TY -的AU -希克斯,约瑟夫·保罗AU -欧烁,马修·约翰AU - Akaba Godwin O盟——Yalma拉姆齐M盟——Dirisu Osasuyi盟——Okusanya Babasola盟——Tukur Jamilu盟——Okunade Kehinde盟——Akeju大卫盟——Ajepe Adegbenga盟——Okuzu好盟——Mirzoev Tolib AU - Ebenso,巴赛PY - 2021 DA - 2021/9/16 TI -可接受性和潜在的有效性电子健康工具培训初级卫生工作者从尼日利亚规模:混合方法，无控制前后研究JO - JMIR Mhealth Uhealth SP - e24182 VL - 9 IS - 9kw -初级卫生工作者培训KW -数字卫生技术KW -电子卫生KW -基于视频的培训KW -产妇和儿童卫生KW -尼日利亚KW -移动电话AB -背景:初级卫生保健设施一线卫生工作者的在职培训在提高卫生保健提供标准方面发挥了重要作用。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。VTR干预得到了卫星通信技术和现有3G移动网络的支持。目的:本研究旨在确定这些数字卫生工具的可行性和可接受性，以及它们在提高临床知识、态度和与MNCH护理相关的实践方面的潜在有效性。方法:采用混合方法设计，包括无控制的前后定量评价。2017年10月至2018年5月，向尼日利亚3个州的家庭卫生工作者提供了VTR移动干预。我们通过测试前和测试后的调查，检查了工人在提供妇幼保健服务方面的知识和信心的变化。通过半结构化的访谈来探讨涉众对干预措施的体验，利用技术接受模型来构建影响干预措施在工作环境中的可接受性和可用性的背景因素。 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 SN - 2291-5222 UR - https://mhealth.www.mybigtv.com/2021/9/e24182 UR - https://doi.org/10.2196/24182 UR - http://www.ncbi.nlm.nih.gov/pubmed/34528891 DO - 10.2196/24182 ID - info:doi/10.2196/24182 ER -