Supporting Collaboration in Rehabilitation Trajectories With Information and Communication Technologies: Scoping Review.
Jo Inge Gåsvær, Randi Jepsen, Ilona Heldal and 1 others
PMID 37432715WHAT IT FOUND
Only 3 studies matched ICT criteria for shared decisions.
A COPD and heart failure phone plus platform trial did not improve its main outcome; a brain injury video plus in-person pilot showed gains, and an iPad plus in-person app felt useful.
Key findings
01The review found only 3 studies that used ICT for two-way shared decision-making in rehabilitation, despite searching 12,203 papers.
02In a pilot with 16 patients with acquired brain injury, an initial in-person meeting plus weekly video sessions guided problem-solving and goal setting, and the study reported significant improvements in activity performance, participation, and leaving the house more often.
03In a randomized trial of 222 patients with COPD or heart failure, phone calls plus a digital platform did not improve the primary composite score versus usual care at 3 or 6 months, although patients who actually used the platform and phone support showed improvement at 3 months.
STILL TO COME
How it was doneWhat they foundWhat it means for OTs
Read the rest of this summary
You get three full summaries a month, free, and we do not ask for a card. Search, the TL;DRs and your library stay unlimited either way.
What it does not show
Strict eligibility, a search limited to 2018 and later, and English-only papers left only 3 included studies, so the map is very thin. The included studies differed so much in design, sample, technology, and outcomes that their results cannot be combined into one conclusion. The brain-injury study was small, partly randomized, had no active treatment control group, and assessments were not blinded. The COPD and heart failure trial had high baseline self-efficacy and stable disease, which may have left little room for improvement. The iPad app study had few participants, possible selection bias, and required access to iPads. Clinic workflow and technical integration problems were reported, including lack of integration with electronic health records, limited personalization, email and printing incompatibility, and time pressure.
Declared interests
One author is an industrial PhD candidate financed by the Norwegian Research Council and works part-time at Carasent Norge AS, where he is involved in developing the commercial web platform Ad Voca; his PhD research interest is Ad Voca’s development and adaptation to stakeholders’ needs.
The easy way to misread this
Do not conclude that ICT improves rehabilitation collaboration or outcomes from this review. It found only 3 heterogeneous studies, and the randomized COPD and heart failure trial of phone calls plus a digital platform did not improve its main combined outcome.