Behavior change techniques to promote healthcare professionals’ eHealth competency : a systematic review of interventions
Virtanen, Lotta; Kaihlanen, Anu-Marja; Laukka, Elina; Gluschkoff, Kia; Heponiemi, Tarja (2021-02-23)
Virtanen, L., Kaihlanen, A.-M., Laukka, E., Gluschkoff, K., & Heponiemi, T. (2021). Behavior change techniques to promote healthcare professionals’ eHealth competency: A systematic review of interventions. International Journal of Medical Informatics, 149, 104432. https://doi.org/10.1016/j.ijmedinf.2021.104432
© 2021 The Author(s). Published by Elsevier B.V. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
https://creativecommons.org/licenses/by/4.0/
https://urn.fi/URN:NBN:fi-fe202103046508
Tiivistelmä
Abstract
Background: 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.
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