1. Indiana University School of Medicine, Indianapolis, IN, USA.
2. Academic Model Providing Access to Healthcare (AMPATH), Eldoret, Kenya.
Glob Health Promot. 2019 Jun;26(2):70-81. doi: 10.1177/1757975917715035. Epub 2017 Aug 23.
The objective of this study is to conduct a systematic review of the literature of how portable electronic technologies with offline functionality are perceived and used to provide health education in resource-limited settings.
Three reviewers evaluated articles and performed a bibliography search to identify studies describing health education delivered by portable electronic device with offline functionality in low- or middle-income countries. Data extracted included: study population; study design and type of analysis; type of technology used; method of use; setting of technology use; impact on caregivers, patients, or overall health outcomes; and reported limitations.
Searches yielded 5514 unique titles. Out of 75 critically reviewed full-text articles, 10 met inclusion criteria. Study locations included Botswana, Peru, Kenya, Thailand, Nigeria, India, Ghana, and Tanzania. Topics addressed included: development of healthcare worker training modules, clinical decision support tools, patient education tools, perceptions and usability of portable electronic technology, and comparisons of technologies and/or mobile applications. Studies primarily looked at the assessment of developed educational modules on trainee health knowledge, perceptions and usability of technology, and comparisons of technologies. Overall, studies reported positive results for portable electronic device-based health education, frequently reporting increased provider/patient knowledge, improved patient outcomes in both quality of care and management, increased provider comfort level with technology, and an environment characterized by increased levels of technology-based, informal learning situations. Negative assessments included high investment costs, lack of technical support, and fear of device theft.
While the research is limited, portable electronic educational resources present promising avenues to increase access to effective health education in resource-limited settings, contingent on the development of culturally adapted and functional materials to be used on such devices.
本研究旨在对具有离线功能的便携式电子技术如何被感知和用于提供资源有限环境中的健康教育的文献进行系统综述。
三位评审员评估了文章，并进行了文献检索，以确定描述在低收入和中等收入国家使用具有离线功能的便携式电子设备提供健康教育的研究。提取的数据包括：研究人群；研究设计和分析类型；使用的技术类型；使用方法；技术使用的环境；对护理人员、患者或整体健康结果的影响；以及报告的局限性。
搜索产生了 5514 个独特的标题。在 75 篇经过严格审查的全文文章中，有 10 篇符合纳入标准。研究地点包括博茨瓦纳、秘鲁、肯尼亚、泰国、尼日利亚、印度、加纳和坦桑尼亚。涉及的主题包括：医疗保健工作者培训模块的开发、临床决策支持工具、患者教育工具、对便携式电子技术的认知和可用性、以及技术和/或移动应用程序的比较。这些研究主要关注评估开发的教育模块对受训者健康知识、技术认知和可用性的影响，以及技术的比较。总体而言，研究报告了基于便携式电子设备的健康教育的积极结果，经常报告提高了提供者/患者的知识，改善了患者在护理质量和管理方面的结果，提高了提供者对技术的舒适度，以及以技术为基础的非正式学习环境水平增加的环境。负面评估包括高投资成本、缺乏技术支持以及担心设备被盗。
虽然研究有限，但便携式电子教育资源为增加资源有限环境中有效健康教育的获取提供了有希望的途径，但前提是要开发出适应文化和功能的材料，以便在这些设备上使用。
