Usability in telehealth systems for non-communicable diseases attention in primary care, from the Covid-19 pandemic onwards: a systematic review
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UFMG |
Texto Completo: | https://doi.org/10.2196/44209 http://hdl.handle.net/1843/65888 https://orcid.org/0000-0003-4976-0716 https://orcid.org/0000-0002-3150-3503 https://orcid.org/0000-0001-6374-9295 https://orcid.org/0000-0002-6882-3260 https://orcid.org/0000-0002-2867-7027 https://orcid.org/0000-0003-4520-961X https://orcid.org/0000-0003-2555-7190 https://orcid.org/0000-0002-4566-8296 https://orcid.org/0000-0003-1189-0531 https://orcid.org/0000-0002-2614-2723 https://orcid.org/0000-0002-5307-552X https://orcid.org/0000-0002-0364-3584 |
Resumo: | Background: During the COVID-19 pandemic, telehealth was expanded without the opportunity to extensively evaluate the adopted technology’s usability. Objective: We aimed to synthesize evidence on health professionals’ perceptions regarding the usability of telehealth systems in the primary care of individuals with noncommunicable diseases (NCDs; hypertension and diabetes) from the COVID-19 pandemic onward. Methods: A systematic review was performed of clinical trials, prospective cohort studies, retrospective observational studies, and studies that used qualitative data collection and analysis methods published in English, Spanish, and Portuguese from March 2020 onward. The databases queried were MEDLINE, Embase, BIREME, IEEE Xplore, BVS, Google Scholar, and grey literature. Studies involving health professionals who used telehealth systems in primary care and managed patients with NCDs from the COVID-19 pandemic onward were considered eligible. Titles, abstracts, and full texts were reviewed. Data were extracted to provide a narrative qualitative evidence synthesis of the included articles. The risk of bias and methodological quality of the included studies were analyzed. The primary outcome was the usability of telehealth systems, while the secondary outcomes were satisfaction and the contexts in which the telehealth system was used. Results: We included 11 of 417 retrieved studies, which had data from 248 health care professionals. These health care professionals were mostly doctors and nurses with prior experience in telehealth in high- and middle-income countries. Overall, 9 studies (82%) were qualitative studies and 2 (18%) were quasiexperimental or multisite trial studies. Moreover, 7 studies (64%) addressed diabetes, 1 (9%) addressed diabetes and hypertension, and 3 (27%) addressed chronic diseases. Most studies used a survey to assess usability. With a moderate confidence level, we concluded that health professionals considered the usability of telehealth systems to be good and felt comfortable and satisfied. Patients felt satisfied using telehealth. The most important predictor for using digital health technologies was ease of use. The main barriers were technological challenges, connectivity issues, low computer literacy, inability to perform complete physical examination, and lack of training. Although the usability of telehealth systems was considered good, there is a need for research that investigates factors that may influence the perceptions of telehealth usability, such as differences between private and public services; differences in the level of experience of professionals, including professional experience and experience with digital tools; and differences in gender, age groups, occupations, and settings. Conclusions: The COVID-19 pandemic has generated incredible demand for virtual care. Professionals’ favorable perceptions of the usability of telehealth indicate that it can facilitate access to quality care. Although there are still challenges to telehealth, more than infrastructure challenges, the most reported challenges were related to empowering people for digital health. |
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2024-03-14T22:36:55Z2024-03-14T22:36:55Z2022-12-1025120https://doi.org/10.2196/442091438-8871http://hdl.handle.net/1843/65888https://orcid.org/0000-0003-4976-0716https://orcid.org/0000-0002-3150-3503https://orcid.org/0000-0001-6374-9295https://orcid.org/0000-0002-6882-3260https://orcid.org/0000-0002-2867-7027https://orcid.org/0000-0003-4520-961Xhttps://orcid.org/0000-0003-2555-7190https://orcid.org/0000-0002-4566-8296https://orcid.org/0000-0003-1189-0531https://orcid.org/0000-0002-2614-2723https://orcid.org/0000-0002-5307-552Xhttps://orcid.org/0000-0002-0364-3584Background: During the COVID-19 pandemic, telehealth was expanded without the opportunity to extensively evaluate the adopted technology’s usability. Objective: We aimed to synthesize evidence on health professionals’ perceptions regarding the usability of telehealth systems in the primary care of individuals with noncommunicable diseases (NCDs; hypertension and diabetes) from the COVID-19 pandemic onward. Methods: A systematic review was performed of clinical trials, prospective cohort studies, retrospective observational studies, and studies that used qualitative data collection and analysis methods published in English, Spanish, and Portuguese from March 2020 onward. The databases queried were MEDLINE, Embase, BIREME, IEEE Xplore, BVS, Google Scholar, and grey literature. Studies involving health professionals who used telehealth systems in primary care and managed patients with NCDs from the COVID-19 pandemic onward were considered eligible. Titles, abstracts, and full texts were reviewed. Data were extracted to provide a narrative qualitative evidence synthesis of the included articles. The risk of bias and methodological quality of the included studies were analyzed. The primary outcome was the usability of telehealth systems, while the secondary outcomes were satisfaction and the contexts in which the telehealth system was used. Results: We included 11 of 417 retrieved studies, which had data from 248 health care professionals. These health care professionals were mostly doctors and nurses with prior experience in telehealth in high- and middle-income countries. Overall, 9 studies (82%) were qualitative studies and 2 (18%) were quasiexperimental or multisite trial studies. Moreover, 7 studies (64%) addressed diabetes, 1 (9%) addressed diabetes and hypertension, and 3 (27%) addressed chronic diseases. Most studies used a survey to assess usability. With a moderate confidence level, we concluded that health professionals considered the usability of telehealth systems to be good and felt comfortable and satisfied. Patients felt satisfied using telehealth. The most important predictor for using digital health technologies was ease of use. The main barriers were technological challenges, connectivity issues, low computer literacy, inability to perform complete physical examination, and lack of training. Although the usability of telehealth systems was considered good, there is a need for research that investigates factors that may influence the perceptions of telehealth usability, such as differences between private and public services; differences in the level of experience of professionals, including professional experience and experience with digital tools; and differences in gender, age groups, occupations, and settings. Conclusions: The COVID-19 pandemic has generated incredible demand for virtual care. Professionals’ favorable perceptions of the usability of telehealth indicate that it can facilitate access to quality care. Although there are still challenges to telehealth, more than infrastructure challenges, the most reported challenges were related to empowering people for digital health.engUniversidade Federal de Minas GeraisUFMGBrasilFALE - FACULDADE DE LETRASICX - DEPARTAMENTO DE CIÊNCIA DA COMPUTAÇÃOMED - DEPARTAMENTO DE GINECOLOGIA OBSTETRÍCIAJournal of Medical Internet ResearchCuidados médicosTelemática médicaTelecomunicação em medicinaCuidados Primários de SaúdeHealth care professionalTelehealthNoncommunicable diseaseUsabilityCOVID-19 pandemicCOVID-19Usability in telehealth systems for non-communicable diseases attention in primary care, from the Covid-19 pandemic onwards: a systematic reviewinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleRoberta Lins GonçalvesWagner Meira JuniorJames BatchelorAntônio Luiz Pinho RibeiroAdriana Silvina PaganoZilma Silveira Nogueira ReisKen BrackstoneTaina Costa Pereira LopesSarah Almeida CordeiroJulia Macedo NunesSeth Kwaku AfagbedziMichael Headapplication/pdfinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFMGinstname:Universidade Federal de Minas Gerais (UFMG)instacron:UFMGLICENSELicense.txtLicense.txttext/plain; charset=utf-82042https://repositorio.ufmg.br/bitstream/1843/65888/1/License.txtfa505098d172de0bc8864fc1287ffe22MD51ORIGINALUsability in telehealth systems for non-communicable diseases attention in primary care, from the Covid-19 pandemic onwards a systematic review.pdfUsability in telehealth systems for non-communicable diseases attention in primary care, from the Covid-19 pandemic onwards a systematic review.pdfapplication/pdf744558https://repositorio.ufmg.br/bitstream/1843/65888/2/Usability%20in%20telehealth%20systems%20for%20non-communicable%20diseases%20attention%20in%20primary%20care%2c%20from%20the%20Covid-19%20pandemic%20onwards%20a%20systematic%20review.pdf3d2d438cc8669b73a5bdfbfdae83dfcbMD521843/658882024-03-14 19:36:56.314oai:repositorio.ufmg.br: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Repositório de PublicaçõesPUBhttps://repositorio.ufmg.br/oaiopendoar:2024-03-14T22:36:56Repositório Institucional da UFMG - Universidade Federal de Minas Gerais (UFMG)false |
dc.title.pt_BR.fl_str_mv |
Usability in telehealth systems for non-communicable diseases attention in primary care, from the Covid-19 pandemic onwards: a systematic review |
title |
Usability in telehealth systems for non-communicable diseases attention in primary care, from the Covid-19 pandemic onwards: a systematic review |
spellingShingle |
Usability in telehealth systems for non-communicable diseases attention in primary care, from the Covid-19 pandemic onwards: a systematic review Roberta Lins Gonçalves Health care professional Telehealth Noncommunicable disease Usability COVID-19 pandemic COVID-19 Cuidados médicos Telemática médica Telecomunicação em medicina Cuidados Primários de Saúde |
title_short |
Usability in telehealth systems for non-communicable diseases attention in primary care, from the Covid-19 pandemic onwards: a systematic review |
title_full |
Usability in telehealth systems for non-communicable diseases attention in primary care, from the Covid-19 pandemic onwards: a systematic review |
title_fullStr |
Usability in telehealth systems for non-communicable diseases attention in primary care, from the Covid-19 pandemic onwards: a systematic review |
title_full_unstemmed |
Usability in telehealth systems for non-communicable diseases attention in primary care, from the Covid-19 pandemic onwards: a systematic review |
title_sort |
Usability in telehealth systems for non-communicable diseases attention in primary care, from the Covid-19 pandemic onwards: a systematic review |
author |
Roberta Lins Gonçalves |
author_facet |
Roberta Lins Gonçalves Wagner Meira Junior James Batchelor Antônio Luiz Pinho Ribeiro Adriana Silvina Pagano Zilma Silveira Nogueira Reis Ken Brackstone Taina Costa Pereira Lopes Sarah Almeida Cordeiro Julia Macedo Nunes Seth Kwaku Afagbedzi Michael Head |
author_role |
author |
author2 |
Wagner Meira Junior James Batchelor Antônio Luiz Pinho Ribeiro Adriana Silvina Pagano Zilma Silveira Nogueira Reis Ken Brackstone Taina Costa Pereira Lopes Sarah Almeida Cordeiro Julia Macedo Nunes Seth Kwaku Afagbedzi Michael Head |
author2_role |
author author author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Roberta Lins Gonçalves Wagner Meira Junior James Batchelor Antônio Luiz Pinho Ribeiro Adriana Silvina Pagano Zilma Silveira Nogueira Reis Ken Brackstone Taina Costa Pereira Lopes Sarah Almeida Cordeiro Julia Macedo Nunes Seth Kwaku Afagbedzi Michael Head |
dc.subject.por.fl_str_mv |
Health care professional Telehealth Noncommunicable disease Usability COVID-19 pandemic COVID-19 |
topic |
Health care professional Telehealth Noncommunicable disease Usability COVID-19 pandemic COVID-19 Cuidados médicos Telemática médica Telecomunicação em medicina Cuidados Primários de Saúde |
dc.subject.other.pt_BR.fl_str_mv |
Cuidados médicos Telemática médica Telecomunicação em medicina Cuidados Primários de Saúde |
description |
Background: During the COVID-19 pandemic, telehealth was expanded without the opportunity to extensively evaluate the adopted technology’s usability. Objective: We aimed to synthesize evidence on health professionals’ perceptions regarding the usability of telehealth systems in the primary care of individuals with noncommunicable diseases (NCDs; hypertension and diabetes) from the COVID-19 pandemic onward. Methods: A systematic review was performed of clinical trials, prospective cohort studies, retrospective observational studies, and studies that used qualitative data collection and analysis methods published in English, Spanish, and Portuguese from March 2020 onward. The databases queried were MEDLINE, Embase, BIREME, IEEE Xplore, BVS, Google Scholar, and grey literature. Studies involving health professionals who used telehealth systems in primary care and managed patients with NCDs from the COVID-19 pandemic onward were considered eligible. Titles, abstracts, and full texts were reviewed. Data were extracted to provide a narrative qualitative evidence synthesis of the included articles. The risk of bias and methodological quality of the included studies were analyzed. The primary outcome was the usability of telehealth systems, while the secondary outcomes were satisfaction and the contexts in which the telehealth system was used. Results: We included 11 of 417 retrieved studies, which had data from 248 health care professionals. These health care professionals were mostly doctors and nurses with prior experience in telehealth in high- and middle-income countries. Overall, 9 studies (82%) were qualitative studies and 2 (18%) were quasiexperimental or multisite trial studies. Moreover, 7 studies (64%) addressed diabetes, 1 (9%) addressed diabetes and hypertension, and 3 (27%) addressed chronic diseases. Most studies used a survey to assess usability. With a moderate confidence level, we concluded that health professionals considered the usability of telehealth systems to be good and felt comfortable and satisfied. Patients felt satisfied using telehealth. The most important predictor for using digital health technologies was ease of use. The main barriers were technological challenges, connectivity issues, low computer literacy, inability to perform complete physical examination, and lack of training. Although the usability of telehealth systems was considered good, there is a need for research that investigates factors that may influence the perceptions of telehealth usability, such as differences between private and public services; differences in the level of experience of professionals, including professional experience and experience with digital tools; and differences in gender, age groups, occupations, and settings. Conclusions: The COVID-19 pandemic has generated incredible demand for virtual care. Professionals’ favorable perceptions of the usability of telehealth indicate that it can facilitate access to quality care. Although there are still challenges to telehealth, more than infrastructure challenges, the most reported challenges were related to empowering people for digital health. |
publishDate |
2022 |
dc.date.issued.fl_str_mv |
2022-12-10 |
dc.date.accessioned.fl_str_mv |
2024-03-14T22:36:55Z |
dc.date.available.fl_str_mv |
2024-03-14T22:36:55Z |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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article |
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dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/1843/65888 |
dc.identifier.doi.pt_BR.fl_str_mv |
https://doi.org/10.2196/44209 |
dc.identifier.issn.pt_BR.fl_str_mv |
1438-8871 |
dc.identifier.orcid.pt_BR.fl_str_mv |
https://orcid.org/0000-0003-4976-0716 https://orcid.org/0000-0002-3150-3503 https://orcid.org/0000-0001-6374-9295 https://orcid.org/0000-0002-6882-3260 https://orcid.org/0000-0002-2867-7027 https://orcid.org/0000-0003-4520-961X https://orcid.org/0000-0003-2555-7190 https://orcid.org/0000-0002-4566-8296 https://orcid.org/0000-0003-1189-0531 https://orcid.org/0000-0002-2614-2723 https://orcid.org/0000-0002-5307-552X https://orcid.org/0000-0002-0364-3584 |
url |
https://doi.org/10.2196/44209 http://hdl.handle.net/1843/65888 https://orcid.org/0000-0003-4976-0716 https://orcid.org/0000-0002-3150-3503 https://orcid.org/0000-0001-6374-9295 https://orcid.org/0000-0002-6882-3260 https://orcid.org/0000-0002-2867-7027 https://orcid.org/0000-0003-4520-961X https://orcid.org/0000-0003-2555-7190 https://orcid.org/0000-0002-4566-8296 https://orcid.org/0000-0003-1189-0531 https://orcid.org/0000-0002-2614-2723 https://orcid.org/0000-0002-5307-552X https://orcid.org/0000-0002-0364-3584 |
identifier_str_mv |
1438-8871 |
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eng |
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eng |
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Journal of Medical Internet Research |
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Universidade Federal de Minas Gerais |
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Brasil |
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Universidade Federal de Minas Gerais |
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