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发展中国家的移动医疗干预措施:系统评价。

Mobile health interventions in developing countries: A systematic review.

机构信息

Emporia State University, USA.

University of Dhaka, Bangladesh.

出版信息

Health Informatics J. 2020 Dec;26(4):2792-2810. doi: 10.1177/1460458220937102. Epub 2020 Jul 21.


DOI:10.1177/1460458220937102
PMID:32691659
Abstract

This study reviews the quality of evidence reported in mobile health intervention literature in the context of developing countries. A systematic search of renowned databases was conducted to find studies related to mobile health applications published between a period of 2013 and 2018. After a methodological screening, a total of 31 studies were included for data extraction and synthesis. The mobile health Evidence Reporting and Assessment checklist developed by the World Health Organization was then used to evaluate the rigor and completeness in evidence reporting. We report several important and interesting findings. First, there is a very low level of familiarity with the mobile health Evidence Reporting and Assessment checklist among the researchers and mobile health intervention designers from developing countries. Second, most studies do not adequately meet the essential criteria of evidence reporting mentioned in the mobile health Evidence Reporting and Assessment checklist. Third, there is a dearth of application of design science-based methods and theory-based frameworks in developing mobile health interventions. Fourth, most of the mobile health interventions are not ready for interoperability and to be integrated into the existing health information systems. Based on these findings, we recommend for robust and inclusive study plans to deliver highly evidence-based reports by mobile health intervention studies that are conducted in the context of developing countries.

摘要

本研究回顾了发展中国家移动健康干预文献中报告的证据质量。系统地搜索了著名的数据库,以找到 2013 年至 2018 年间发表的与移动健康应用相关的研究。经过方法学筛选,共有 31 项研究被纳入数据提取和综合分析。然后,我们使用世界卫生组织(WHO)开发的移动健康证据报告和评估清单来评估证据报告的严谨性和完整性。我们报告了一些重要而有趣的发现。首先,发展中国家的研究人员和移动健康干预设计者对移动健康证据报告和评估清单的熟悉程度非常低。其次,大多数研究都没有充分满足移动健康证据报告和评估清单中提到的证据报告的基本标准。第三,在开发移动健康干预措施时,很少应用基于设计科学的方法和基于理论的框架。第四,大多数移动健康干预措施不具备互操作性,也无法融入现有的卫生信息系统。基于这些发现,我们建议在发展中国家开展的移动健康干预研究中制定稳健且包容性强的研究计划,以提供基于高证据的报告。

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