, Embase, CINAHL, SocINDEX, Philosopher's Index, PsycINFO, and Google Scholar. Data extraction will emphasize ethical aspects and methodological approaches to consider them. The analysis will apply inductive-deductive qualitative content analysis.

RESULTS

Initial searches identified 3321 articles published between 2014 and August 2024. Screening and analysis will be completed in the first quarter of 2025, with results anticipated by summer 2025.

CONCLUSIONS

Overlooking ethical aspects in evaluation studies can significantly impact eHealth practices. This scoping review will map ethical considerations in original evaluation research, identifying opportunities for more holistic integration of ethics and informing future practical guidance.

TRIAL REGISTRATION

OSF Registries OSF.IO/7XAFV; https://osf.io/7xafv/.

INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/60849.

摘要

背景

电子健康技术，包括远程患者监测（RPM）应用程序，有潜力改善对癌症和心血管疾病等疾病的护理。然而，它们也引发了一些伦理问题，而这些问题在电子健康评估研究中往往没有得到充分解决。这是个问题，因为评估在多个层面指导决策。为了改进评估实践，必须从内容和方法两方面了解伦理问题是如何得到解决的，以便能够制定针对性的改进建议。

目的

本范围综述系统地研究了电子健康研究中如何处理伦理问题，重点关注评估用于癌症和心血管疾病的RPM应用程序的原始研究。

方法

本综述采用乔安娜·布里格斯研究所（JBI）的方法和PRISMA-ScR（系统评价与荟萃分析扩展版的首选报告项目用于范围综述）指南，实施了一项全面的检索策略，检索词为“癌症或心血管疾病”、“电子健康或远程监测”和“评估设计”。检索数据库包括MEDLINE、Embase、CINAHL、SocINDEX、哲学家索引、PsycINFO和谷歌学术。数据提取将重点关注伦理方面以及考虑这些方面的方法。分析将采用归纳-演绎定性内容分析法。