Understanding the Technological Landscape of Home Health Aides: Scoping Literature Review and a Landscape Analysis of Existing mHealth Apps.
Understanding the Technological Landscape of Home Health Aides: Scoping Literature Review and a Landscape Analysis of Existing mHealth Apps.
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DOI：
10.2196/39997
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发表时间：
2022-11-11
影响因子：
7.4
通讯作者：
Sterling, Madeline R.
中科院分区：
文献类型：
--
作者：
Kuo, Elizabeth Fong-Chy;Cho, Jacklyn;Olaye, Iredia;Delgado, Diana;Dell, Nicola;Sterling, Madeline R.
关键词：
家庭健康助理（HHAs）为老年人和家中患有慢性病的人提供必要的动手护理。尽管他们的不可或缺的作用，HHA在他们的工作中遇到了许多挑战，包括他们与其他医疗保健专业人员沟通病人护理的能力，同时照顾病人和获得教育资源。虽然技术干预措施有可能解决这些挑战，但人们对技术前景和为这类劳动力设计和使用的现有技术干预措施知之甚少。我们对科学文献进行了范围审查，以确定描述、设计、部署或测试基于技术的工具和应用程序的现有研究，这些工具和应用程序预期由HHA用于在家护理患者。为了补充我们的文献综述，我们对旨在为HHA提供家庭护理的现有移动的应用程序进行了景观分析。我们检索了以下数据库（从开始到2020年10月）：奥维德MEDLINE、奥维德Embase、科克伦图书馆和CINAHL（EBSCO）。共有3名研究人员使用预先规定的纳入和排除标准筛选产量。此外，4名研究人员独立审查这些文章，第五名研究人员在需要时进行仲裁。在符合纳入标准的研究中，提取数据并进行叙述性总结。使用预定义的一组检索词在Google Play和Apple App商店中搜索，对为HHA设计的移动的健康应用程序进行了分析。总体而言，2名研究人员独立筛选了最终的应用程序，并根据其预期目的和功能对符合纳入标准的应用程序进行了分类。在检索到的8643篇研究中，182篇（2.11%）进行了全文综述，4.9%（9/182）符合我们的纳入标准。大约一半（4/9，44%）的研究本质上是描述性的，提出了基于技术的系统（例如，门户网站和仪表板）或原型，而没有对技术进行技术或基于用户的评估。在大多数（7/9，78%）论文中，HHA只是多个用户之一，而不是该技术的唯一或主要预期用户。我们对移动的应用程序的审查产生了166个Android和iOS应用程序，其中48个（29%）符合纳入标准。这些应用程序为HHA提供了以下一项或多项功能：电子访问验证（29/48，60%），上下班打卡（23/48，48%），记录（22/48，46%），任务清单（19/48，40%），HHA和机构之间的沟通（14/48，29%），患者信息（6/48，13%），资源（5/48，10%），HHA和患者之间的沟通（4/48，8%）。在48个应用程序中，25个（52%）执行监控功能，4个（8%）执行支持功能，19个（40%）执行两者。已经设计了数量有限的研究和移动的应用程序来支持HHA的工作。需要对基于技术的工具进行进一步研究和严格评估，以评估其对HHA在患者家中提供的工作的影响。
Home health aides (HHAs) provide necessary hands-on care to older adults and those with chronic conditions in their homes. Despite their integral role, HHAs experience numerous challenges in their work, including their ability to communicate with other health care professionals about patient care while caring for patients and access to educational resources. Although technological interventions have the potential to address these challenges, little is known about the technological landscape and existing technology-based interventions designed for and used by this workforce. We conducted a scoping review of the scientific literature to identify existing studies that have described, designed, deployed, or tested technology-based tools and apps intended for use by HHAs to care for patients at home. To complement our literature review, we conducted a landscape analysis of existing mobile apps intended for HHAs providing in-home care. We searched the following databases from their inception to October 2020: Ovid MEDLINE, Ovid Embase, Cochrane Library, and CINAHL (EBSCO). A total of 3 researchers screened the yield using prespecified inclusion and exclusion criteria. In addition, 4 researchers independently reviewed these articles, and a fifth researcher arbitrated when needed. Among studies that met the inclusion criteria, data were extracted and summarized narratively. An analysis of mobile health apps designed for HHAs was performed using a predefined set of terms to search Google Play and Apple App stores. Overall, 2 researchers independently screened the resulting apps, and those that met the inclusion criteria were categorized according to their intended purpose and functionality. Of the 8643 studies retrieved, 182 (2.11%) underwent full-text review, and 4.9% (9/182) met our inclusion criteria. Approximately half (4/9, 44%) of the studies were descriptive in nature, proposing technology-based systems (eg, web portals and dashboards) or prototypes without a technical or user-based evaluation of the technology. In most (7/9, 78%) papers, HHAs were just one of several users and not the sole or primary intended users of the technology. Our review of mobile apps yielded 166 Android and iOS apps, of which 48 (29%) met the inclusion criteria. These apps provided HHAs with one or more of the following functions: electronic visit verification (29/48, 60%), clocking in and out (23/48, 48%), documentation (22/48, 46%), task checklist (19/48, 40%), communication between HHA and agency (14/48, 29%), patient information (6/48, 13%), resources (5/48, 10%), and communication between HHA and patients (4/48, 8%). Of the 48 apps, 25 (52%) performed monitoring functions, 4 (8%) performed supporting functions, and 19 (40%) performed both. A limited number of studies and mobile apps have been designed to support HHAs in their work. Further research and rigorous evaluation of technology-based tools are needed to assess their impact on the work HHAs provide in patient’s homes.
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影响因子：
5.4
作者：
Sterling, Madeline R.;Silva, Ariel F.;Safford, Monika M.
通讯作者：
Safford, Monika M.
影响因子：
3.3
作者：
Sterling MR;Shaw AL;Leung PB;Safford MM;Jones CD;Tsui EK;Delgado D
通讯作者：
Delgado D
影响因子：
39.2
作者：
Tricco, Andrea C.;Lillie, Erin;Straus, Sharon E.
通讯作者：
Straus, Sharon E.
影响因子：
3
作者：
Danilovich, Margaret K.;Hughes, Susan L.;Eisenstein, Amy R.
通讯作者：
Eisenstein, Amy R.
明确照顾患有心力衰竭的成人的家庭护理人员的教育重点。
影响因子：
1.6
作者：
Leung PB;Silva AF;Cho J;Kaur H;Lee A;Escamilla Y;Wiggins F;Safford MM;Kern LM;Shalev A;Sterling MR
通讯作者：
Sterling MR