The effectiveness of M-health technologies for improving health and health services: a systematic review protocol.

The effectiveness of M-health technologies for improving health and health services: a systematic review protocol.
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DOI:
10.1186/1756-0500-3-250
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发表时间:
2010-10-06
期刊:
影响因子:
1.8
通讯作者:
Edwards P
Edwards P
中科院分区:
其他
文献类型:
--
作者:
Free C;Phillips G;Felix L;Galli L;Patel V;Edwards P

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移动计算和通信技术在医疗保健和公共卫生领域的应用正在迅速扩大。这项系统的审查将总结移动技术干预对改善世界各地的健康和健康服务成果(M-Health)的有效性的证据。要列入审查,干预措施必须旨在利用任何移动计算和通信技术改善或促进保健或保健服务的使用和质量。这包括:(1)旨在改进疾病诊断、调查、治疗、监测和管理的干预措施;(2)向患者提供治疗或疾病管理方案的干预措施;健康促进干预措施,以及旨在改善治疗依从性的干预措施;以及(3)改善保健流程的干预措施,例如预约就诊、结果通知、疫苗接种提醒。一个全面的电子搜索策略将被用来识别自1990年以来发表的受控研究,并被MEDLINE、EMBASE、JuncINFO、Global Health、Web of Science、Cochrane图书馆或英国NHS健康技术评估数据库索引。搜索策略将包括以下移动电子设备(MED)和一系列兼容媒体的术语(和同义词):移动电话;个人数字助理(PDA);手持计算机(例如平板电脑);PDA电话(例如黑莓、Palm Pilot);智能手机;企业数字助理;便携式媒体播放器(即MP3或MP4播放器);手持视频游戏机。将不包括关于健康或健康服务结果的术语,以确保确定移动技术在公共健康和健康服务中的所有应用。符合纳入标准的主要研究和综述文章的书目将被手动搜索,以确定进一步的合格研究。关于客观和自我报告的结果和研究质量的数据将由两名综述作者独立提取。在有足够数量的类似干预措施的情况下,我们将使用荟萃分析计算和报告汇集风险比率或标准化平均差异。这项系统审查将就移动计算和通信技术在保健和公共卫生中的使用提出建议,并将指导今后在这一领域制定干预措施和进行初步研究的工作。
The application of mobile computing and communication technology is rapidly expanding in the fields of health care and public health. This systematic review will summarise the evidence for the effectiveness of mobile technology interventions for improving health and health service outcomes (M-health) around the world. To be included in the review interventions must aim to improve or promote health or health service use and quality, employing any mobile computing and communication technology. This includes: (1) interventions designed to improve diagnosis, investigation, treatment, monitoring and management of disease; (2) interventions to deliver treatment or disease management programmes to patients, health promotion interventions, and interventions designed to improve treatment compliance; and (3) interventions to improve health care processes e.g. appointment attendance, result notification, vaccination reminders. A comprehensive, electronic search strategy will be used to identify controlled studies, published since 1990, and indexed in MEDLINE, EMBASE, PsycINFO, Global Health, Web of Science, the Cochrane Library, or the UK NHS Health Technology Assessment database. The search strategy will include terms (and synonyms) for the following mobile electronic devices (MEDs) and a range of compatible media: mobile phone; personal digital assistant (PDA); handheld computer (e.g. tablet PC); PDA phone (e.g. BlackBerry, Palm Pilot); Smartphone; enterprise digital assistant; portable media player (i.e. MP3 or MP4 player); handheld video game console. No terms for health or health service outcomes will be included, to ensure that all applications of mobile technology in public health and health services are identified. Bibliographies of primary studies and review articles meeting the inclusion criteria will be searched manually to identify further eligible studies. Data on objective and self-reported outcomes and study quality will be independently extracted by two review authors. Where there are sufficient numbers of similar interventions, we will calculate and report pooled risk ratios or standardised mean differences using meta-analysis. This systematic review will provide recommendations on the use of mobile computing and communication technology in health care and public health and will guide future work on intervention development and primary research in this field.