Improving the credibility of electronic health technologies

Gemert-Pijnen, Julia E.W.C. van; Wynchank, S.; Covvey, H. Dominic; Ossebaard, Hans Cornelis

doi:10.2471/blt.11.099804

Cited by 35 publications

(20 citation statements)

References 8 publications

(7 reference statements)

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“…As suggested by van Gemert-Pijnen et al, “Now it is time to recapitulate the lessons learnt. We need a holistic approach to e-health development that is evidence-based and people-centred, that takes into account how people live within their own environments and that focuses on responding to stakeholders’ needs and improving care” [55]. With sensitivity and research rigor, Web-based interventions have the potential to provide women a confidential, culturally appropriate, nonjudgmental resource to support their pursuit of safety and well-being.…”

Section: Discussionmentioning

confidence: 99%

Participant Recruitment and Engagement in Automated eHealth Trial Registration: Challenges and Opportunities for Recruiting Women Who Experience Violence

Koziol‐McLain¹,

McLean²,

Rohan³

et al. 2016

J Med Internet Res

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BackgroundAutomated eHealth Web-based research trials offer people an accessible, confidential opportunity to engage in research that matters to them. eHealth trials may be particularly useful for sensitive issues when seeking health care may be accompanied by shame and mistrust. Yet little is known about people’s early engagement with eHealth trials, from recruitment to preintervention autoregistration processes. A recent randomized controlled trial that tested the effectiveness of an eHealth safety decision aid for New Zealand women in the general population who experienced intimate partner violence (isafe) provided the opportunity to examine recruitment and preintervention participant engagement with a fully automated Web-based registration process. The trial aimed to recruit 340 women within 24 months.ObjectiveThe objective of our study was to examine participant preintervention engagement and recruitment efficiency for the isafe trial, and to analyze dropout through the registration pathway, from recruitment to eligibility screening and consent, to completion of baseline measures.MethodsIn this case study, data collection sources included the trial recruitment log, Google Analytics reports, registration and program metadata, and costs. Analysis included a qualitative narrative of the recruitment experience and descriptive statistics of preintervention participant engagement and dropout rates. A Koyck model investigated the relationship between Web-based online marketing website advertisements (ads) and participant accrual.ResultsThe isafe trial was launched on September 17, 2012. Placement of ads in an online classified advertising platform increased the average number of recruited participants per month from 2 to 25. Over the 23-month recruitment period, the registration website recorded 4176 unique visitors. Among 1003 women meeting eligibility criteria, 51.55% (517) consented to participate; among the 501 women who enrolled (consented, validated, and randomized), 412 (82.2%) were accrued (completed baseline assessments). The majority (n=52, 58%) of the 89 women who dropped out between enrollment and accrual never logged in to the allocated isafe website. Of every 4 accrued women, 3 (314/412, 76.2%) identified the classified ad as their referral source, followed by friends and family (52/412, 12.6%). Women recruited through a friend or relative were more likely to self-identify as indigenous Māori and live in the highest-deprivation areas. Ads increased the accrual rate by a factor of 74 (95% CI 49–112).ConclusionsPrint advertisements, website links, and networking were costly and inefficient methods for recruiting participants to a Web-based eHealth trial. Researchers are advised to limit their recruitment efforts to Web-based online marketplace and classified advertising platforms, as in the isafe case, or to social media. Online classified advertising in “Jobs–Other–volunteers” successfully recruited a diverse sample of women experiencing intimate partner violence. Preintervention recruitment data provi...

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Section: Discussionmentioning

confidence: 99%

Participant Recruitment and Engagement in Automated eHealth Trial Registration: Challenges and Opportunities for Recruiting Women Who Experience Violence

Koziol‐McLain¹,

McLean²,

Rohan³

et al. 2016

J Med Internet Res

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“…e-Health (the application of information, computer or communication technology to some aspects of health or health care) is viewed as essential for solving problems facing healthcare systems of increasing demand, due to an ageing population and improved treatments, and limited resources [3]. However, although there is widespread agreement about the importance and potential benefits of e-health, realisation of these benefits has often been slower than anticipated, often because of difficulties with implementation [4].…”

Section: Introductionmentioning

confidence: 99%

Factors that influence the implementation of e-health: a systematic review of systematic reviews (an update)

et al. 2016

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BackgroundThere is a significant potential for e-health to deliver cost-effective, quality health care, and spending on e-health systems by governments and healthcare systems is increasing worldwide. However, there remains a tension between the use of e-health in this way and implementation. Furthermore, the large body of reviews in the e-health implementation field, often based on one particular technology, setting or health condition make it difficult to access a comprehensive and comprehensible summary of available evidence to help plan and undertake implementation. This review provides an update and re-analysis of a systematic review of the e-health implementation literature culminating in a set of accessible and usable recommendations for anyone involved or interested in the implementation of e-health.MethodsMEDLINE, EMBASE, CINAHL, PsycINFO and The Cochrane Library were searched for studies published between 2009 and 2014. Studies were included if they were systematic reviews of the implementation of e-health. Data from included studies were synthesised using the principles of meta-ethnography, and categorisation of the data was informed by the Consolidated Framework for Implementation Research (CFIR).ResultsForty-four reviews mainly from North America and Europe were included. A range of e-health technologies including electronic medical records and clinical decision support systems were represented. Healthcare settings included primary care, secondary care and home care. Factors important for implementation were identified at the levels of the following: the individual e-health technology, the outer setting, the inner setting and the individual health professionals as well as the process of implementation.ConclusionThis systematic review of reviews provides a synthesis of the literature that both acknowledges the multi-level complexity of e-health implementation and provides an accessible and useful guide for those planning implementation. New interpretations of a large amount of data across e-health systems and healthcare settings have been generated and synthesised into a set of useable recommendations for practice. This review provides a further empirical test of the CFIR and identifies areas where additional research is necessary.Trial registrationPROSPERO, CRD42015017661 Electronic supplementary materialThe online version of this article (doi:10.1186/s13012-016-0510-7) contains supplementary material, which is available to authorized users.

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“…In the healthcare profession, commonly used modes of health worker training include pre-service training and continuing training [32], which Asamoah-Odei, et al [6] further suggest for the systematic education for health workers in Digital Health. Pre-service training is the formal training provided by the health institution.…”

Section: Types Of Training In the Healthcare Professionmentioning

confidence: 99%

Towards a Digital Health Curriculum for Health Workforce for the African Region

Munene

Alunyu

Nabukenya

2019

Preprint

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Background Digital technologies are fast gaining space in health. A skilled workforce is required to use existing and emerging technologies that support healthcare. However, existing medical informatics curriculum from the USA, UK, and African regions reveal gaps in the required competencies for a digital health worker, especially for the African region. Therefore, the aim of this study was to identify the need for and suggest a structure of the digital health curriculum for the African region. Methods The study retrieved articles published in English between 2000 and march of 2019 from PubMed Central, Google Scholar, and Biomedical Central. Only 39 that addressed any form of pre-service and or in-service training of the digital health workers were included in the review. In addition, 8 national ehealth strategies and 13 medical informatics curricula from the USA, UK, and African regions were reviewed to determine the gaps and suggest a structure of the Digital Health curriculum suitable for the African region. Results Many countries in the African region have developed ehealth strategies that clearly highlight the need to train the DH workforce. Results showed knowledge gaps of a communicator, a collaborator, a professional technologist, an advocate, and a manager required of digital health workers in the African region. However, existing digital/health informatics programmes in the region lack balanced course programmes to develop these core competencies. Besides, the corresponding online training is modeled after the traditional face-to-face training, thus limiting the opportunity for in-service health workers. Validation of the Lesotho curriculum confirmed only 10 modules are suitable to develop a rounded digital health worker (particularly health leaders) for the African region. Conclusions Since it is important to develop the competencies consistent with the local health systems to realize the full benefits of ehealth technologies, the African region needs to bridge their human resource gaps. Thus, African countries need to first develop or adopt a digital health worker competency framework and then re-organize their national health training curriculum to ensure a standardized/universal ehealth curriculum for training the digital health workforce. Future works will assess the DH worker competencies and expected outcomes for the African region.

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Improving the credibility of electronic health technologies

Cited by 35 publications

References 8 publications

Participant Recruitment and Engagement in Automated eHealth Trial Registration: Challenges and Opportunities for Recruiting Women Who Experience Violence

Participant Recruitment and Engagement in Automated eHealth Trial Registration: Challenges and Opportunities for Recruiting Women Who Experience Violence

Factors that influence the implementation of e-health: a systematic review of systematic reviews (an update)

Towards a Digital Health Curriculum for Health Workforce for the African Region

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