TY  - JOUR
AU  - Backman, Chantal
AU  - Papp, Rosie
AU  - Tonjock Kolle, Aurelie
AU  - Papp, Steve
AU  - Visintini, Sarah
AU  - Schaefer Ferreira de Mello, Ana Lúcia
AU  - de Melo Lanzoni, Gabriela Marcellino
AU  - Harley, Anne
PY  - 2024
DA  - 2024/12/30
TI  - Platform-Based Patient-Clinician Digital Health Interventions for Care Transitions: Scoping Review
JO  - J Med Internet Res
SP  - e55753
VL  - 26
KW  - platform based
KW  - patient-clinician
KW  - digital health intervention
KW  - care transition
KW  - mobile phone
AB  - 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. 
SN  - 1438-8871
UR  - https://www.jmir.org/2024/1/e55753
UR  - https://doi.org/10.2196/55753
DO  - 10.2196/55753
ID  - info:doi/10.2196/55753
ER  -