J. Med. Internet Res. - Wikis and collaborative writing applications in health care: a scoping review.


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CKGROUND: Collaborative writing applications (eg, wikis and Google Documents) hold the potential to improve the use of evidence in both public health and health care. The rapid rise in their use has created the need for a systematic synthesis of the evidence of their impact as knowledge translation (KT) tools in the health care sector and for an inventory of the factors that affect their use.OBJECTIVE: Through the Levac six-stage methodology, a scoping review was undertaken to explore the depth and breadth of evidence about the effective, safe, and ethical use of wikis and collaborative writing applications (CWAs) in health care.METHODS: Multiple strategies were used to locate studies. Seven scientific databases and 6 grey literature sources were queried for articles on wikis and CWAs published between 2001 and September 16, 2011. In total, 4436 citations and 1921 grey literature items were screened. Two reviewers independently reviewed citations, selected eligible studies, and extracted data using a standardized form. We included any paper presenting qualitative or quantitative empirical evidence concerning health care and CWAs. We defined a CWA as any technology that enables the joint and simultaneous editing of a webpage or an online document by many end users. We performed qualitative content analysis to identify the factors that affect the use of CWAs using the Gagnon framework and their effects on health care using the Donabedian framework.RESULTS: Of the 111 studies included, 4 were experimental, 5 quasi-experimental, 5 observational, 52 case studies, 23 surveys about wiki use, and 22 descriptive studies about the quality of information in wikis. We classified them by theme: patterns of use of CWAs (n=26), quality of information in existing CWAs (n=25), and CWAs as KT tools (n=73). A high prevalence of CWA use (ie, more than 50%) is reported in 58% (7/12) of surveys conducted with health care professionals and students. However, we found only one longitudinal study showing that CWA use is increasing in health care. Moreover, contribution rates remain low and the quality of information contained in different CWAs needs improvement. We identified 48 barriers and 91 facilitators in 4 major themes (factors related to the CWA, users' knowledge and attitude towards CWAs, human environment, and organizational environment). We also found 57 positive and 23 negative effects that we classified into processes and outcomes.CONCLUSIONS: Although we found some experimental and quasi-experimental studies of the effectiveness and safety of CWAs as educational and KT interventions, the vast majority of included studies were observational case studies about CWAs being used by health professionals and patients. More primary research is needed to find ways to address the different barriers to their use and to make these applications more useful for different stakeholders.

Resumo Limpo

ckground collabor write applic eg wiki googl document hold potenti improv use evid public health health care rapid rise use creat need systemat synthesi evid impact knowledg translat kt tool health care sector inventori factor affect useobject levac sixstag methodolog scope review undertaken explor depth breadth evid effect safe ethic use wiki collabor write applic cwas health caremethod multipl strategi use locat studi seven scientif databas grey literatur sourc queri articl wiki cwas publish septemb total citat grey literatur item screen two review independ review citat select elig studi extract data use standard form includ paper present qualit quantit empir evid concern health care cwas defin cwa technolog enabl joint simultan edit webpag onlin document mani end user perform qualit content analysi identifi factor affect use cwas use gagnon framework effect health care use donabedian frameworkresult studi includ experiment quasiexperiment observ case studi survey wiki use descript studi qualiti inform wiki classifi theme pattern use cwas n qualiti inform exist cwas n cwas kt tool n high preval cwa use ie report survey conduct health care profession student howev found one longitudin studi show cwa use increas health care moreov contribut rate remain low qualiti inform contain differ cwas need improv identifi barrier facilit major theme factor relat cwa user knowledg attitud toward cwas human environ organiz environ also found posit negat effect classifi process outcomesconclus although found experiment quasiexperiment studi effect safeti cwas educ kt intervent vast major includ studi observ case studi cwas use health profession patient primari research need find way address differ barrier use make applic use differ stakehold

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