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Table 2 Characteristics of the included reports (N = 15)

From: Ethical, legal, and social aspects of health technologies for home-based paediatric palliative care – a systematic review

Region

Author, Year

Design

Type of data

Sample

Aim

Technology

Ethical

Legal

Social

Australia

Bradford, Armfield et al. 2014 [66]

Cost-minimisation analysis

Quantitative

Children in PPC

N = 95 (video-consultations)

Comparison of costs of home vs. video consultation

Remote video consultation

Reduce burdens; increase trust;

Equal access;

Cost saving

Australia

Bradford, Young et al. 2014 [67]

Qualitative, semi-structured interviews

Qualitative

Palliative care clinicians

N = 10

Investigation of home telehealth from clinicians’ viewpoints

Remote video consultation

Obstacle to quality of care; increase trust; increased autonomy/agency; empowerment; contact;

Privacy; equal access;

Cost saving & training; changing relations; communication issues

North America

Breakey et al. 2022 [58]

RCT

Quantitative

Adolescents with cancer

Age: 12–18 years)

N = 81

Evaluation of a self-management programme

Web-based

Increased burdens;

Participation in decisions

 

North America

Fortier et al. 2016 [53]

Pilot study

Quantitative

Adolescents with cancer

Age: 8–18 years)

N = 12

Evaluation of pain management

App

Obstacle to quality of care; engaging

Equal access;

Cost saving; smartphones

Europe

Hoffmann et al. 2021 [64]

Qualitative study; vignette usage scenarios

Qualitative

Adolescents with leukaemia or solid cancers

Age: 6–17 years)

N = 58

Investigating the design process

App

Engaging;

Participation in decisions; standardisation

Smartphones

North America

Hunter et al. 2020 [54]

Prospective, observational cohort study/RCT

Quantitative

Adolescents undergoing cancer treatment

Age: 8–18 years

Intervention N = 20

Control N = 28

Efficacy of a pain management tool

App

Reduce harm; reduce burden; increase quality of care

 

Cost saving; smartphones

North America

Jibb et al. 2023 [55]

Parent co-design approach

Mixed Methods

Parents of children 2–11 years) with cancer

N = 22

Testing of a pain management tool

App

Engaging

Participation in decisions;

Changing relations

North America

Jibb et al. 2017 [59]

One-group pre/poststudy design

Quantitative

Adolescents with cancer

Age; 12–18 years

N = 40

Evaluation of a pain management tool prior to an RCT

App

Reduce harm; increase QoL; engaging; timely access to care

Participation in decisions;

 

North America

Jibb et al. 2018 [60]

Qualitative post pilot

Qualitative

Adolescents with cancer

Age: 12–18 years

N = 20

Evaluation of a pain management tool

App

Increased burdens; increased autonomy/agency;

Equal access; participation in decisions;

Cost saving

North America

Lai et al. 2015 [56]

Feasibility study

Quantitative

Patients with a cancer diagnosis

Age: 7–21 years,

N = 57

(and 13 clinicians)

Evaluation of a symptom monitoring and reporting tool

Web-based programme

Reduce burdens; information as burden;

Equal access; participation in decisions;

 

Asia

Mehdizadeh et al. 2023 [65]

Usability study

Quantitative

Adolescents with cancer and their parents

Age: 7–14

Children N = 19

Parents N = 25

Evaluation of a self-management tool

App

Empowerment;

 

Smartphones

North America

O’Sullivan et al. 2018 [61]

Qualitative pilot study

Qualitative

Children with cancer

Age: 8–18

N = 20

Evaluation of a symptom screening tool

App

increase trust; engaging; participation;

Privacy

Cost saving & maintenance; smartphones

Europe

Tiozzo et al. 2021 [63]

Observational prospective study

Quantitative

Children with hematologic or solid tumours

Age: 4–21

N = 124

Evaluation of a pain management tool

App

Improved quality of care; empowerment

  

North America

Weaver, Robinson, et al. 2020 [57]

Case series.

Quantitative

Children in home hospice for end-of-life care + Caregivers + HCP

Children N = 15

Caregivers N = 13

HCP = 15

Acceptability of telehealth in homes

Remote video consultation

increased autonomy/agency; empowerment; participation; increased burdens

Equal access; participation in decisions;

Cost saving; changing relations

Europe

Weibel et al. 2020 [62]

Qualitative pilot study

Qualitative

Children with cancer and their social connections

Age: 12–14

Children N = 3

Parent N = 3

Teacher N = 2

Peers N = 15

Exploration of social and academic connections through an avatar presence in schools

Robot/avatar

increased autonomy/agency; inclusion; exclusion; empowerment; contact; increased burdens

Equal access;

Cost saving & training