Research Partnerships in Rural and Remote Virtual Health Innovation Projects: A Scoping Review.

IF 2.4 4区 医学 Q2 NURSING
Vania Tjandra, Jason Yi, Emily Thompson, Jenna Benbaruj, Carolyn Canfield, Anurag Singh, Jane Jun, Femke Hoekstra
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Abstract

Introduction: Partnerships with research users (e.g., communities, clinicians) are effective in supporting virtual health innovation (VHI) projects to co-develop, implement and evaluate sustainable, relevant innovations that improve care access in rural communities. However, building trusting relationships with underrepresented groups is challenging and time-intensive.

Objective: To synthesise partnership processes (principles, strategies) and effects (outcomes/impacts) from rural VHI projects.

Design: A scoping review of peer-reviewed articles on rural VHI partnership projects (2020-2024) identified through five databases. Partnership principles (norms/beliefs), strategies (observable actions) and outcomes/impacts (short- to long-term effects) were extracted and analysed using directed content analysis. Reporting followed the PRISMA-ScR checklist.

Findings: Of 7413 abstracts, 85 articles met inclusion criteria. VHI partnership projects were conducted in 15 countries, covering telehealth, digital education and health apps. Nearly half (45.9%) involved partnerships with Indigenous communities. We identified 149 principles and 80 strategies. Principles commonly related to relationship building (55.3%), shared decision-making (51.8%) and knowledge co-production (49.4%). From nine evaluation studies, 36 outcomes/impacts were extracted, of which 81% were positive.

Discussion: While a range of partnership processes and effects were identified, reporting was inconsistent, and few studies incorporated formal evaluations. Future research should adopt systematic approaches to report and evaluate their partnership engagement, thereby expanding the evidence base and facilitating shared learning for more effective and meaningful engagement with rural communities.

Conclusion: This systematic overview of partnership processes and effects lays the groundwork for more effective, culturally safe engagement. Strengthening partnerships in these contexts can improve healthcare access and reduce rural health disparities.

农村和远程虚拟健康创新项目的研究伙伴关系:范围审查。
导语:与研究用户(如社区、临床医生)建立伙伴关系可有效支持虚拟卫生创新项目,共同开发、实施和评估可改善农村社区医疗服务可及性的可持续相关创新。然而,与未被充分代表的群体建立信任关系是具有挑战性和耗时的。目的:综合农村VHI项目的伙伴关系过程(原则、战略)和效果(结果/影响)。设计:对通过五个数据库确定的农村VHI伙伴关系项目(2020-2024)的同行评议文章进行范围审查。伙伴关系原则(规范/信念)、战略(可观察的行动)和结果/影响(短期到长期影响)被提取并使用定向内容分析进行分析。报告遵循PRISMA-ScR检查表。结果:7413篇摘要中,85篇符合纳入标准。在15个国家开展了VHI伙伴关系项目,涵盖远程保健、数字教育和保健应用程序。近一半(45.9%)涉及与土著社区的伙伴关系。我们确定了149项原则和80项策略。通常与建立关系(55.3%)、共同决策(51.8%)和知识合作生产(49.4%)相关的原则。从9项评价研究中提取了36个结果/影响,其中81%为阳性。讨论:虽然确定了一系列伙伴关系过程和效果,但报告不一致,并且很少有研究纳入正式评估。未来的研究应采用系统的方法来报告和评估它们的伙伴关系参与情况,从而扩大证据基础,促进共享学习,以便与农村社区进行更有效和有意义的参与。结论:对伙伴关系过程和效果的系统概述为更有效、文化安全的参与奠定了基础。在这些背景下加强伙伴关系可以改善获得医疗保健的机会并缩小农村卫生差距。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Australian Journal of Rural Health
Australian Journal of Rural Health 医学-公共卫生、环境卫生与职业卫生
CiteScore
2.30
自引率
16.70%
发文量
122
审稿时长
12 months
期刊介绍: The Australian Journal of Rural Health publishes articles in the field of rural health. It facilitates the formation of interdisciplinary networks, so that rural health professionals can form a cohesive group and work together for the advancement of rural practice, in all health disciplines. The Journal aims to establish a national and international reputation for the quality of its scholarly discourse and its value to rural health professionals. All articles, unless otherwise identified, are peer reviewed by at least two researchers expert in the field of the submitted paper.
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