Background An increasing number of patients expect and want to play a greater role in their treatment and care decisions. This emphasizes the need to adopt collaborative health care practices, which implies collaboration among interprofessional health care teams and patients, their families, caregivers, and communities. In recent years, digital health technologies that support self-care and collaboration between the community and health care providers (ie, participatory health technologies) have received increasing attention. However, knowledge regarding the features of such technologies that support effective patient-professional partnerships is still limited. Objective This study aimed to map and assess published studies on participatory health technologies intended to support partnerships among patients, caregivers, and health care professionals in chronic care, focusing specifically on identifying the main features of these technologies. Methods A scoping review covering scientific publications in English between January 2008 and December 2020 was performed. We searched PubMed and Web of Science databases. Peer-reviewed qualitative, quantitative, and mixed methods studies that evaluated digital health technologies for patient-professional partnerships in chronic care settings were included. The data were charted and analyzed thematically. The PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews) checklist was used. Results This review included 32 studies, reported in 34 papers. The topic of participatory health technologies experienced a slightly increasing trend across publication years, with most papers originating from the United States and Norway. Diabetes and cardiovascular diseases were the most common conditions addressed. Of the 32 studies, 12 (38%) evaluated the influence of participatory health technologies on partnerships, mostly with positive outcomes, although we also identified how partnership relationships and the nature of collaborative work could be challenged when the roles and expectations between users were unclear. Six common features of participatory health technologies were identified: patient-professional communication, self-monitoring, tailored self-care support, self-care education, care planning, and community forums for peer-to-peer interactions. Conclusions Our findings emphasize the importance of clarifying mutual expectations and carefully considering the implications that the introduction of participatory health technologies may have on the work of patients and health care professionals, both individually and in collaboration. A knowledge gap remains regarding the use of participatory health technologies to effectively support patient-professional partnerships in chronic care management.
BACKGROUND An increasing number of patients expect and want to play greater roles in decisions about their treatment and care. This emphasizes the need to adopt collaborative healthcare practices, which implies collaboration between an interprofessional healthcare team and patients, their families, caregivers, and communities. In recent years, digital health technologies supporting self-care and collaboration between the community and healthcare providers (i.e., participatory health technologies) have received increasing attention. However, knowledge is still limited regarding the features of such technologies that support effective patient–professional partnerships. OBJECTIVE To map and assess published studies on participatory health technologies intended to support partnerships between patients, caregivers, and healthcare professionals in chronic care, focusing specifically on identifying the main features of these technologies. METHODS A scoping review was performed, covering scientific publications in English between January 2008 and December 2020. We searched PubMed and Web of Science. Peer-reviewed qualitative, quantitative, and mixed-methods studies that evaluated digital health technologies for patient–professional partnerships in chronic care settings were included. Data were charted and analyzed thematically. The PRISMA-ScR checklist was used. RESULTS The review encompassed 34 papers. The topic of PHTs experienced a slightly increasing trend across the publication years, with most papers originating from the USA and Norway. Cardiovascular diseases and diabetes were the most common conditions addressed. Nine studies evaluated the PHTs’ influences on partnerships, mostly with positive outcomes, although we also identified how partnership relationships and the nature of collaborative work could be challenged when roles and expectations between users were unclear. Six common PHT features were identified: patient–professional communication, self-monitoring, tailored self-care support, self-care education, care planning, and community forums for peer-to-peer interactions. CONCLUSIONS Our findings emphasize the importance of clarifying mutual expectations and carefully considering the implications the introduction of PHTs may have on the work of patients and healthcare professionals, individually and in collaboration. A knowledge gap remains regarding how to use PHTs to support patient–professional partnerships effectively in chronic care management. CLINICALTRIAL
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
customersupport@researchsolutions.com
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.