现有在线患者导航干预措施的特点:范围审查
Meghan Marsh1, Syeda Rafia Shah1, Sarah E P Munce1,2,3
1Department of Occupational Science and Occupational Therapy, University of Toronto, Toronto, ON, Canada.
JMIR medical informatics
|August 19, 2024
概括
在线患者导航干预 (PNI) 提供个性化的支持,但其特征尚不清楚. 本综述综合了关于在线PNI的现有文献,以指导未来的研究和报告.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 数字健康干预措施 数字健康干预措施
- 患者支持系统 患者支持系统
背景情况:
- 患者导航干预 (PNI) 提供个性化的支持,改善护理协调.
- 在线PNI显示了增强患者知识,准备,自我效能和服务利用的潜力.
- 对于患有疾病的个人,在线PNI的关键特征仍未得到充分探索.
研究的目的:
- 进行范围审查,确定文献中报道的现有在线PNI的特征.
- 综合有关干预类型,交付方式,持续时间,频率,结果和理论基础的数据.
- 提供对当前在线PNI格局的全面概述.
主要方法:
- 根据乔安娜·布里格斯研究所的框架准则进行范围审查.
- 在多个数据库 (MEDLINE,CINAHL,Embase,PsycInfo,Cochrane) 中系统地搜索同行评审的文献 (1989-2022年).
- 两位独立审查员选了研究;数据抽象和分析使用描述性统计和定性内容分析.
主要成果:
- 在2003年至2022年期间发表的100项研究符合纳入标准,主要是在西方国家.
- 大多数研究 (39%) 是随机对照试验,自2019年以来出版物显著增加.
- 通常研究的群体是患有癌症的白人女性;老年人 (70岁以上) 代表性不足. 干预措施在支持类型,交付,持续时间和频率上有所不同,理论框架的描述有限.
结论:
- 这是PNI在线文献的首次全面综合,重点关注干预和研究特征.
- 报告发布国家,人口细节,干预持续时间/频率以及缺乏理论依据的不一致性被发现.
- 建议在未来的在线PNI研究中提供标准化报告,以提高清晰度和影响.
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