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How Technology in Care at Home Affects Patient Self-Care and Self-Management: A Scoping Review

The use of technology in care at home has potential benefits such as improved quality of care. This includes greater focus on the patients’ role in managing their health and increased patient involvement in the care process. The objective of this scoping review is to analyse the existing evidence fo...

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Detalles Bibliográficos
Autores principales: Peeters, José M., Wiegers, Therese A., Friele, Roland D.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3863859/
https://www.ncbi.nlm.nih.gov/pubmed/24173139
http://dx.doi.org/10.3390/ijerph10115541
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author Peeters, José M.
Wiegers, Therese A.
Friele, Roland D.
author_facet Peeters, José M.
Wiegers, Therese A.
Friele, Roland D.
author_sort Peeters, José M.
collection PubMed
description The use of technology in care at home has potential benefits such as improved quality of care. This includes greater focus on the patients’ role in managing their health and increased patient involvement in the care process. The objective of this scoping review is to analyse the existing evidence for effects of technology in home-based care on patients’ self-care and self-management. Using suitable search terms we searched the databases of Pubmed, Embase, Cochrane Library, Cinahl, Picarta and NIVEL dating from 2002 to 2012. Thirty-three studies (six review studies and twenty-seven individual studies) were selected. Effects were extracted from each study and were classified. In almost all the studies, the concepts self-care and self-management are not clearly defined or operationalized. Therefore, based on a meta-analysis, we made a new classification of outcome measures, with hierarchical levels: (1) competence (2) illness-management (3) independence (social participation, autonomy). In general, patient outcomes appear to be positive or promising, but most studies were pilot studies. We did not find strong evidence that technology in care at home has (a positive) effect on patient self-care and self-management according to the above classification. Future research is needed to clarify how technology can be used to maximize its benefits.
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spelling pubmed-38638592013-12-16 How Technology in Care at Home Affects Patient Self-Care and Self-Management: A Scoping Review Peeters, José M. Wiegers, Therese A. Friele, Roland D. Int J Environ Res Public Health Review The use of technology in care at home has potential benefits such as improved quality of care. This includes greater focus on the patients’ role in managing their health and increased patient involvement in the care process. The objective of this scoping review is to analyse the existing evidence for effects of technology in home-based care on patients’ self-care and self-management. Using suitable search terms we searched the databases of Pubmed, Embase, Cochrane Library, Cinahl, Picarta and NIVEL dating from 2002 to 2012. Thirty-three studies (six review studies and twenty-seven individual studies) were selected. Effects were extracted from each study and were classified. In almost all the studies, the concepts self-care and self-management are not clearly defined or operationalized. Therefore, based on a meta-analysis, we made a new classification of outcome measures, with hierarchical levels: (1) competence (2) illness-management (3) independence (social participation, autonomy). In general, patient outcomes appear to be positive or promising, but most studies were pilot studies. We did not find strong evidence that technology in care at home has (a positive) effect on patient self-care and self-management according to the above classification. Future research is needed to clarify how technology can be used to maximize its benefits. MDPI 2013-10-29 2013-11 /pmc/articles/PMC3863859/ /pubmed/24173139 http://dx.doi.org/10.3390/ijerph10115541 Text en © 2013 by the authors; licensee MDPI, Basel, Switzerland. http://creativecommons.org/licenses/by/3.0/ This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution license (http://creativecommons.org/licenses/by/3.0/).
spellingShingle Review
Peeters, José M.
Wiegers, Therese A.
Friele, Roland D.
How Technology in Care at Home Affects Patient Self-Care and Self-Management: A Scoping Review
title How Technology in Care at Home Affects Patient Self-Care and Self-Management: A Scoping Review
title_full How Technology in Care at Home Affects Patient Self-Care and Self-Management: A Scoping Review
title_fullStr How Technology in Care at Home Affects Patient Self-Care and Self-Management: A Scoping Review
title_full_unstemmed How Technology in Care at Home Affects Patient Self-Care and Self-Management: A Scoping Review
title_short How Technology in Care at Home Affects Patient Self-Care and Self-Management: A Scoping Review
title_sort how technology in care at home affects patient self-care and self-management: a scoping review
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3863859/
https://www.ncbi.nlm.nih.gov/pubmed/24173139
http://dx.doi.org/10.3390/ijerph10115541
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