在资源有限的环境中加强移动健康干预措施的实施和整合:范围审查
Wilson Tumuhimbise1, Stefanie Theuring2, Fred Kaggwa1
1Faculty of Computing and Informatics, Mbarara University of Science and Technology, Mbarara Uganda.
Research square
|July 29, 2024
概括
移动健康 (mHealth) 干预措施通常由于实施缺陷而无法扩展. 这项研究开发了TRIMI框架,以指导低资源环境中的移动健康整合,解决改善健康结果的关键实施领域.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 数字健康数字健康
- 实施科学 实施科学
背景情况:
- 移动健康 (mHealth) 干预措施显示出希望,但在可扩展性方面存在困难.
- 现有的mHealth研究往往是小规模的,短期的,由捐助者资助的,限制了有效性证据.
- 在专门针对低资源环境中的移动健康实施和整合到常规护理的框架中存在差距.
研究的目的:
- 综合现有的干预实施和整合框架.
- 开发一个针对低资源环境中的移动健康干预措施的新型框架.
- 引导有效实施和将移动健康整合到日常医疗保健中.
主要方法:
- 进行了与临床干预实施和整合相关的理论,模型和框架的范围审查.
- 搜索了PubMed,谷歌学者和ScienceDirect数据库从2000年到2023年.
- 从经过审查的框架中集成构建,以开发新的实施框架.
主要成果:
- 确定了8个框架,包括102个实施领域;没有一个是特定于低资源环境中的mHealth.
- 提取了与培训,重组,激励,授权和整合干预相关的关键构造.
- 开发了培训,重组,激励,授权,整合 (TRIMI) 框架.
结论:
- 在低资源环境中,TRIMI框架提供了一个切实可行的解决方案,以克服移动健康实施和整合的挑战.
- 该框架解决了阻碍数字卫生干预措施扩大规模的严重缺陷.
- TRIMI提供了一种结构化的方法,以提高移动健康计划的有效性和可持续性.
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