scholarly journals Mobile safety alarms based on global positioning system technology in elderly care: a systematic review of evidence based on a general evidence framework for digital health technologies (Preprint)

2021 ◽  
Author(s):  
Maria Ehn ◽  
Matt X Richardson ◽  
Sara Landerdahl Stridsberg ◽  
W. Ken Redekop ◽  
Sarah Wamala-Andersson
Keyword(s):  
Global Positioning System ◽  
Systematic Reviews ◽  
Social Care ◽  
Digital Health ◽  
Elderly Care ◽  
Grey Literature ◽  
Health Technologies ◽  
Tier 1 ◽  
Global Positioning ◽  
Standard Framework

BACKGROUND Global Positioning System (GPS) alarms aim at supporting users in independent daily indoor and outdoor activities. GPS alarms are implemented in social care, particularly in Nordic countries. Previous systematic reviews report lack of clear evidence of the effectiveness of GPS alarms on the health and welfare of users and their families, as well as social care provision. Evidence on effectiveness can support informed decision on implementation of health and welfare technologies. Standardized evidence frameworks have been developed to ensure that new technologies are clinically effective and offer economic value. However, systematic reviews seldom assess identified evidence using the frameworks. OBJECTIVE This study provides an up-to-date systematic review on evidence from existing studies of GPS-based alarms’ effects on health, welfare and social provision in elderly care, compared to non-GPS standard care. Moreover, the study findings are assessed against the evidence standard framework for digital health technologies (DHTs) established by the National Institute for Health and Care Excellence (NICE) in UK. METHODS The review was conducted according to recommended guidelines. Primary studies published in peer-reviewed and grey literature between January 2005 and August 2020 were identified through searches in 13 databases and several sources of grey literature. Articles were included if the studied population was persons 50 years and older, who either received social care for elderly or social care for persons with dementia; employed GPS devices that enabled the users to initiate alarms and/or localization of user position and/or geofencing functions as an intervention; were performed in Canada, US, EU, Singapore, Australia, New Zealand, Hong Kong, South Korea, or Japan; and addressed outcomes related to health, welfare and social care outcomes by use of quantitative methods. Study findings were categorized and summarized according to the requirements for “active monitoring” DHTs (i.e. tier 3b) of the NICE evidence standard framework. RESULTS 16 of the 986 screened records met the eligibility criteria. 7 peer-reviewed publications and 9 grey literature studies contributed with information. Best practice evidence was identified according to standards for tier 1 category “Relevance to current pathways in health/social care system” and minimum standard evidence was identified according to standards for tier 1 category “Credibility with health, social care professionals” of the NICE framework. However, several evidence categories in tiers 1 and 2 could not be assessed and no clear evidence demonstrating effectiveness in outcomes or improvements in outcomes could be identified. The evidence required for DHTs tracking patient location (tier 3b) in the NICE framework was therefore insufficient. CONCLUSIONS The evidence in current grey and peer-reviewed literature for GPS-based mobile alarms’ beneficial effects on health and welfare of older adults and social care provision is insufficient. Future research should utilize knowledge produced in previous studies and systematic reviews. CLINICALTRIAL Not required, no primary study.

Past, present, and future of the technological tracking methods to assess tactical variables in team sports: A systematic review

2020 ◽  
Vol 234 (4) ◽  
pp. 281-290 ◽  
Author(s):  
Markel Rico-González ◽  
José Pino-Ortega ◽  
Fabio Y Nakamura ◽  
Felipe Arruda Moura ◽  
Daniel Rojas-Valverde ◽  
...  
Keyword(s):  
Global Positioning System ◽  
Systematic Reviews ◽  
Team Sports ◽  
Global Navigation Satellite Systems ◽  
Positioning System ◽  
Navigation Satellite ◽  
Satellite Systems ◽  
Global Positioning ◽  
Global Navigation ◽  
Global Navigation Satellite

The main aim of this work was to review the use of technological tracking methods to assess collective spatial-positioning variables in team sports. Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and PICO design for systematic reviews, study identification was performed in four databases (PubMed, SPORTDiscus, ProQuest Central, and Web of Science). Articles were selected if they focused on player position and technological tracking methods. After duplicate removal, 2194 articles were identified based on the established search criteria, of which 72 articles were selected and analysed. Semi-automatic optic-based systems, Global Positioning System/Global Navigation Satellite Systems, and local positioning systems were used in 60%, 33% and 7% of the studies, respectively. All studies that measured tactical variables by local positioning system technology in team sports used local position measurement technology. Optic-based systems were used more often in the early years to analyse collective tactical behaviour during competition. Later, Global Positioning System/Global Navigation Satellite Systems became more frequent to measure behaviour in team sports during the training process. The possibility of using the same system during competition and training will facilitate the assessment of collective tactical behaviour in team sports.

scholarly journals Effectiveness of digital health interventions for diabetes: systematic review of systematic reviews

2021 ◽  
Author(s):  
Bonkana Maiga ◽  
Cheick O Bagayoko ◽  
Mohamed Ali Ag Ahmed ◽  
Abdrahamane Anne ◽  
Marie-Pierre Gagnon ◽  
...  
Keyword(s):  
Systematic Reviews ◽  
Digital Health ◽  
Scientific Evidence ◽  
Relevant Information ◽  
Health Interventions ◽  
Care Utilization ◽  
Clinical Indicators ◽  
Health Technologies ◽  
Digital Interventions ◽  
Effective Interventions

Abstract Background The use of digital health technologies to tackle diabetes has been particularly flourishing in recent years. Previous studies have shown to varying degrees that these technologies can have an impact on diabetes prevention and management. Objective The aim of this review is to summarize the best evidence regarding the effectiveness of digital health interventions to improve one or more diabetes indicators. Methods We included all types of interventions aimed at evaluating the effect of digital health on diabetes. We considered at all types of digital interventions (mobile health, teleconsultations, tele-expertise, electronic health records, decision support systems, e-learning, etc.). We included systematic reviews published in English or French over the last 29 years, from January 1991 to December 2019, that met the inclusion criteria. Two reviewers independently reviewed the titles and abstracts of the studies to assess their eligibility, and extracted relevant information according to a predetermined grid. Any disagreement was resolved by discussion and consensus between the two reviewers, or involved a third author as referee. Results In total in our review of journals, we included 10 reviews. The outcomes of interest were clinical indicators of diabetes that could be influenced by digital interventions. These outcomes had to be objectively measurable indicators related to diabetes surveillance and management that are generally accepted by diabetes experts. Six of the ten reviews showed moderate to large significant reductions in glycated hemoglobin (HBA1c) levels compared to controls. Most reviews reported overall positive results and found that digital health interventions improved health care utilization, behaviours, attitudes, knowledge and skills. Conclusion Based on a large corpus of scientific evidence on digital health interventions, this overview could help identify the most effective interventions to improve diabetes indicators.

Optimizing Training Programs and Opportunities for Professional Development in the Era of Digital Pain Interventions: A Unique Opportunity for Collaboration (Preprint)

2020 ◽  
Author(s):  
Amara Nasir ◽  
Syed Hazique Mahmood
Keyword(s):  
Digital Health ◽  
Grey Literature ◽  
Health Interventions ◽  
Optimal Care ◽  
Medical Specialties ◽  
Health Technologies ◽  
Learning Techniques ◽  
Pain Intervention ◽  
Pain Patients ◽  
Patient Centric

UNSTRUCTURED Introduction: New digital health technologies provide accessible adjuncts to alleviating pain in the general population. The advent novel digital pain interventions have resulted in a rapidly evolving learning environment. Improving knowledge and understanding of these digital patient-centric approaches to treating pain is vital for our current practitioners and new cadre of trainees. The objective of this manuscript is to initiate a discussion about digital pain intervention educational needs of residents as well as attendings in PM&R, anesthesia and neurology. Methodology: After reviewing Accreditation Council Graduate Medical Education (ACGME) and relevant American Board of Medical Specialties policies and best available evidence, including grey literature, we interviewed a group of practicing physicians in physiatry, anesthesiology and neurology, including program directors, to provide expert opinion, guidance and formulate recommendations on educational requirements, research endeavors, and learning techniques and opportunities in utilizing digital health interventions for management of pain. IRB approval was not required. Conclusions: We hope that this manuscript will serve as the basis of designing a comprehensive educational program and outlining opportunities for research that prioritizes optimal care for pain patients and leverages the unique and complementary knowledge base within our fields.

scholarly journals Internet use and need for digital health technology among the elderly: a cross-sectional survey in China

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Xinran Sun ◽  
Wenxin Yan ◽  
Hao Zhou ◽  
Zhaoqing Wang ◽  
Xueying Zhang ◽  
...  
Keyword(s):  
Internet Use ◽  
Digital Health ◽  
Elderly Care ◽  
The Elderly ◽  
Influential Factors ◽  
The Internet ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Health Technologies ◽  
Use Of The Internet

Abstract Background China is becoming an aging society at the fastest pace in history, and there are a large number of empty nesters in the country. With economic and social development, internal support systems among families are gradually weakening. Supporting the elderly is thus emerging as a significant issue, and promoting digital health technologies is an effective way to help address it. Encouraging the application of Internet to elderly care and Internet use among the elderly are important means of promoting digital health technologies. This paper examines the current state of the use of the Internet by the elderly and factors influencing it (including physical, psychological, and social) as well as demand among the elderly for smart services. Methods A total of 669 subjects over the age of 60 years were randomly selected from 13 cities in Heilongjiang province and surveyed using questionnaires from May 1 to July 31, 2018. The questionnaires were collected for descriptive statistics, the chi-square test, and the analysis of influential factors. Results Of the people surveyed, 38.6% used the Internet. Their favorite online activity was online dating (74.2%), and the health information they obtained through the Internet was mainly related to diet (63.1%) and exercise (47.1%). The subjects demanded smart bracelets (MD = 2.80) and emergency callers (MD = 2.77). Gender, age, education, monthly income, quality of life, number of friends, and social participation were found to have an impact on Internet use. Conclusions More measures are needed to reduce barriers to the use of the Internet and promote digital health technologies. The society, equipment manufacturers, and family members of the elderly should work together to enable them to reap the benefits of online technologies.

scholarly journals Virtual models of care for people with palliative care needs living in their own home: A systematic meta-review and narrative synthesis

2021 ◽  
pp. 026921632110244
Author(s):  
Domenica Disalvo ◽  
Meera Agar ◽  
Gideon Caplan ◽  
Fliss EM Murtagh ◽  
Tim Luckett ◽  
...  
Keyword(s):  
Palliative Care ◽  
Systematic Reviews ◽  
Video Conferencing ◽  
Digital Health ◽  
Models Of Care ◽  
Care Needs ◽  
Health Technologies ◽  
Virtual Models ◽  
Meta Review ◽  
Palliative Care Needs

Background: Access to palliative care in the community enables people to live in their preferred place of care, which is often home. Community palliative care services struggle to provide timely 24-h services to patients and family. This has resulted in calls for ‘accessible and flexible’ models of care that are ‘responsive’ to peoples’ changing palliative care needs. Digital health technologies provide opportunities to meet these requirements 24-h a day. Aim: To identify digital health technologies that have been evaluated for supporting timely assessment and management of people living at home with palliative care needs and/or their carer(s), and the evidence-base for each. Design: A systematic review of systematic reviews (‘meta-review’). Systematic reviews evaluating evidence for virtual models of palliative or end-of-life care using one or more digital health technologies were included. Systematic reviews were evaluated using the Risk of Bias Tool for Systematic Reviews. A narrative approach was used to synthesise results. Data sources: Medline, Embase, Web of Science, CINAHL and Cochrane Database of systematic reviews were searched for English-language reviews published between 2015 and 2020. Results: The search yielded 2266 articles, of which 12 systematic reviews met criteria. Sixteen reviews were included in total, after four reviews were found via handsearching. Other than scheduled telehealth, video-conferencing, or after-hours telephone support, little evidence was found for digital health technologies used to deliver virtual models of palliative care. Conclusions: There are opportunities to test new models of virtual care, beyond telehealth and/or video conferencing, such as 24-h command centres, and rapid response teams. Systematic review registration number: Prospero CRD42020200266

scholarly journals The role of health technologies in primary care interventions: A systematic review (Preprint)

2020 ◽  
Author(s):  
Geronimo Jimenez ◽  
David Matchar ◽  
Gerald Koh Choon Huat ◽  
MJJ Rianne van der Kleij ◽  
Niels H. Chavannes ◽  
...  
Keyword(s):  
Systematic Review ◽  
Primary Care ◽  
Digital Health ◽  
Grey Literature ◽  
Chronically Ill ◽  
Prescribing Practices ◽  
Health Technologies ◽  
Monitoring Technologies ◽  
Multicomponent Interventions

BACKGROUND Several countries around the world have implemented multicomponent interventions to enhance primary care (PC), as a way of strengthening their health systems to cope with an ageing, chronically ill population, and rising costs. Some of these efforts have included technology-based enhancements as one of their features to support the overall intervention, but their details and impact have not been explored. OBJECTIVE To identify the role of digital/health technologies within wider, multi-feature interventions aimed at enhancing PC, and to describe the type of technologies used, aim and stakeholder, and potential impacts. METHODS A systematic review was performed, following Cochrane guidelines. An electronic search, supplemented with manual and grey literature searches, was conducted to identify multicomponent interventions which included at least one technology-based enhancement. After title/abstract and full text screening, selected articles were assessed for quality based on their study design. A descriptive, narrative synthesis was used for analysis and presentation of results. RESULTS Fourteen out of 37 articles (38%) described the inclusion of a technology-based innovation, as part of their multicomponent interventions to enhance PC. The most common identified technologies were the use of electronic health records, data monitoring technologies and online portals with messaging platforms. The most common aim of these technologies was to improve continuity of care and comprehensiveness, which resulted in increased patient satisfaction, increased PC visits compared to specialist visits, and the provision of more health prevention education and improved prescribing practices. Technologies seem also to increase costs and utilization for some parameters, such as increased consultation costs and increased number of drugs prescribed. CONCLUSIONS Technologies and digital health have not played a major role within comprehensive innovation efforts aimed at enhancing PC, reflecting that these technologies have not yet reached maturity or wider acceptance as a means for improving PC. Stronger policy and financial support is needed, as well as the advocacy of key stakeholders, to encourage the introduction of efficient technological innovations, backed by evidence-based research, so that digital technologies can fulfill the promise of supporting a strong, sustainable primary care.

scholarly journals Procurement of innovation terminology usage in health care: A scoping review protocol

2020 ◽  
Author(s):  
Margaret R. Andrews ◽  
Romualdo Ramos ◽  
Martina Ahlberg ◽  
Jan A. Hazelzet ◽  
Erik M. van Raaij ◽  
...  
Keyword(s):  
Health Care ◽  
Scoping Review ◽  
New Technologies ◽  
Scientific Literature ◽  
Digital Health ◽  
Supply And Demand ◽  
Grey Literature ◽  
Health Care Settings ◽  
Health Technologies ◽  
Policy Tool

AbstractBackgroundAlthough procurement of innovation is an established policy tool used to stimulate collaboration between supply- and demand-side entities during the development of new technologies, there is little scientific literature describing the process as applied in health care settings. Furthermore, what literature exists contains inconsistencies of terms, definitions, and/or concepts related to procurement of innovation. This protocol details our process for a systematic scoping review to describe the current scope of literature and to provide terminology clarification.MethodsA search strategy will be used to search PubMed, EMBASE [OVID], CINAHL [EBSCO], PsycINFO [ProQUEST], ABI/INFORM, ISI Web of Knowledge, EBSCO, JSTOR, the Cochrane Database of Systematic Reviews, and Google Scholar; grey literature, non-scientific reports, policy documents and expert recommendations will also be considered as additional sources for texts. Two researchers will screen titles and abstracts for inclusion/exclusion criteria, followed by full texts. We will extract the following data, if applicable: title, authors, date, author affiliations, country, journal/publication characteristics, setting, aims/purpose, methodology, sample characteristics, assessment/evaluation tools, outcome parameters, key findings, relevance, and terminology usage/definitions. Results will be presented narratively and visually.DiscussionThis paper describes the steps of our proposed systematic scoping review to identify and analyse scientific and non-scientific literature related to procurement of innovation and/or innovation of procurement in health care settings, with a particular focus on digital health technologies. Results are intended to demonstrate the current scope of literature, to provide clarity in language and therefore to serve as a first step for further research in this growing field.

Using grey literature when evaluating effectiveness in digital health and health and welfare technology: a source worth considering (Preprint)

2021 ◽  
Author(s):  
Sara Landerdahl Stridsberg ◽  
Matt X Richardson ◽  
Ken Redekop ◽  
Maria Ehn ◽  
Sarah Wamala Andersson
Keyword(s):  
Systematic Reviews ◽  
Digital Health ◽  
Grey Literature ◽  
Decision Makers ◽  
Systematic Search ◽  
Bibliographic Databases ◽  
Evidence Based ◽  
Policy Makers ◽  
Welfare Technology

UNSTRUCTURED The need for assessing the effectiveness and value of interventions involving digital health and/or health and welfare technology is becoming more important, due to the rapidly growing development of these technologies and their areas of application. Systematic reviews gather the available evidence based on published articles and make it accessible to researchers, practitioners, decision makers and policy makers. A thorough and systematic search in several bibliographic databases is essential when reviewing literature. But should publications outside the realm of traditional publication databases - known as grey literature – also be included? Can grey literature contribute to broaden the results of the review and how systematic can you be when searching for it INTERNATIONAL REGISTERED REPORT RR2-27267

scholarly journals Nursing Education in the Age of Artificial Intelligence: A Scoping Review (Preprint)

2020 ◽  
Author(s):  
Christine Buchanan ◽  
M. Lyndsay Howitt ◽  
Rita Wilson ◽  
Richard G Booth ◽  
Tracie Risling ◽  
...  
Keyword(s):  
Artificial Intelligence ◽  
Nursing Education ◽  
Nursing Students ◽  
Scoping Review ◽  
Digital Health ◽  
Clinical Care ◽  
Grey Literature ◽  
Health Technologies ◽  
Cochrane Database ◽  
Educational Requirements

BACKGROUND It is predicted that artificial intelligence will transform nursing across various domains of nursing practice: administration, clinical care, education, policy, and research. However, little synthesis has been completed exploring how artificial intelligence technologies will influence nursing education specifically. OBJECTIVE A scoping review was conducted to explore how artificial intelligence-driven digital health technologies are expected to influence nursing education over the next ten years and beyond. METHODS This scoping review followed the previously published protocol from April 2020. Using an established scoping review methodology, MEDLINE, Cumulative Index to Nursing and Allied Health Literature, Embase, PsycINFO, Cochrane Database of Systematic Reviews, Cochrane Central, Education Resources Information Centre, Scopus, Web of Science, and Proquest databases were searched. In addition to the use of these electronic databases, a targeted website search was performed to access relevant grey literature. Abstracts and full-text studies were independently screened by two reviewers using pre-specified inclusion and exclusion criteria. Included literature focused on nursing and digital health technologies that incorporate artificial intelligence. Data was charted using a piloted structured form and narratively summarized into categories. RESULTS A total of 27 articles were identified (20 expository papers, six studies with quantitative or prototyping methods, and one qualitative study). The population included nurses and nursing students at the undergraduate/entry levels, graduate, and doctoral levels. A variety of artificial intelligence technologies were discussed, including virtual nursing applications and robots. Key categories derived from the literature included: (1) educational requirements for nurses at the entry level, graduate and doctoral levels, (2) educational requirements for nurses in clinical practice, and (3) changes to the delivery of nursing education. CONCLUSIONS Nurses need to be better equipped to evaluate and integrate artificial intelligence in practice settings, and imminent changes are needed within nursing education programs to prepare nurses to use these technologies. Additionally, nurse educators need to understand how to use artificial intelligence in their teaching practices at the undergraduate and post-graduate levels. INTERNATIONAL REGISTERED REPORT RR2-10.2196/17490

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