Deegan Orla, Riain Eoghan O, Martin Denis, Yoshitani Mai, O'Donoghue Mairead, Smart Keith, McMahon Sinead, O'Sullivan Trish, O'Sullivan Declan J, Cole Aaron, Hanrahan Ciara, Blake Catherine, McVeigh Joseph G, Fullen Brona M, Murphy David
Department of Rehabilitation Sciences, College of Health Sciences, QU Health Sector, Qatar University, Doha, Qatar.
School of Computer Science & Information Technology, University College Cork, Cork, Ireland.
Digit Health. 2025 Aug 18;11:20552076251315297. doi: 10.1177/20552076251315297. eCollection 2025 Jan-Dec.
Despite rapid technological advances, the adoption and deployment of digital health and virtual reality (VR) applications in healthcare appears to be progressing slowly. This scoping review is part of the Scale-Up4Rehab (SU4R) project, which aims to create a virtual rehabilitation clinic hosting high-quality digital health interventions. The aim of this review was to identify existing high-quality digital health evaluation frameworks, and from these, extract criteria to inform a new set of guidelines for assessing the applications that will be hosted on the SU4R platform.
The review followed Arksey and O'Malley's scoping review framework and was reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. A search strategy that included relevant keywords encompassing the domains of interest; digital health, evaluation frameworks and digital health applications was created between January 2007 and December 2023, across seven medical and computer science databases. Data from each study were extracted by a team of four reviewers using a customized data extraction tool.
The review included 18 frameworks from 11 countries, incorporating 775 criteria. Nine evaluation frameworks were identified from the included papers (n = 12) and a further nine frameworks from grey literature. The criteria were grouped into 19 categories, with the largest proportion of identified criteria grouped into the categories 'Data Security and Privacy' and 'Validation'.
The criteria extracted from the reviewed frameworks will contribute to the creation of a comprehensive evaluation framework. This new evaluation framework will form part of the approval process for the SU4R Virtual Rehabilitation Clinic. This will facilitate a rigorous selection process for the digital health and VR applications to be hosted on the virtual clinic.
尽管技术进步迅速，但数字健康和虚拟现实（VR）应用在医疗保健领域的采用和部署似乎进展缓慢。本范围综述是扩大康复规模（SU4R）项目的一部分，该项目旨在创建一个提供高质量数字健康干预措施的虚拟康复诊所。本综述的目的是识别现有的高质量数字健康评估框架，并从中提取标准，为评估将在SU4R平台上托管的应用程序的一套新指南提供参考。
本综述遵循了阿克西和奥马利的范围综述框架，并根据系统评价和Meta分析的首选报告项目（PRISMA）指南进行报告。在2007年1月至2023年12月期间，在七个医学和计算机科学数据库中创建了一个搜索策略，其中包括涵盖感兴趣领域的相关关键词；数字健康、评估框架和数字健康应用。由四名评审员组成的团队使用定制的数据提取工具从每项研究中提取数据。
该综述纳入了来自11个国家的18个框架，包含775条标准。从纳入的论文（n = 12）中识别出九个评估框架，从灰色文献中又识别出另外九个框架。这些标准被分为19类，其中识别出的标准中最大比例被归入“数据安全和隐私”以及“验证”类别。
从审查的框架中提取的标准将有助于创建一个全面的评估框架。这个新的评估框架将成为SU4R虚拟康复诊所审批流程的一部分。这将有助于对虚拟诊所中托管的数字健康和VR应用进行严格的筛选过程。
