Barreras y facilitadores para la implementación de intervenciones de telesalud sincrónicas para personas con demencia: una revisión sistemática
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A Computerized Functional Skills Assessment and Training Program Targeting Technology Based Everyday Functional Skills
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Richard Talbot1,2, Charlotte Harris1, Esther Cable1
1Division of Psychology and Language Sciences, UCL, London, UK.
Dementia (London, England)
|February 20, 2026
Resumen
La telesalud sincrónica puede mejorar el acceso a la atención de la demencia, pero la implementación enfrenta desafíos. Las barreras tecnológicas requieren soluciones de capacidad y oportunidad, mientras que los facilitadores de intervención involucran estrategias de motivación complejas.
Área de la Ciencia:
- Gerontología Gerontología.
- Servicios de salud Investigación Servicios de salud Investigación
- Salud digital La salud digital.
Sus antecedentes:
- Las intervenciones conductuales son cruciales para controlar los síntomas de la demencia.
- El acceso a estas intervenciones está limitado por factores individuales y de servicio.
- La telesalud sincrónica ofrece una solución potencial para mejorar el acceso y la disponibilidad.
Objetivo del estudio:
- Revisar sistemáticamente las barreras y los facilitadores para la implementación de intervenciones de telesalud sincrónicas para personas con demencia.
- Para analizar los determinantes de la implementación utilizando el marco teórico de dominios (TDF) y el modelo de cambio de comportamiento COM-B.
Principales métodos:
- Búsqueda sistemática de literatura en cinco bases de datos (febrero de 2024).
- Análisis deductivo utilizando TDF y COM-B, complementado con análisis de contenido inductivo.
- Categorización de los determinantes relacionados con la intervención o la tecnología.
Principales resultados:
- Se incluyeron 25 trabajos de 14 países, que cubren diversos tipos de intervención.
- Determinantes clave asignados a los dominios TDF: Contexto y recursos ambientales, conocimiento, creatividad y seguridad.
- Barreras relacionadas con la tecnología a menudo vinculadas a la capacidad y la oportunidad; facilitadores de intervención relacionados con la motivación.
Conclusiones:
- Las barreras de implementación a menudo se centran en la tecnología con soluciones sencillas.
- Los facilitadores a menudo están centrados en la intervención, lo que requiere estrategias complejas y no lineales.
- El uso de marcos como TDF y COM-B puede mejorar la presentación de informes, la reproducibilidad y guiar la implementación efectiva de la telesalud conductual para la demencia.
Palabras clave:
La demencia es la demencia.La implementación de la implementación de la implementación de la implementación de la implementación.La intervención es una intervención de intervención.La telemedicina es la telemedicina de salud.dominios teóricos marco de trabajo.Más Videos Relacionados
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