School of Medicine, University of Washington, Seattle, WA, United States.
Division of Pulmonary & Sleep Medicine, Seattle Children's Hospital, Seattle, WA, United States.
JMIR Res Protoc. 2024 Nov 7;13:e55160. doi: 10.2196/55160.
Public health interventions delivered by community health workers (CHWs) have been proven effective in improving health outcomes across multiple fields, particularly in populations that are underserved by traditional health care systems. To date, little research is available about how CHW-led interventions could be successfully delivered virtually, despite many other health care services being offered via telehealth.
This paper details a scoping review protocol that aims to assess the existing literature on CHW-led interventions using videoconferencing technology.
The scoping review protocol was developed using the Joanna Briggs Institute's guidelines on conduct of scoping reviews. Included papers will describe a direct intervention to manage disease or improve health, delivered by CHWs via videoconferencing. Multiple literature databases and gray literature will be searched. Abstracts and then full texts will be reviewed to determine inclusion by 2 independent reviewers; conflicts at each stage will be resolved by a third reviewer. A data extraction tool will be used by reviewers to independently chart data from included studies; results will be reviewed for accuracy by a second reviewer. Included papers will be analyzed to identify the breadth of the available evidence, including barriers, facilitators, effectiveness, and best practices described in the literature. Data will be summarized in a narrative review.
This study commenced in April 2022, and the study protocol was finalized in November 2022. A preliminary search of the published literature (excluding gray literature) in July 2024 revealed 276 reports after removal of duplicates. The formal literature search will commence in August 2024, with results available by December 2024. We intend to publish results in the academic literature as well as creating a report accessible to nonacademic and community audiences.
This review will illuminate the breadth of the evidence available on CHW videoconferencing interventions, with specific focus on strategies for implementation success and equity of access. and will be of great value to organizations that offer CHW services.
INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/55160.
社区卫生工作者（CHW）实施的公共卫生干预措施已被证明在改善多个领域的健康结果方面是有效的，特别是在传统医疗体系服务不足的人群中。迄今为止，尽管许多其他医疗服务都通过远程医疗提供，但关于 CHW 主导的干预措施如何能够成功地通过虚拟方式提供的研究很少。
本文详细介绍了一项范围综述方案，旨在评估使用视频会议技术的 CHW 主导干预措施的现有文献。
范围综述方案是根据乔安娜·布里格斯研究所关于进行范围综述的指南制定的。纳入的论文将描述通过视频会议由 CHW 提供的直接干预措施，以管理疾病或改善健康。将搜索多个文献数据库和灰色文献。由两名独立评审员审查摘要，然后审查全文以确定纳入；在每个阶段的冲突将由第三名评审员解决。评审员将使用数据提取工具独立从纳入研究中提取数据；第二评审员将审查结果的准确性。纳入的论文将进行分析，以确定现有证据的广度，包括文献中描述的障碍、促进因素、有效性和最佳实践。数据将以叙述性综述的形式进行总结。
本研究于 2022 年 4 月开始，研究方案于 2022 年 11 月定稿。2024 年 7 月对已发表文献（不包括灰色文献）进行初步搜索后，去除重复项后得到 276 份报告。正式文献检索将于 2024 年 8 月开始，结果将于 2024 年 12 月公布。我们打算在学术文献中发表结果，并制作一份可供非学术和社区受众使用的报告。
本综述将阐明关于 CHW 视频会议干预措施的现有证据的广度，重点关注实施成功和公平获取的策略，这将对提供 CHW 服务的组织具有重要价值。
国际注册报告识别码（IRRID）：DERR1-10.2196/55160。
