影响土著人口采用mHealth的因素:定性系统性审查
Andrew Goodman1,2, Ray Mahoney3, Geoffrey Spurling4
1School of Public Health, The University of Queensland, Turrbal, Jagera Country, Herston, Australia.
JMIR mHealth and uHealth
|June 23, 2023
概括
移动健康 (mHealth) 对土著人口来说是有前途的,当它在文化上相关且可访问时. 成功的关键因素包括数字素养,安全性和融入现有医疗保健工作流程.
科学领域:
- 数字健康数字健康
- 土著健康土著健康
- 人口卫生系统 人口卫生系统
背景情况:
- 移动健康 (mHealth) 为人口健康利用移动设备的广泛采用.
- 证据支持土著人口中mHealth的可行性和接受性.
- 在土著社区中综合关于mHealth的定性发现,揭示了优势和挑战.
研究的目的:
- 综合关于mHealth体验和感知的定性数据.
- 在特定的殖民殖民者民主国家,专注于最终用户 (患者和服务提供者).
- 在土著背景下确定影响移动健康采用和有效性的因素.
主要方法:
- 在2021年5月的五个主要数据库 (PubMed,CINAHL,Embase,PsycINFO,Web of Science) 进行系统的文献搜索.
- 包括定性或混合方法研究,重点关注土著人口的移动健康干预措施.
- 用于定性数据分析的元聚合方法,具有独立的选和偏差评估.
主要成果:
- 17篇论文符合资格标准,包括与患者,服务提供者或两者的研究.
- 研究集中在澳大利亚,加拿大,新西兰,美国,巴布亚新几内亚和萨摩亚.
- 六个主要主题出现了:mHealth素养,连接/支持,文化相关性,安全/保密性,对提供者的支持和组织能力.
结论:
- 移动健康可以有效地为土著患者和提供者提供服务,如果文化定制,数字识字,互动和安全.
- 成功的移动健康整合需要在工作场所得到支持,并与医疗保健工作流程保持一致.
- 未来的研究应该优先考虑与土著社区代表的协作设计.
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