Digital health technologies and self-efficacy in Parkinson’s: a scoping review

Objective Prior research has identified that people with Parkinson’s reporting lower levels of self-efficacy exhibit worsening motor and non-motor symptomology, reduced quality of life, and self-management. Our key objective was to conduct a scoping review examining the impact of digital health tech...

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Main Authors: Victoria Allgar, Edward Meinert, Camille B Carroll, Andrew Michael Hall
Format: Article
Language:English
Published: BMJ Publishing Group 2025-01-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/15/1/e088616.full
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author Victoria Allgar
Edward Meinert
Camille B Carroll
Andrew Michael Hall
author_facet Victoria Allgar
Edward Meinert
Camille B Carroll
Andrew Michael Hall
author_sort Victoria Allgar
collection DOAJ
description Objective Prior research has identified that people with Parkinson’s reporting lower levels of self-efficacy exhibit worsening motor and non-motor symptomology, reduced quality of life, and self-management. Our key objective was to conduct a scoping review examining the impact of digital health technologies on self-efficacy in people with Parkinson’s.Design A scoping review using Arksey and O’Malley’s (2005) framework was undertaken.Data sources MEDLINE, Embase, PsychINFO, CINAHL, Web of Science, IEEE Xplore, and Google Scholar principally for grey literature were searched from 1 January 2008 to the 24th of July 2024.Eligibility criteria for selecting studies Primary studies which incorporated digital health technologies, measured self-efficacy and had a sample population of people with Parkinson’s were searched.Data extraction and synthesis Following identification of potentially eligible records, two independent reviewers undertook title and abstract screening, followed by full-text screening. Data was extracted using our earlier published data extraction sheet which incorporated the Practical Reviews in Self-Management Support (PRISMS) taxonomy, and the template for intervention description and replication (TIDieR) checklist. Data was extracted from a Microsoft Excel spreadsheet and synthesised by describing themes, demographic data and numerical data.Results From 33 165 unique records following screening and independent review by two reviewers, 11 eligible records were found. Of these five elevated self-efficacy to a statistically significant level, five did not and one lowered self-efficacy. Of the studies which raised self-efficacy to a statistically significant level, all adopted a multimodal approach with a variety of devices. Thematically, these devices were focused on physical activity, falls/falls prevention, or both. The level of heterogeneity precluded comparisons between studies.Conclusions This scoping review identified significant knowledge and evidence gaps in the literature, and the limited number of eligible studies make these findings not generalisable. Future self-management research might benefit from also considering self-efficacy.
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spelling doaj-art-d1e72554b11f435b90577a22327ab8a72025-01-23T05:00:14ZengBMJ Publishing GroupBMJ Open2044-60552025-01-0115110.1136/bmjopen-2024-088616Digital health technologies and self-efficacy in Parkinson’s: a scoping reviewVictoria Allgar0Edward Meinert1Camille B Carroll2Andrew Michael Hall32 University of Plymouth, Plymouth, UK6 Translational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, UK4 Translational and Clinical Research Institute, University of Newcastle upon Tyne, Newcastle upon Tyne, Tyne and Wear, UK1 Faculty of Health School of Medicine, University of Plymouth, Plymouth, UKObjective Prior research has identified that people with Parkinson’s reporting lower levels of self-efficacy exhibit worsening motor and non-motor symptomology, reduced quality of life, and self-management. Our key objective was to conduct a scoping review examining the impact of digital health technologies on self-efficacy in people with Parkinson’s.Design A scoping review using Arksey and O’Malley’s (2005) framework was undertaken.Data sources MEDLINE, Embase, PsychINFO, CINAHL, Web of Science, IEEE Xplore, and Google Scholar principally for grey literature were searched from 1 January 2008 to the 24th of July 2024.Eligibility criteria for selecting studies Primary studies which incorporated digital health technologies, measured self-efficacy and had a sample population of people with Parkinson’s were searched.Data extraction and synthesis Following identification of potentially eligible records, two independent reviewers undertook title and abstract screening, followed by full-text screening. Data was extracted using our earlier published data extraction sheet which incorporated the Practical Reviews in Self-Management Support (PRISMS) taxonomy, and the template for intervention description and replication (TIDieR) checklist. Data was extracted from a Microsoft Excel spreadsheet and synthesised by describing themes, demographic data and numerical data.Results From 33 165 unique records following screening and independent review by two reviewers, 11 eligible records were found. Of these five elevated self-efficacy to a statistically significant level, five did not and one lowered self-efficacy. Of the studies which raised self-efficacy to a statistically significant level, all adopted a multimodal approach with a variety of devices. Thematically, these devices were focused on physical activity, falls/falls prevention, or both. The level of heterogeneity precluded comparisons between studies.Conclusions This scoping review identified significant knowledge and evidence gaps in the literature, and the limited number of eligible studies make these findings not generalisable. Future self-management research might benefit from also considering self-efficacy.https://bmjopen.bmj.com/content/15/1/e088616.full
spellingShingle Victoria Allgar
Edward Meinert
Camille B Carroll
Andrew Michael Hall
Digital health technologies and self-efficacy in Parkinson’s: a scoping review
BMJ Open
title Digital health technologies and self-efficacy in Parkinson’s: a scoping review
title_full Digital health technologies and self-efficacy in Parkinson’s: a scoping review
title_fullStr Digital health technologies and self-efficacy in Parkinson’s: a scoping review
title_full_unstemmed Digital health technologies and self-efficacy in Parkinson’s: a scoping review
title_short Digital health technologies and self-efficacy in Parkinson’s: a scoping review
title_sort digital health technologies and self efficacy in parkinson s a scoping review
url https://bmjopen.bmj.com/content/15/1/e088616.full
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