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Technology in Palliative Care (TIP): the identification of digital priorities for palliative care research using a modified Delphi method

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Technology in Palliative Care (TIP): the identification of digital priorities for palliative care research using a modified Delphi method. / Nwosu, Amara; McGlinchey, Tamsin ; Sanders, Justin et al.
In: medRxiv, 03.07.2021.

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Nwosu, A., McGlinchey, T., Sanders, J., Stanley, S., Palfrey, J., Lubbers, P., Chapman, L., Finucane, A., & Mason, S. (2021). Technology in Palliative Care (TIP): the identification of digital priorities for palliative care research using a modified Delphi method. medRxiv. https://doi.org/10.1101/2021.06.24.21259307

Vancouver

Nwosu A, McGlinchey T, Sanders J, Stanley S, Palfrey J, Lubbers P et al. Technology in Palliative Care (TIP): the identification of digital priorities for palliative care research using a modified Delphi method. medRxiv. 2021 Jul 3. doi: 10.1101/2021.06.24.21259307

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@article{6018da3fd2b9483a9f369de8995c780d,
title = "Technology in Palliative Care (TIP): the identification of digital priorities for palliative care research using a modified Delphi method",
abstract = "Background Developments in digital health (describing technologies which use computing platforms, connectivity, software, and sensors for health care and related purposes) has the potential to transform the delivery of health and social care to help citizens manage their own health. Currently, we lack consensus about digital health research priorities in palliative care and lack theories about how these technologies might improve care outcomes. Global palliative care need is expected to increase due to the consequences of an ageing population; therefore, it is important for healthcare leaders to identify innovations to ensure that an increasingly frail population have appropriate access to palliative care services. Consequently, it is important to articulate research priorities as the first step to determine how we should allocate finite resources to a field saturated with rapidly developing innovations.Aims To identify research priority areas for digital health in palliative care.Methods We selected the digital health trends, most relevant to palliative care, from a list of emerging trends reported by the {\textquoteleft}Future Today Institute{\textquoteright}. We conducted a modified Delphi process and consensus meeting with palliative care experts to identify research priorities. We used the views of public representatives to gain their perspectives of the agreed priorities.Results One hundred and three experts (representing 11 countries) participated in the 1st Delphi round. Fifty-five participated in the 2nd round (53% of 1st round). Eleven experts attended the final consensus meeting. We identified 16 priorities areas, which were summarised into eight themes. These themes were: big data, mobile devices, telehealth and telemedicine, virtual reality, artificial intelligence, the smart home, biotechnology and digital legacy.Conclusions The identified priorities in this paper represent a wide range of important emerging areas in field of digital health, personalised medicine, and data science. Human-centred design and robust governance systems should be considered in future research. It is important that the risks of using these technologies in palliative care are properly addressed to ensure that these tools are used meaningfully, wisely and safely and do not cause unintentional harm.",
author = "Amara Nwosu and Tamsin McGlinchey and Justin Sanders and Sarah Stanley and Jennifer Palfrey and Patrick Lubbers and Laura Chapman and Anne Finucane and Stephen Mason",
year = "2021",
month = jul,
day = "3",
doi = "10.1101/2021.06.24.21259307",
language = "English",
journal = "medRxiv",
publisher = "Cold Spring Harbor Laboratory Press",

}

RIS

TY - JOUR

T1 - Technology in Palliative Care (TIP): the identification of digital priorities for palliative care research using a modified Delphi method

AU - Nwosu, Amara

AU - McGlinchey, Tamsin

AU - Sanders, Justin

AU - Stanley, Sarah

AU - Palfrey, Jennifer

AU - Lubbers, Patrick

AU - Chapman, Laura

AU - Finucane, Anne

AU - Mason, Stephen

PY - 2021/7/3

Y1 - 2021/7/3

N2 - Background Developments in digital health (describing technologies which use computing platforms, connectivity, software, and sensors for health care and related purposes) has the potential to transform the delivery of health and social care to help citizens manage their own health. Currently, we lack consensus about digital health research priorities in palliative care and lack theories about how these technologies might improve care outcomes. Global palliative care need is expected to increase due to the consequences of an ageing population; therefore, it is important for healthcare leaders to identify innovations to ensure that an increasingly frail population have appropriate access to palliative care services. Consequently, it is important to articulate research priorities as the first step to determine how we should allocate finite resources to a field saturated with rapidly developing innovations.Aims To identify research priority areas for digital health in palliative care.Methods We selected the digital health trends, most relevant to palliative care, from a list of emerging trends reported by the ‘Future Today Institute’. We conducted a modified Delphi process and consensus meeting with palliative care experts to identify research priorities. We used the views of public representatives to gain their perspectives of the agreed priorities.Results One hundred and three experts (representing 11 countries) participated in the 1st Delphi round. Fifty-five participated in the 2nd round (53% of 1st round). Eleven experts attended the final consensus meeting. We identified 16 priorities areas, which were summarised into eight themes. These themes were: big data, mobile devices, telehealth and telemedicine, virtual reality, artificial intelligence, the smart home, biotechnology and digital legacy.Conclusions The identified priorities in this paper represent a wide range of important emerging areas in field of digital health, personalised medicine, and data science. Human-centred design and robust governance systems should be considered in future research. It is important that the risks of using these technologies in palliative care are properly addressed to ensure that these tools are used meaningfully, wisely and safely and do not cause unintentional harm.

AB - Background Developments in digital health (describing technologies which use computing platforms, connectivity, software, and sensors for health care and related purposes) has the potential to transform the delivery of health and social care to help citizens manage their own health. Currently, we lack consensus about digital health research priorities in palliative care and lack theories about how these technologies might improve care outcomes. Global palliative care need is expected to increase due to the consequences of an ageing population; therefore, it is important for healthcare leaders to identify innovations to ensure that an increasingly frail population have appropriate access to palliative care services. Consequently, it is important to articulate research priorities as the first step to determine how we should allocate finite resources to a field saturated with rapidly developing innovations.Aims To identify research priority areas for digital health in palliative care.Methods We selected the digital health trends, most relevant to palliative care, from a list of emerging trends reported by the ‘Future Today Institute’. We conducted a modified Delphi process and consensus meeting with palliative care experts to identify research priorities. We used the views of public representatives to gain their perspectives of the agreed priorities.Results One hundred and three experts (representing 11 countries) participated in the 1st Delphi round. Fifty-five participated in the 2nd round (53% of 1st round). Eleven experts attended the final consensus meeting. We identified 16 priorities areas, which were summarised into eight themes. These themes were: big data, mobile devices, telehealth and telemedicine, virtual reality, artificial intelligence, the smart home, biotechnology and digital legacy.Conclusions The identified priorities in this paper represent a wide range of important emerging areas in field of digital health, personalised medicine, and data science. Human-centred design and robust governance systems should be considered in future research. It is important that the risks of using these technologies in palliative care are properly addressed to ensure that these tools are used meaningfully, wisely and safely and do not cause unintentional harm.

U2 - 10.1101/2021.06.24.21259307

DO - 10.1101/2021.06.24.21259307

M3 - Journal article

JO - medRxiv

JF - medRxiv

ER -