Cited by 163Palliative Care and End-of-Life IssuesTelemedicine and Telehealth ImplementationPalliative and Oncologic Care

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Digital health interventions in palliative care: a systematic meta-review

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Finucane, Anne M., O’Donnell, Hannah, Lugton, Jean, Gibson-Watt, Tilly, Swenson, Connie, Pagliari, Claudia·2021·npj Digital Medicine

DOI 10.1038/s41746-021-00430-7PMC PMC8024379

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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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Fig. 1 Prisma flow diagram. Overview of the search process.CC BY · PubMed Central

Fig. 2 Publications categorised by PDQ Levels of Evidence. Excludes four systematic reviews and one PhD thesis.CC BY · PubMed Central

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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.
ORCID: Finucane, Anne M.
Gibson-Watt, Tilly
Pagliari, Claudia
Venue: npj Digital Medicine
Publisher: Springer Science and Business Media LLC
Published: 2021-04-06
Volume: 4
Issue: 1
Pages: 64-64
ISSN: 2398-6352 (ISSN-L)
DOI: 10.1038/s41746-021-00430-7
PMC: PMC8024379
OpenAlex: W3140442677
Cited by: 163
References: 68
Citations by year: 2026: 32 · 2025: 33 · 2024: 39 · 2023: 30 · 2022: 20 · 2021: 7
FWCI: 4.29
Type: journal article
Language: en
Open access: gold
doi.org
Licence: cc-by
creativecommons.org/licenses/by/4.0 (tdm)
creativecommons.org/licenses/by/4.0 (vor)
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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Digital health interventions in palliative care: a systematic meta-review

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