Table 2.
ID | Ref | Study design | Aim | Intervention | Comparator | Country | Setting | Participants | n | Outcomes |
39 | Rambaud-Althaus et al 32 | Pilot cluster randomised controlled study | To compare smartphone and paper-based versions | Electronic version of Algorithm for Management of Childhood Illness (ALMANACH) | Paper version | Tanzania | 9 health facilities in Dar es Salaam | 48 health workers; paper n=18, electronic n=30, and 504 children | 552 | Proportion of children appropriately managed |
63 | Shao et al 33 | Qualitative in-depth interviews and focus group discussions | To assess health worker’s perceptions on uptake | 6 health facilities in Dar es Salaam | Primary health workers; interviews n=24, focus groups n=16 | 40 | Views on correct treatment | |||
120 | Palazuelos et al 46 | Mixed methods comparison: survey and interviews | To compare perceptions on the mobile and paper versions | Mobile-based medicine dosing tool App CommCare for different medications |
Paper-based tool | Mexico, Guatemala | Small rural mountain towns | 17 community health workers; Mexico n=11, Guatemala n=6 | 17 | Perceptions on use |
125 | Segal et al 35 | Before-and-after study | To measure the app’s usability and effect on patient-centredness | Guatemala | Primary care clinics | 6 interns | 6 | Accuracy, usability and patient-centredness | ||
2 | Abouda e t al 37 | Before-and-after study | To report on the impact of using integrated syndromic guidelines | Algorithms for treatment of respiratory diseases | Usual care | Tunisia | 28 primary healthcare clinics in Tunis | 73 general practitioners; 2366 patients at baseline, 1475 impact survey | 3914 | Mediation prescribed, average cost and perceptions |
87 | Adams et al 38 | Evaluation: feasibility of an antidepressant dosing tool | To task shift depression management to an HIV clinic | Treatment algorithm to determine antidepressant dose | None | Tanzania | HIV clinic, northern hospital | 20 depressed patients (1 moved out, 2 lost to follow-up) and their healthcare providers | 17 | Patient Health Questionnaire-9 Item Score |
47 | Praveen et al 47 | Evaluation: clinical and survey data and in-depth interviews | To develop and evaluate a clinical decision support system | Mobile-based system for cardiovascular disease | None | India | 3 health centres; Andhra Pradesh | 3 primary health centre physicians | 3 | Use of tool, confidence in prescribing |
121 | Catalani et al 36 | Evaluation: site observations, key informant interviews, lab simulation and usability testing | To develop, implement and evaluate the system using a human-centred design | Patient-specific clinical decision support system for tuberculosis treatment | None | Kenya | 24 rural clinics in the West | 24 key informants (medical superintendents, clinicians, Ministry of Health officials, laboratory managers, pharmacy managers, medical directors, TB care providers, administrators and programme managers, data quality workers and community health workers); 217 pseudopatients; 9 clinicians | 250 | Perceptions on use |
124 | Bessat et al 34 | Evaluation of implementation | To investigate clinician insights on the tool | Electronic version of Integrated Management of Childhood Illness | None | Burkina Faso | 10 primary care facilities | 21 health workers | 21 | Perception of its medical content, usability |
TB, tuberculosis.