Digital health interventions in palliative care: a systematic meta-review

Abstract Digital health interventions (DHIs) have the potential to improve the accessibility and effectiveness of palliative care but heterogeneity amongst existing systematic reviews presents a challenge for evidence synthesis. This meta-review applied a structured search of ten databases from 2006...

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Autores principales:	Anne M. Finucane, Hannah O’Donnell, Jean Lugton, Tilly Gibson-Watt, Connie Swenson, Claudia Pagliari
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Computer applications to medicine. Medical informatics R858-859.7
Acceso en línea:	https://doaj.org/article/9ee79ce208eb4ca6a1c1974301fa9afc
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spelling	oai:doaj.org-article:9ee79ce208eb4ca6a1c1974301fa9afc2021-12-02T14:37:29ZDigital health interventions in palliative care: a systematic meta-review10.1038/s41746-021-00430-72398-6352https://doaj.org/article/9ee79ce208eb4ca6a1c1974301fa9afc2021-04-01T00:00:00Zhttps://doi.org/10.1038/s41746-021-00430-7https://doaj.org/toc/2398-6352Abstract Digital health interventions (DHIs) have the potential to improve the accessibility and effectiveness of palliative care but heterogeneity amongst existing systematic reviews presents a challenge for evidence synthesis. This meta-review applied a structured search of ten databases from 2006 to 2020, revealing 21 relevant systematic reviews, encompassing 332 publications. Interventions delivered via videoconferencing (17%), electronic healthcare records (16%) and phone (13%) were most frequently described in studies within reviews. DHIs were typically used in palliative care for education (20%), symptom management (15%), decision-making (13%), information provision or management (13%) and communication (9%). Across all reviews, mostly positive impacts were reported on education, information sharing, decision-making, communication and costs. Impacts on quality of life and physical and psychological symptoms were inconclusive. Applying AMSTAR 2 criteria, most reviews were judged as low quality as they lacked a protocol or did not consider risk of bias, so findings need to be interpreted with caution.Anne M. FinucaneHannah O’DonnellJean LugtonTilly Gibson-WattConnie SwensonClaudia PagliariNature PortfolioarticleComputer applications to medicine. Medical informaticsR858-859.7ENnpj Digital Medicine, Vol 4, Iss 1, Pp 1-10 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Computer applications to medicine. Medical informatics R858-859.7
spellingShingle	Computer applications to medicine. Medical informatics R858-859.7 Anne M. Finucane Hannah O’Donnell Jean Lugton Tilly Gibson-Watt Connie Swenson Claudia Pagliari Digital health interventions in palliative care: a systematic meta-review
description	Abstract Digital health interventions (DHIs) have the potential to improve the accessibility and effectiveness of palliative care but heterogeneity amongst existing systematic reviews presents a challenge for evidence synthesis. This meta-review applied a structured search of ten databases from 2006 to 2020, revealing 21 relevant systematic reviews, encompassing 332 publications. Interventions delivered via videoconferencing (17%), electronic healthcare records (16%) and phone (13%) were most frequently described in studies within reviews. DHIs were typically used in palliative care for education (20%), symptom management (15%), decision-making (13%), information provision or management (13%) and communication (9%). Across all reviews, mostly positive impacts were reported on education, information sharing, decision-making, communication and costs. Impacts on quality of life and physical and psychological symptoms were inconclusive. Applying AMSTAR 2 criteria, most reviews were judged as low quality as they lacked a protocol or did not consider risk of bias, so findings need to be interpreted with caution.
format	article
author	Anne M. Finucane Hannah O’Donnell Jean Lugton Tilly Gibson-Watt Connie Swenson Claudia Pagliari
author_facet	Anne M. Finucane Hannah O’Donnell Jean Lugton Tilly Gibson-Watt Connie Swenson Claudia Pagliari
author_sort	Anne M. Finucane
title	Digital health interventions in palliative care: a systematic meta-review
title_short	Digital health interventions in palliative care: a systematic meta-review
title_full	Digital health interventions in palliative care: a systematic meta-review
title_fullStr	Digital health interventions in palliative care: a systematic meta-review
title_full_unstemmed	Digital health interventions in palliative care: a systematic meta-review
title_sort	digital health interventions in palliative care: a systematic meta-review
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/9ee79ce208eb4ca6a1c1974301fa9afc
work_keys_str_mv	AT annemfinucane digitalhealthinterventionsinpalliativecareasystematicmetareview AT hannahodonnell digitalhealthinterventionsinpalliativecareasystematicmetareview AT jeanlugton digitalhealthinterventionsinpalliativecareasystematicmetareview AT tillygibsonwatt digitalhealthinterventionsinpalliativecareasystematicmetareview AT connieswenson digitalhealthinterventionsinpalliativecareasystematicmetareview AT claudiapagliari digitalhealthinterventionsinpalliativecareasystematicmetareview
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Digital health interventions in palliative care: a systematic meta-review

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