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 user-centered 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.

中文翻译：

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行为改变技术可提高医护人员的eHealth能力：对干预措施的系统评价

介绍

电子卫生保健的使用正在迅速增加；但是，许多医疗保健专业人员的电子卫生保健能力不足。因此，针对电子卫生保健能力的干预措施可能有助于促进电子卫生保健的有效利用。

客观的

我们的系统评价旨在确定和评估在干预措施中应用的行为改变技术，以提高医疗保健专业人员的eHealth能力。

方法

我们根据乔安娜·布里格斯研究所的证据综合手册进行了系统的文献综述。通过筛选PubMed，Embase和CINAHL鉴定了已发表的定量研究。两名审稿人独立进行了全文和质量评估。符合条件的干预措施针对任何医疗保健专业人员，旨在提高eHealth的能力或动力。我们使用行为改变技术分类法v1和COM-B模型以叙事方式综合了干预措施。

结果

该评价包括32项研究，报告了34种不同的干预措施，这些干预措施纳入了29种不同的行为改变技术。干预措施最有可能提高使用eHealth的能力，而不太可能增强使用eHealth的动力。既有能力又有动机的有前途的技术是行动计划和参与式方法。有关同事的认可，情感社会支持，情感监控，对环境进行结构调整或添加对象以及可靠来源的信息是值得进一步研究的技术。

结论

我们发现，干预措施往往侧重于提高能力，尽管动机对于有效的eHealth绩效同样至关重要。我们的发现表明，工作环境中的同理心，鼓励和以用户为中心的变化可以整体上提高eHealth的能力。在制定干预措施时应采用循证技术，进一步的干预研究应集中在使用不同的eHealth系统和设备所需的护士和多方面的能力上。