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Health service user participation in interprofessional collaborative learning — a systematic review on the use of digital solutions / Die Teilnahme von Gesundheitsdienst-Nutzenden an interprofessionell kollaborativem Lernen — ein systematischer Review über den Gebrauch digitaler Lösungen


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Figure 1:

Search Strategy PRISMA Flow Diagram (adapted Page et al., 2021).
Search Strategy PRISMA Flow Diagram (adapted Page et al., 2021).

Search Terms Clustered per PICO Criteria (Centre for Evidence-Based Medicine, 2020).

Category Search terms
Population

(profession OR profession* OR employee OR staff OR student OR provider) AND

(interprofessional relations[MeSH Terms]) AND

(health OR medic* OR care) AND

(community OR client OR patient OR person OR family OR user) AND

Intervention

(communicat*[Title/Abstract] OR collaborat*[Title/Abstract] OR teamwork[Title/Abstract] OR network[Title/Abstract] OR coordinat*[Title/Abstract]) AND

(educat* OR lecture OR course OR learn* OR train* OR teach OR taught) AND

(ICF OR function OR functioning) AND

(digital OR technology OR mail OR video OR speech OR text messaging OR app OR application OR platform OR wearables OR connected OR computer* OR interface OR ehealth OR e-health OR electronic) AND

Outcome

(expect* OR needs OR reason* OR deci* OR decision-making OR prevent* OR rehabilitat* OR therap* OR monitor*) AND

(activ* OR interven* OR interact* OR exchange OR discuss* OR practice OR understand* OR behavi* OR support OR empower* OR participat* OR cent*)

Limits NOT veterinary NOT dental NOT dentist* NOT safety NOT critical NOT resuscitation
Filters Humans, English

Frequency of Involved Professions.

Profession Frequency Studies
Medicine 13 Andersson et al., 2021; Bluml et al., 2000; Byerly et al., 2011; Darlow et al., 2015; Javadi et al., 2018; Korstjens et al., 2021; Liaw et al., 2020; Metzelthin et al., 2013; Poss-Doering et al., 2020; Shorten et al., 2015; Swallow et al., 2016; Uslu-Sahan & Terzioglu, 2020; Yang et al., 2017
Nursing 12 Andersson et al., 2021; Javadi et al., 2018; Korstjens et al., 2021; Liaw et al., 2020; Lucas et al., 2020; McGilton et al., 2011; Metzelthin et al., 2013; Saia et al., 2020; Shorten et al., 2015; Swallow et al., 2016; Uslu-Sahan & Terzioglu, 2020; Yang et al., 2017
Pharmacy 6 Bluml et al., 2000; Byerly et al., 2011; Javadi et al., 2018; Lempicki & Holland, 2018; Lucas et al., 2020; Yang et al., 2017
Physiotherapy 6 Byerly et al., 2011; Darlow et al., 2015; Javadi et al., 2018; Lempicki & Holland, 2018; Metzelthin et al., 2013; Sabus et al., 2011
Occupational therapy 4 Javadi et al., 2018; Lempicki & Holland, 2018; Metzelthin et al., 2013; Sabus et al., 2011
Dietetics / Nutrition 3 Darlow et al., 2015; Javadi et al., 2018; Uslu-Sahan & Terzioglu, 2020
Social work 3 Javadi et al., 2018; Saia et al., 2020; Uslu-Sahan & Terzioglu, 2020
Midwifery 2 Korstjens et al., 2021; Shorten et al., 2015
Unspecified health profession 2 Poss-Doering et al., 2020; Swallow et al., 2016
Health insurance agency 1 Poss-Doering et al., 2020
Lactation consultation 1 Javadi et al., 2018
Osteopathy 1 Lempicki & Holland, 2018
Physical assistance 1 Javadi et al., 2018
Primary health care network management 1 Poss-Doering et al., 2020
Psychology 1 Saia et al., 2020
Radiation therapy 1 Darlow et al., 2015
Social pedagogy 1 Saia et al., 2020
Special education 1 Saia et al., 2020
Speech language pathology 1 McGilton et al., 2011
System navigation 1 Javadi et al., 2018
Web development 1 Shorten et al., 2015

Characteristics of Included Studies.

Study Setting Aim Study design Participants (n) Digital solution
Authors, Year Country User Provider
Bluml et al., 2000 USA Ambulatory care Improve patients’ care Qualitative 397 26 Point-of-care testing
McGilton et al., 2011 Canada Continuing care facility Assess implementation Mixed methods 9 18 Videos before role play
Sabus et al., 2011 USA University Understand tool’s utility Quantitative 1 69 Virtual reality, avatar
Metzelthin et al., 2013 Netherlands Ambulatory practices Examine implementation Qualitative 13 45 Digital record forms
Darlow et al., 2015 New Zealand University Evaluate a programme Quantitative 1 83 E-learning, videos
Shorten et al., 2015 USA Urban outpatient clinics Outline creation process Qualitative 9 21 Interactive web site
Swallow et al., 2016 UK Home-based care Report users’ feasibility Quantitative 21 23 Web application
Yang et al., 2017 Taiwan Hospital simulation lab Evaluate a programme Quantitative 1 88 E-learning, videos, high-fidelity simulation
Javadi et al., 2018 Canada Home settings Test exercise feasibility Mixed methods 21 106 Tablet, web application
Lempicki & Holland, 2018 USA University Evaluate feasibility Quantitative 2 6 Video conferencing
Liaw et al., 2020 Singapore University Evaluate a programme Quantitative 1 120 Virtual reality, avatar
Lucas et al., 2020 Australia Hospital simulation lab Explore perceptions Mixed methods 2 60 Videos at a simulation
Poss-Doering et al., 2020 Germany Primary care networks Explore contributions to antibiotic prescribing Mixed methods 1 354 E-learning, tablet, digital records
Saia et al., 2020 Estonia Social rehabilitation Investigate perceptions Qualitative 13 9 Communication tools
Uslu-Sahan & Terzioglu, 2020 Turkey University Determine effectiveness of simulation methods Quantitative 2 84 Power-point before a high-fidelity simulation
Andersson et al., 2021 Sweden Primary care center Explore partnership when using the system Qualitative 22 15 Device, mobile phone, database, web portal
Byerly et al., 2021 USA Nursing home Explore role fluidity Qualitative 5 47 Computer, records
Korstjens et al., 2021 Netherlands Ambulatory practices and hospitals Understand maternity care collaboration Qualitative 26 62 Video-clips, pictures in

Excluded Studies.

Argument for exclusion Studies
Focus on patient education

Hjelle, K. M., Skutle, O., Førland, O., & Alvsvåg, H. (2016). The reablement team’s voice: A qualitative study of how an integrated multidisciplinary team experiences participation in reablement. Journal of Multidisciplinary Healthcare, 9, 575–585. https://doi.org/10.2147/JMDH.S115588

Ho, P., Lambert-Kerzner, A., Carey, E., Fahdi, I., Bryson, C., Melnyk, S., Bosworth, H., Radcliff, T., Davis, R., Mun, H., & et al. (2014). Multifaceted intervention to improve medication adherence and secondary prevention measures after acute coronary syndrome hospital discharge: A randomized clinical trial. JAMA Internal Medicine, 174(2), 186–193. https://doi.org/10.1001/jamainternmed.2013.12944

Knoop, J., de Joode, J. W., Brandt, H., Dekker, J., & Ostelo, R. W. J. G. (2022). Patients’ and clinicians’ experiences with stratified exercise therapy in knee osteoarthritis: A qualitative study. BMC Musculoskeletal Disorders, 23(1), 559. https://doi.org/10.1186/s12891-022-05496-2

Noviani, L., Diantini, A., & Subarnas, A. (2020). Collaboration between interprofessional healthcare and patients to improve quality of life type 2 diabetes via smartphone application. International Journal of Pharmaceutical Research, 13(1), 645–650. https://doi.org/10.31838/ijpr/2021.13.01.126

Richards, D., Hill, J., Gask, L., Lovell, K., Chew-Graham, C., Bower, P., Cape, J., Pilling, S., Araya, R., Kessler, D., & et al. (2013). Clinical effectiveness of collaborative care for depression in UK primary care (CADET): Cluster randomised controlled trial. BMJ, 347, f4913. https://doi.org/10.1136/bmj.f4913

No learning interventions for service providers

Blackstone, S. W., Wilkinson, K. M., Luo, F., Canchola, J., & Roman-Lantzy, C. (2021). Children with cortical visual impairment and complex communication needs: Identifying gaps between needs and current practice. Language, Speech, and Hearing Services in Schools, 52(2), 612–629. https://doi.org/10.1044/2020_LSHSS-20-00088

Bradshaw, A. B., Bonnecaze, A. K., Burns, C. A., & Beardsley, J. R. (2021). Impact of an interprofessional collaborative quality improvement initiative to decrease inappropriate thyroid function testing. Hospital Pharmacy, 56(5), 481–485. https://doi.org/10.1177/0018578720920795

Heiden, S. M., Holden, R. J., Alder, C. A., Bodke, K., & Boustani, M. (2017). Human factors in mental healthcare: A work system analysis of a community-based program for older adults with depression and dementia. Applied Ergonomics, 64, 27–40. https://doi.org/10.1016/j.apergo.2017.05.002

Pariser, P., Pham, T. N. T., Brown, J. B., Stewart, M., & Charles, J. (2019). Connecting people with multimorbidity to interprofessional teams using telemedicine. The Annals of Family Medicine, 17(Suppl 1), S57-S62. https://doi.org/10.1370/afm.2379

Van Dongen, J. J. J., Lenzen, S. A., Van Bokhoven, M. A., Daniëls, R., Van Der Weijden, T., & Beurskens, A. (2016). Interprofessional collaboration regarding patients’ care plans in primary care: A focus group study into influential factors. BMC Family Practice, 17, 58. https://doi.org/10.1186/s12875-016-0456-5

Wu, R., Appel, L., Morra, D., Lo, V., Kitto, S., & Quan, S. (2014). Short message service or disService: Issues with text messaging in a complex medical environment. International Journal of Medical Informatics, 83(4), 278–284. https://doi.org/10.1016/j.ijmedinf.2014.01.003

Interaction with (simulated) service users was not part of the learning process

Carroll, J. C., Talbot, Y., Permaul, J., Tobin, A., Moineddin, R., Blaine, S., Bloom, J., Butt, D., Kay, K., & Telner, D. (2016). Academic family health teams: Part 1: Patient perceptions of core primary care domains. Canadian Family Physician, 62(1), e23–e30.

MacNeill, H., Telner, D., Sparaggis-Agaliotis, A., & Hanna, E. (2014). All for one and one for all: understanding health professionals’ experience in individual versus collaborative online learning. Journal of Continuing Education in the Health Professions, 34(2), 102–111. https://doi.org/10.1002/chp.21226

Meystre, C., Bourquin, C., Despland, J.-N., Stiefel, F., & De Roten, Y. (2013). Working alliance in communication skills training for oncology clinicians: A controlled trial. Patient Education and Counseling, 90(2), 233–238. https://doi.org/10.1016/j.pec.2012.10.013

Petersen, L., Birkelund, R., & Schiøttz-Christensen, B. (2020). Challenges to cross-sectoral care experienced by professionals working with patients living with low back pain: A qualitative interview study. BMC Health Services Research, 20(1), 164. https://doi.org/10.1186/s12913-020-4988-y

Shoemaker, M., de Voest, M., Booth, A., Meny, L., & Victor, J. (2015). A virtual patient educational activity to improve interprofessional competencies: A randomized trial. Journal of interprofessional care, 29(4), 395–397. https://doi.org/10.3109/13561820.2014.984286

Tempest, S., Harries, P., Kilbride, C., & De Souza, L. (2012). To adopt is to adapt: The process of implementing the ICF with an acute stroke multidisciplinary team in England. Disability and Rehabilitation, 34(20), 1686–1694. https://doi.org/10.3109/09638288.2012.658489

Walker, L. E., Cross, M., & Barnett, T. (2019). Students’ experiences and perceptions of interprofessional education during rural placement: A mixed methods study. Nurse Education Today, 75, 28–34. https://doi.org/10.1016/j.nedt.2018.12.012

Digital solutions did not support interprofessional collaborative learning

Conti, G., Bowers, C., O’Connell, M. B., Bruer, S., Bugdalski-Stutrud, C., Smith, G., Bickes, J., & Mendez, J. (2016). Examining the effects of an experiential interprofessional education activity with older adults. Journal of Interprofessional Care, 30(2), 184–190. https://doi.org/10.3109/13561820.2015.1092428

Floren, L., Mandal, J., Dall’Era, M., Shin, J., Irby, D., Cate, O., & O’Brien, B. (2020). A Mobile Learning Module to Support Interprofessional Knowledge Construction in the Health Professions. American Journal of Pharmaceutical Education, 84(2), 847519. https://doi.org/10.5688/ajpe847519

O’Connell, M. B., Fava, J. P., Gilkey, S. J., Dereczyk, A. L., Higgins, R., Burke, C. A., Lucarotti, R. L., & Gaggin, P. E. (2021). Using community pharmacies and team observed structured clinical encounters (TOSCEs) for interprofessional education and training. Currents in Pharmacy Teaching & Learning, 13(1), 19–28. https://doi.org/10.1016/j.cptl.2020.07.018

Posenau, A., & Peters, T. (2016). Communicative positioning of one’s own profession in interprofessional settings. GMS Journal for Medical Education, 33(2), Doc27. https://doi.org/10.3205/zma001026

Thomson, K., Gripton, J., Lutchmiah, J., & Caan, W. (2007). Health facilitation in primary care seen from practice and education. British Journal of Nursing, 16(18), 1156–1160. https://doi.org/10.12968/bjon.2007.16.18.27514

Watt-Watson, J., McGillion, M., Lax, L., Oskarsson, J., Hunter, J., MacLennan, C., Knickle, K., & Victor, J. C. (2019). Evaluating an Innovative eLearning Pain Education Interprofessional Resource: A Pre-Post Study. Pain Medicine, 20(1), 37–49. https://doi.org/10.1093/pm/pny105

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