Digital health interventions in palliative care: a systematic meta-review
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Abstract
Digital health interventions (DHIs) have the potential to improve the accessibility and effectiveness of palliative care but heterogeneity amongst existing systematic reviews presents a challenge for evidence synthesis. This meta-review applied a structured search of ten databases from 2006 to 2020, revealing 21 relevant systematic reviews, encompassing 332 publications. Interventions delivered via videoconferencing (17%), electronic healthcare records (16%) and phone (13%) were most frequently described in studies within reviews. DHIs were typically used in palliative care for education (20%), symptom management (15%), decision-making (13%), information provision or management (13%) and communication (9%). Across all reviews, mostly positive impacts were reported on education, information sharing, decision-making, communication and costs. Impacts on quality of life and physical and psychological symptoms were inconclusive. Applying AMSTAR 2 criteria, most reviews were judged as low quality as they lacked a protocol or did not consider risk of bias, so findings need to be interpreted with caution.
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Prior to the COVID-19 pandemic, there was already evidence for the utility of digital health interventions for education and training, with online learning and video-conferencing playing a critical role.
“Prior to the COVID-19 pandemic, there was already evidence for the utility of digital health interventions for education and training, with online learning and video-conferencing playing a critical role.”
From Feasibility of RESTORE: An online Acceptance and Commitment Therapy intervention to improve palliative care staff wellbeing. (2023) · cites this paper as [28]
The Results > Education section (page not available in our copy) identifies online learning and videoconferencing as palliative-care education interventions and reports mainly positive evidence for digital education. It does not establish that either played a critical role; most reviews described interventions rather than evaluating outcomes, and evidence quality was generally not examined. (LLM, conf=0.85)
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Schöne neue (virtuelle) Welt am Lebensende?
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- Authors
- Finucane, A. M., O’Donnell, H., Lugton, J., Gibson-Watt, T., Swenson, C., & Pagliari, C.
- Affiliations
- University of Edinburgh (GB)
- Corresponding author
- Finucane, Anne M.
- Venue
- npj Digital Medicine
- Published
- 2021-04-06
- Volume
- 4
- Issue
- 1
- Pages
- 64-64
- ISSN
- 2398-6352 (ISSN-L)
- PMC
- PMC8024379
- OpenAlex
- W3140442677
- Cited by
- 163
- References
- 68
- Citations by year
- 2026: 32 · 2025: 33 · 2024: 39 · 2023: 30 · 2022: 20 · 2021: 7 · 2020: 1
- FWCI
- 4.29
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- npj Digital Medicine (publishedVersion, cc-by)
- medRxiv (acceptedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Edinburgh Research Explorer (University of Edinburgh) (submittedVersion, cc-by)
- Funders
- Marie Curie
- University of Edinburgh
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative and Oncologic Care
- Keywords
- digital health interventions, palliative care, videoconferencing, electronic health records, telephone-delivered intervention, symptom management, patient education, shared decision-making, information sharing, quality of life, review quality, AMSTAR 2
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