Facilitators and Barriers to Digital Health Technologies for Self-Management in Patients With Chronic Kidney Disease: Systematic Review Based on the Updated CFIR 2.0 Framework.
Feiyue Su, Yao Yao, Xiaoqi Lin et al.
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In 30 seconds
This systematic review examined facilitators and barriers to digital health technologies (DHT) for self-management in chronic kidney disease (CKD) patients, analyzing 13 studies with 3002 participants. Key findings revealed that a simple user interface and family support were major facilitators, while low health literacy and poor economic status were significant barriers. The study highlights the need for targeted implementation strategies.
Key findings
- 19 facilitators and 15 barriers to DHT use for CKD self-management were identified.
- A simple and easy-to-use user interface was reported as a facilitator in 9 studies.
- Low health literacy was identified as a barrier in 6 studies.
- The review included 3002 patients with CKD across 8 countries.
Why it matters
Understanding the factors influencing the adoption of digital health technologies can help clinicians develop effective strategies to enhance patient self-management in chronic kidney disease, potentially improving health outcomes and quality of life.
What to keep in mind
The evidence base is limited by the predominance of mixed methods designs and a lack of longitudinal studies.