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Effectiveness of technological interventions to improve healthcare communication with children with long-term conditions: A systematic review and meta-analysis of randomised controlled trials
Affiliation:1. Cardiff University School of Medicine, Cardiff, UK;2. PRIME Centre Wales, Cardiff, UK;1. Department of Family Medicine and Siaal Research Center for Family Practice and Primary Care, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheba, Israel and Clalit Health Services, Southern District, Beer-Sheba, Israel;2. Department of Counseling and Human Development, University of Haifa, Haifa, Israel;1. University of Oslo, Institute of Clinical Medicine, Oslo, Norway;2. Akershus University Hospital, HØKH Health Services Research Unit, 1478 Lørenskog, Norway;3. University of South-Eastern Norway, Department of Educational Science and Department of Medicine, Nordland Hospital Trust, Bodø, Norway;1. Division of Pharmacy, School of Allied Health, The University of Western Australia, Perth, Australia;2. Pharmacy Department, Perth Children’s Hospital, Perth, Australia;3. Department of Anaesthesia and Pain Management, Perth Children’s Hospital, Perth, Australia;4. Perioperative Medicine, Telethon Kids Institute, Perth Australia;5. Division of Emergency Medicine, Anaesthesia and Pain Medicine, The University of Western Australia, Perth, Australia;6. Pharmacy Department, Sir Charles Gairdner Hospital, Nedlands, Australia;1. Center for Adaptive Rationality, Max Planck Institute for Human Development, Berlin, Germany;2. Institute for Medical Sociology & Rehabilitation Science, Charité – University Hospital Berlin, Berlin, Germany;3. Drug Commission of the German Medical Association, Berlin, Germany;4. Center for Anesthesiology and Intensive Care Medicine, Charité – Universitätsmedizin Berlin, Germany;1. Department of Emergency Medicine, Northwestern University, Feinberg School of Medicine, Chicago, IL, USA;2. Jump Trading Simulation and Education Center, OSF Healthcare, Peoria, IL, USA;3. Department of Emergency Medicine, University of Illinois College of Medicine at Peoria, Peoria, IL, USA;4. Department of BioEngineering, University of Illinois Grainger College of Engineering Urbana, IL, USA;5. Division of General Internal Medicine and Geriatrics, Department of Medicine, Northwestern University, Chicago, IL, USA;6. Department of Medical Education, Northwestern University, Feinberg School of Medicine, Chicago, IL, USA;7. Department of Emergency Medicine, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA, USA;8. Center for Connected Care, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA, USA;1. Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, USA;2. Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, USA;3. College of Design, Architecture, Art, and Planning, University of Cincinnati, Cincinnati, OH, USA
Abstract:ObjectiveThis systematic review and meta-analysis aimed to evaluate the effectiveness of technological interventions used to improve communication between healthcare professionals (HCPs) and children with long-term conditions (LTCs).MethodsPROSPERO: CRD42020221977. Five electronic databases were searched from inception to May 2021 for randomised controlled trials. Study characteristics were described and random-effects meta-analysis was conducted.ResultsNineteen studies were included, involving 1995 participants. Technological interventions were found to significantly improve participants’ knowledge of their condition (standardised mean difference [SMD] 0.39; 95% CI 0.07–0.71; p = 0.02) and lead to a more internal health locus of control (SMD 0.50; 95% CI 0.25–0.76; p < 0.0001). There was no statistically significant improvement in physiological measures or emergency healthcare use.ConclusionThis systematic review showed some benefits of using technology to improve communication between HCPs and children with LTCs. Future primary research should use rigorous methods for subsequent reviews to draw conclusions with greater confidence in the evidence. Establishing a core outcome set within this field of study would enable consistent measurement of outcomes.Practice implicationsOur findings indicate value in integrating communication technologies in the child health setting, aiming to establish greater continuity of care and maintain patient-clinician relationships between healthcare visits.
Keywords:Child health  Chronic disease  Health communication  Self-management  Educational technology
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