Yajie Zhang, Nalda Wainwright, Jacqueline D Goodway, Amanda John, Anna Stevenson, Kirsty Thomas, Sean Jenkins, Fatma Layas, Kate Piper
MiniMovers: An Initial Pilot and Feasibility Study to Investigate the Impact of a Mobile Application on Children's Motor Skills and Parent Support for Physical Development
Children (Basel, Switzerland)
considerable international interest exploiting potential digital solutions enhance quality safety health care implementations transformative ehealth technologies underway globally often considerable cost order assess impact ehealth solutions quality safety health care inform policy decisions ehealth deployments undertook systematic review systematic reviews assessing effectiveness consequences various ehealth technologies quality safety carewe developed novel search strategies conceptual maps health care quality safety ehealth interventions systematically identified scrutinised synthesised systematic review literature major biomedical databases searched identify systematic reviews published 1997 2010 related theoretical methodological technical material also reviewed identified 53 systematic reviews focused assessing impact ehealth interventions quality andor safety health care 55 supplementary systematic reviews providing relevant supportive information systematic review literature found generally substandard quality regards methodology reporting utility thematically categorised ehealth technologies three main areas 1 storing managing transmission data 2 clinical decision support 3 facilitating care distance found despite support policymakers relatively little empirical evidence substantiate many claims made relation technologies whether success relatively solutions identified improve quality safety would continue deployed beyond contexts originally developed yet established importantly best practice guidelines effective development deployment strategies lackingthere large gap postulated empirically demonstrated benefits ehealth technologies addition lack robust research risks implementing technologies costeffectiveness yet demonstrated despite frequently promoted policymakers technoenthusiasts given light paucity evidence relation improvements patient outcomes well lack evidence costeffectiveness vital future ehealth technologies evaluated comprehensive set measures ideally throughout stages technologys life cycle evaluation characterised careful attention sociotechnical factors maximise likelihood successful implementation adoption