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使用 RE-AIM 框架评估埃塞俄比亚卫生专业人员数字培训的需求和最佳实践:COVID-19,案例研究。

Needs Assessment and Best Practices for Digital Trainings for Health Professionals in Ethiopia Using the RE-AIM Framework: COVID-19, Case Study.

机构信息

University of Texas Health Sciences Center at Houston, School of Public Health, Department of Epidemiology, Human Genetics and Environmental Sciences, Dallas, TX, USA.

The Joint Distribution Committee (JDC), New York, NY, USA.

出版信息

Disaster Med Public Health Prep. 2022 Oct 13;17:e292. doi: 10.1017/dmp.2022.224.

Abstract

OBJECTIVES

This study is aimed to assess the implementation science outcomes of the coronavirus disease (COVID-19) e-health educational intervention in Ethiopia targeting health care workers via the RE-AIM (Reach, Effectiveness, Adaption, Implementation, Maintenance) framework.

METHODS

A series of three 1-hour medical seminars focused on COVID-19 prevention and treatment education were conducted between May and August 2020. Educational content was built from medical sites previously impacted by COVID-19. Post-seminar evaluation information was collected from physician and other participants by a survey instrument. Cross-sectional evaluation results are reported here by RE-AIM constructs.

RESULTS

The medical seminars reached 324 participants. Key success metrics include that 90% reporting the information delivered in a culturally sensitive/tailored manner (effectiveness), 80% reporting that they planned to share the information presented with someone else (adoption and implementation), and 64% reporting using information presented in their daily clinical responsibilities 6 months after the first medical seminars (maintenance).

CONCLUSION

Grounded in a theoretical framework and following evidence-based best practices, this intervention advances the field of dissemination and implementation science by demonstrating how to transition health care training and delivery from an in-person to digital medium in low-resource settings like Ethiopia.

摘要

目的

本研究旨在通过 RE-AIM(涵盖范围、效果、适应性、实施和维持)框架评估针对埃塞俄比亚医护人员的冠状病毒病(COVID-19)电子健康教育干预的实施科学结果。

方法

2020 年 5 月至 8 月期间,举办了一系列三次时长为 1 小时的医学研讨会,重点是 COVID-19 预防和治疗教育。教育内容取自先前受 COVID-19 影响的医疗网站。通过调查工具收集研讨会后评估信息,供医生和其他参与者使用。此处报告的横断面评估结果按 RE-AIM 结构进行报告。

结果

医学研讨会共吸引了 324 名参与者。关键成功指标包括 90%的人报告信息以文化敏感/量身定制的方式传递(效果),80%的人报告他们计划与他人分享所呈现的信息(采用和实施),64%的人报告在首次医学研讨会 6 个月后在日常临床职责中使用所呈现的信息(维持)。

结论

该干预措施以理论框架为基础,并遵循循证最佳实践,通过展示如何在埃塞俄比亚等资源匮乏的环境中,将医疗培训和服务从面对面转变为数字媒介,推进了传播和实施科学领域的发展。

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