@文章{info:doi/10.2196/24182，作者="Hicks, Joseph Paul和Allsop, Matthew John和Akaba, Godwin O和Yalma, Ramsey M和Dirisu, Osasuyi和Okusanya, Babasola和Tukur, Jamilu和Okunade, Kehinde和Akeju, David和Ajepe, Adegbenga和Okuzu, Okey和Mirzoev, Tolib和Ebenso, Bassey"，标题="用于大规模培训尼日利亚初级卫生工作者的电子卫生工具的可接受性和潜在有效性:混合方法，前后对照研究"，期刊="JMIR Mhealth Uhealth"，年="2021"，月="9"，日="16"，卷="9"，数="9"，页="e24182"，关键词="初级卫生工作者培训;数字卫生技术;电子健康;视频培训;妇幼保健;尼日利亚;背景:初级卫生保健设施中一线卫生工作者的在职培训对提高卫生保健提供标准起着重要作用。然而，这往往是昂贵的，需要家庭佣工离开他们在农村地区的岗位，到城市中心参加课程。本研究报告了一种用于提供产妇、新生儿和儿童保健(MNCH)护理视频培训(VTR)的数字卫生工具的实施情况，以在不中断卫生服务的情况下大规模提供在职培训。 The VTR intervention was supported by satellite communications technology and existing 3G mobile networks. Objective: This study aims to determine the feasibility and acceptability of these digital health tools and their potential effectiveness in improving clinical knowledge, attitudes, and practices related to MNCH care. Methods: A mixed methods design, including an uncontrolled pre- and postquantitative evaluation, was adopted. From October 2017 to May 2018, a VTR mobile intervention was delivered to FHWs in 3 states of Nigeria. We examined changes in workers' knowledge and confidence in delivering MNCH services through a pre- and posttest survey. Stakeholders' experiences with the intervention were explored through semistructured interviews that drew on the technology acceptance model to frame contextual factors that shaped the intervention's acceptability and usability in the work environment. Results: In total, 328 FHWs completed both pre- and posttests. FHWs achieved a mean pretest score of 51{\%} (95{\%} CI 48{\%}-54{\%}) and mean posttest score of 69{\%} (95{\%} CI 66{\%}-72{\%}), reflecting, after adjusting for key covariates, a mean increase between the pre- and posttest of 17 percentage points (95{\%} CI 15-19; P<.001). Variation was identified in pre- and posttest scores by the sex and location of participants alongside topic-specific areas where scores were lowest. Stakeholder interviews suggested a wide acceptance of VTR Mobile (delivered via digital technology) as an important tool for enhancing the quality of training, reinforcing knowledge, and improving health outcomes. Conclusions: This study found that VTR supported through a digital technology approach is a feasible and acceptable approach for supporting improvements in clinical knowledge, attitudes, and reported practices in MNCH. The determinants of technology acceptance included ease of use, perceived usefulness, access to technology and training contents, and the cost-effectiveness of VTR, whereas barriers to the adoption of VTR were poor electricity supply, poor internet connection, and FHWs' workload. The evaluation also identified the mechanisms of the impact of delivering VTR Mobile at scale on the micro (individual), meso (organizational), and macro (policy) levels of the health system. Future research is required to explore the translation of this digital health approach for the VTR of FHWs and its impact across low-resource settings to ameliorate the financial and time costs of training and support high-quality MNCH care delivery. Trial Registration: ISRCTN Registry 32105372; https://www.isrctn.com/ISRCTN32105372 ", issn="2291-5222", doi="10.2196/24182", url="https://mhealth.www.mybigtv.com/2021/9/e24182", url="https://doi.org/10.2196/24182", url="http://www.ncbi.nlm.nih.gov/pubmed/34528891" }