Costa Giovana Fondato, Lorenzi Lorena Jorge, Raymundo Taiuani Marquine, Kort Helianthe, Castro Paula Costa
Interunit Postgraduate Programme in Bioengineering, University of São Paulo, São Paulo, Brazil
Interunit Postgraduate Programme in Bioengineering, University of São Paulo, São Paulo, Brazil.
BMJ Open. 2025 Sep 17;15(9):e097565. doi: 10.1136/bmjopen-2024-097565.
Mobile diagnostic imaging services provided at home increase accessibility and convenience, particularly for older adults, people with disabilities and other vulnerable groups. These services can reduce the need for patient travel and support the routine monitoring of chronic conditions. However, current guidelines often overlook user acceptance and environmental considerations within the home setting.
To map studies that identify the models, barriers and facilitators for performing home-based diagnostic imaging/graph according to end users.
A scoping review was conducted following the methodological framework of the Joanna Briggs Institute and reported according to the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews checklist.
Studies that addressed mobile or portable diagnostic imaging or graph examinations conducted in the home for individuals of any age or health status were included. Studies were eligible if they reported on barriers, facilitators or user experiences. Studies that focused on wearable technologies were excluded.
The search strategy was developed using terms related to home-based diagnostic imaging/graph, portability, home setting and user perceptions. Searches were conducted in PubMed, Web of Science, Scopus, Embase, The ACM Guide to Computing Literature and LILACS, without restrictions on publication date or language. Additional grey literature was identified through Google Scholar.
Two reviewers independently extracted data using a standardised form that captured study characteristics, types of procedures, target populations and reported barriers and facilitators. Quantitative data were summarised using absolute and relative frequencies. Qualitative findings were synthesised through basic content analysis to identify and categorise recurring themes.
Data were charted in tables to organise and visually map study contexts, methodological features and thematic patterns related to implementation and user experience.
Twenty-six studies published between 1998 and 2023 across 15 countries were included. The diagnostic examinations included mostly polysomnography, X-ray imaging and ultrasonography. Seven categories of barriers were identified, such as physical discomfort, equipment-related challenges and procedural limitations. Seven facilitators were also reported, including perceived comfort, patient satisfaction and equipment usability.
This review identifies key factors affecting the delivery and user experience of mobile diagnostic imaging at home, including logistical, technical and environmental aspects. It reveals gaps in the literature and provides a basis for future research to inform more inclusive and effective public health policies and service design.
Open Science Framework (DOI 10.17605/OSF.IO/7UV5D).
上门提供的移动诊断成像服务提高了可及性和便利性，尤其对于老年人、残疾人和其他弱势群体而言。这些服务可以减少患者出行需求，并支持慢性病的常规监测。然而，当前指南往往忽视家庭环境中的用户接受度和环境因素。
梳理根据终端用户确定在家中进行诊断成像/检查的模式、障碍和促进因素的研究。
按照乔安娜·布里格斯研究所的方法框架进行了一项范围综述，并根据系统评价和Meta分析的首选报告项目扩展版范围综述清单进行报告。
纳入针对任何年龄或健康状况的个体在家中进行的移动或便携式诊断成像或检查的研究。如果研究报告了障碍、促进因素或用户体验，则符合纳入标准。专注于可穿戴技术的研究被排除。
使用与上门诊断成像/检查、便携性、家庭环境和用户认知相关的术语制定检索策略。在PubMed、科学网、Scopus、Embase、《美国计算机学会计算文献指南》和拉丁美洲及加勒比地区卫生科学数据库中进行检索，对出版日期和语言无限制。通过谷歌学术搜索确定了更多灰色文献。
两名评审员使用标准化表格独立提取数据，该表格记录了研究特征、检查类型、目标人群以及报告的障碍和促进因素。定量数据使用绝对频率和相对频率进行汇总。通过基本内容分析对定性研究结果进行综合，以识别和分类反复出现的主题。
将数据整理成表格，以组织和直观呈现与实施和用户体验相关的研究背景、方法特征和主题模式。
纳入了1998年至2023年间在15个国家发表的26项研究。诊断检查主要包括多导睡眠图、X线成像和超声检查。确定了七类障碍，如身体不适、与设备相关的挑战和程序限制。还报告了七项促进因素，包括感觉舒适、患者满意度和设备可用性。
本综述确定了影响在家中提供移动诊断成像及其用户体验的关键因素，包括后勤、技术和环境方面。揭示了文献中的空白，并为未来研究提供了基础，以为更具包容性和有效性的公共卫生政策及服务设计提供信息。
开放科学框架（DOI 10.17605/OSF.IO/7UV5D）
