背景:风湿病和肌肉骨骼疾病(RMDs)对个人和社会造成重大负担,需要终身管理和专业医疗保健资源的使用。在欧洲每年花费超过2000亿欧元,RMD是欧洲医疗保健系统中最昂贵的疾病。随着全球人口老龄化和久坐的增加,RMD的发病率和负担预计将上升,肥胖的生活方式。并行,风湿病的劳动力面临着全球性的危机,因此,需求超过了提供专科护理的能力。无处不在,可扩展的移动医疗技术,如应用程序,正在开发以支持RMD的自我管理并减轻对医疗保健服务的压力。然而,尚不清楚这些应用程序是否通过理论或适当的证据基础支持其使用。因此,这次检讨的目的是全面概述发展策略,现有智能手机应用程序的介入组件和理论基础,旨在支持RMD的自我管理。
方法:搜索将在PubMed中进行,Scopus,WebofScience,Embase,MEDLINE和PsycINFO。将搜索所包括研究的参考列表和引用文章。确定的出版物将由两名独立审稿人筛选合格。审稿人之间的任何差异将以协商一致方式解决,如果需要,可以从第三个审阅者输入。将提取有关研究设计的数据,方法,人口,设置,利用理论框架,干预组件,行为改变技术,评估干预参与的有效性和障碍/促进者的方法。探索性结果包括报告的有效性,可接受性和可用性。一个系统的,将提出证据的叙事综合。如果合适(取决于质量和确定的证据池),定性汇总技术将用于组合和总结有关干预参与障碍/促进者的定性发现。
结论:本系统文献综述的结果将为医疗保健专业人员提供见解,研究人员,应用程序设计师和政策制定者,为智能手机应用程序的未来开发和实施提供信息,以支持RMD的自我管理。将确定未来研究的证据空白。调查结果将通过结果的最终手稿/出版物和会议摘要进行传播,患者组织和社交媒体。
背景:PROSPEROCRD42022359704.
Rheumatic and musculoskeletal diseases (RMDs) cause significant burden to the individual and society, requiring lifelong management and specialist healthcare resource use. Costing over 200 billion euros per year in Europe, RMDs are the most expensive of all diseases for European healthcare systems. The incidence and burden of RMDs are projected to rise with the ageing global population and increase in sedentary, obesogenic lifestyles. In parallel, there is a global crisis in the rheumatology workforce, whereby capacity to deliver specialist care is being exceeded by demand. Pervasive, scalable mobile health technologies, such as apps, are being developed to support the self-management of RMDs and reduce pressure on healthcare services. However, it is unknown whether these apps are informed by theory or their use supported by an appropriate evidence base. The purpose of this
review is therefore to provide a comprehensive overview of the development strategies, interventional components and theoretical underpinnings of existing smartphone apps, designed to support the self-management of RMDs.
Searches will be conducted within PubMed, Scopus, Web of Science, Embase, MEDLINE and PsycINFO. Reference lists and citing articles of the included studies will be searched. Identified publications will be screened for eligibility by two independent reviewers. Any discrepancies between reviewers will be resolved by consensus, with input from a third reviewer if required. Data will be extracted on study designs, methods, populations, setting, utilised theoretical frameworks, intervention components, behaviour change techniques, methods to evaluate effectiveness and barriers/facilitators to intervention engagement. Exploratory outcomes include reported effectiveness, acceptability and usability. A systematic, narrative synthesis of evidence will be presented. If appropriate (depending on quality and pool of evidence identified), qualitative meta-summary techniques will be used to combine and summarise qualitative findings regarding barriers/facilitators to intervention engagement.
The results of this systematic literature
review will provide insights for healthcare professionals, researchers, app designers and policy makers, to inform future development and implementation of smartphone apps to support self-management of RMDs. Evidence gaps for future research will be identified. Findings will be disseminated through a final manuscript/publication of results and via a conference abstract, patient organisations and social media.
PROSPERO CRD42022359704.