PDF(Pubmed)
Abstract：
BACKGROUND: The use of telehealth has rapidly increased, yet some populations may be disproportionally excluded from accessing and using this modality of care. Training service users in telehealth may increase accessibility for certain groups. The extent and nature of these training activities have not been explored.
OBJECTIVE: The objective of this scoping review is to identify and describe activities for training service users in the use of telehealth.
METHODS: Five databases (MEDLINE [via PubMed], Embase, CINAHL, PsycINFO, and Web of Science) were searched in June 2023. Studies that described activities to train service users in the use of synchronous telehealth consultations were eligible for inclusion. Studies that focused on health care professional education were excluded. Papers were limited to those published in the English language. The review followed the Joanna Briggs Institute guidelines for scoping reviews and was reported in line with the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews) guidelines. Titles and abstracts were screened by 1 reviewer (EG). Full texts were screened by 2 reviewers (EG and JH or SC). Data extraction was guided by the research question.
RESULTS: The search identified 8087 unique publications. In total, 13 studies met the inclusion criteria. Telehealth training was commonly described as once-off preparatory phone calls to service users before a telehealth visit, facilitated primarily by student volunteers, and accompanied by written instructions. The training content included guidance on how to download and install software, troubleshoot technical issues, and adjust device settings. Older adults were the most common target population for the training. All but 1 of the studies were conducted during the COVID-19 pandemic. Overall, training was feasible and well-received by service users, and studies mostly reported increased rates of video visits following training. There was limited and mixed evidence that training improved participants\' competency with telehealth.
CONCLUSIONS: The review mapped the literature on training activities for service users in telehealth. The common features of telehealth training for service users included once-off preparatory phone calls on the technical elements of telehealth, targeted at older adults. Key issues for consideration include the need for co-designed training and improving the broader digital skills of service users. There is a need for further studies to evaluate the outcomes of telehealth training activities in geographically diverse areas.
OBJECTIVE: The objective of this scoping review is to identify and describe activities for training service users in the use of telehealth.
METHODS: Five databases (MEDLINE [via PubMed], Embase, CINAHL, PsycINFO, and Web of Science) were searched in June 2023. Studies that described activities to train service users in the use of synchronous telehealth consultations were eligible for inclusion. Studies that focused on health care professional education were excluded. Papers were limited to those published in the English language. The review followed the Joanna Briggs Institute guidelines for scoping reviews and was reported in line with the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews) guidelines. Titles and abstracts were screened by 1 reviewer (EG). Full texts were screened by 2 reviewers (EG and JH or SC). Data extraction was guided by the research question.
RESULTS: The search identified 8087 unique publications. In total, 13 studies met the inclusion criteria. Telehealth training was commonly described as once-off preparatory phone calls to service users before a telehealth visit, facilitated primarily by student volunteers, and accompanied by written instructions. The training content included guidance on how to download and install software, troubleshoot technical issues, and adjust device settings. Older adults were the most common target population for the training. All but 1 of the studies were conducted during the COVID-19 pandemic. Overall, training was feasible and well-received by service users, and studies mostly reported increased rates of video visits following training. There was limited and mixed evidence that training improved participants\' competency with telehealth.
CONCLUSIONS: The review mapped the literature on training activities for service users in telehealth. The common features of telehealth training for service users included once-off preparatory phone calls on the technical elements of telehealth, targeted at older adults. Key issues for consideration include the need for co-designed training and improving the broader digital skills of service users. There is a need for further studies to evaluate the outcomes of telehealth training activities in geographically diverse areas.
摘要：
背景：远程医疗的使用迅速增加，然而，一些人群可能被不成比例地排除在获得和使用这种护理方式之外。远程医疗中的培训服务用户可以增加某些群体的可访问性。这些培训活动的范围和性质尚未探讨。
目的：本范围审查的目的是确定和描述培训服务用户使用远程医疗的活动。
方法：五个数据库（MEDLINE[通过PubMed]，Embase,CINAHL,PsycINFO,和WebofScience)于2023年6月进行了搜索。描述培训服务用户使用同步远程健康咨询的活动的研究有资格被纳入。专注于医疗保健专业教育的研究被排除在外。论文仅限于以英语发表的论文。该审查遵循了JoannaBriggs研究所的范围审查指南，并根据PRISMA-ScR（系统审查的首选报告项目和范围审查的Meta分析扩展）指南进行了报告。标题和摘要由1名审阅者(EG)筛选。全文由2名审稿人(EG和JH或SC)筛选。数据提取以研究问题为指导。
结果：搜索确定了8087种独特的出版物。总的来说,13项研究符合纳入标准。远程健康培训通常被描述为在远程健康访问之前向服务用户提供一次性准备电话，主要由学生志愿者提供帮助，并附有书面指示。培训内容包括如何下载和安装软件的指导，解决技术问题，并调整设备设置。老年人是培训的最常见目标人群。除1项研究外，所有研究都是在COVID-19大流行期间进行的。总的来说,培训是可行的，受到服务用户的欢迎，研究大多报告了培训后视频访问率的增加。有限且混合的证据表明，培训提高了参与者的远程医疗能力。
结论：这篇综述绘制了有关远程医疗服务用户培训活动的文献。服务用户的远程医疗培训的共同特点包括对远程医疗技术要素的一次性预备电话,针对老年人。需要考虑的关键问题包括需要共同设计培训和提高服务用户更广泛的数字技能。有必要进行进一步的研究，以评估地理上不同地区的远程保健培训活动的成果。
目的：本范围审查的目的是确定和描述培训服务用户使用远程医疗的活动。
方法：五个数据库（MEDLINE[通过PubMed]，Embase,CINAHL,PsycINFO,和WebofScience)于2023年6月进行了搜索。描述培训服务用户使用同步远程健康咨询的活动的研究有资格被纳入。专注于医疗保健专业教育的研究被排除在外。论文仅限于以英语发表的论文。该审查遵循了JoannaBriggs研究所的范围审查指南，并根据PRISMA-ScR（系统审查的首选报告项目和范围审查的Meta分析扩展）指南进行了报告。标题和摘要由1名审阅者(EG)筛选。全文由2名审稿人(EG和JH或SC)筛选。数据提取以研究问题为指导。
结果：搜索确定了8087种独特的出版物。总的来说,13项研究符合纳入标准。远程健康培训通常被描述为在远程健康访问之前向服务用户提供一次性准备电话，主要由学生志愿者提供帮助，并附有书面指示。培训内容包括如何下载和安装软件的指导，解决技术问题，并调整设备设置。老年人是培训的最常见目标人群。除1项研究外，所有研究都是在COVID-19大流行期间进行的。总的来说,培训是可行的，受到服务用户的欢迎，研究大多报告了培训后视频访问率的增加。有限且混合的证据表明，培训提高了参与者的远程医疗能力。
结论：这篇综述绘制了有关远程医疗服务用户培训活动的文献。服务用户的远程医疗培训的共同特点包括对远程医疗技术要素的一次性预备电话,针对老年人。需要考虑的关键问题包括需要共同设计培训和提高服务用户更广泛的数字技能。有必要进行进一步的研究，以评估地理上不同地区的远程保健培训活动的成果。
