在糖尿病患者的数字健康应用中遵守可用性和可访问性原则:系统审查
Sarah Louise Watson1, Professor Ruth Esther Hogg1, Michael Donnelly1
1Centre for Public Health, School of Medicine, Dentistry and Biomedical sciences, Queen's University Belfast, Centre for Public Health, Institute of Clinical Sciences, Block AGrosvenor Road, Belfast, GB.
Journal of medical Internet research
|July 24, 2025
概括
大多数糖尿病健康应用程序未能满足开发指南,93%的应用程序符合不到40%的标准. 本次审查强调了数字健康标准和应用程序创建实践之间的差距.
科学领域:
- 数字健康数字健康
- 医疗信息学 医疗信息学
- 糖尿病管理 糖尿病管理
背景情况:
- 卫生应用程序为糖尿病护理提供了潜力,但开发的差异很大.
- 像DTAC和NICE这样的指导方针旨在标准化数字健康技术.
- 这些框架确保应用程序是可访问的,安全的,有效的和适合使用的.
研究的目的:
- 根据DTAC 2021和NICE 2022指南评估糖尿病健康应用程序的性能.
- 在应用程序开发过程中评估遵守这些标准.
主要方法:
- 在EMBASE和Medline的系统文献搜索.
- 包括43项符合预定义标准的研究.
- 根据DTAC和NICE框架获得的13个二进制评分标准对每个研究进行评估.
主要成果:
- 93%的研究满足了不到40%的推标准.
- 显著的遗漏包括准确的测量 (88.4%),准确性验证 (86%) 和解决不平等问题 (83.7%).
- 没有一项研究完全遵守指南标准;只有三项获得了中等分数.
结论:
- 数字健康指南和应用程序开发实践之间存在很大的差距.
- 建议在设计和开发过程中采用更广泛和一致的标准.
- 期刊应该考虑要求遵守透明度的检查清单.
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