Patient-clinician digital health interventions for the hip fracture population: a scoping review
Abstract Introduction Older adults with hip fracture often require extensive post-surgery care across multiple sectors, making follow-up care even more important to ensure an ideal recovery. With the increased adoption of technology, patient-clinician digital health interventions can potentially imp...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
BMC
2023-10-01
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| Series: | BMC Health Services Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12913-023-09784-y |
| _version_ | 1797577269588262912 |
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| author | Chantal Backman Steve Papp Anne Harley Becky Skidmore Maeghn Green Soha Shah Randa Berdusco Stéphane Poitras Paul E. Beaulé Veronique French-Merkley |
| author_facet | Chantal Backman Steve Papp Anne Harley Becky Skidmore Maeghn Green Soha Shah Randa Berdusco Stéphane Poitras Paul E. Beaulé Veronique French-Merkley |
| author_sort | Chantal Backman |
| collection | DOAJ |
| description | Abstract Introduction Older adults with hip fracture often require extensive post-surgery care across multiple sectors, making follow-up care even more important to ensure an ideal recovery. With the increased adoption of technology, patient-clinician digital health interventions can potentially improve post-surgery outcomes of hip fracture patients by helping them and their caregivers better understand the various aspects of their care, post-hip fracture surgery. The purpose of this study was to examine the available literature on the impact of hip fracture-specific, patient-clinician digital health interventions on patient outcomes and health care delivery processes. We also aimed to identify the barriers and enablers to the uptake and implementation of these technologies and to provide strategies for improved use of these digital health interventions. Methods We conducted a scoping review following the six stages of Arksey and O’Malley’s framework and following the PRISMA-ScR reporting format. Searches were conducted in five databases. In addition to hand searching for relevant studies from the references of all included studies, we also conducted a grey literature search to identify relevant primary studies. Screening of titles and abstracts as well as full texts were performed independently by two reviewers. Two reviewers also performed the data extraction of the included studies. Results After screening 3,638 records, 20 articles met the criteria and 1 article was identified through hand searching. Various patient-clinician digital health interventions were described including telehealth /telerehabilitation programs (n = 6), care transition /follow-up interventions (n = 5), online resources (n = 2), and wearable devices /sensor monitoring (n = 1). Outcomes were varied and included functional status, gait/mobility, quality of life, psychological factors, satisfaction, survival/complications, caregiver outcomes, compliance, technology-user interactions, and feedback on the use of the digital health interventions. For clinicians, a key barrier to the use of the digital health interventions was the acceptability of the technology. However, the usefulness of the digital health intervention by clinicians was seen as both a barrier and an enabler. For patients and caregivers, all the themes were seen as both a barrier and an enabler depending on the study. These themes included: 1) availability and access, 2) usability, 3) knowledge and skills, 4) acceptability, and 5) usefulness of the digital health intervention. Conclusion Many behavioural factors affect the use of patient-clinician digital health interventions. However, a specific attention should be focused on the acceptability of the technology by the clinicians to encourage uptake of the digital health interventions. The results of this scoping review can help to better understand the factors that may be targeted to increase the use of these technologies by clinicians, patients, and caregivers. |
| first_indexed | 2024-03-10T22:05:49Z |
| format | Article |
| id | doaj.art-d1104e1c14e548a9b85ff1081c5b9d22 |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-03-10T22:05:49Z |
| publishDate | 2023-10-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-d1104e1c14e548a9b85ff1081c5b9d222023-11-19T12:48:25ZengBMCBMC Health Services Research1472-69632023-10-0123113610.1186/s12913-023-09784-yPatient-clinician digital health interventions for the hip fracture population: a scoping reviewChantal Backman0Steve Papp1Anne Harley2Becky Skidmore3Maeghn Green4Soha Shah5Randa Berdusco6Stéphane Poitras7Paul E. Beaulé8Veronique French-Merkley9School of Nursing, Faculty of Health Sciences, University of Ottawa, Ottawa Hospital Research Institute, Affiliate Investigator, Bruyère Research InstituteFaculty of Medicine, University of Ottawa, The Ottawa HospitalFaculty of Medicine, University of OttawaUniversity of OttawaThe Ottawa Hospital, General CampusGeriatric Rehabilitation, Bruyère Continuing CareFaculty of Medicine, University of Ottawa, The Ottawa Hospital, General CampusSchool of Rehabilitation Sciences, Faculty of Health Sciences, University of OttawaFaculty of Medicine, University of Ottawa, The Ottawa Hospital, General CampusFaculty of Medicine, University of OttawaAbstract Introduction Older adults with hip fracture often require extensive post-surgery care across multiple sectors, making follow-up care even more important to ensure an ideal recovery. With the increased adoption of technology, patient-clinician digital health interventions can potentially improve post-surgery outcomes of hip fracture patients by helping them and their caregivers better understand the various aspects of their care, post-hip fracture surgery. The purpose of this study was to examine the available literature on the impact of hip fracture-specific, patient-clinician digital health interventions on patient outcomes and health care delivery processes. We also aimed to identify the barriers and enablers to the uptake and implementation of these technologies and to provide strategies for improved use of these digital health interventions. Methods We conducted a scoping review following the six stages of Arksey and O’Malley’s framework and following the PRISMA-ScR reporting format. Searches were conducted in five databases. In addition to hand searching for relevant studies from the references of all included studies, we also conducted a grey literature search to identify relevant primary studies. Screening of titles and abstracts as well as full texts were performed independently by two reviewers. Two reviewers also performed the data extraction of the included studies. Results After screening 3,638 records, 20 articles met the criteria and 1 article was identified through hand searching. Various patient-clinician digital health interventions were described including telehealth /telerehabilitation programs (n = 6), care transition /follow-up interventions (n = 5), online resources (n = 2), and wearable devices /sensor monitoring (n = 1). Outcomes were varied and included functional status, gait/mobility, quality of life, psychological factors, satisfaction, survival/complications, caregiver outcomes, compliance, technology-user interactions, and feedback on the use of the digital health interventions. For clinicians, a key barrier to the use of the digital health interventions was the acceptability of the technology. However, the usefulness of the digital health intervention by clinicians was seen as both a barrier and an enabler. For patients and caregivers, all the themes were seen as both a barrier and an enabler depending on the study. These themes included: 1) availability and access, 2) usability, 3) knowledge and skills, 4) acceptability, and 5) usefulness of the digital health intervention. Conclusion Many behavioural factors affect the use of patient-clinician digital health interventions. However, a specific attention should be focused on the acceptability of the technology by the clinicians to encourage uptake of the digital health interventions. The results of this scoping review can help to better understand the factors that may be targeted to increase the use of these technologies by clinicians, patients, and caregivers.https://doi.org/10.1186/s12913-023-09784-yDigital healthTargeted patient/client communicationHip fracturesScoping review |
| spellingShingle | Chantal Backman Steve Papp Anne Harley Becky Skidmore Maeghn Green Soha Shah Randa Berdusco Stéphane Poitras Paul E. Beaulé Veronique French-Merkley Patient-clinician digital health interventions for the hip fracture population: a scoping review BMC Health Services Research Digital health Targeted patient/client communication Hip fractures Scoping review |
| title | Patient-clinician digital health interventions for the hip fracture population: a scoping review |
| title_full | Patient-clinician digital health interventions for the hip fracture population: a scoping review |
| title_fullStr | Patient-clinician digital health interventions for the hip fracture population: a scoping review |
| title_full_unstemmed | Patient-clinician digital health interventions for the hip fracture population: a scoping review |
| title_short | Patient-clinician digital health interventions for the hip fracture population: a scoping review |
| title_sort | patient clinician digital health interventions for the hip fracture population a scoping review |
| topic | Digital health Targeted patient/client communication Hip fractures Scoping review |
| url | https://doi.org/10.1186/s12913-023-09784-y |
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