Journal of medical Internet research · 2026 · 範疇回顧（依標題推測）

Implementing Digital Respiratory Technologies for People With Respiratory Conditions: Scoping Review.

心血管・呼吸・內科 · 呼吸系統疾病數位醫療

中文閱讀摘要

本範圍性回顧分析84項呼吸數位技術實例，發現成功關鍵為簡化流程與共同開發，但面臨資源不足及互操作性差等障礙。

AI 依來源摘要整理，未經人工逐篇核對。閱讀結論前，請回溯研究族群、方法與限制。

原始摘要

Background

Digital health offers opportunities for safe, equitable, and accessible care, and its integration into respiratory care is a strategic priority for the European Respiratory Society. However, sustainable implementation remains complex, and guidance for health care systems is limited.

Objective

This study aimed to undertake a scoping review of the published initiatives that have implemented digital respiratory technologies into real-world routine clinical practice over the past decade, identify the technologies used, implementation strategies used, the challenges and supports they encountered, and the lessons they reported for making care more equitable, strengthening patient-professional relationships, improving the patient journey, and reducing environmental impact.

Methods

Following Arksey and O'Malley's methodology, we searched ten databases (December 2013-2023 [updated April 2025 and February 2026]): MEDLINE, Embase, CINAHL, PsycINFO, Cochrane Library, Web of Science, Scopus, IEEE Xplore, CABI Global Health, and WHO Medicus; and used key domains in the commonly used implementation frameworks such as the Consolidated Framework for Implementation Research (CFIR), Nonadaptation, Abandonment, and Challenges to the Scale-up, Spread, and Sustainability of Health and Care Technologies (NASSS), and the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework to categorize results and understand methodologies used. As a scoping review, we mapped the available evidence, rather than synthesizing outcomes, appraising study quality, or estimating effectiveness. To broaden coverage and strengthen interpretation, we crowdsourced additional studies and sought feedback on our preliminary findings from a network of respiratory experts across 17 countries.

Results

Overall, 24,672 studies were identified; after deduplication, 14,811 were screened; 84 studies from 31 countries were included in the final review. The digital respiratory technologies comprised apps, platforms, chatbots, and smart devices. Reported technological functionalities encompassed remote consultation, clinician monitoring, video directly observed therapy, remote rehabilitation training, self-management support, education, monitoring medication adherence, and a school-based remote clinic. CFIR, RE-AIM, and the plan-do-study-act (PDSA) cycle were the most widely used frameworks. Successful implementation used simple technologies that fitted existing workflows and avoided additional workload. Co-development and trust-building with end-users influenced motivation and adoption, while leadership, team cohesion, and communication facilitated success. Barriers included insufficient resources, poor interoperability, lack of funding and reimbursement, and limited technical support.

Conclusions

This scoping review provides a cross-condition review of digital respiratory technologies implemented in routine clinical practice. Unlike previous disease-specific or experimental-focused reviews, our innovative approach used established implementation Theories, Models, and Frameworks (TMFs) to identify shared barriers and enablers across diverse populations and health care systems. We summarize key implementation domains in state-of-the-art digital respiratory care and identify major gaps related to health equity, patient-clinician trust, continuity of support, and environmental sustainability. These findings emphasize the value of using implementation TMFs for scaling effective, patient-centered digital respiratory care in real-world settings.

至 Europe PMC 閱讀完整來源 ↗ · 擷取日期 2026-10-19

書目、來源與全文狀態

DOI: 10.2196/88325
PMID／PMCID: 42302305 / PMC13271594
作者: Hui IC, Condon K, Kolekar S, Roberts NJ, Sreter KB, Simons SO, Figueiredo C, McKeough Z, Salim H, Gawlik-Lipinski A, Gonsard A, Aral AÖ, Vanoverschelde A, Armstrong M, Kohlbrenner D, Paixão C, Stafler P, Papadopoulou E, Rabe APJ, Mohammad M, Bouloukaki I, Quach S, Kaltsakas G, Loveys K, Reier-Nilsen T, Sunjaya AP, Robinson P, Senek M, Chan AHY, Pinnock H
首次發表日期: 2026-06-16Europe PMC 提供，部分日期可能依年份或月份推定。
卷／期／頁碼或文章編號: 28 ／期未提供／ e88325
書目來源與查核日期: Europe PMC · 2026-10-19僅核對書目欄位與來源連結；不代表已評讀研究品質。
全文與授權: 來源列有免費全文（查核 2026-10-19），未逐篇測試 PDF 下載。來源授權標示：cc by。

可回溯引用

Hui IC, Condon K, Kolekar S, Roberts NJ, Sreter KB, Simons SO, Figueiredo C, McKeough Z, Salim H, Gawlik-Lipinski A, Gonsard A, Aral AÖ, Vanoverschelde A, Armstrong M, Kohlbrenner D, Paixão C, Stafler P, Papadopoulou E, Rabe APJ, Mohammad M, Bouloukaki I, Quach S, Kaltsakas G, Loveys K, Reier-Nilsen T, Sunjaya AP, Robinson P, Senek M, Chan AHY, Pinnock H. Implementing Digital Respiratory Technologies for People With Respiratory Conditions: Scoping Review. Journal of medical Internet research. 2026;28:e88325. PMID: 42302305. PMCID: PMC13271594. doi:10.2196/88325

原始文獻 ↗來源列出的免費全文 ↗

本站供教育與研究參考。單篇摘要、文體標籤與期刊影響係數不等於證據品質或個別病人的診療建議。