Nxele Siphesihle R, Moetlhoa Boitumelo, Dlangalala Thobeka, Maluleke Kuhlula, Kgarosi Kabelo, Theberge Ashleigh B, Mashamba-Thompson Tivani
School of Health Systems and Public Health, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa.
Department of Library Services, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa.
Arch Public Health. 2024 Aug 27;82(1):139. doi: 10.1186/s13690-024-01376-4.
While mobile-linked point-of-care diagnostics may circumvent geographical and temporal barriers to efficient communication, the use of such technology in community settings will depend on user experience. We conducted a scoping review to systematically map evidence on user experiences of mobile-linked point-of-care diagnostics in community healthcare settings published from the year 2016 up to the year 2022.
We conducted a comprehensive search of the following electronic databases: Scopus, Web of Science, and EBSCOhost (Medline, CINAHL, Africa-wide, Academic Search Complete). The inter-reviewer agreement was determined using Cohen's kappa statistic. Data quality was appraised using the mixed method appraisal tool version 2018, and the results were reported according to the preferred reporting items for systematic reviews and meta-analyses for scoping reviews (PRISMA-ScR).
Following the abstract and full article screening, nine articles were found eligible for inclusion in data extraction. Following the quality appraisal, one study scored 72.5%, one study scored 95%, and the remaining seven studies scored 100%. Inter-rater agreement was 83.54% (Kappa statistic = 0.51, p < 0.05). Three themes emerged from the articles: approaches to implementing mobile-linked point-of-care diagnostics, user engagement in community-based healthcare settings, and limited user experiences in mobile-linked point-of-care diagnostics. User experiences are key to the sustainable implementation of mobile-linked point-of-care diagnostics. User experiences have been evaluated in small community healthcare settings. There is limited evidence of research aimed at evaluating the usability of mobile-linked diagnostics at the community level.
More studies are needed to assess the user experience of mobile-linked diagnostics in larger communities. This scoping review revealed gaps that need to be addressed to improve user experiences of mobile-linked diagnostics, including language barriers, privacy issues, and clear instructions.
虽然与移动设备相连的即时诊断可能会消除高效沟通的地理和时间障碍，但在社区环境中使用此类技术将取决于用户体验。我们进行了一项范围综述，以系统地梳理2016年至2022年期间发表的关于社区医疗环境中与移动设备相连的即时诊断用户体验的证据。
我们对以下电子数据库进行了全面检索：Scopus、科学网和EBSCOhost（Medline、护理及健康照护领域数据库、全非洲数据库、学术搜索完整版）。使用科恩kappa统计量确定评审员间的一致性。使用2018年混合方法评估工具对数据质量进行评估，并根据系统评价和范围综述的系统评价与Meta分析优先报告条目（PRISMA-ScR）报告结果。
经过摘要和全文筛选，发现有9篇文章符合纳入数据提取的条件。经过质量评估，一项研究得分为72.5%，一项研究得分为95%，其余7项研究得分为100%。评审员间的一致性为83.54%（kappa统计量=0.51，p<0.05）。文章中出现了三个主题：实施与移动设备相连的即时诊断的方法、用户在社区医疗环境中的参与度以及与移动设备相连的即时诊断中有限的用户体验。用户体验是与移动设备相连的即时诊断可持续实施的关键。用户体验已在小型社区医疗环境中得到评估。针对评估社区层面与移动设备相连的诊断的可用性的研究证据有限。
需要更多研究来评估在更大社区中与移动设备相连的诊断的用户体验。这项范围综述揭示了为改善与移动设备相连的诊断的用户体验需要解决的差距，包括语言障碍、隐私问题和明确的说明。
