Using WhatsApp messenger for health systems research: a scoping review of available literature.

Using WhatsApp messenger for health systems research: a scoping review of available literature.
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DOI:
10.1093/heapol/czab024
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发表时间:
2021-06-01
影响因子:
3.2
通讯作者:
de Gruchy T
de Gruchy T
中科院分区:
医学3区
文献类型:
--
作者:
Manji K;Hanefeld J;Vearey J;Walls H;de Gruchy T

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在全球范围内,近年来,随着拥有率的提高,特别是在低收入和中等收入国家,使用移动电话改善获得医疗保健和进行健康研究的势头有所增强。例如,包括WhatsApp Messenger在内的移动即时消息应用程序为跨越时间和地点的健康研究提供了新的、负担得起的机会,潜在地解决了与移民和流动人口保持联系和参与研究的挑战。然而,人们对使用WhatsApp作为健康研究工具的机遇和挑战知之甚少。为了给我们的研究提供信息,我们对使用WhatsApp作为数据收集工具的已发表的健康研究进行了范围审查。关注WhatsApp的一个关键原因是,当参与者跨越国际边界时,能够与他们保持联系。在五个关键的公共卫生数据库中搜索标题和摘要中包含单词WhatsApp和Health Research的文章。我们确定了69篇文章,其中16篇符合我们的纳入标准进行审查。我们提取了与研究特点有关的数据。在这16项研究中-其中11项是基于LMIC-WhatsApp主要用于两种方式之一。在确定的8项定量研究中,有7项使用WhatsApp发送在线调查的超链接。除了一个例外,采用定性(n = 6)或混合方法(n = 2)设计的8项研究分析了通过基于WhatsApp的程序性干预生成的WhatsApp内容。我们发现,在整个研究过程中,缺乏对研究伦理的关注,这一点令人担忧,因为WhatsApp在与端到端加密相关的数据保护方面面临着争议。我们为考虑使用WhatsApp作为数据收集工具的研究人员提供建议,以解决这些问题。
Globally, the use of mobile phones for improving access to healthcare and conducting health research has gained traction in recent years as rates of ownership increase, particularly in low- and middle-income countries (LMICs). Mobile instant messaging applications, including WhatsApp Messenger, provide new and affordable opportunities for health research across time and place, potentially addressing the challenges of maintaining contact and participation involved in research with migrant and mobile populations, for example. However, little is known about the opportunities and challenges associated with the use of WhatsApp as a tool for health research. To inform our study, we conducted a scoping review of published health research that uses WhatsApp as a data collection tool. A key reason for focusing on WhatsApp is the ability to retain contact with participants when they cross international borders. Five key public health databases were searched for articles containing the words ‘WhatsApp’ and ‘health research’ in their titles and abstracts. We identified 69 articles, 16 of which met our inclusion criteria for review. We extracted data pertaining to the characteristics of the research. Across the 16 studies—11 of which were based in LMICs—WhatsApp was primarily used in one of two ways. In the eight quantitative studies identified, seven used WhatsApp to send hyperlinks to online surveys. With one exception, the eight studies that employed a qualitative (n = 6) or mixed-method (n = 2) design analysed the WhatsApp content generated through a WhatsApp-based programmatic intervention. We found a lack of attention paid to research ethics across the studies, which is concerning given the controversies WhatsApp has faced with regard to data protection in relation to end-to-end encryption. We provide recommendations to address these issues for researchers considering using WhatsApp as a data collection tool over time and place.
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