Abstract:
BACKGROUND: While mobile-linked point-of-care diagnostics may circumvent geographical and temporal barriers
to efficient communication, the use of such technology in community settings will depend on user experience. We
conducted a scoping review to systematically map evidence on user experiences of mobile-linked point-of-care
diagnostics in community healthcare settings published from the year 2016 up to the year 2022.
METHODOLOGY: We conducted a comprehensive search of the following electronic databases: Scopus, Web of
Science, and EBSCOhost (Medline, CINAHL, Africa-wide, Academic Search Complete). The inter-reviewer agreement
was determined using Cohen’s kappa statistic. Data quality was appraised using the mixed method appraisal tool
version 2018, and the results were reported according to the preferred reporting items for systematic reviews and
meta-analyses for scoping reviews (PRISMA-ScR).
RESULTS: Following the abstract and full article screening, nine articles were found eligible for inclusion in data
extraction. Following the quality appraisal, one study scored 72.5%, one study scored 95%, and the remaining seven
studies scored 100%. Inter-rater agreement was 83.54% (Kappa statistic=0.51, p<0.05). Three themes emerged from
the articles: approaches to implementing mobile-linked point-of-care diagnostics, user engagement in community based healthcare settings, and limited user experiences in mobile-linked point-of-care diagnostics. User experiences
are key to the sustainable implementation of mobile-linked point-of-care diagnostics. User experiences have been
evaluated in small community healthcare settings. There is limited evidence of research aimed at evaluating the
usability of mobile-linked diagnostics at the community level.
CONCLUSION: More studies are needed to assess the user experience of mobile-linked diagnostics in larger
communities. This scoping review revealed gaps that need to be addressed to improve user experiences of mobile linked diagnostics, including language barriers, privacy issues, and clear instructions.
