%0 Journal Article
%@ 1438-8871
%I JMIR Publications
%V 26
%N 
%P e55753
%T Platform-Based Patient-Clinician Digital Health Interventions for Care Transitions: Scoping Review
%A Backman,Chantal
%A Papp,Rosie
%A Tonjock Kolle,Aurelie
%A Papp,Steve
%A Visintini,Sarah
%A Schaefer Ferreira de Mello,Ana Lúcia
%A de Melo Lanzoni,Gabriela Marcellino
%A Harley,Anne
%+ University of Ottawa, 200 Lees Ave, Ottawa, ON, K1N 6N5, Canada, 1 6133240838, chantal.backman@uottawa.ca
%K platform based
%K patient-clinician
%K digital health intervention
%K care transition
%K mobile phone
%D 2024
%7 30.12.2024
%9 Review
%J J Med Internet Res
%G English
%X 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. 
%R 10.2196/55753
%U https://www.jmir.org/2024/1/e55753
%U https://doi.org/10.2196/55753