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A Mixed-methods Systematic Review of Just-in-time Training Interventions During Health Emergencies: Types of Interventions and Development Processes

Published online by Cambridge University Press:  28 March 2025

Ann Neville Miller*
Affiliation:
University of Central Florida, Orlando, FL, USA
Andrew Todd
Affiliation:
University of Central Florida, Orlando, FL, USA
Venkata Naga Sreelalitapriya Duvuuri
Affiliation:
University of Central Florida, Orlando, FL, USA
Kian Soltani
Affiliation:
University of Central Florida, Orlando, FL, USA
Rebecca Freihaut
Affiliation:
University of Central Florida, Orlando, FL, USA
Laura Boutemen
Affiliation:
University of Central Florida, Orlando, FL, USA
Deanna Sellnow
Affiliation:
University of Central Florida, Orlando, FL, USA
Kishan Vishanagra
Affiliation:
University of Central Florida, Orlando, FL, USA
Jessica Hoffman
Affiliation:
University of Central Florida, Orlando, FL, USA
Timothy Sellnow
Affiliation:
University of Central Florida, Orlando, FL, USA
Om Patel
Affiliation:
University of Central Florida, Orlando, FL, USA
Xin Sheng
Affiliation:
University of Central Florida, Orlando, FL, USA
Shalewa Babatayo
Affiliation:
University of Central Florida, Orlando, FL, USA
Olga Willard
Affiliation:
University of Central Florida, Orlando, FL, USA
Heini Utunen
Affiliation:
World Health Organization, Geneva, Switzerland
Jane Noyes
Affiliation:
Bangor University, Bangor, UK
Giselle Balanciano
Affiliation:
World Health Organization, Geneva, Switzerland
*
Corresponding author: Ann Neville Miller; Email: [email protected]

Abstract

Aims

The World Health Organization (WHO) Health Emergency Programme funded three systematic reviews to inform development of guidance for emergency preparedness in health emergencies. The current review investigated the type of learning interventions that have been developed and used during health emergencies, and how they were developed.

Methods

We searched PubMed, CINAHL, Communication and Mass Media Complete (EBSCO), and Web of Science. Study quality was appraised by WHO-recommended method-specific checklists. Findings were extracted using a narrative summary approach.

Results

187 studies were included. Studies were split between online, in-person, and hybrid modalities, conducted mostly by hospitals and universities, and most frequently training nurses and doctors. Studies emphasized experiential learning to develop and reinforce skills; online learning for knowledge dissemination; multi-sectoral partnerships, institutional support and carefully constructed planning task forces, rapid training development and dissemination, and use of training models.

Conclusion

It Most studies evaluated only knowledge or self-confidence of trainees. Relatively few assessed skills; evaluations of long-term outcomes were rare. Little evidence is available about comparative effectiveness of different approaches, or optimum frequency and length of training programming. Based on principles induced, six recommendations for future JIT training are presented.

Type
Original Research
Copyright
© The Author(s), 2025. Published by Cambridge University Press on behalf of Society for Disaster Medicine and Public Health, Inc

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