@文章{信息:doi/10.2196/14984，作者="Kyaw, bone Myint和Tudor Car, Lorainne和van Galen, Louise Sandra和van Agtmael, Michiel A和costello, C{\'e}ire e和Ajuebor, Onyema和Campbell, James和Car, Josip"，标题="抗生素管理的卫生专业数字教育:《数字健康教育合作系统评价与meta分析》，期刊=《J Med Internet Res》，年=“2019”，月=“Sep”，日=“12”，卷=“21”，数=“9”，页数=“e14984”，关键词=“数字教育”;抗生素管理;系统评价;荟萃分析;背景:不适当的抗生素处方是抗生素耐药性的关键因素之一，可通过包括教育在内的一系列干预措施进行管理。目的:与传统教育相比，我们旨在总结抗生素管理数字教育在提高卫生保健专业人员的知识、技能、态度和临床实践方面的有效性的证据。方法:检索7个电子数据库和2个试验注册中心，检索1990年1月1日至2018年9月20日发表的随机对照试验(rct)和聚类rct。没有语言限制。我们还检索了国际临床试验注册平台搜索门户和对照试验元注册，以确定未发表的试验，并检查了纳入研究的参考文献列表和相关的系统评价，以确定研究的资格。 We followed Cochrane methods to select studies, extract data, and appraise and synthesize eligible studies. We used random-effect models for the pooled analysis and assessed statistical heterogeneity by visual inspection of a forest plot and calculation of the I2 statistic. Results: Six cluster RCTs and two RCTs with 655 primary care practices, 1392 primary care physicians, and 485,632 patients were included. The interventions included personal digital assistants; short text messages; online digital education including emails and websites; and online blended education, which used a combination of online digital education and traditional education materials. The control groups received traditional education. Six studies assessed postintervention change in clinical practice. The majority of the studies (4/6) reported greater reduction in antibiotic prescription or dispensing rate with digital education than with traditional education. Two studies showed significant differences in postintervention knowledge scores in favor of mobile education over traditional education (standardized mean difference=1.09, 95{\%} CI 0.90-1.28; I2=0{\%}; large effect size; 491 participants [2 studies]). The findings for health care professionals' attitudes and patient-related outcomes were mixed or inconclusive. Three studies found digital education to be more cost-effective than traditional education. None of the included studies reported on skills, satisfaction, or potential adverse effects. Conclusions: Findings from studies deploying mobile or online modalities of digital education on antibiotic management were complementary and found to be more cost-effective than traditional education in improving clinical practice and postintervention knowledge, particularly in postregistration settings. There is a lack of evidence on the effectiveness of other digital education modalities such as virtual reality or serious games. Future studies should also include health care professionals working in settings other than primary care and low- and middle-income countries. Clinical Trial: PROSPERO CRD42018109742; https://www.crd.york.ac.uk/prospero/display{\_}record.php?RecordID=109742 ", issn="1438-8871", doi="10.2196/14984", url="//www.mybigtv.com/2019/9/e14984/", url="https://doi.org/10.2196/14984", url="http://www.ncbi.nlm.nih.gov/pubmed/31516125" }