Can We Do Be*er? Use of Informa2on and Communica2on Technologies (ICTs) in End-‐of-‐Life (EOL) Care @KirstenOstherr, PhD, MPH Rice University, Houston, TX
[email protected]
ABSTRACT Tailoring Cultural specificity Context awareness Scalability
RESULTS
RESULTS
Search results
2248 Ftles & abstracts reviewed 2207 excluded
41 full text records reviewed 12 excluded 29 publicaFons included
Advance care planning
End-‐of-‐life communicaFon
Health Literacy Usability Storage Retrieval
BACKGROUND
By the year 2050, the number of Americans aged 65 and older will top 88.5 million. EOL communicaFon ensures that paFents receive care concordant with their wishes and experience high quality of life. As the baby boomer populaFon ages, scalable models of EOL communicaFon will be needed to ensure that paFents receive the care they need. ICTs may help serve the growing numbers of tech-‐savvy seniors already accustomed to using smartphones, the internet and other digital devices as part of their daily lives. However, few resources exist to guide the use of ICTs in end-‐of-‐life care.
Fig. 1: Results by Type of ICT used
Fig. 2: Results by Purpose of Technology
Fig. 3: Technology by Date of Study (No relevant studies published betw 2004-‐2006)
METHODS
DISCUSSION & RECOMMENDATIONS
Design: SystemaFc review
• Many intervenFons do not take full advantage of mobile, connected health (e.g. no telephone-‐based studies used mobile phones or smartphones).
Data sources: Medline, PubMed PsycINFO, Sociological Abstracts, Communica