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致数字健康从业者的呼吁:新指南有助于提高数字健康证据的质量。

A Call to Digital Health Practitioners: New Guidelines Can Help Improve the Quality of Digital Health Evidence.

作者信息

Agarwal Smisha, Lefevre Amnesty E, Labrique Alain B

机构信息

Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, United States.

Global mHealth Initiative, Johns Hopkins University, Baltimore, MD, United States.

出版信息

JMIR Mhealth Uhealth. 2017 Oct 6;5(10):e136. doi: 10.2196/mhealth.6640.


DOI:10.2196/mhealth.6640
PMID:28986340
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5650671/
Abstract

BACKGROUND: Despite the rapid proliferation of health interventions that employ digital tools, the evidence on the effectiveness of such approaches remains insufficient and of variable quality. To address gaps in the comprehensiveness and quality of reporting on the effectiveness of digital programs, the mHealth Technical Evidence Review Group (mTERG), convened by the World Health Organization, proposed the mHealth Evidence Reporting and Assessment (mERA) checklist to address existing gaps in the comprehensiveness and quality of reporting on the effectiveness of digital health programs. OBJECTIVE: We present an overview of the mERA checklist and encourage researchers working in the digital health space to use the mERA checklist for reporting their research. METHODS: The development of the mERA checklist consisted of convening an expert group to recommend an appropriate approach, convening a global expert review panel for checklist development, and pilot-testing the checklist. RESULTS: The mERA checklist consists of 16 core mHealth items that define what the mHealth intervention is (content), where it is being implemented (context), and how it was implemented (technical features). Additionally, a 29-item methodology checklist guides authors on reporting critical aspects of the research methodology employed in the study. We recommend that the core mERA checklist is used in conjunction with an appropriate study-design specific checklist. CONCLUSIONS: The mERA checklist aims to assist authors in reporting on digital health research, guide reviewers and policymakers in synthesizing evidence, and guide journal editors in assessing the completeness in reporting on digital health studies. An increase in transparent and rigorous reporting can help identify gaps in the conduct of research and understand the effects of digital health interventions as a field of inquiry.

摘要

背景:尽管采用数字工具的健康干预措施迅速增加,但关于此类方法有效性的证据仍然不足且质量参差不齐。为了弥补数字项目有效性报告在全面性和质量方面的差距,由世界卫生组织召集的移动健康技术证据审查小组(mTERG)提出了移动健康证据报告与评估(mERA)清单,以解决数字健康项目有效性报告在全面性和质量方面现有的差距。 目的:我们概述了mERA清单,并鼓励数字健康领域的研究人员使用mERA清单来报告他们的研究。 方法:mERA清单的制定包括召集一个专家小组以推荐合适的方法,召集一个全球专家审查小组进行清单制定,并对清单进行预测试。 结果:mERA清单由16项核心移动健康项目组成,这些项目定义了移动健康干预措施是什么(内容)、在哪里实施(背景)以及如何实施(技术特征)。此外,一个包含29项条目的方法清单指导作者报告研究中所采用研究方法的关键方面。我们建议将核心mERA清单与适当的特定研究设计清单结合使用。 结论:mERA清单旨在帮助作者报告数字健康研究,指导评审人员和政策制定者综合证据,并指导期刊编辑评估数字健康研究报告的完整性。增加透明和严谨的报告有助于识别研究开展过程中的差距,并了解作为一个研究领域的数字健康干预措施的效果。

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