Technologies for health education about foreign-body airway obstruction: an integrative review

Silva, Fabiana Laranjeira da; Galindo Neto, Nelson Miguel; Sá, Guilherme Guarino de Moura; França, Michelline Santos de; Oliveira, Paula Marciana Pinheiro de; Grimaldi, Monaliza Ribeiro Mariano

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Revista da Escola de Enfermagem da USP

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Sumário

REVIEW • Rev. esc. enferm. USP 55 • 2021 • https://doi.org/10.1590/S1980-220X2020035103778 copy

Technologies for health education about foreign-body airway obstruction: an integrative review

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective

To analyze technologies developed for health education about airway obstruction.

Method

Integrative review through search in the databases Medical Literature Analysis and Retrieval System Online, Latin American and Caribbean Health Sciences Literature, Cumulative Index to Nursing and Allied Health Literature, Web of Science, and Scopus. Original studies, with no time and language restrictions, were selected. The data were extracted by two independent researchers and organized into synoptic tables. Result integration was based on the data reduction method.

Results

The eight included articles were published in Brazilian and international journals and were predominantly methodological. The identified technologies were applications, online courses, 3D animations, booklet, and website. The theme was approached among the contents of Basic Life Support. An absence of technologies approaching the theme with accessibility was observed.

Conclusion

The identified technologies were digital and printed, presenting content validity and effectivity for use in education and health. Even so, there is gap in studies highlighting specific educational technologies on airway obstruction.

Gagging; Airway Obstruction; Health Education; Educational Technology; Teaching Materials; Review

Database	Search strategy
Medline/ PubMed	((((((((((((((((“Technology”[Mesh]) OR (“Biomedical Technology”[Mesh])) OR (“Educational Technology”[Mesh])) OR (“Communications Media”[Mesh])) OR (“Education, Distance”[Mesh])) OR (“Instructional Film and Video” [Publication Type])) OR (“Audiovisual Aids”[Mesh])) OR (“Teaching Materials”[Mesh])) OR (“Pamphlets”[Mesh])) OR (“Sustainable Development”[Mesh])) OR (“Patient Education Handout” [Publication Type])) OR (“Audio-Video Demonstration”)) OR (“Instructional Technology”)) OR (“Online Teaching”)) OR (“eLearning”)) AND (((((((“Airway Obstruction”[Mesh]) OR (“Heimlich Maneuver”[Mesh])) OR (“Foreign Bodies”[Mesh])) OR (“Gagging”[Mesh])) OR (“First Aid”[Mesh])) OR (“Emergency Treatment”[Mesh])) OR (“Emergencies”[Mesh]))) AND ((((((((((((((((((((((“Health Education”[Mesh]) OR (“Education”[Mesh])) OR (“Health Communication”[Mesh])) OR (“Education, Special”[Mesh])) OR (“Video-Audio Media” [Publication Type])) OR (“Patient Education as Topic”[Mesh])) OR (“Teaching”[Mesh])) OR (“Population Education”)) OR (“Community Health Education”)) OR (“Education, Community Health”)) OR (“Education, Health”)) OR (“Health Education, Community”)) OR (“Educational Technics”)) OR (“Educational Techniques”)) OR (“Technics, Educational”)) OR (“Techniques, Educational”)) OR (“Training Activities”)) OR (“Training Technics”)) OR (“Training Techniques”)) OR (“Memory Training”)) OR (“Education of Patients”)) OR (“Education Patient”))
Lilacs/BVS	(tw:((mh:(Technology)) OR (mh:(“Biomedical Technology”)) OR (mh:(“Educational Technology”)) OR (mh:(“Communications Media”)) OR (mh:(“Education, Distance”)) OR (mh:(“Instructional Films and Videos”)) OR (mh:(“Audiovisual Aids”)) OR (mh:(“Teaching Materials”)) OR (mh:(Pamphlets)) OR (mh:(“Technological Development”)) OR (mh:(“Patient Education Handout”)) OR (tw:(“Audio-Video Demonstration”)) OR (tw:(“Instructional Technology”)) OR (tw:(“Online Teaching”)) OR (tw:(eLearning)))) AND (tw:((mh:(“Airway Obstruction”)) OR (mh:(“Heimlich Maneuver” )) OR (mh:(“Foreign Bodies”)) OR (mh:(Gagging)) OR (mh:(“First Aid”)) OR (mh:(“Emergency Treatment”)) OR (mh:(Emergencies)))) AND (tw:((mh:(“Health Education”)) OR (mh:(Education)) OR (mh:(“Health Communication”)) OR (mh:(“Education, Special”)) OR (mh:(“Video-Audio Media”)) OR (mh:(“Patient Education as Topic”)) OR (mh:(Teaching)) OR (tw:(“Population Education”)) OR (tw:(“Community Health Education”)) OR (tw:(“Education, Community Health”)) OR (tw:(“Education, Health”)) OR (tw:(“Health Education, Community”)) OR (tw:(“Educational Technics”)) OR (tw:(“Educational Techniques”)) OR (tw:(“Technics, Educational”)) OR (tw:(“Techniques, Educational”)) OR (tw:(“Training Activities”)) OR (tw:(“Training Technics”)) OR (tw:(“Training Techniques”)) OR (tw:(“Memory Training”)) OR (tw:(“Education of Patients”)) OR (tw:(“Education Patient”))))
CINAHL	(MH Technology OR MH “Biomedical Technology” OR MH “Educational Technology” OR MH “Communications Media” OR MH “Education, Distance” OR MH “Instructional Films and Videos” OR MH “Instructional Films and Videos” OR MH “Teaching Materials” OR MH “Pamphlets” OR MH “Technological Development” OR MH “Patient Education Handout” OR TX “Audio-Video Demonstration” OR TX “Instructional Technology” OR TX “Online Teaching” OR TX eLearning) AND (MH “Airway Obstruction” OR MH “Heimlich Maneuver” OR MH “Foreign Bodies” OR MH “Gagging” OR MH “First Aid” OR MH “Emergency Treatment” OR MH “Emergencies”) AND (MH “Health Education” OR MH Education OR MH “Health Communication” OR MH “Education, Special” OR MH “Video-Audio Media” OR MH “Patient Education as Topic” OR MH Teaching OR TX “Population Education” OR TX “Community Health Education” OR TX “Education, Community Health” OR TX “Education, Health” OR TX “Health Education, Community” OR TX “Educational Technics” OR TX “Educational Techniques” OR TX “Technics, Educational” OR TX “Techniques, Educational” OR TX “Training Activities” OR TX “Training Technics” OR TX “Training Techniques” OR TX “Memory Training” OR TX “Education of Patients” OR TX “Education Patient”)
Web of Science	ALL=(Technology OR “Biomedical Technology” OR “Educational Technology” OR “Communications Media” OR “Education, Distance” OR “Instructional Films and Videos” OR “Audiovisual Aids” OR “Teaching Materials” OR Pamphlets OR “Technological Development” OR “Patient Education Handout” OR “Audio-Video Demonstration” OR “Instructional Technology” OR “Online Teaching” OR eLearning) AND ALL=(“Airway Obstruction” OR “Heimlich Maneuver” OR “Foreign Bodies” OR Gagging OR “First Aid” OR “Emergency Treatment” OR Emergencies) AND ALL=(“Health Education” OR Education OR “Health Communication” OR “Education, Special” OR “Video-Audio Media” OR “Patient Education as Topic” OR Teaching OR “Population Education” OR “Community Health Education” OR “Education, Community Health” OR “Education, Health” OR “Health Education, Community” OR “Educational Technics” OR “Educational Techniques” OR “Technics, Educational” OR “Techniques, Educational” OR “Training Activities” OR “Training Technics” OR “Training Techniques” OR “Memory Training” OR “Education of Patients” OR “Education Patient”)
Scopus	((TITLE-ABS-KEY(Technology) OR TITLE-ABS-KEY(“Biomedical Technology”) OR TITLE-ABS-KEY(“Educational Technology”) OR TITLE-ABS-KEY(“Communications Media”) OR TITLE-ABS-KEY(“Education, Distance” ) OR TITLE-ABS-KEY(“Instructional Films and Videos”) OR TITLE-ABS-KEY(“Audiovisual Aids”) OR TITLE-ABS-KEY(“Teaching Materials”) OR TITLE-ABS-KEY(Pamphlets) OR TITLE-ABS-KEY(“Technological Development”) OR TITLE-ABS-KEY(“Patient Education Handout”) OR TITLE-ABS-KEY(“Audio-Video Demonstration”) OR TITLE-ABS-KEY(“Instructional Technology”) OR TITLE-ABS-KEY(“Online Teaching”) OR TITLE-ABS-KEY(eLearning))) AND ((TITLE-ABS-KEY(“Airway Obstruction”) OR TITLE-ABS-KEY(“Heimlich Maneuver”) OR TITLE-ABS-KEY(“Foreign Bodies”) OR TITLE-ABS-KEY(Gagging) OR TITLE-ABS-KEY(“First Aid”) OR TITLE-ABS-KEY(“Emergency Treatment”) OR TITLE-ABS-KEY(Emergencies))) AND ((TITLE-ABS-KEY(“Health Education”) OR TITLE-ABS-KEY(Education) OR TITLE-ABS-KEY(“Health Communication” ) OR TITLE-ABS-KEY(“Education, Special”) OR TITLE-ABS-KEY(“Video-Audio Media”) OR TITLE-ABS-KEY(“Patient Education as Topic”) OR TITLE-ABS-KEY(Teaching) OR TITLE-ABS-KEY(“Population Education”) OR TITLE-ABS-KEY(“Community Health Education”) OR TITLE-ABS-KEY(“Education, Community Health”) OR TITLE-ABS-KEY(“Education, Health”) OR TITLE-ABS-KEY(“Health Education, Community”) OR TITLE-ABS-KEY(“Educational Technics”) OR TITLE-ABS-KEY(“Educational Techniques”) OR TITLE-ABS-KEY(“Technics, Educational”) OR TITLE-ABS-KEY(“Techniques, Educational”) OR TITLE-ABS-KEY(“Training Activities”) OR TITLE-ABS-KEY(“Training Technics”) OR TITLE-ABS-KEY(“Training Techniques”) OR TITLE-ABS-KEY(“Memory Training”) OR TITLE-ABS-KEY(“Education of Patients”) OR TITLE-ABS-KEY(“Education Patient”)))

Year/Country/Type of study	Technology	Objective	Results/Conclusion	Level of evidence	Methodological quality
2013/ Brazil/ Methodological⁽¹⁶⁾	Website	Assess structure, quality of information, and browsing of website on First Aid.	Information Technology and health professionals and nursing students considered the website to have good quality of information and browsing experience.	Unapplicable	Unapplicable
2015/ Turkey/ Quasi-experimental⁽¹⁷⁾	Online Course	Provide first aid instructions via online technologies for professors-to-be.	The knowledge was superior in the experimental group (online), although control (presential) had also improved before and after the tests.	III	Moderate risk-of-bias*
2016/ South Korea/ Quasi-experimental⁽¹⁸⁾	Application	To evaluate the effect of application on emergency targeted at school-age children.	The application has improved the children’s knowledge for coping with emergencies.	III	Low risk-of-bias*
2017/ Brazil/ Methodological⁽¹⁹⁾	Booklet	To create and validate an educational booklet for teachers in children’s education and primary school cycle I on first aid.	The booklet was created, validated by health professionals, and assessed by teachers as well-illustrated, clear, and enlightening.	Unapplicable	Unapplicable
2017/ South Korea/ Quasi-experimental⁽²⁰⁾	Application	To develop and evaluate the efficacy of the application on knowledge, skill, and confidence of nursing students on airway obstruction.	The application was efficient to improve the knowledge, skill, and confidence on foreign-body airway obstruction in children.	III	Low risk-of-bias^*
2017/ United States/ Experimental⁽²¹⁾	3D animation	To investigate the efficiency of the animation for education in emergency medicine.	The animation covered drowning, airway obstruction, and fractures. The animation may be used as an additional tool in emergency training.	II	Somewhat worrying^**
2018/ Indonesia/ Methodological⁽²²⁾	Application	To develop an application with first aid orientation for children aged 11 to 14.	The application on airway obstruction, wounds, hemorrhages, and burns can be used for first aid education.	Unapplicable	Unapplicable
2018/ Brazil/ Methodological⁽²³⁾	Online Course	To create and validate a remote Basic Life Support course.	The course comprised modules on cardiopulmonary resuscitation, automated external defibrillator, airway opening, and presented content validity.	Unapplicable	Unapplicable

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E-mail: reeusp@usp.br

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[1] Corresponding author: Fabiana Laranjeira da Silva Rua José Franco de Oliveira, S/N, CEP 62790-000 – Redenção, CE, Brazil fabianappgeunilab@gmail.com