@Article{info:doi/10.2196/55753,
author="Backman, Chantal
and Papp, Rosie
and Tonjock Kolle, Aurelie
and Papp, Steve
and Visintini, Sarah
and Schaefer Ferreira de Mello, Ana L{\'u}cia
and de Melo Lanzoni, Gabriela Marcellino
and Harley, Anne",
title="Platform-Based Patient-Clinician Digital Health Interventions for Care Transitions: Scoping Review",
journal="J Med Internet Res",
year="2024",
month="Dec",
day="30",
volume="26",
pages="e55753",
keywords="platform based; patient-clinician; digital health intervention; care transition; mobile phone",
abstract="Background: Care transitions are complex and can make patients vulnerable to adverse events. Poor communication among clinicians, patients, and their caregivers is a critical gap during these periods of transition. Technology solutions such as platform-based patient-clinician digital health interventions (DHIs) can provide support and education to patients. Objective: The aims of this scoping review were to explore the literature on platform-based patient-clinician DHIs specific to hospital-to-home care transitions and identify the barriers to and enablers of the uptake and implementation of these DHIs. Methods: A scoping review was conducted. A total of 4 databases (MEDLINE, CINAHL, Embase, and the Cochrane Central Register of Controlled Trials) were searched on July 13, 2022. Studies involving patients aged >18 years who used platform-based DHIs during their hospital-to-home transition were included. In total, 2 reviewers independently screened the articles for eligibility using a 2-stage process of title and abstract and full-text screening. Eligible studies underwent data extraction, and the results were analyzed using descriptive and narrative methods. Results: We screened 8322 articles, of which 97 (1.17{\%}) met our inclusion criteria. DHIs were implemented using a mobile app (59/97, 61{\%}), a web-based platform (28/97, 29{\%}), or a combination of both (10/97, 10{\%}). The 2 most common health conditions related to the DHIs were cardiac disease (22/97, 23{\%}) and stroke (11/97, 11{\%}). Outcomes varied greatly but were grouped by health care use, complications, and wellness outcomes. The top 2 barriers were lack of interest (13/97, 13{\%}) and time constraints to use the DHIs (10/97, 10{\%}), and the top 2 enablers were the ability to use the DHIs (17/97, 18{\%}) and their ease of use (11/97, 11{\%}). The main conflicting theme was access (enabler; 28/97, 29{\%}) or limited access (barrier; 15/97, 15{\%}) to technology or the internet. Conclusions: Platform-based DHIs could help improve communication, coordination, and information sharing between clinicians and patients during transition periods. Further research is needed to assess the effectiveness of these platform-based DHIs on patient outcomes. ",
issn="1438-8871",
doi="10.2196/55753",
url="https://www.jmir.org/2024/1/e55753",
url="https://doi.org/10.2196/55753"
}