Digital health for quality healthcare: A systematic mapping of review studies

Ibrahim, Mohd Salami; Yusoff, Harmy Mohamed; Bakar, Yasrul Izad Abu; Abas, Mohd Ihsanuddin; Ramli, Ras Azira

doi:10.1177/20552076221085810

Cited by 56 publications

(42 citation statements)

References 73 publications

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“… 43 – 45 However, a recent systematic mapping of review studies identified several gaps in the literature related to the use of digital health for quality healthcare. 46 Among the gaps identified, most of the information to date involves the application of digital health for psychiatric care predominantly through mobile health applications for mental health and behavioral therapies. 46 The review showed that there is an overall paucity of information related to the application of digital health for rehabilitation purposes and movement-based interventions, 46 such as tele-yoga.…”

Section: Introductionmentioning

confidence: 99%

Tele-yoga for the management of Parkinson disease: A safety and feasibility trial

James-Palmer

Daneault

2022

DIGITAL HEALTH

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Objectives Despite current standard treatments, persons with Parkinson disease (PD) still experience motor and non-motor symptoms that impact daily function and quality of life, warranting the investigation of additional interventions. Holistic complementary interventions such as yoga have been shown to be beneficial for persons with PD. However, there are multiple barriers to in-person interventions such as transportation difficulties and disease-related mobility impairments which may be mitigated by digital health applications. Therefore, this study’s purpose was to assess the safety and feasibility of a synchronous tele-yoga intervention for persons with PD. Methods Sixteen participants were enrolled in a single group safety and feasibility trial. The entire study was conducted remotely and consisted of a baseline assessment followed by a six-week waiting period, then a second assessment, a six-week tele-yoga intervention period, a post-intervention assessment, a six-week follow-up period, and lastly a follow-up assessment. During the tele-yoga period, participants completed two one-on-one 30-minute tele-yoga sessions weekly for a total of 12 sessions. Primary outcomes included adverse events, adherence, technological challenges, and usability. Secondary outcomes included enjoyment and clinically relevant outcome measures assessing both motor and non-motor symptoms. Results No severe adverse events were attributed to the intervention. Retention was 87.5%, assessment session adherence was 100%, and intervention session adherence was 97%. Technological challenges did not impact feasibility. The intervention was usable and enjoyable. While this study was not powered or designed to assess the efficacy of the intervention, preliminary improvements were shown for some of the clinically relevant outcome measures. Conclusions Overall, this study showed that the implementation of a synchronous one-on-one tele-yoga intervention was safe, feasible, usable, and enjoyable for persons with PD. Randomized control trials investigating its efficacy should be initiated. The study was registered with ClinicalTrials.gov (NCT04240899, https://clinicaltrials.gov/ct2/show/NCT04240899).

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Section: Introductionmentioning

confidence: 99%

Tele-yoga for the management of Parkinson disease: A safety and feasibility trial

James-Palmer

Daneault

2022

DIGITAL HEALTH

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“…14 This volume of assessment represents the complex practice of medicine where radiological investigations facilitate diagnoses and treatments. 15 For example, in the orthopaedic case, the ability to recognize the image of an x-ray of the thigh bone with infection (osteomyelitis) dictates treatment with a high-dose antibiotic. Hence, in the clinic setting, especially in rural medical practices, recognizing critical radiological information does save lives.…”

Section: Novel Contributionmentioning

confidence: 99%

A Group-Randomized Study Comparing the Traditional Lecture and Informal Cooperative Learning For Undergraduate Radiology Training In A Malaysian University

Ibrahim

Jusog

Rebuan

et al. 2022

imjm

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Purpose: Radiology teaching via the traditional lecture (TL) is susceptible to a decline in focus and engagement, leading to compromised training and competency. In this study, we investigated the teaching of radiology topics via informal cooperative learning (ICL). Materials and Methods: We randomly delivered teaching via the TL or the ICL to four clinical group of thirteen third-year undergraduate medical students. The study involved eleven radiology topics throughout one academic year. For each topic, two groups underwent the TL while the other two learned via the ICL. All students underwent a pre-test at the beginning of each class, consist of One Best Answer (OBA) and Objectively Structured Clinical Examination (OSCE) to assess knowledge and skills, respectively. They subsequently underwent post-tests with another OBA and OSCE assessments at the end of class and six weeks later. Results: Students who learned from the ICL classes scored significantly higher in the knowledge assessment immediately post-teaching, six weeks later, and the overall score regardless of time. Assessments of skills showed no statistically significant difference between the two teaching methods. However, for both the ICL and TL, post-teaching scores of knowledge and post-teaching scores of skills were significantly higher than the pre-test. Conclusion: Our study provides empirical evidence on the superior competency of undergraduate radiological skills through the ICL. The findings signify the need to engineer competent doctors via innovative clinical training. The novel experience from this study better-orientate radiology teaching and contribute to the broader field of medical education, clinical practice, and patient safety.

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“…Several national and global policies and frameworks have been developed to encourage and govern the introduction of healthcare technologies into standard practice [ 1 , 5 , 6 ]. The advantages of healthcare technology over “traditional” healthcare include standardising care, limiting medical errors, providing better coordinated care, improving effectiveness and cost effectiveness of interventions, equity and increasingly pro-active surveillance [ 7 ]. Healthcare technologies can be used to monitor and manage patient results, communicate health related information, allow real-time outcomes to be measured and facilitate clinical decision making in a range of chronic conditions [ 7 – 9 ], including asthma [ 10 – 12 ].…”

Section: Introductionmentioning

confidence: 99%

A qualitative process evaluation within a clinical trial that used healthcare technologies for children with asthma–insights and implications

et al. 2023

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Background Healthcare technologies are becoming more commonplace, however clinical and patient perspectives regarding the use of technology in the management of childhood asthma have yet to be investigated. Within a clinical trial of asthma management in children, we conducted a qualitative process evaluation that provided insights into the experiences and perspectives of healthcare staff and families on (i) the use of smart inhalers to monitor medication adherence and (ii) the use of algorithm generated treatment recommendations. Methods We interviewed trial staff (n = 15) and families (n = 6) who were involved in the trial to gauge perspectives around the use of smart inhalers to monitor adherence and the algorithm to guide clinical decision making. Findings Staff and families indicated that there were technical issues associated with the smart inhalers. While staff suggested that the smart inhalers were good for monitoring adherence and enabling communication regarding medication use, parents and children indicated that smart inhaler use increased motivation to adhere to medication and provided the patient (child) with a sense of responsibility for the management of their asthma. Staff were open-minded about the use of the algorithm to guide treatment recommendations, but some were not familiar with its’ use in clinical care. There were some concerns expressed regarding treatment step-down decisions generated by the algorithm, and some staff highlighted the importance of using clinical judgement. Families perceived the algorithm to be a useful technology, but indicated that they felt comforted by the clinicians’ own judgements. Conclusion The use of technology and individual data within appointments was considered useful to both staff and families: closer monitoring and the educational impacts were especially highlighted. Utilising an algorithm was broadly acceptable, with caveats around clinicians using the recommendations as a guide only and wariness around extreme step-ups/downs considering contextual factors not taken into account.

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Digital health for quality healthcare: A systematic mapping of review studies

Cited by 56 publications

References 73 publications

Tele-yoga for the management of Parkinson disease: A safety and feasibility trial

Tele-yoga for the management of Parkinson disease: A safety and feasibility trial

A Group-Randomized Study Comparing the Traditional Lecture and Informal Cooperative Learning For Undergraduate Radiology Training In A Malaysian University

A qualitative process evaluation within a clinical trial that used healthcare technologies for children with asthma–insights and implications

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