Cargando…

Diabetes, Care Homes, and the Influence of Technology on Practice and Care Delivery in Care Homes: Systematic Review and Qualitative Synthesis

BACKGROUND: Diabetes is increasing in prevalence and complexity in the care home setting, affecting up to a quarter of care home residents. Health outcomes for these residents are impacted by management of the disease, health care professionals (HCPs)’ decision-making skills within the care home set...

Descripción completa

Detalles Bibliográficos
Autores principales: Mathews, Rebecca, O'Malley, Chris, Hall, Jenny M, Macaden, Leah, MacRury, Sandra
Formato: Online Artículo Texto
Lenguaje:English
Publicado: JMIR Publications 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6658297/
https://www.ncbi.nlm.nih.gov/pubmed/31008705
http://dx.doi.org/10.2196/11526
_version_ 1783438941883465728
author Mathews, Rebecca
O'Malley, Chris
Hall, Jenny M
Macaden, Leah
MacRury, Sandra
author_facet Mathews, Rebecca
O'Malley, Chris
Hall, Jenny M
Macaden, Leah
MacRury, Sandra
author_sort Mathews, Rebecca
collection PubMed
description BACKGROUND: Diabetes is increasing in prevalence and complexity in the care home setting, affecting up to a quarter of care home residents. Health outcomes for these residents are impacted by management of the disease, health care professionals (HCPs)’ decision-making skills within the care home setting, and access to specialist services. The use of technology has the potential to recognize opportunities for early intervention that enables efficient responsive care, taking a fundamental role in linking the care home community to wider multidisciplinary teams for support. OBJECTIVE: The aim of this paper was to identify evidence that explores factors relevant to the use of technology in and around the care home setting to aid in the management of diabetes. METHODS: Databases searched using a structured prespecified approach included: PubMed, CINAHL (Cumulative Index to Nursing and Allied Health Literature), OVID Nursing database, Scopus, MEDLINE, the Cochrane Library, and the King’s Fund from 2012 to 2017: handsearching was undertaken additionally for any gray literature. Preferred Reporting Items for Systematic review and Meta-Analysis Protocol was used as protocol with Risk of Bias in Systematic reviews a tool to assess the risk of bias across studies. Studies had to include interventions that combined technology to or from the care home setting to support residents living with diabetes. RESULTS: The combined search strategy identified a total of 493 electronic records. Of these, 171 papers were screened for eligibility, 66 full papers were accessed, and 13 have been included in this study. Qualitative synthesis has identified different strands of research evidence in what and how technology is currently being used in and around care homes to enhance diabetes management. New initiatives and implementations of technology and emerging models of care that included the use of technology have also been included. CONCLUSIONS: By triangulating the perspectives of HCPs, practitioners, specialists, and members of the care home community, the authors anticipate that this review will represent an up-to-date, evidence-based overview of the potential for using technology within the care home setting for diabetes management as well as stimulate research in this area.
format Online
Article
Text
id pubmed-6658297
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher JMIR Publications
record_format MEDLINE/PubMed
spelling pubmed-66582972019-07-31 Diabetes, Care Homes, and the Influence of Technology on Practice and Care Delivery in Care Homes: Systematic Review and Qualitative Synthesis Mathews, Rebecca O'Malley, Chris Hall, Jenny M Macaden, Leah MacRury, Sandra JMIR Diabetes Review BACKGROUND: Diabetes is increasing in prevalence and complexity in the care home setting, affecting up to a quarter of care home residents. Health outcomes for these residents are impacted by management of the disease, health care professionals (HCPs)’ decision-making skills within the care home setting, and access to specialist services. The use of technology has the potential to recognize opportunities for early intervention that enables efficient responsive care, taking a fundamental role in linking the care home community to wider multidisciplinary teams for support. OBJECTIVE: The aim of this paper was to identify evidence that explores factors relevant to the use of technology in and around the care home setting to aid in the management of diabetes. METHODS: Databases searched using a structured prespecified approach included: PubMed, CINAHL (Cumulative Index to Nursing and Allied Health Literature), OVID Nursing database, Scopus, MEDLINE, the Cochrane Library, and the King’s Fund from 2012 to 2017: handsearching was undertaken additionally for any gray literature. Preferred Reporting Items for Systematic review and Meta-Analysis Protocol was used as protocol with Risk of Bias in Systematic reviews a tool to assess the risk of bias across studies. Studies had to include interventions that combined technology to or from the care home setting to support residents living with diabetes. RESULTS: The combined search strategy identified a total of 493 electronic records. Of these, 171 papers were screened for eligibility, 66 full papers were accessed, and 13 have been included in this study. Qualitative synthesis has identified different strands of research evidence in what and how technology is currently being used in and around care homes to enhance diabetes management. New initiatives and implementations of technology and emerging models of care that included the use of technology have also been included. CONCLUSIONS: By triangulating the perspectives of HCPs, practitioners, specialists, and members of the care home community, the authors anticipate that this review will represent an up-to-date, evidence-based overview of the potential for using technology within the care home setting for diabetes management as well as stimulate research in this area. JMIR Publications 2019-04-22 /pmc/articles/PMC6658297/ /pubmed/31008705 http://dx.doi.org/10.2196/11526 Text en ©Rebecca Mathews, Chris O'Malley, Jenny M Hall, Leah Macaden, Sandra MacRury. Originally published in JMIR Diabetes (http://diabetes.jmir.org), 22.04.2019. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Diabetes, is properly cited. The complete bibliographic information, a link to the original publication on http://diabetes.jmir.org/, as well as this copyright and license information must be included.
spellingShingle Review
Mathews, Rebecca
O'Malley, Chris
Hall, Jenny M
Macaden, Leah
MacRury, Sandra
Diabetes, Care Homes, and the Influence of Technology on Practice and Care Delivery in Care Homes: Systematic Review and Qualitative Synthesis
title Diabetes, Care Homes, and the Influence of Technology on Practice and Care Delivery in Care Homes: Systematic Review and Qualitative Synthesis
title_full Diabetes, Care Homes, and the Influence of Technology on Practice and Care Delivery in Care Homes: Systematic Review and Qualitative Synthesis
title_fullStr Diabetes, Care Homes, and the Influence of Technology on Practice and Care Delivery in Care Homes: Systematic Review and Qualitative Synthesis
title_full_unstemmed Diabetes, Care Homes, and the Influence of Technology on Practice and Care Delivery in Care Homes: Systematic Review and Qualitative Synthesis
title_short Diabetes, Care Homes, and the Influence of Technology on Practice and Care Delivery in Care Homes: Systematic Review and Qualitative Synthesis
title_sort diabetes, care homes, and the influence of technology on practice and care delivery in care homes: systematic review and qualitative synthesis
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6658297/
https://www.ncbi.nlm.nih.gov/pubmed/31008705
http://dx.doi.org/10.2196/11526
work_keys_str_mv AT mathewsrebecca diabetescarehomesandtheinfluenceoftechnologyonpracticeandcaredeliveryincarehomessystematicreviewandqualitativesynthesis
AT omalleychris diabetescarehomesandtheinfluenceoftechnologyonpracticeandcaredeliveryincarehomessystematicreviewandqualitativesynthesis
AT halljennym diabetescarehomesandtheinfluenceoftechnologyonpracticeandcaredeliveryincarehomessystematicreviewandqualitativesynthesis
AT macadenleah diabetescarehomesandtheinfluenceoftechnologyonpracticeandcaredeliveryincarehomessystematicreviewandqualitativesynthesis
AT macrurysandra diabetescarehomesandtheinfluenceoftechnologyonpracticeandcaredeliveryincarehomessystematicreviewandqualitativesynthesis