Mobile-Social Learning for Continuing Professional Development in Low- and Middle-Income Countries: Integrative Review

BackgroundAccess to continuing professional development (CPD) for health care workers in low- and middle-income countries (LMICs) is severely limited. Digital technology serves as a promising platform for supporting CPD for health care workers by providing educational content...

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Main Authors: Dominique Guillaume, Erica Troncoso, Brenice Duroseau, Julia Bluestone, Judith Fullerton
Format: Article
Language:English
Published: JMIR Publications 2022-06-01
Series:JMIR Medical Education
Online Access:https://mededu.jmir.org/2022/2/e32614
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author Dominique Guillaume
Erica Troncoso
Brenice Duroseau
Julia Bluestone
Judith Fullerton
author_facet Dominique Guillaume
Erica Troncoso
Brenice Duroseau
Julia Bluestone
Judith Fullerton
author_sort Dominique Guillaume
collection DOAJ
description BackgroundAccess to continuing professional development (CPD) for health care workers in low- and middle-income countries (LMICs) is severely limited. Digital technology serves as a promising platform for supporting CPD for health care workers by providing educational content virtually and enabling virtual peer-to-peer and mentor interaction for enhanced learning. Digital strategies for CPD that foster virtual interaction can increase workforce retention and bolster the health workforce in LMICs. ObjectiveThe objective of this integrative review was to evaluate the evidence on which digital platforms were used to provide CPD to health care workers and clinical students in LMICs, which was complemented with virtual peer-to-peer or mentor interaction. We phrased this intersection of virtual learning and virtual interaction as mobile-social learning. MethodsA comprehensive database and gray literature search was conducted to identify qualitative, quantitative, and mixed methods studies, along with empirical evidence, that used digital technology to provide CPD and virtual interaction with peers or mentors. The PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines were followed. Eligible articles were written in English, conducted in an LMIC, and used a mobile device to provide CPD and facilitate virtual peer-to-peer or mentor interaction. Titles, abstracts, and full texts were screened, followed by an assessment of the quality of evidence and an appraisal of the articles. A content analysis was then used to deductively code the data into emerging themes. ResultsA total of 750 articles were identified, and 31 (4.1%) were included in the review. SMS text messaging and mobile instant messaging were the most common methods used to provide continuing education and virtual interaction between peers and mentors (25/31, 81%). Across the included articles, participants had high acceptability for using digital platforms for learning and interaction. Virtual peer interaction and mentorship were found to contribute to positive learning outcomes in most studies (27/31, 87%) through increased knowledge sharing, knowledge gains, improved clinical skills, and improved service delivery. Peer-to-peer and mentor interaction were found to improve social support and reduce feelings of isolation (9/31, 29%). There were several challenges in the implementation and use of digital technology for mobile-social learning, including limited access to resources (eg, internet coverage and stable electricity), flexibility in scheduling to participate in CPD, and sociobehavioral challenges among students. ConclusionsThe summary suggests that mobile-social learning is a useful modality for curriculum dissemination and skill training and that the interface of mobile and social learning serves as a catalyst for improved learning outcomes coupled with increased social capital.
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spelling doaj.art-427c0e8d8c8f4c119c21c98961a9a3582023-08-28T22:14:03ZengJMIR PublicationsJMIR Medical Education2369-37622022-06-0182e3261410.2196/32614Mobile-Social Learning for Continuing Professional Development in Low- and Middle-Income Countries: Integrative ReviewDominique Guillaumehttps://orcid.org/0000-0003-3963-4986Erica Troncosohttps://orcid.org/0000-0001-6295-3665Brenice Duroseauhttps://orcid.org/0000-0003-2443-2070Julia Bluestonehttps://orcid.org/0000-0002-4074-3445Judith Fullertonhttps://orcid.org/0000-0002-1075-0046 BackgroundAccess to continuing professional development (CPD) for health care workers in low- and middle-income countries (LMICs) is severely limited. Digital technology serves as a promising platform for supporting CPD for health care workers by providing educational content virtually and enabling virtual peer-to-peer and mentor interaction for enhanced learning. Digital strategies for CPD that foster virtual interaction can increase workforce retention and bolster the health workforce in LMICs. ObjectiveThe objective of this integrative review was to evaluate the evidence on which digital platforms were used to provide CPD to health care workers and clinical students in LMICs, which was complemented with virtual peer-to-peer or mentor interaction. We phrased this intersection of virtual learning and virtual interaction as mobile-social learning. MethodsA comprehensive database and gray literature search was conducted to identify qualitative, quantitative, and mixed methods studies, along with empirical evidence, that used digital technology to provide CPD and virtual interaction with peers or mentors. The PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines were followed. Eligible articles were written in English, conducted in an LMIC, and used a mobile device to provide CPD and facilitate virtual peer-to-peer or mentor interaction. Titles, abstracts, and full texts were screened, followed by an assessment of the quality of evidence and an appraisal of the articles. A content analysis was then used to deductively code the data into emerging themes. ResultsA total of 750 articles were identified, and 31 (4.1%) were included in the review. SMS text messaging and mobile instant messaging were the most common methods used to provide continuing education and virtual interaction between peers and mentors (25/31, 81%). Across the included articles, participants had high acceptability for using digital platforms for learning and interaction. Virtual peer interaction and mentorship were found to contribute to positive learning outcomes in most studies (27/31, 87%) through increased knowledge sharing, knowledge gains, improved clinical skills, and improved service delivery. Peer-to-peer and mentor interaction were found to improve social support and reduce feelings of isolation (9/31, 29%). There were several challenges in the implementation and use of digital technology for mobile-social learning, including limited access to resources (eg, internet coverage and stable electricity), flexibility in scheduling to participate in CPD, and sociobehavioral challenges among students. ConclusionsThe summary suggests that mobile-social learning is a useful modality for curriculum dissemination and skill training and that the interface of mobile and social learning serves as a catalyst for improved learning outcomes coupled with increased social capital.https://mededu.jmir.org/2022/2/e32614
spellingShingle Dominique Guillaume
Erica Troncoso
Brenice Duroseau
Julia Bluestone
Judith Fullerton
Mobile-Social Learning for Continuing Professional Development in Low- and Middle-Income Countries: Integrative Review
JMIR Medical Education
title Mobile-Social Learning for Continuing Professional Development in Low- and Middle-Income Countries: Integrative Review
title_full Mobile-Social Learning for Continuing Professional Development in Low- and Middle-Income Countries: Integrative Review
title_fullStr Mobile-Social Learning for Continuing Professional Development in Low- and Middle-Income Countries: Integrative Review
title_full_unstemmed Mobile-Social Learning for Continuing Professional Development in Low- and Middle-Income Countries: Integrative Review
title_short Mobile-Social Learning for Continuing Professional Development in Low- and Middle-Income Countries: Integrative Review
title_sort mobile social learning for continuing professional development in low and middle income countries integrative review
url https://mededu.jmir.org/2022/2/e32614
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