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

Introduction: The use of eHealth is rapidly ->increasing; however, many healthcare professionals have insufficient eHealth competency. Consequently, interventions addressing eHealth competency might be useful in fostering the effective use of eHealth. Objective: Our systematic review aimed to identify and evaluate the behavior change techniques applied in interventions to promote healthcare professionals' eHealth competency. Methods: We conducted a systematic literature review following the Joanna Briggs Institute's Manual for Evidence Synthesis. Published quantitative studies were identified through screening PubMed, Embase, and CINAHL. Two reviewers independently performed full-text and quality assessment. Eligible interventions were targeted to any healthcare professional and aimed at promoting eHealth capability or motivation. We synthesized the interventions narratively using the Behavior Change Technique Taxonomy v1 and the COM-B model. Results: This review included 32 studies reporting 34 heterogeneous interventions that incorporated 29 different behavior change techniques. The interventions were most likely to improve the capability to use eHealth and less likely to enhance motivation toward using eHealth. The promising techniques to promote both capability and motivation were action planning and participatory approach. Information about colleagues' approval, emotional social support, monitoring emotions, restructuring or adding objects to the environment, and credible source are techniques worth further investigation. Conclusions: We found that interventions tended to focus on promoting capability, although motivation would be as crucial for competent eHealth performance. Our findings indicated that empathy, encouragement, and usercentered changes in the work environment could improve eHealth competency as a whole. Evidence-based techniques should be favored in the development of interventions, and further intervention research should focus on nurses and multifaceted competency required for using different eHealth systems and devices.Peer reviewe

TikTok is Not Your Doctor: Reprioritizing Consumer Protection in Pharmaceutical Advertisement Regulation

This Note will examine DTCA in the context of DTC telemedicine companies, with a focus on the proliferation of such advertisements on social media platforms. Part I discusses the intertwining forces that have led to the prevalence of DTC telehealth advertising on social media. Part II introduces the current regulatory scheme applicable to DTCA, and explains the First Amendment protections afforded to commercial speakers. Part III explores why DTC telemedicine companies are not subject to the regulations applicable to DTCA generally, as well as the implications stemming from the current lack of oversight. Finally, Part IV proposes a solution to address the current regulatory asymmetry while preserving the constitutional rights of advertisers

Conceptual framework for telehealth adoption in Indian healthcare

India is a developing country with a large landmass and a huge socio-culturally, economically and, ethnically diverse population. The healthcare system for such a diverse and complex country could entail challenges and difficulties in execution and outreach. Here, the emerging area of Telehealth could afford a place for itself in providing healthcare and health education to a large section of people residing in areas where there is acute shortage of healthcare professionals. Almost, seventy per cent of the population in India are rural. The infrastructure in India, similar to other developing countries, is erratic and differs throughout the country. Similarly, the ICT infrastructure is developed in the urban areas whereas there are insufficient ICT facilities in the rural areas. As telehealth depends on the utilisation of ICT infrastructure it is essential to conduct a study to find out the determinants of ICT adoption in the Indian telehealth environment. Moreover, as evident from relevant literature, telehealth is in a nascent stage in India, with most of the projects currently in a pilot study level. As such, it would be practical to conduct the study from an organisational point of view because the organisational adoption of ICT will eventually foster the implementation of telehealth in the domain of Indian healthcare. The study focuses on developing a conceptual framework of ICT adoption in the Indian telehealth environment, as limited research has been conducted in this area. The study highlighted the drivers and barriers of telehealth around the world, reviewed the relevant models of ICT adoption and generated themes to develop the conceptual framework. Empirical testing of the conceptual framework may have the potential to establish and confirm the determinants of ICT adoption in the Indian telehealth environment. The conceptual framework may be utilised for governmental and non-governmental policy level decision making

Supporting Self-Management of Cardiovascular Diseases Through Remote Monitoring Technologies:Metaethnography Review of Frameworks, Models, and Theories Used in Research and Development

Background: Electronic health (eHealth) is a rapidly evolving field informed by multiple scientific disciplines. Because of this, the use of different terms and concepts to explain the same phenomena and lack of standardization in reporting interventions often leaves a gap that hinders knowledge accumulation. Interventions focused on self-management support of cardiovascular diseases through the use of remote monitoring technologies are a cross-disciplinary area potentially affected by this gap. A review of the underlying frameworks, models, and theories that have informed projects at this crossroad could advance future research and development efforts. Objective: This research aimed to identify and compare underlying approaches that have informed interventions focused on self-management support of cardiovascular diseases through the use of remote monitoring technologies. The objective was to achieve an understanding of the distinct approaches by highlighting common or conflicting principles, guidelines, and methods. Methods: The metaethnography approach was used to review and synthesize researchers' reports on how they applied frameworks, models, and theories in their projects. Literature was systematically searched in 7 databases: Scopus, Web of Science, EMBASE, CINAHL, PsycINFO, Association for Computing Machinery Digital Library, and Cochrane Library. Included studies were thoroughly read and coded to extract data for the synthesis. Studies were mainly related by the key ingredients of the underlying approaches they applied. The key ingredients were finally translated across studies and synthesized into thematic clusters. Results: Of 1224 initial results, 17 articles were included. The articles described research and development of 10 different projects. Frameworks, models, and theories (n=43) applied by the projects were identified. Key ingredients (n=293) of the included articles were mapped to the following themes of eHealth development: (1) it is a participatory process; (2) it creates new infrastructures for improving health care, health, and well-being; (3) it is intertwined with implementation; (4) it integrates theory, evidence, and participatory approaches for persuasive design; (5) it requires continuous evaluation cycles; (6) it targets behavior change; (7) it targets technology adoption; and (8) it targets health-related outcomes. Conclusions: The findings of this review support and exemplify the numerous possibilities in the use of frameworks, models, and theories to guide research and development of eHealth. Participatory, user-centered design, and integration with empirical evidence and theoretical modeling were widely identified principles in the literature. On the contrary, less attention has been given to the integration of implementation in the development process and supporting novel eHealth-based health care infrastructures. To better integrate theory and evidence, holistic approaches can combine patient-centered studies with consolidated knowledge from expert-based approaches

MountainRise, Volume 2, Number 2

Volume 2, Number 2 (2005). MountainRise, an open, peer-reviewed, international electronic journal, was published by the Coulter Faculty Commons for Excellence in Teaching & Learning at Western Carolina University. Originating in the ancient mountains of western North Carolina, MountainRise served as an international vehicle for the Scholarship of Teaching & Learning (SoTL). MountainRise applied insightful scholarly methodologies to the processes of teaching and learning. The aim of the journal was to foster a higher education culture that embraced innovation in teaching and learning

Persuasive Health:Back to the Future

With individual behaviour and lifestyle determining 30-50% of people’s health, research and supportive technology for affecting behaviour alteration remain urgently needed. Most existing persuasive systems are designed to persuade a user to change a finite set of behaviours to achieve a specific goal. However, if the user’s situation or goal changes, such systems cannot adapt to the changes. A much more robust type of persuasive systems is needed today to enable adequate health navigation and to empower people to face and change their own realities in terms of a large variety of health behaviours and lifestyles. In this paper, we provide a perspective on the impressive body of work contributed over the past 15 years, to better look into the future of persuasive health and to the opportunities a broader theoretical framework and practical methodologies may bring about. We present a taxonomy that attempts to explain the contributions in this field including health behaviour theory, cybernetic action behaviour models, social cognitive theory, and control theory. We identify potentially promising approaches to advance persuasive health’s efficacy in empowering individuals to improve their own health outcomes

Design for Multi-Dimensional Stages of Lymphoedema Self-Management

This study investigates the experience of people with the chronic medical condition lymphoedema, to inform the design of new products. Articles from literature that describe lived lymphoedema experiences are thematically synthesised from a behavioural lens. People with lymphoedema go through stages toward achieving levels of expertise, motivation and routine, to maintain effective self-management in the long-term. A preliminary framework is proposed that presents four themes (competence, autonomy, daily routine and socio-psychological) and their stages. The purpose of the framework is to assist designers in understanding how people with lymphoedema experience self-management. Focusing on facilitating a transition through these multi-dimensional stages is suggested as a means to aid the design of supportive health products. Related design implementations are discussed through product examples. This framework is developed as part of a wider research project, where the following stages will be concerned with refinement of the framework through primary research with people with lymphoedema and their healthcare providers