审视数字健康干预设计中纳入终端用户所面临的挑战：一项系统评价方案

Examining Challenges to the Incorporation of End Users in the Design of Digital Health Interventions: Protocol for a Systematic Review.

作者信息

Duffy Anthony, Christie Greg, Moreno Sylvain

机构信息

School of Interactive Arts & Technology, Simon Fraser University, Surrey, BC, Canada.

Digital Health Circle, Surrey, BC, Canada.

出版信息

JMIR Res Protoc. 2021 Jul 26;10(7):e28083. doi: 10.2196/28083.

DOI:10.2196/28083

PMID:34309578

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8367163/

Abstract

BACKGROUND

The process of designing a digital health intervention (DHI)-also referred to as mobile health or eHealth-spans needs assessments, technical functionality and feasibility, user satisfaction, effectiveness, impact, and value. These interventions are causing a rapid evolution in the landscape of health care. Multiple studies have shown their propensity to extend both the quality and reach of interventions. However, failure to improve DHI design is linked to failed uptake and health outcomes. This dilemma is further conflicted by the colliding backdrops of the digital and health industries, both of which approach, understand, and involve end users differently in the framing of a DHI.

OBJECTIVE

The objective of this systematic review is to assess the challenges to incorporating end users in the design stage of digital health interventions, to identify key pain points, and to identify limitations and gaps for areas of future investigation.

METHODS

The PRISMA-P (Preferred Reporting Items for Systematic Reviews and Meta-Analysis Protocols) checklist will be used to structure this protocol. A systematic search of the PsycINFO, PubMed (MEDLINE), Web of Science, CINAHL, Scopus, and IEEE Xplore databases will be conducted. Additionally, the PerSPEcTiF guidelines for complex interventions will be consulted. Two reviewers will independently screen the titles and abstracts of the identified references and select studies according to the eligibility criteria. Any discrepancies will then be discussed and resolved. Two reviewers will independently extract and validate data from the included studies into a standardized form and conduct quality appraisal.

RESULTS

As of February 2021, we have completed a preliminary literature search examining challenges to the incorporation of end users in the design stage of DHIs. Systematic searches, data extraction and analysis, and writing of the systematic review are expected to be completed by December 2021.

CONCLUSIONS

This systematic review aims to provide an effective summary of key pain points toward incorporating end users in DHIs. Results from this review will provide an evidence base for a better approach to end user involvement in the interest of improving efficacy and uptake of DHIs.

TRIAL REGISTRATION

PROSPERO International Prospective Register of Systematic Reviews CRD42021238164; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=238164.

INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): PRR1-10.2196/28083.

摘要

背景

设计数字健康干预措施（DHI，也称为移动健康或电子健康）的过程涵盖需求评估、技术功能与可行性、用户满意度、有效性、影响及价值等方面。这些干预措施正在促使医疗保健领域迅速演变。多项研究表明，它们有扩大干预措施质量和覆盖范围的倾向。然而，数字健康干预措施设计未能改进与采用率低下及健康结果不佳相关。数字行业和健康行业相互冲突的背景使这一困境更加复杂，这两个行业在数字健康干预措施的构建过程中，对终端用户的认知方式以及让终端用户参与的方式均有所不同。

目的

本系统评价旨在评估在数字健康干预措施设计阶段纳入终端用户所面临的挑战，确定关键痛点，并找出未来研究领域的局限性和差距。

方法

将使用PRISMA-P（系统评价与Meta分析方案的首选报告项目）清单来构建本方案。将对PsycINFO、PubMed（MEDLINE）、科学引文索引、护理学与健康领域数据库、Scopus和IEEE Xplore数据库进行系统检索。此外，还将参考复杂干预措施的PerSPEcTiF指南。两名评审员将独立筛选已识别参考文献的标题和摘要，并根据纳入标准选择研究。然后将讨论并解决任何分歧。两名评审员将独立从纳入研究中提取数据并验证，将其整理成标准化表格，并进行质量评估。