Raj Bapuji, Debra Eagles, Nathan Ferreira, Nathan Hecht, Yuxin Zhang, Michael Y Woo, Warren J Cheung, Valentina Ly, Paul Pageau
Comparison of peer-assisted learning with expert-led learning in medical school ultrasound education: a systematic review and meta-analysis
CJEM
rising time constraints health care professionals increasingly depend technology provide health advice teach patients manage chronic disease effectiveness videobased tools improving knowledge health behaviors disease severity health care use patients major chronic illnesses well understood aim study assess current literature regarding efficacy videobased educational tools patients improving process outcome measures across several chronic illnesses systematic review conducted using cinahl pubmed predefined search terms search included studies published october 2021 eligible studies intervention studies videobased selfmanagement patient education adult patient population following chronic health conditions asthma chronic kidney disease chronic obstructive pulmonary disease chronic pain syndromes diabetes heart failure hiv infection hypertension inflammatory bowel disease rheumatologic disorders eligible papers underwent full extraction study characteristics study design sample demographics results bias assessed cochrane riskofbias tools summary statistics synthesized stata se statacorp llc data reporting conducted per prisma preferred reporting items systematic reviews metaanalyses checklist 112 studies fully extracted 59 527 deemed eligible inclusion review majority included papers superiority randomized controlled trials rcts 3959 66 fewer prepost studies 1359 22 noninferiority rcts 759 12 represented conditions interest obstructive lung disease 1859 31 diabetes 1159 19 heart failure 959 15 plurality 2859 47 videobased interventions occurred occurred alongside adjunct interventions included printed materials inperson counseling interactive modules frequently studied outcomes disease severity health behavior patient knowledge videobased tools effective improving patient knowledge 3040 75 approximately half reported health behavior 2138 56 patient selfefficacy 1223 52 outcomes improved videobased tools minority health care use 1128 39 disease severity 2369 33 outcomes improved videobased tools total 48 2246 superiority noninferiority rcts 54 713 prepost trials moderate high risk bias robust evidence videobased tools improve patient knowledge across several chronic illnesses tools less consistently improve disease severity health care use outcomes additional study needed identify features maximize efficacy videobased interventions patients across spectrum digital competencies ensure optimized equitable patient education outcomes