Augmented reality in patient education and health literacy: a scoping review protocol

BackgroundHealth literacy enables the patients in understanding the basic healthcare information and taking informed health decisions; thus, it is a desirable goal of any healthcare system. It increases patients’ adherence to treatment, improves the quality of care and eases the overall burden on the healthcare system. In recent years, technological solutions are being increasingly used in educating patients and achieving better health literacy. Augmented reality (AR) provides powerful, contextual and situated learning experiences and supplements the real world with virtual objects. AR could potentially be an effective learning methodology for the patients, thus, warranting a comprehensive overview of the current state of AR in patient education and health literacy.MethodsThe proposed scoping review will be based on the framework developed by Arksey and O’Malley, including the refinements suggested by Levac et al. A systematic search for references in the published literature will be conducted in nine research databases—Institute of Electrical and Electronics Engineers (IEEE), Cumulative Index to Nursing and Allied Health Literature (CINAHL), PubMed, PsycInfo, Embase, Web of Science, Scopus, Association for Computing Machinery (ACM) and Association for Information Systems eLibrary (AISeL). The unpublished studies from ProQuest Dissertations and Theses, Conference Proceedings Citation Index and grey literature references obtained from a web search will also be included. Databases will be searched from inception to 14 January 2020. Two independent reviewers will screen the studies from the search results in two successive stages of title/abstract screening followed by full-text screening. Data variables will be extracted from the selected studies to characterise study design, type of AR technology employed and the relational factors affecting patient education. Lastly, key stakeholders will be consulted to gather their insights about the study findings.Ethics and disseminationThe results will be disseminated through stakeholder meetings and conference presentations. The data used are from publicly available secondary sources, so this study does not require ethical review.

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Educating hospital patients to prevent falls: protocol for a scoping review

BMJ Open ◽

10.1136/bmjopen-2019-030952 ◽

2019 ◽

Vol 9 (9) ◽

pp. e030952 ◽

Cited By ~ 3

Author(s):

Hazel Heng ◽

Dana Jazayeri ◽

Louise Shaw ◽

Debra Kiegaldie ◽

Anne-Marie Hill ◽

...

Keyword(s):

Patient Education ◽

Scoping Review ◽

Best Practice ◽

Grey Literature ◽

Mitigation Strategies ◽

Falls Prevention ◽

Cochrane Central Register ◽

Medical Subject Headings ◽

Educational Design ◽

Accompanying Injuries

IntroductionFalls prevention in hospitals is an ongoing challenge worldwide. Despite a wide variety of recommended falls mitigation strategies, few have strong evidence for effectiveness in reducing falls and accompanying injuries. Patient education programmes that promote engagement and enable people to understand their heightened falls risk while hospitalised are one approach. The aim of this scoping review is to examine the content, design and outcomes of patient education approaches to hospital falls prevention. As well as critiquing the role of patient education in hospital falls prevention, strategies that can be used in clinical practice shall be recommended.Methods and analysisThe analysis will apply the methodological framework developed by Arksey and O’Malley and refined by the Joanna Briggs Institute. An initial limited search of Cumulative Index to Nursing and Allied Health Literature (CINAHL) and PubMed will be completed to identify keywords and index terms. A developed search strategy of Medical Subject Headings and text words will be conducted of PubMed, CINAHL, Cochrane Central Register of Controlled Trials, Allied and Complementary Medicine Database, PsychINFO, Education Resources Information Center and grey literature databases from January 2008 to current. The reference lists of included articles will be hand searched for additional studies. Two reviewers will screen the titles and abstracts independently and analyse the full text of potential articles based on the inclusion and exclusion criteria. The data will be extracted using a structured data form. Thematic analysis and numerical synthesis of the data will be conducted, and key themes will be identified.Ethics and disseminationResults of this scoping review will illuminate the designs and outcomes of patient education research for hospital falls prevention in the current literature. It is anticipated that the findings will highlight best-practice educational design to inform the development of future patient-focused education for falls prevention. Study findings will be presented at relevant conferences and public forums, and published in peer-reviewed journals. Ethics approval is not required.

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Measuring integrated care at the interface between primary care and secondary care: a scoping review

Journal of Integrated Care ◽

10.1108/jica-11-2020-0073 ◽

2021 ◽

Vol ahead-of-print (ahead-of-print) ◽

Author(s):

Aimee O'Farrell ◽

Geoff McCombe ◽

John Broughan ◽

Áine Carroll ◽

Mary Casey ◽

...

Keyword(s):

Primary Care ◽

Scoping Review ◽

Full Text ◽

Secondary Care ◽

Research Question ◽

Grey Literature ◽

Problem Area ◽

Cochrane Library ◽

Comprehensive Overview ◽

Content Type

PurposeIn many healthcare systems, health policy has committed to delivering an integrated model of care to address the increasing burden of disease. The interface between primary and secondary care has been identified as a problem area. This paper aims to undertake a scoping review to gain a deeper understanding of the markers of integration across the primary–secondary interface.Design/methodology/approachA search was conducted of PubMed, SCOPUS, Cochrane Library and the grey literature for papers published in English using the framework described by Arksey and O'Malley. The search process was guided by the “Preferred Reporting Items for Systematic Reviews and Meta-Analyses” (PRISMA).FindingsThe initial database search identified 112 articles, which were screened by title and abstract. A total of 26 articles were selected for full-text review, after which nine articles were excluded as they were not relevant to the research question or the full text was not available. In total, 17 studies were included in the review. A range of study designs were identified including a systematic review (n = 3), mixed methods study (n = 5), qualitative (n = 6) and quantitative (n = 3). The included studies documented integration across the primary–secondary interface; integration measurement and factors affecting care coordination.Originality/valueMany studies examine individual aspects of integration. However, this study is unique as it provides a comprehensive overview of the many perspectives and methodological approaches involved with evaluating integration within the primary–secondary care interface and primary care itself. Further research is required to establish valid reliable tools for measurement and implementation.

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Mapping the national evidence on double burden of malnutrition in Ethiopia: a protocol of scoping review

BMJ Open ◽

10.1136/bmjopen-2021-050805 ◽

2021 ◽

Vol 11 (11) ◽

pp. e050805

Author(s):

Lemma Getacher ◽

Beyene Wondafrash Ademe ◽

Tefera Belachew

Keyword(s):

Scoping Review ◽

Research Question ◽

Grey Literature ◽

Public Health Problem ◽

Cochrane Library ◽

Ethical Review ◽

Double Burden ◽

Secondary Sources ◽

Double Burden Of Malnutrition ◽

Online Library

IntroductionCurrently, the double burden of malnutrition (DBM) is an emerging public health problem due to the inevitable consequences of nutritional transition. An increasing number of studies have reported the DBM in Ethiopian populations. However, organised and summarised national evidence is not yet available. Therefore, the main aim and research question of this scoping review is to map the national evidence on the DBM in the last decades in Ethiopia.MethodsThis scoping review will be mapping the national evidence on the DBM in different population groups of Ethiopia including all ages and both sexes from 1 January 2021 to 30 September 2021. The Joanna Briggs Institute Reviewer’s Manual will be used as the methodology of review for this review. The search strategy will be conducted using electronic databases such as PubMed, ScienceDirect, Cochrane Library, Wiley Online Library, Google Scholar, and grey literature sources and reference lists of key studies to identify studies appropriate for inclusion in the review. Two independent reviewers will be screened independently with all abstracts and full-text studies for inclusion. Data will be abstracted into tables and logically organised according to the items addressed in the specific research questions.Ethics and disseminationThe data will be used from publicly available secondary sources. Therefore, no ethical review and approval will be required for this review. Dissemination of results will be sought through peer-reviewed publications, conference presentations and stakeholder meetings. Regarding registration, this review protocol is registered on the figshare website on 28 February 2021, with the DOI number https://doiorg/106084/m9figshare14131874.

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Genomic Health Literacy Interventions in Pediatrics: Scoping Review

Journal of Medical Internet Research ◽

10.2196/26684 ◽

2021 ◽

Vol 23 (12) ◽

pp. e26684

Author(s):

Aarushi Gupta ◽

Joseph A Cafazzo ◽

Maarten J IJzerman ◽

Joost F Swart ◽

Sebastiaan Vastert ◽

...

Keyword(s):

Decision Making ◽

Health Literacy ◽

Patient Education ◽

Scoping Review ◽

Pediatric Patients ◽

Digital Health ◽

Health Interventions ◽

Care Providers ◽

Genomic Information ◽

Pediatric Illnesses

Background The emergence of genetic and genomic sequencing approaches for pediatric patients has raised questions about the genomic health literacy levels, attitudes toward receiving genomic information, and use of this information to inform treatment decisions by pediatric patients and their parents. However, the methods to educate pediatric patients and their parents about genomic concepts through digital health interventions have not been well-established. Objective The primary objective of this scoping review is to investigate the current levels of genomic health literacy and the attitudes toward receiving genomic information among pediatric patients and their parents. The secondary aim is to investigate patient education interventions that aim to measure and increase genomic health literacy among pediatric patients and their parents. The findings from this review will be used to inform future digital health interventions for patient education. Methods A scoping review using PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews) guidelines and protocols was completed using the following databases: MEDLINE, Embase, CINAHL, and Scopus. Our search strategy included genomic information inclusive of all genetic and genomic terms, pediatrics, and patient education. Inclusion criteria included the following: the study included genetic, genomic, or a combination of genetic and genomic information; the study population was pediatric (children and adolescents <18 years) and parents of patients with pediatric illnesses or only parents of patients with pediatric illnesses; the study included an assessment of the knowledge, attitudes, and intervention regarding genomic information; the study was conducted in the last 12 years between 2008 and 2020; and the study was in the English language. Descriptive data regarding study design, methodology, disease population, and key findings were extracted. All the findings were collated, categorized, and reported thematically. Results Of the 4618 studies, 14 studies (n=6, 43% qualitative, n=6, 43% mixed methods, and n=2, 14% quantitative) were included. Key findings were based on the following 6 themes: knowledge of genomic concepts, use of the internet and social media for genomic information, use of genomic information for decision-making, hopes and attitudes toward receiving genomic information, experiences with genetic counseling, and interventions to improve genomic knowledge. Conclusions This review identified that older age is related to the capacity of understanding genomic concepts, increased genomic health literacy levels, and the perceived ability to participate in decision-making related to genomic information. In addition, internet-searching plays a major role in obtaining genomic information and filling gaps in communication with health care providers. However, little is known about the capacity of pediatric patients and their parents to understand genomic information and make informed decisions based on the genomic information obtained. More research is required to inform digital health interventions and to leverage the leading best practices to educate these genomic concepts.

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Health and Wellness Literacy Initiatives for Immigrant Populations Delivered Through Faith-Based Entities

Social Science Protocols ◽

10.7565/ssp.v4.5547 ◽

2021 ◽

Vol 4 ◽

pp. 1-19

Author(s):

Olivia Genereux ◽

Nashit Chowdhury ◽

Ayisha Khalid ◽

Tanvir C. Turin

Keyword(s):

Health Literacy ◽

Scoping Review ◽

Data Extraction ◽

Research Question ◽

Grey Literature ◽

Initial Contact ◽

Faith Based ◽

Immigrant Populations ◽

Literacy Initiatives ◽

Improve Health

Background: Health literacy has been shown to be low among immigrant populations globally, leading to limited ability to locate, access and use health information. Religious entities are often the initial contact for many immigrants regarding health and social supports, there are a lack of knowledge about how initiatives to improve health literacy of the immigrant population may be offered through faith-based entities. The objective of this proposed scoping review is to identify available evidence on health literacy initiatives delivered through faith-based entities for immigrant populations. Methods/Design: Using a scoping review framework we will complete a comprehensive search of relevant keywords in major academic and grey literature databases. Eligible articles will be identified through screening by two independent reviewers according to predefined inclusion and exclusion criteria to include articles relevant to our research question. Selected articles will be charted into data extraction tables for analysis, synthesis and presentation of narrative description and visual graphics. Discussion: This scoping review will identify and assess existing health literacy initiatives delivered through faith-based entities to improve health literacy of immigrant communities. This review will inform which initiatives are commonly practiced, and which immigrant groups are most benefitted from and can potentially be benefitted. It will also describe how to conduct those initiatives and what resources are needed and identify the stakeholders of such initiatives those needed to be engaged with to conduct a successful and acceptable program. The challenges and facilitators of those initiatives will also be identified.

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The Promotion of Sustainable Diets in the Healthcare System and Implications for Health Professionals: A Scoping Review

Nutrients ◽

10.3390/nu13030747 ◽

2021 ◽

Vol 13 (3) ◽

pp. 747

Author(s):

Goiuri Alberdi ◽

Mirene Begiristain-Zubillaga

Keyword(s):

Healthcare System ◽

Scoping Review ◽

Health Professionals ◽

Food System ◽

Grey Literature ◽

Healthcare Systems ◽

Synthetic Approach ◽

Negative Consequences ◽

Sustainable Diets ◽

Sustainable Diet

The impacts of the current global food system are already visible in the environment and in the health of the population. The promotion of sustainable diets is key to counter the negative consequences. The healthcare system could be a powerful tool to educate patients by guiding their diets towards sustainability. This study aimed to assess the size and scope of the available literature regarding the promotion of sustainable diets in the healthcare system and to obtain a reliable approximation of the processes and roles related to sustainable diet promotion within healthcare systems. A scoping review where online databases were used to identify English written scientific and grey literature published between 2000–2019 was carried out. The analytical–synthetic approach was used for data charting. Twelve studies were included that were published between 2007–2020. The data highlight education, community and clinical health services, community engagement and policy advocacy, and governance as main action areas along with two transversal aspects, social support, and gender. A systemic approach to the food system is emphasized. Evidence suggests that health professionals have the potential to drive a paradigm shift in food–health environments. Currently, however, their role and potential impact is underestimated within healthcare systems. This review has identified a framework with key areas where processes need to be developed to guarantee sustainable diet promotion in healthcare services.

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Health literacy in people with venous leg ulcers: a protocol for scoping review

BMJ Open ◽

10.1136/bmjopen-2020-044604 ◽

2021 ◽

Vol 11 (5) ◽

pp. e044604

Author(s):

CD Weller ◽

Victoria Team ◽

Sebastian Probst ◽

Georgina Gethin ◽

Catelyn Richards ◽

...

Keyword(s):

Health Literacy ◽

Scoping Review ◽

Wound Care ◽

Compression Therapy ◽

Clinical Problem ◽

Included Study ◽

Self Management ◽

Cochrane Library ◽

Ethical Review ◽

Venous Leg Ulcer

IntroductionChronic venous leg ulcer (VLU) healing is a complex clinical problem. It requires intervention from skilled, costly, multidisciplinary wound-care teams, working with patients to manage their care. Compression therapy has been shown to help heal venous ulcers and to reduce recurrence, with some evidence suggesting the value of exercise as well. These activities require health education and health literacy (HL) as patients must process, understand and consistently apply health information for successful self-management. Research suggests that those most vulnerable to VLUs also tend to have limited HL, but there have been no reviews examining the state of HL in patients with previous or active VLUs. This scoping review aims to examine the level of HL in VLU patients and how HL may link to self-management behaviours (particularly exercise and compression adherence), and their VLU healing generally.Methods and analysisWe will use Preferred Reporting Items for Systematic Reviews and Meta-Analyses Scoping Review guidelines and the Levac methodology framework to explore eligible papers that examine the effect of HL on their exercise and compression adherence. Electronic databases will be searched (MEDLINE, EMBASE, the Cochrane Library, PsycInfo and Health, OpenGray), examining for all papers on these subjects published between 2000 and 2020. All studies describing compression and or exercise during VLU management will be included. Study characteristics will be recorded; qualitative data will be extracted and evaluated. Quantitative data will be extracted and summarised.Ethics and disseminationWe will disseminate results through peer-reviewed publications. We will use data (ie, journal articles) from publicly available platforms; so, this study does not require ethical review. The consultation step will be carried out with patients, carers and health professionals as part of an established wound consumer group.

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Are communities of practice a way to support health literacy: a study protocol for a realist review

BMJ Open ◽

10.1136/bmjopen-2020-048352 ◽

2021 ◽

Vol 11 (8) ◽

pp. e048352

Author(s):

Sanne H Elbrink ◽

Shandell L Elmer ◽

Richard H Osborne

Keyword(s):

Health Literacy ◽

Communities Of Practice ◽

Scoping Review ◽

Literacy Development ◽

Potential Role ◽

Realist Review ◽

Ethical Review ◽

Literacy Outcomes ◽

Trigger Mechanisms

IntroductionCommunities of practice are used for knowledge sharing and learning in health settings. However, more needs to be known to understand how they work, if they work different in different settings and what outcomes they might generate. Of particular interest is their potential role in health literacy development.Methods and analysisThis realist review will be undertaken in seven stages, aiming to develop a framework to show how the various contexts of communities of practice in health settings trigger mechanisms that lead to improved health literacy outcomes. The first stage of a realist review is considered important as it clarifies the scope of the review, yet it is rarely elaborated in detail. This paper describes this first stage in detail and shows how scoping techniques can support drafting an initial framework which can guide the rest of the review. After the initial scoping review, the subsequent stages follow an iterative and recurring process (until saturation is reached) that includes searching and appraising evidence, extracting and organising results, and analysing and summarising. The review will then generate conclusions and recommendations for stakeholders seeking to use communities of practice for their health literacy challenges. Findings of the scoping review are presented in this paper as part of the methods description to show the relevance of conducting a scoping review prior to a realist review.Ethics and disseminationEthical review is not required for this review. Experts and stakeholders will be involved in the process after the first stage to increase the quality of the process and to ensure practical relevance and uptake. This review focuses on communities of practice and health literacy, yet findings will likely be relevant for other health settings. Findings will be disseminated through stakeholders, publications, presentations and formal and informal reports.

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Patient Education and Health Literacy

Perioperative Nursing Clinics ◽

10.1016/j.cpen.2009.02.001 ◽

2009 ◽

Vol 4 (2) ◽

pp. 131-139 ◽

Cited By ~ 1

Author(s):

Katherine M. Zulick ◽

P. Alan Zulick ◽

Jane C. Rothrock

Keyword(s):

Health Literacy ◽

Patient Education ◽

Education And Health

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Mapping the concept, content and outcome of wilderness therapy for childhood cancer survivors: protocol for a scoping review

BMJ Open ◽

10.1136/bmjopen-2019-030544 ◽

2019 ◽

Vol 9 (8) ◽

pp. e030544

Author(s):

Miek C Jong ◽

Anne Lown ◽

Winnie Schats ◽

Heather Rose Otto ◽

Mats Jong

Keyword(s):

Cancer Survivors ◽

Childhood Cancer ◽

Scoping Review ◽

Scientific Journal ◽

Grey Literature ◽

Wilderness Therapy ◽

Childhood Cancer Survivors ◽

Ethical Review ◽

Scoping Reviews ◽

The Impact

IntroductionLong-term childhood cancer survivors are at risk for frailty and have significant health-related issues in adulthood. Various health promotion interventions have been proposed to enhance quality of life including wilderness therapy, which applies the impact of nature on health in a therapeutic context. Previous studies have described positive outcomes linked with various wilderness-related therapies for cancer survivors. However, there is no clarity on the role these therapies play in childhood cancer. The current scoping review aims to systematically map the concept, content and outcome of wilderness therapy for childhood cancer survivors.Methods and analysisThis review will be guided by the Joanna Briggs Institute Reviewers’ manual for scoping reviews. A systematic literature search using medical subject headings (MeSH) and text words related to wilderness therapy and childhood cancer survivors will be performed in EMBASE, ERIC, Medline, Psycinfo, CINAHL, Scopus, Web of Science, SPORTDiscus and Svemed+, Sociological Abstracts, supplemented by grey literature searches. Eligible quantitative and qualitative studies will be screened, included, assessed for quality and extracted for data by two reviewers independently. Results will be described in a narrative style, reported in extraction tables and diagrams, and where appropriate in themes and text.Ethics and disseminationThis study describes a protocol for a scoping review that will undertake secondary analysis of data already published in literature and is therefore exempt from medical ethical review. The scoping review will inform understanding of the benefits and risks of wilderness therapy for childhood cancer survivors, their families, practitioners, clinicians and researchers, and will help elucidate the steps necessary for building its evidence base going forward. Results will be published in a peer-reviewed scientific journal.

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