a Department of General Practice/Family Medicine , Lille University , Lille , France.
b Department of Primary and Interdisciplinary Care , University Antwerp , Antwerp , Belgium.
Eur J Gen Pract. 2018 Dec;24(1):202-210. doi: 10.1080/13814788.2018.1491964.
Health promotion is part of GPs' commitments. Some waiting rooms have therefore been implemented with audiovisual aids (posters, pamphlets or screens) for health promotion purposes. Few studies have assessed the effect of audiovisual aids in primary care.
To identify, describe and appraise studies that have investigated the effects of audiovisual aids on health promotion in primary healthcare waiting rooms. To determine which factors influence this impact through literature review.
Systematic review. Two independent researchers using predefined keywords searched databases. Additional publications were extracted from the reference lists of the selected articles. The selection of the articles was performed on the title and abstract, followed by complete reading and assessment. Bias and level of evidence were analysed.
A total of 909 articles were collected. Most of them were not in primary care settings. Fourteen peer-reviewed articles fully meeting inclusion criteria were included and analysed. Good quality studies were scarce. Eight of these articles using videos or slideshows on TV screens or tablets indicated effects: three of them were significant on patient knowledge with acceptable evidence and three on health behaviour on surrogate endpoints. Audiovisual aids seem to be used or noticed by patients and can induce conversations with physicians. The relevant factors that might influence these effects (duration of exposure, conception quality, theme, target population and time spent in the waiting room) are insufficiently investigated.
Audiovisual aids broadcasting messages using screens (TVs, computers, tablets, and smartphones with Bluetooth pairing) probably enhance patients' knowledge. A change in health behaviour remains controversial.
健康促进是全科医生职责的一部分。因此，一些候诊室配备了视听辅助设备（海报、小册子或屏幕）以进行健康促进。很少有研究评估初级保健中视听辅助设备的效果。
确定、描述和评估研究视听辅助设备对初级保健候诊室健康促进影响的研究。通过文献回顾确定影响这一效果的因素。
系统综述。两名独立研究人员使用预设的关键词搜索数据库。从选定文章的参考文献中提取其他出版物。文章的选择是基于标题和摘要进行的，然后是完整阅读和评估。分析了偏倚和证据水平。
共收集了 909 篇文章。其中大部分都不是在初级保健环境中进行的。共纳入并分析了 14 篇符合纳入标准的同行评审文章。高质量的研究很少。其中 8 篇使用电视屏幕或平板电脑上的视频或幻灯片的文章表明存在效果：其中 3 篇对患者知识有显著影响，证据可接受，3 篇对替代终点的健康行为有影响。视听辅助设备似乎被患者使用或注意到，并可以引发与医生的对话。可能影响这些效果的相关因素（暴露时间、构思质量、主题、目标人群和在候诊室的停留时间）研究不足。
使用屏幕（电视、电脑、平板电脑和具有蓝牙配对功能的智能手机）播放信息的视听辅助设备可能会提高患者的知识水平。健康行为的改变仍然存在争议。
