Background People who have migrated or with a language barrier may face significant hurdles in accessing health care. Some apps have been specifically developed to facilitate the dialogue between health care professionals and people who have migrated who have low-level language proficiency or to promote health among people who have migrated. Objective We conducted a systematic review to investigate development, acceptability, and effectiveness of these types of apps. Methods We conducted a search of PubMed, Scopus, and Embase databases. We included all study designs (qualitative, quantitative, mixed) reporting development, evaluation of efficacy, or acceptability of apps facilitating dialogue with a health professional or promoting health for people who have migrated, minorities, or tourists with a language barrier, using any outcome. Two researchers selected the studies independently. We collected general information about the app, information about health literacy and cultural adaptation, information about the development of the app, evidence on acceptability or efficacy, and information on app use. Data were collected by 2 researchers independently and results were reviewed to verify agreement and reported according to PRISMA (Preferred Reporting Items for Systematic Review and Meta-analysis). Results Positive results for translation apps included better communication, but with possible limitations, and reduced consultation time. Positive results for health promotion apps included improved quality of life and better management of chronic illnesses. Conclusions Overall, the apps had good levels of acceptability, though only half had their efficacy evaluated. In those evaluations, the endpoints were mostly related to reported behavior change and knowledge improvement, which is common for evaluations of health promotion programs. In the future, as more health apps are created, it is essential that apps that claim to have a public health objective undergo a rigorous evaluation of their acceptability, efficacy, and actual use. Indicators of outcomes beyond changes in behavior and knowledge should be reported; change in health status or access to care should also be reported. This systematic review has helped us note the characteristics associated with improved acceptability and efficacy, which can be helpful for the development of future apps.
Titre : Application électronique d'aide au dépistage chez les personnes migrantes (ApiDé) PARTIE I : Evaluation Scientifique Le projet relève-t-il des missions scientifiques de l'ANRS ? oui Qualité du projet (scientifique et technique) Pertinence pour la recherche sur l'infection à VIH, les hépatites virales et/ou co-infections Excellent Progrès par rapport à l'état actuel des connaissances Bon Définition des hypothèses et des objectifs Bon Pertinence de l'approche méthodologique, statistique et/ou technologique Excellent Impact potentiel du projet Bon Faisabilité du projet La durée du projet est-elle raisonnable pour sa réalisation ? Bon Environnement scientifique et ressources du laboratoire (collaboration, missions/déplcaements, conditions de sécurité) Bon PARTIE II : Adéquation budget / projet Coûts Fonctionnement Raisonnable Equipement (< 16 000 euros HT) Raisonnable Personnel Raisonnable Participation demandée à l'ANRS Raisonnable Coût total estimé du projet Raisonnable PARTIE III : Dimension éthiqueLes problèmes éthiques ont-ils été pris en considération (homme, animal) ? OuiSi le projet relève de la règlementation applicable à la recherche sur la personne, les demandes nécessaires ont-elles été prises en considération? Oui
Objective Documenting the perceptions and experiences of frontline healthcare workers during a sanitary crisis is key to reinforce healthcare systems. We identify the determinants of quality of working life (QWL) among night-shift healthcare workers (NSHW) in Paris public hospitals shortly after the first-wave of the COVID-19 pandemic. Methods The ALADDIN cross-sectional online survey (15 June to 15 September 2020) collected QWL, socio-economic, behavioral, and work-related information among 1,387 NSHW in the 39 hospitals of the Assistance Publique—Hôpitaux de Paris (AP-HP). Data were weighted (margin calibration) to be representative of the entire population of 12,000 AP-HP hospitals’ NSHW regarding sex, age, and professional category. Linear regression was used to identify correlates of QWL (WRQoL scale). Results New night position during the COVID pandemic, difficulties in getting screened for COVID, and considering protective measures inadequate were associated with poorer QWL, after adjustment for socio-economic characteristics, professional category, perceived health, physical activity, and history of harassment at work. Under-estimation of night-shift work by day-shift colleagues, reporting night work as a source of tension with friends, or feeling more irritable since working at night also impaired QWL. By contrast, satisfaction regarding COVID information received from the employer, and feeling valued by the general population during the pandemic improved QWL. Conclusions Insufficient access to screening, information, and protective measures impaired QWL of NSHW after the first wave of COVID-19 in Paris public hospitals. Social and professional recognition of night-shift work were the key determinants of QWL in this population.
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