Anil Krithika, Bird Adam, Bridgman Kate, Erickson Shane, Freeman Jenny, McKinstry Carol, Robinson Christie, Abey Sally
School of Health Professions, University of Plymouth, United Kingdom.
School of Allied Health, Human Services and Sport, La Trobe University, Victoria, Australia.
Telemed Rep. 2025 Mar 19;6(1):76-90. doi: 10.1089/tmr.2024.0083. eCollection 2025.
With the growing adoption of telehealth in allied health disciplines, establishing clear training and education standards is crucial. This review aims to map the current training and education that has been delivered to support development of telehealth competencies in allied health professionals. This scoping review extends our previous review with an updated search.
The Population Concept Context framework was used, and the following databases were searched: MEDLINE, CINAHL, PsychInfo, Cochrane, EMBASE, Web of Science, PEDro, United Kingdom Health Forum, WHO, Health Education England, and all U.K. and Australian Allied Health Profession (AHP) professional bodies.
Out of 1,05,980 articles, 12 met the inclusion criteria. Training and education differed greatly, with no definite pattern in teaching approaches. Three articles used standardized questionnaires for training and education assessment, while the remaining articles used author-designed assessments. Eight articles reported that participants achieved the targeted telehealth competencies, and five reported improved attitudes toward telehealth following training and education. Articles recommended various factors that may improve telehealth training and education outcomes, which included a combination of online and face-to-face methods, interprofessional training, consolidation of their skills through supervised clinical work, and separating video and telehealth competencies.
This scoping review represents the first comprehensive exploration of telehealth training and education across allied health disciplines. While articles yielded generally positive outcomes, the absence of standardized methods prompts questions about its efficacy. Research should focus on developing evidence-based curriculums informed by pedagogic practices tailored to allied health needs.
随着远程医疗在联合健康学科中的应用日益广泛,制定明确的培训和教育标准至关重要。本综述旨在梳理目前为支持联合健康专业人员发展远程医疗能力而提供的培训和教育情况。这项范围综述通过更新检索扩展了我们之前的综述。
采用人群、概念、背景框架,并检索了以下数据库:医学索引数据库(MEDLINE)、护理学与健康领域数据库(CINAHL)、心理学文摘数据库(PsychInfo)、考科蓝图书馆(Cochrane)、荷兰医学文摘数据库(EMBASE)、科学引文索引数据库(Web of Science)、循证医学数据库(PEDro)、英国健康论坛、世界卫生组织、英格兰健康教育署以及所有英国和澳大利亚联合健康专业(AHP)专业团体。
在105980篇文章中,有12篇符合纳入标准。培训和教育差异很大,教学方法没有明确模式。三篇文章使用标准化问卷进行培训和教育评估,其余文章使用作者自行设计的评估方法。八篇文章报告参与者达到了目标远程医疗能力,五篇报告培训和教育后对远程医疗的态度有所改善。文章推荐了各种可能改善远程医疗培训和教育效果的因素,包括线上和面对面方法相结合、跨专业培训、通过监督临床工作巩固技能,以及区分视频和远程医疗能力。
这项范围综述是对联合健康学科中远程医疗培训和教育的首次全面探索。虽然文章总体上取得了积极成果,但缺乏标准化方法引发了对其有效性的质疑。研究应专注于根据联合健康需求定制的教学实践,制定基于证据的课程。