221 lines
7 KiB
YAML
221 lines
7 KiB
YAML
abstract: 'Background: Older adults experience a high risk of adverse events during
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hospital-to-home transitions. Implementation barriers have prevented
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widespread clinical uptake of the various digital health technologies
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that aim to support hospital-to-home transitions.
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Objective: To guide the development of a digital health intervention to
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support transitions from hospital to home (the Digital Bridge
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intervention), the specific objectives of this review were to describe
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the various roles and functions of health care providers supporting
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hospital-to-home transitions for older adults, allowing future
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technologies to be more targeted to support their work; describe the
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types of digital health interventions used to facilitate the transition
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from hospital to home for older adults and elucidate how these
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interventions support the roles and functions of providers; describe the
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lessons learned from the design and implementation of these
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interventions; and identify opportunities to improve the fit between
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technology and provider functions within the Digital Bridge intervention
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and other transition-focused digital health interventions.
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Methods: This 2-phase rapid review involved a selective review of
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providers'' roles and their functions during hospital-to-home transitions
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(phase 1) and a structured literature review on digital health
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interventions used to support older adults'' hospital-to-home transitions
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(phase 2). During the analysis, the technology functions identified in
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phase 2 were linked to the provider roles and functions identified in
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phase 1.
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Results: In phase 1, various provider roles were identified that
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facilitated hospital-to-home transitions, including navigation-specific
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roles and the roles of nurses and physicians. The key transition
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functions performed by providers were related to the 3 categories of
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continuity of care (ie, informational, management, and relational
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continuity). Phase 2, included articles (n=142) that reported digital
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health interventions targeting various medical conditions or groups.
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Most digital health interventions supported management continuity (eg,
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follow-up, assessment, and monitoring of patients'' status after hospital
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discharge), whereas informational and relational continuity were the
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least supported. The lessons learned from the interventions were
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categorized into technology- and research-related challenges and
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opportunities and informed several recommendations to guide the design
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of transition-focused digital health interventions.
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Conclusions: This review highlights the need for Digital Bridge and
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other digital health interventions to align the design and delivery of
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digital health interventions with provider functions, design and test
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interventions with older adults, and examine multilevel outcomes.'
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affiliation: 'Singh, H (Corresponding Author), Univ Toronto, Temerty Fac Med, Dept
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Occupat Sci \& Occupat Therapy, 500 Univ Ave, Toronto, ON M5G 1V7, Canada.
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Singh, Hardeep, Univ Toronto, Temerty Fac Med, Dept Occupat Sci \& Occupat Therapy,
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500 Univ Ave, Toronto, ON M5G 1V7, Canada.
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Singh, Hardeep; Armas, Alana; Nelson, Michelle L. A., March Dimes Canada, Toronto,
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ON, Canada.
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Singh, Hardeep; Heffernan, Matthew, Univ Toronto, Temerty Fac Med, Rehabil Sci Inst,
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Toronto, ON, Canada.
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Singh, Hardeep, Univ Hlth Network, Toronto Rehabil Inst, Toronto, ON, Canada.
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Tang, Terence; Plett, Donna; Law, Susan; Nie, Jason Xin, Trillium Hlth Partners,
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Inst Better Hlth, Mississauga, ON, Canada.
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Tang, Terence, Univ Toronto, Dept Med, Toronto, ON, Canada.
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Gray, Carolyn Steele; Thombs, Rachel; Armas, Alana; Nelson, Michelle L. A., Sinai
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Hlth Syst, Collaboratory Res \& Innovat, Lunenfeld Tanenbaum Res Inst, Toronto,
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ON, Canada.
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Gray, Carolyn Steele; Plett, Donna; Law, Susan; Ellen, Moriah E.; Nelson, Michelle
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L. A., Univ Toronto, Dalla Lana Sch Publ Hlth, Inst Hlth Policy Management \& Evaluat,
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Toronto, ON, Canada.
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Kokorelias, Kristina, Sunnybrook Hlth Sci Ctr, Sunnybrook Res Inst, St Johns Rehab
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Res Program, Toronto, ON, Canada.
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Jarach, Carlotta M., Ist Ric Farmacol Mario Negri IRCCS, Dept Environm Hlth Sci,
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Milan, Italy.
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Cunningham, Heather, V, Univ Toronto, Gerstein Sci Informat Ctr, Toronto, ON, Canada.
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Ellen, Moriah E., Ben Gurion Univ Negev, Dept Hlth Policy \& Management, Guilford
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Glazer Fac Business \& Management, Beer Sheva, Israel.
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Ellen, Moriah E., Ben Gurion Univ Negev, Fac Hlth Sci, Beer Sheva, Israel.
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Thavorn, Kednapa, Ottawa Hosp, Clin Epidemiol Program, Res Inst, Ottawa, ON, Canada.
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Thavorn, Kednapa, Univ Ottawa, Sch Epidemiol \& Publ Hlth, Ottawa, ON, Canada.'
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article-number: e35929
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author: Singh, Hardeep and Tang, Terence and Gray, Carolyn Steele and Kokorelias,
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Kristina and Thombs, Rachel and Plett, Donna and Heffernan, Matthew and Jarach,
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Carlotta M. and Armas, Alana and Law, Susan and Cunningham V, Heather and Nie, Jason
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Xin and Ellen, Moriah E. and Thavorn, Kednapa and Nelson, Michelle L. A.
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author-email: hardeepk.singh@mail.utoronto.ca
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author_list:
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- family: Singh
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given: Hardeep
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- family: Tang
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given: Terence
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- family: Gray
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given: Carolyn Steele
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- family: Kokorelias
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given: Kristina
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- family: Thombs
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given: Rachel
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- family: Plett
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given: Donna
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- family: Heffernan
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given: Matthew
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- family: Jarach
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given: Carlotta M.
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- family: Armas
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given: Alana
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- family: Law
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given: Susan
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- family: Cunningham V
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given: Heather
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- family: Nie
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given: Jason Xin
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- family: Ellen
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given: Moriah E.
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- family: Thavorn
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given: Kednapa
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- family: Nelson
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given: Michelle L. A.
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da: '2023-09-28'
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doi: 10.2196/35929
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eissn: 2561-7605
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files: []
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journal: JMIR AGING
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keywords: transitions; health; medical informatics; aged; mobile phone
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keywords-plus: 'RANDOMIZED CONTROLLED-TRIAL; IMPROVING CARE TRANSITIONS; OBSTRUCTIVE
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PULMONARY-DISEASE; PATIENTS AFTER-DISCHARGE; QUALITY-OF-LIFE;
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OLDER-ADULTS; FOLLOW-UP; HEART-FAILURE; SELF-MANAGEMENT; ELECTRONIC
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DISCHARGE'
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language: English
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month: APR-JUN
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number: '2'
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number-of-cited-references: '259'
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orcid-numbers: 'Jarach, Carlotta Micaela/0000-0002-9963-1624
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Jarach, Carlotta Micaela/0000-0002-9963-1624
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Heffernan, Matthew/0000-0001-7270-2069
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Kokorelias, Kristina/0000-0002-1277-472X
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Armas, Alana/0000-0002-7664-3294
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Singh, Hardeep/0000-0002-7429-5580
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Plett, Donna/0000-0001-8457-7218
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Thombs, Rachel/0000-0002-3915-2234
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Tang, Terence/0000-0002-1735-7298
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Steele Gray, Carolyn/0000-0002-2146-0001'
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papis_id: e6d39721b1bf7ea031717b9fb9c3f03d
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ref: Singh2022recommendationsdesig
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researcherid-numbers: 'Tang, Terence/HNQ-7020-2023
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Jarach, Carlotta Micaela/AAA-5148-2022
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Jarach, Carlotta Micaela/GQH-8460-2022
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'
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tags:
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- relevant
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- review
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times-cited: '1'
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title: 'Recommendations for the Design and Delivery of Transitions-Focused Digital
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Health Interventions: Rapid Review'
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type: article
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unique-id: WOS:000798395200024
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usage-count-last-180-days: '2'
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usage-count-since-2013: '5'
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volume: '5'
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web-of-science-categories: Geriatrics \& Gerontology; Gerontology; Medical Informatics
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year: '2022'
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