Co-Designing Remote Patient Monitoring Technologies for Inpatients: Systematic Review

Area of Science:

• Health Informatics
• Human-Computer Interaction
• Patient-Centered Care

Background:

• Co-designing health technology fosters patient-centeredness and mitigates technology adoption barriers.
• Remote patient monitoring (RPM) technologies aim to improve healthcare delivery through continuous patient oversight.

Approach:

• A systematic review identified co-designed RPM technologies for inpatient and immediate post-discharge use.
• Searches covered multiple databases (MEDLINE, Embase, CINAHL, PsycInfo, Web of Science) within the last 10 years.
• Included studies were assessed for effectiveness, co-design approaches, and process barriers/facilitators using Joanna Briggs Institute checklists.

Key Points:

• Seventeen projects met eligibility criteria, with interventions for diverse inpatient needs including pre/post-surgical, intensive care, and postpartum monitoring.
• No projects evaluated the clinical efficacy of co-designed RPM technology; pilot studies focused on usability, feasibility, and satisfaction.
• Common co-design methods included needs assessment, prototyping, and pilot testing, with stakeholder value and engagement as key enablers.

Conclusions:

• Co-design enhances the relevance, usability, and adoption of health interventions.
• While usability and satisfaction were measured, the clinical effectiveness of co-designed RPM technologies requires further rigorous evaluation.
• Standardizing co-design terminology and increasing commitment to clinical evaluation are crucial for advancing co-design research in RPM.