Behavior change techniques to promote healthcare professionals’ eHealth competency: A systematic review of interventions

Virtanen, Lotta; Kaihlanen, Anu‐Marja; Laukka, Elina; Gluschkoff, Kia; Heponiemi, Tarja

doi:10.1016/j.ijmedinf.2021.104432

Cited by 28 publications

(28 citation statements)

References 54 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Many studies [ 53 , 54 ] have already explored the adherence of particular subsets of health care workers to specific COVID-19 transmission-reducing behaviors. Recently, a web-based survey carried out in Saudi Arabia showed that respiratory therapists were more likely to adhere to infection prevention and control guidelines at home than at work [ 53 ].…”

Section: Discussionmentioning

confidence: 99%

“…Thus, behavioral change should be promoted not only in the professional setting but also in the private sphere, and motivation appears to be a key factor to promote such change. Strengthening this message even further, a systematic review [ 54 ] assessed the impact of interventions aimed at promoting eHealth capability or motivation among health care professionals, reported that most interventions aimed to promote capability rather than increasing motivation, and concluded that evidence-based developments should be carried out to enhance this last factor. Escape COVID-19, which was generated by virtue of a theory-driven process, seems to provide adequate messages, if our results are to be trusted.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Nationwide Deployment of a Serious Game Designed to Improve COVID-19 Infection Prevention Practices in Switzerland: Prospective Web-Based Study

Suppan¹,

Stuby²,

Harbarth³

et al. 2021

JMIR Serious Games

View full text Add to dashboard Cite

Background Lassitude and a rather high degree of mistrust toward the authorities can make regular or overly constraining COVID-19 infection prevention and control campaigns inefficient and even counterproductive. Serious games provide an original, engaging, and potentially effective way of disseminating COVID-19 infection prevention and control guidelines. Escape COVID-19 is a serious game for teaching COVID-19 infection prevention and control practices that has previously been validated in a population of nursing home personnel. Objective We aimed to identify factors learned from playing the serious game Escape COVID-19 that facilitate or impede intentions of changing infection prevention and control behavior in a large and heterogeneous Swiss population. Methods This fully automated, prospective web-based study, compliant with the Checklist for Reporting Results of Internet E-Surveys (CHERRIES), was conducted in all 3 main language regions of Switzerland. After creating an account on the platform, participants were asked to complete a short demographic questionnaire before accessing the serious game. The only incentive given to the potential participants was a course completion certificate, which participants obtained after completing the postgame questionnaire. The primary outcome was the proportion of participants who reported that they were willing to change their infection prevention and control behavior. Secondary outcomes were the infection prevention and control areas affected by this willingness and the presumed evolution in the use of specific personal protective equipment items. The elements associated with intention to change infection prevention and control behavior, or lack thereof, were also assessed. Other secondary outcomes were the subjective perceptions regarding length, difficulty, meaningfulness, and usefulness of the serious game; impression of engagement and boredom while playing the serious game; and willingness to recommend its use to friends or colleagues. Results From March 9 to June 9, 2021, a total of 3227 accounts were created on the platform, and 1104 participants (34.2%) completed the postgame questionnaire. Of the 1104 respondents, 509 respondents (46.1%) answered that they intended to change their infection prevention and control behavior after playing the game. Among the respondents who answered that they did not intend to change their behavior, 86.1% (512/595) answered that they already apply these guidelines. Participants who followed the German version were less likely to intend to change their infection prevention and control behavior (odds ratio [OR] 0.48, 95% CI 0.24-0.96; P=.04) and found the game less engaging (P<.001). Conversely, participants aged 53 years or older had stronger intentions of changing infection prevention and control behavior (OR 2.07, 95% CI 1.44-2.97; P<.001). Conclusions Escape COVID-19 is a useful tool to enhance correct infection prevention and control measures on a national scale, even after 2 COVID-19 pandemic waves; however, the serious game's impact was affected by language, age category, and previous educational training, and the game should be adapted to enhance its impact on specific populations.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Nationwide Deployment of a Serious Game Designed to Improve COVID-19 Infection Prevention Practices in Switzerland: Prospective Web-Based Study

Suppan¹,

Stuby²,

Harbarth³

et al. 2021

JMIR Serious Games

View full text Add to dashboard Cite

show abstract

“…Moreover, health professionals must adapt their communication style, depending on whether they communicate face to face or via telemedicine [ 28 ]. Therefore, behavioral determinants are crucial for enhancing digital competence in addition to knowledge and skills [ 29 ].…”

Section: Introductionmentioning

confidence: 99%

Technostress and Digital Competence Among Health Professionals in Swiss Psychiatric Hospitals: Cross-sectional Study

Golz¹,

Peter²,

Müller³

et al. 2021

JMIR Ment Health

View full text Add to dashboard Cite

Background Psychiatric hospitals are becoming increasingly digitized because of the disruptive rise in technical possibilities. This digitization leads to new tasks and demands for health professionals, which can have an impact on technostress. It is unclear whether digital competence reduces technostress and how technostress affects health professionals’ mental and physical health. Objective This study aims to assess the association between digital competence and technostress, considering individual characteristics and the association between technostress and long-term consequences for health professionals. Methods Cross-sectional data from 3 Swiss psychiatric hospitals were analyzed using multiple linear regression. The dependent variables for the models were digital competence, technostress, and long-term consequences (intention to leave the organization or the profession, burnout symptoms, job satisfaction, general health status, quality of sleep, headaches, and work ability). One model was calculated for each long-term consequence. The mean scores for technostress and digital competence could range between 0 (fully disagree) and 4 (fully agree), where a high value for technostress indicated high technostress and a high value for digital competence indicated high digital competence. Results The sample comprised 493 health professionals in psychiatric hospitals. They rated their technostress as moderate (mean 1.30, SD 0.55) and their digital competence as high (mean 2.89, SD 0.73). Digital competence was found to be significantly associated with technostress (β=−.20; P<.001). Among the individual characteristics, age (β=.004; P=.03) and profession were significantly associated with both digital competence and technostress. Technostress is a relevant predictor of burnout symptoms (β=10.32; P<.001), job satisfaction (β=−6.08; P<.001), intention to leave the profession (β=4.53; P=.002), organization (β=7.68; P<.001), general health status (β=−4.47; P<.001), quality of sleep (β=−5.87; P<.001), headaches (β=6.58; P<.001), and work ability (β=−1.40; P<.001). Conclusions Physicians and nurses who have more interaction with digital technologies rate their technostress higher and their digital competence lower than those in other professions. Health professionals with low interaction with digital technologies appear to overestimate their digital competence. With increasing digitization in psychiatric hospitals, an increase in the relevance of this topic is expected. Educational organizations and psychiatric hospitals should proactively promote the digital competence of health professionals to manage expected disruptive changes.

show abstract

“…Health care professionals' digital health competence has been suggested to consist of domains related to knowledge of digital technology, the digital skills necessary to provide high-quality care (basic information technology literacy), social and communication skills (health information management and digital communication), ethical considerations (ethics, legal and regulations), and data privacy and security [10,11]. Furthermore, HCPs must be motivated and willing to use digital health services and participate in the digital society [10,12,13]. Previous research has identified that HCPs in the Nordic countries possess sufficient or good digital skills and are regular users of digital health at work [9,14,15] but globally, health care professionals suffer from digital skill shortages [13,16,17].…”

Section: Introductionmentioning

confidence: 99%

Aspects associated with health care professionals’ digital health competence development – a qualitative study

et al. 2022

View full text Add to dashboard Cite

Health care professionals need continuous education to maintain the competencies required to provide high-quality care; in today’s world, this means an understanding of digital health services. Insight into health care professionals’ experiences of which aspects influence their digital health competence development is therefore highly relevant. The objective of the study was to examine which aspects influence the digital health competence development of health care professionals (nursing workforce and allied health professionals). In-depth, semi-structured interviews were conducted with 20 health care professionals (Finland n=15, Sweden n=5) from various health care settings between May 2019 and July 2020. Interviews were audio-recorded, translated verbatim and analysed with inductive content analysis. Health care professionals perceive that digital health competence development is influenced by aspects related to digital health adoption, co-workers and the work community, their manager, and opportunities for continuous education and orientation. The participants agreed that digital health competence is an important part of a health care professional’s overall clinical competence. Continuous education geared towards digital health competence should be systematically designed, and potentially integrate the resources available on social media platforms. Additionally, managers and supervisors should take a stronger stance towards learning about digital health services so they can serve as role models to their employees and genuinely promote digital health competence development.

show abstract

Behavior change techniques to promote healthcare professionals’ eHealth competency: A systematic review of interventions

Cited by 28 publications

References 54 publications

Nationwide Deployment of a Serious Game Designed to Improve COVID-19 Infection Prevention Practices in Switzerland: Prospective Web-Based Study

Nationwide Deployment of a Serious Game Designed to Improve COVID-19 Infection Prevention Practices in Switzerland: Prospective Web-Based Study

Technostress and Digital Competence Among Health Professionals in Swiss Psychiatric Hospitals: Cross-sectional Study

Aspects associated with health care professionals’ digital health competence development – a qualitative study

Contact Info

Product

Resources

About