ICU sedation, delirium & recovery

Effects of digital communication tools on patients, family members and health care professionals in adult intensive care units (ICUs): a mixed-methods systematic review

Crit CarePublished Mixed-methods systematic review and meta-analysis

Pooled result · Family satisfaction (3 RCTs)Result — go to the resultSMD 0.76 95% CI 0.45–1.06

Authors' conclusion

Digital communication in adult ICUs is feasible, acceptable, and beneficial for patients, relatives, and healthcare professionals.

Study context

Population
Patients, family members and health care professionals in adult ICUs54 studies
Comparison
Digital communication vs usual care
Outcome
Family satisfaction (3 RCTs)
Methodological detailsJBI convergent integrated approach, random-effects meta-analysis, thematic synthesis, 92% of studies conducted during the COVID-19 pandemic
  • JBI convergent integrated approach
  • Random-effects meta-analysis
  • Thematic synthesis
  • 92% of studies conducted during the COVID-19 pandemic

Pooled result

As reported in the abstract

SMD

0.76

95% CI 0.45–1.06

P < 0.001

Virtual communication vs Usual care
SMD 0.76 (95% CI 0.45–1.06); P < 0.001

Further pooled results

Patient anxiety (pooled)

Pooled mean difference on patient anxiety, nonsignificant
−2.19 (95% CI −4.62 to 0.23)
  • Qualitative findings consistently described perceived reductions in anxiety

Patient depression (pooled)

Pooled effect on depression nonsignificant

Original publication

Effects of digital communication tools on patients, family members and health care professionals in adult ICUs: a mixed-methods systematic review. Crit Care. Published 3 March 2026. doi:10.1186/s13054-025-05826-5

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