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首页> 外文期刊>Systematic Reviews >Use and uptake of web-based therapeutic interventions amongst Indigenous populations in Australia, New Zealand, the United States of America and Canada: a scoping review
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Use and uptake of web-based therapeutic interventions amongst Indigenous populations in Australia, New Zealand, the United States of America and Canada: a scoping review

机译：澳大利亚，新西兰，美利坚合众国和加拿大的土着人口中基于网络的治疗干预措施的使用和吸收：范围审查

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Barriers to receiving optimal healthcare exist for Indigenous populations globally for a range of reasons. To overcome such barriers and enable greater access to basic and specialist care, developments in information and communication technologies are being applied. The focus of this scoping review is on web-based therapeutic interventions (WBTI) that aim to provide guidance, support and treatment for health problems. This review identifies and describes international scientific evidence on WBTI used by Indigenous peoples in Australia, New Zealand, Canada and USA for managing and treating a broad range of health conditions. Studies assessing WBTI designed for Indigenous peoples in Australia, Canada, USA and New Zealand, that were published in English, in peer-reviewed literature, from 2006 to 2018 (inclusive), were considered for inclusion in the review. Studies were considered if more than 50% of participants were Indigenous, or if results were reported separately for Indigenous participants. Following a four-step search strategy in consultation with a research librarian, 12 databases were searched with a view to finding both published and unpublished studies. Data was extracted, synthesised and reported under four main conceptual categories: (1) types of WBTI used, (2) community uptake of WBTI, (3) factors that impact on uptake and (4) conclusions and recommendations for practice. A total of 31 studies met the inclusion criteria. The WBTI used were interactive websites, screening and assessment tools, management and monitoring tools, gamified avatar-based psychological therapy and decision support tools. Other sources reported the use of mobile apps, multimedia messaging or a mixture of intervention tools. Most sources reported moderate uptake and improved health outcomes for Indigenous people. Suggestions to improve uptake included as follows: tailoring content and presentation formats to be culturally relevant and appropriate, customisable and easy to use. Culturally appropriate, evidence-based WBTI have the potential to improve health, overcome treatment barriers and reduce inequalities for Indigenous communities. Access to WBTI, alongside appropriate training, allows health care workers to better support their Indigenous clients. Developing WBTI in partnership with Indigenous communities ensures that these interventions are accepted and promoted by the communities.
机译：在全球范围内全球的土着群体存在接受最佳医疗保健的障碍。为了克服这种障碍并实现更好的基础和专业护理，正在应用信息和通信技术的发展。该范围审查的重点是基于网络的治疗干预（WBTI），该干预措施是为健康问题提供指导，支持和治疗。本综述标识和描述了关于澳大利亚，新西兰，加拿大和美国的土着人民使用的WBTI的国际科学证据，用于管理和治疗广泛的健康状况。评估为澳大利亚，加拿大，美国和新西兰的土着人民设计的WBTI，在同行评审文献中，从2006年到2018年（包括普及），被认为包含在审查中。如果超过50％的参与者是本土的，或者如果结果分别报告了本土参与者，则考虑研究。在与研究库委员会协商的四步搜索策略之后，搜索了12个数据库，以便寻找发布和未发表的研究。在四个主要概念类别下提取，综合和报告的数据：（1）使用的WBTI类型，（2）群落摄取WBTI，（3）影响对冲和（4）结论和实践建议的因素。共有31项研究符合纳入标准。使用的WBTI是互动网站，筛选和评估工具，管理和监控工具，基于博弈化的心理治疗和决策支持工具。其他消息来源报告使用移动应用程序，多媒体消息或干预工具的混合。大多数消息人士都报告了对土着人民的适度摄取和改善的健康成果。提出改善摄取的建议如下：定制内容和演示格式，以文化相关和适当，可定制和易于使用。文化合适的是基于证据的WBTI有可能改善健康，克服治疗障碍，减少土着社区的不平等。与WBTI一起访问适当的培训，允许医疗工作者更好地支持其土着客户。与土着社区合作开发WBTI确保这些干预措施被社区接受和促进。

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