Self-management eHealth solutions for menopause - a systematic scoping review.

OBJECTIVE: The purpose of this scoping review was to highlight the current scientific evidence on eHealth-based information tools for menopause in terms of quality, requirements and previous intervention outcomes. METHODS: We systematically searched electronic databases (Embase, CINAHL, Cochrane Library, Global Health Database [Ovid], Web of Science, ClinicalTrials.gov [NLM], LIVIVO Search Portal [ZB MED] and Google Scholar) from 1974 to March 2022 for relevant records. RESULTS: Our search yielded 1773 records, of which 28 met our inclusion criteria. Thirteen of 28 selected studies were cross-sectional with qualitative content analysis of websites about menopause; 9 studies were cohort studies examining the impact of an eHealth intervention; two studies were randomized controlled trials comparing eHealth tools with conventional ones; and four studies were non-systematic literature reviews. CONCLUSION: This scoping review highlights the potential of eHealth-based information tools for the management of menopause and shows that most eHealth-based information tools are inadequate in terms of readability and the balanced view on information. Providers of eHealth-based information tools should pay attention to a participatory design, readability, balance of content and the use of multimedia tools for information delivery to improve understanding.

Tanzania's and Germany's Digital Health Strategies and Their Consistency With the World Health Organization's Global Strategy on Digital Health 2020-2025: Comparative Policy Analysis.

BACKGROUND: In recent years, the fast-paced adoption of digital health (DH) technologies has transformed health care delivery. However, this rapid evolution has also led to challenges such as uncoordinated development and information silos, impeding effective health care integration. Recognizing these challenges, nations have developed digital health strategies (DHSs), aligning with their national health priorities and guidance from global frameworks. The World Health Organization (WHO)'s Global Strategy on Digital Health 2020-2025 (GSDH) guides national DHSs. OBJECTIVE: This study analyzes the DHSs of Tanzania and Germany as case studies and assesses their alignment with the GSDH and identifies strengths, shortcomings, and areas for improvement. METHODS: A comparative policy analysis was conducted, focusing on the DHSs of Tanzania and Germany as case studies, selected for their contrasting health care systems and cooperative history. The analysis involved a three-step process: (1) assessing consistency with the GSDH, (2) comparing similarities and differences, and (3) evaluating the incorporation of emergent technologies. Primary data sources included national eHealth policy documents and related legislation. RESULTS: Both Germany's and Tanzania's DHSs align significantly with the WHO's GSDH, incorporating most of its 35 elements, but each missing 5 distinct elements. Specifically, Tanzania's DHS lacks in areas such as knowledge management and capacity building for leaders, while Germany's strategy falls short in engaging health care service providers and beneficiaries in development phases and promoting health equity. Both countries, however, excel in other aspects like collaboration, knowledge transfer, and advancing national DHSs, reflecting their commitment to enhancing DH infrastructures. The high ratings of both countries on the Global Digital Health Monitor underscore their substantial progress in DH, although challenges persist in adopting the rapidly advancing technologies and in the need for more inclusive and comprehensive strategies. CONCLUSIONS: This study reveals that both Tanzania and Germany have made significant strides in aligning their DHSs with the WHO's GSDH. However, the rapid evolution of technologies like artificial intelligence and machine learning presents challenges in keeping strategies up-to-date. This study recommends the development of more comprehensive, inclusive strategies and regular revisions to align with emerging technologies and needs. The research underscores the importance of context-specific adaptations in DHSs and highlights the need for broader, strategic guidelines to direct the future development of the DH ecosystem. The WHO's GSDH serves as a crucial blueprint for national DHSs. This comparative analysis demonstrates the value and challenges of aligning national strategies with global guidelines. Both Tanzania and Germany offer valuable insights into developing and implementing effective DHSs, highlighting the importance of continuous adaptation and context-specific considerations. Future policy assessments require in-depth knowledge of the country's health care needs and structure, supplemented by stakeholder input for a comprehensive evaluation.

A Review of Digital Health Strategies in 10 Countries With Young Populations: Do They Serve the Health and Wellbeing of Children and Youth in a Digital Age?

Children and youth merit special attention from digital health policymakers and practitioners because of the great potential for digital transformations to both enhance and undermine their health and wellbeing. However, an analysis of digital health strategies from 10 African countries with young populations suggest that national approaches to digital health are overlooking young people's specific health needs and unique risks in relation to digital technologies and data. To better serve the needs of children and youth in a digital age, future digital health strategies-and the global guidance that many strategies are based upon-should consider the ways in which digital transformations can positively or negatively impact the health and wellbeing of different populations, and the forms of cross-sectoral and multi-stakeholder collaboration required to amplify or mitigate them. Future strategies should be developed through inclusive processes that support young people's right to participate in decision-making that affects their lives.

Vídeos como ferramentas de educação em saúde bucal em tempos de pandemia na integração ensino e serviço do Centro Universitário de Patos de Minas / Videos as tools for the education in oral health in the teaching-service integration at the University Center of Patos de Minas during the pandemic

No curso de graduação em Odontologia do Centro Universitário de Patos de Minas, diversas atividades do estágio Integração Ensino, Serviço e Comunidade (INESC) tiveram que ser suspensas emsua forma presencial, conforme recomendações das autoridades sanitárias, devido à pandemia da COVID-19. O objetivo deste artigo é relatar a experiência da aplicação dos conceitos de educação em saúde no ensino remoto por meioda confecção de vídeos de criação compartilhada por estudantes do oitavo período, matriculados no estágio INESC. As etapas de elaboração de roteiro textual, com adequação de linguagem e uso da função conativa foram cumpridas, bem como o uso dos recursos lúdicos. De maneira geral, foi percebido, tanto pelos docentes quanto pelos próprios alunos, a potência e o alcance do material utilizando as ferramentas digitais, que além de transformarem e enriquecerem a formação acadêmica, preparando os estudantes para uma nova realidade pós-pandemia, também são ferramentas perenes de transformação social, podendo ser utilizadas em diversos contextos e locais, ampliando o acesso da população às medidas educativas em saúde bucal (AU).

In the graduate course in Dentistry at the University Center of Patos de Minas, several in-person activities of the Teaching, Service, and Community Integration (INESC) internship had to be suspended due to the COVID-19 pandemic, as recommended by health authorities. This article aims to report the experience of applying the concepts of health education in remote education through the production of videos shared by eighth-period students enrolled in this internship. The steps for preparing a script, with language adaptation, and the use of the conative function were completed, as well as the use of playful resources. In general, teachers and students have perceived the power and reach of digital tools, which, in addition to transforming and enriching the academic training and preparing students for a new post-pandemic reality, are also perennial tools of social transformation, that can be used in different contexts and places, expanding the access of the population to educational measures in oral health (AU).