@Article{info:doi/10.2196/17274,作者=“Brown, Alison和Barnes, Courtney和Byaruhanga, Judith和McLaughlin, Matthew和Hodder, Rebecca K和Booth, Debbie和Nathan, Nicole和Sutherland, Rachel和Wolfenden, Luke”,标题=“技术支持的知识翻译策略在提高公共卫生研究使用中的有效性:系统综述”,期刊=“J Med Internet Res”,年=“2020”,月=“Jul”,日=“31”,卷=“22”,号=“7”,页=“e17274”,关键词=“知识翻译”;背景:知识转化(KT)旨在促进在决策中使用研究证据。技术的变化为公共卫生决策者和从业人员在决策过程中改善证据的获取和使用提供了相当大的机会。尽管有这样的机会,但目前还没有评估数字技术KT在公共卫生领域的影响的审查。目的:本研究旨在检验数字TEKT策略在以下方面的有效性:(1)提高公共卫生政策制定者和从业者的循证决策能力;(2)改变公共卫生政策或实践;(3)改变个人或人群健康结果。方法:制定了一项搜索策略,以确定评估数字TEKT策略在公共卫生中的有效性的随机试验。任何采用随机试验设计的初步研究都是合格的。在多个电子书目数据库(医学文献分析与检索系统在线[MEDLINE]、医学文献摘录数据库[EMBASE]、PsycINFO、护理与相关健康文献累积索引[CINAHL]和Scopus)和纳入研究的参考文献列表中搜索符合条件的研究。手工检索《实施科学》和《医学互联网研究》两种期刊,并进行灰色文献检索。 Pairs of independent review authors screened studies, assessed the risk of bias, and extracted data from relevant studies. Results: Of the 6819 citations screened, 8 eligible randomized trials were included in the review. The studies examined the impact of digital TEKT strategies on health professionals, including nurses, child care health consultants, physiotherapists, primary health care workers, and public health practitioners. Overall, 5 of the interventions were web-training programs. The remaining 3 interventions included simulation games, access to digital resource materials and the use of tailored messaging, and a web-based registry. The findings suggest that digital TEKT interventions may be effective in improving the knowledge of public health professionals, relative to control, and may be as effective as a face-to-face KT approach. The effectiveness of digital TEKT strategies relative to a control or other digital KT interventions on measures of health professional self-efficacy to use evidence to enhance practice behavior or behavioral intention outcomes was mixed. The evidence regarding the effects on changes to health policy or practice following exposure to digital TEKT was mixed. No trials assessed the effects on individual or population-level health outcomes. Conclusions: This review is the first to synthesize the effectiveness of digital TEKT interventions in a public health setting. Despite its potential, relatively few trials have been undertaken to investigate the impacts of digital TEKT interventions. The findings suggest that although a digital TEKT intervention may improve knowledge, the effects of such interventions on other outcomes are equivocal. ", issn="1438-8871", doi="10.2196/17274", url="//www.mybigtv.com/2020/7/e17274/", url="https://doi.org/10.2196/17274", url="http://www.ncbi.nlm.nih.gov/pubmed/32735231" }
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