了解神经康复领域实施数字健康技术(DHT)的障碍和促进因素:综合系统综述》。

IF 2.4 Q2 HEALTH CARE SCIENCES & SERVICES
Health Services Insights Pub Date : 2024-04-29 eCollection Date: 2024-01-01 DOI:10.1177/11786329241229917
Kathryn Jarvis, Clare Thetford, Edward Turck, Kelly Ogley, Rachel C Stockley
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引用次数: 0

摘要

背景:数字健康技术(DHT)具有为神经系统疾病患者提供密集、新颖和参与性康复的潜力,但医疗服务机构在将 DHT 融入实践方面却缺乏良好的记录。本综述旨在综合已被证明会影响神经康复中 DHT 实施的因素:方法:进行综合综述。对 MEDLINE、CINAHL、AMED 和 EMBASE 进行了广泛检索。根据预先设定的标准对所有检索到的资料的标题和摘要进行筛选。对保留下来的资料进行全文检索。对所有纳入资料的质量进行了评估。荟萃-人种学综述探讨了所纳入研究的共同点和矛盾点:结果:共纳入 14 项研究(1 项定量研究、8 项定性研究和 5 项混合方法研究)。14 项研究中使用了 11 种实施理论/模式/框架。确定了五个主题(i) 个人因素;(ii) 技术的用户体验;(iii) 干预内容;(iv) 获取技术和 (v) 支持使用:结论:强调了影响在临床环境中实施 DHT 的关键因素。在 DHT 康复研究中,实施理论、模型和框架未得到充分利用。要想发挥 DHT 在神经康复中的潜力,就必须解决这一问题:该方案已注册,可从 PROSPERO (CRD42021268984) 获取。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Understanding the Barriers and Facilitators of Digital Health Technology (DHT) Implementation in Neurological Rehabilitation: An Integrative Systematic Review.

Background: Digital Health technologies (DHT) have potential to deliver intensive, novel and engaging rehabilitation for people with neurological conditions, yet health services lack a strong track record in embedding DHT into practice. The aim of this review was to synthesise factors that have been shown to influence implementation of DHT into neurological rehabilitation.

Method: An integrative review was undertaken. An extensive search of MEDLINE, CINAHL, AMED, EMBASE was undertaken. The title and abstract of all retrieved sources were screened against pre-defined criteria. Retained sources underwent full text review. The quality of all included sources was assessed. A meta-ethnographic synthesis explored commonalities and contradictions of the included studies.

Results: Fourteen studies (1 quantitative, 8 qualitative and 5 mixed methods) were included. Eleven implementation theories/models/frameworks were used across the 14 studies. Five themes were identified: (i) individual factors; (ii) user experience of the technology; (iii) the content of the intervention; (iv) access to the technology and (v) supporting use.

Conclusions: Key factors which appear to influence the implementation of DHT into clinical settings are highlighted. Implementation theories, models and frameworks are under-utilised in DHT rehabilitation research. This needs to be addressed if DHT are to realise their potential in neurological rehabilitation.

Registration: The protocol was registered and is available from PROSPERO (CRD42021268984).

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来源期刊
Health Services Insights
Health Services Insights HEALTH CARE SCIENCES & SERVICES-
CiteScore
3.60
自引率
0.00%
发文量
47
审稿时长
8 weeks
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