School of Medicine, University of Wollongong, Wollongong, NSW 2522, Australia.
Faculty of Health, University of Canberra, Bruce, ACT 2601, Australia.
Int J Med Inform. 2018 Jul;115:43-52. doi: 10.1016/j.ijmedinf.2018.04.002. Epub 2018 Apr 13.
To develop a framework for assessing the eHealth readiness of dietitians.
Using an inductive approach, this research was divided into three stages: 1. a systematic literature review to identify models or frameworks on eHealth readiness; 2. data synthesis to identify eHealth readiness themes and develop a framework; and 3. semi-structured interviews with Australian nutrition informatics experts to gain consensus and validate the framework.
Two hundred and forty one unique citations were identified, of which twenty four met the research criteria and were included in the review and subsequent synthesis. Common eHealth readiness themes or dimensions were extracted from the literature, and five key dimensions were identified that were relevant to dietitian eHealth readiness: access, standards, attitude, aptitude and advocacy. A framework diagram was designed and discussed during semi-structured interviews with ten nutrition informatics experts to inform the final framework. The result of this research was an inductively developed Framework for eHealth Readiness of Dietitians (FeRD).
The FeRD builds on existing theories and models, and provides a conceptual model for developing eHealth readiness evaluation tools to examine, measure and drive strategies to better prepare dietitian professionals for eHealth.
制定一个评估营养师电子健康准备情况的框架。
本研究采用归纳法，分为三个阶段：1. 系统文献综述，以确定电子健康准备情况的模型或框架；2. 数据综合，以确定电子健康准备情况的主题并制定框架；3. 对澳大利亚营养信息学专家进行半结构化访谈，以达成共识并验证框架。
共确定了 241 条独特的引文，其中 24 条符合研究标准，并纳入了综述和随后的综合分析。从文献中提取了常见的电子健康准备主题或维度，并确定了与营养师电子健康准备相关的五个关键维度：访问、标准、态度、能力和倡导。设计了一个框架图，并在与十位营养信息学专家进行的半结构化访谈中进行了讨论，以完善最终框架。本研究的结果是一个归纳式的电子健康准备框架（FeRD）。
FeRD 建立在现有理论和模型的基础上，为开发电子健康准备情况评估工具提供了一个概念模型，以检验、衡量和推动策略，使营养师更好地为电子健康做好准备。
