Current Status of Barriers to mHealth Access Among Patients With Stroke and Steps Toward the Digital Health Era: Systematic Review.

IF 5.4 2区医学 Q1 HEALTH CARE SCIENCES & SERVICES

JMIR mHealth and uHealth Pub Date : 2024-08-22 DOI:10.2196/54511

Atsadaporn Niyomyart, Suebsarn Ruksakulpiwat, Chitchanok Benjasirisan, Lalipat Phianhasin, Kabtamu Nigussie, Sutthinee Thorngthip, Gazi Shamita, Jai Thampakkul, Lidya Begashaw

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引用次数: 0

Abstract

Background: Mobile health (mHealth) offers significant benefits for patients with stroke, facilitating remote monitoring and personalized health care solutions beyond traditional settings. However, there is a dearth of comprehensive data, particularly qualitative insights, on the barriers to mHealth access. Understanding these barriers is crucial for devising strategies to enhance mHealth use among patients with stroke.

Objective: This study aims to examine the recent literature focusing on barriers to mHealth access among patients with stroke.

Methods: A systematic search of PubMed, MEDLINE, Web of Science, and CINAHL Plus Full Text was conducted for literature published between 2017 and 2023. Abstracts and full texts were independently screened based on predetermined inclusion and exclusion criteria. Data synthesis was performed using the convergent integrated analysis framework recommended by the Joanna Briggs Institute.

Results: A total of 12 studies met the inclusion criteria. The majority were qualitative studies (about 42%), followed by mixed methods (25%), pilot studies (about 17%), nonrandomized controlled trials (about 8%), and observational studies (about 8%). Participants included patients with stroke, caregivers, and various health care professionals. The most common mHealth practices were home-based telerehabilitation (30%) and poststroke mHealth and telecare services (20%). Identified barriers were categorized into two primary themes: (1) at the patient level and (2) at the health provider-patient-device interaction level. The first theme includes 2 subthemes: health-related issues and patient acceptability. The second theme encompassed 3 subthemes: infrastructure challenges (including software, networking, and hardware), support system deficiencies, and time constraints.

Conclusions: This systematic review underscores significant barriers to mHealth adoption among patients with stroke. Addressing these barriers in future research is imperative to ensure that mHealth solutions effectively meet patients' needs.

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中风患者获得移动医疗的障碍现状及迈向数字医疗时代的步骤：系统回顾。

背景：移动医疗（mHealth）为中风患者带来了巨大的益处，促进了远程监控和超越传统环境的个性化医疗解决方案。然而，有关移动医疗使用障碍的综合数据，尤其是定性见解却十分匮乏。了解这些障碍对于制定加强中风患者使用移动医疗的策略至关重要：本研究旨在考察近期有关中风患者使用移动医疗的障碍的文献：系统检索了 PubMed、MEDLINE、Web of Science 和 CINAHL Plus Full Text 中 2017 年至 2023 年间发表的文献。根据预先确定的纳入和排除标准对摘要和全文进行了独立筛选。采用乔安娜-布里格斯研究所（Joanna Briggs Institute）推荐的聚合综合分析框架进行数据综合：共有 12 项研究符合纳入标准。大部分是定性研究（约 42%），其次是混合方法研究（25%）、试点研究（约 17%）、非随机对照试验（约 8%）和观察性研究（约 8%）。参与者包括中风患者、护理人员和各种医疗保健专业人员。最常见的移动医疗实践是基于家庭的远程康复（30%）以及卒中后移动医疗和远程护理服务（20%）。已识别的障碍分为两个主要主题：(1) 患者层面；(2) 医疗服务提供者-患者-设备互动层面。第一个主题包括 2 个子主题：与健康相关的问题和患者的可接受性。第二个主题包括 3 个子主题：基础设施挑战（包括软件、网络和硬件）、支持系统缺陷和时间限制：本系统综述强调了中风患者采用移动医疗的重大障碍。在未来的研究中解决这些障碍是确保移动医疗解决方案有效满足患者需求的当务之急。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

JMIR mHealth and uHealth Medicine-Health Informatics

CiteScore

12.60

自引率

4.00%

发文量

159

审稿时长

10 weeks

期刊介绍： JMIR mHealth and uHealth (JMU, ISSN 2291-5222) is a spin-off journal of JMIR, the leading eHealth journal (Impact Factor 2016: 5.175). JMIR mHealth and uHealth is indexed in PubMed, PubMed Central, and Science Citation Index Expanded (SCIE), and in June 2017 received a stunning inaugural Impact Factor of 4.636. The journal focusses on health and biomedical applications in mobile and tablet computing, pervasive and ubiquitous computing, wearable computing and domotics. JMIR mHealth and uHealth publishes since 2013 and was the first mhealth journal in Pubmed. It publishes even faster and has a broader scope with including papers which are more technical or more formative/developmental than what would be published in the Journal of Medical Internet Research.