Supporting Healthcare Integration of Refugees Exploiting Reusable Learning Objects: The ASPIRE Framework

Abstract

The significant increase of refugees’ migration has demonstrated an overwhelming need for their access and integration to healthcare systems. E-learning, especially in the form of experiential digital learning, has been highlighted as an important ally in supporting refugees’ health needs. This paper aims to discuss the design and development process of Reusable Learning Objects (RLOs) to enhance digital health applications for refugees and integrate them to healthcare systems. The participatory approach based on the “ASPIRE” framework was followed. Using the “ASPIRE” process, 9 stakeholders were involved in the first phase of the development process, where a co-creation storyboarding workshop was held in Greece by the Medical Physics Laboratory of the Aristotle University of Thessaloniki. Essential qualitative and quantitative feedback was collected from stakeholders through an online questionnaire administered in Google Forms. Overall, enlightening ideas were expressed and all stakeholders commented positively on the value and efficacy of the workshop.

The potential of games for vulnerable groups like refugees: a scoping review

“…On the other hand, there is an urgent need for access and integration to health systems, given a vulnerable group that is faced with certain challenges in accessing health, including financial, administrative, language and cultural barriers as well as an insufficient understanding of how health care is organized and delivered ( 24 ) . It should be remembered that refugees are at greater risk of health problems, particularly mental ones, due to the high levels of trauma they have been subjected to ( 4 ) .…”

“…It should be remembered that refugees are at greater risk of health problems, particularly mental ones, due to the high levels of trauma they have been subjected to ( 4 ) . These factors demonstrate a pressing need for their access and integration into health systems, especially through digital resources ( 24 ) , where it is possible to allocate the games. In view of this evidence, one might think that the creation and use of games both in the context of training health professionals and in accessing care can be an added value.…”

O potencial de jogos para grupos vulneráveis como refugiados: revisão de escopo

“…Por outro lado, existe uma necessidade premente de acesso e integração aos sistemas de saúde, perante um grupo vulnerável que é confrontado com certos desafios no acesso à saúde, incluindo barreiras financeiras, administrativas, linguísticas e culturais, bem como uma compreensão insuficiente de como os cuidados de saúde são organizados e prestados (24) . Recorda-se que os refugiados estão em maior risco de problemas de saúde, nomeadamente do foro mental, pelos altos traumas a que foram sujeitos (4) .…”

“…Recorda-se que os refugiados estão em maior risco de problemas de saúde, nomeadamente do foro mental, pelos altos traumas a que foram sujeitos (4) . Esses fatores demonstram uma necessidade premente de seu acesso e integração aos sistemas de saúde, especialmente através de recursos digitais (24) , nos quais é possível alocar os jogos. Perante essas evidências, pode-se pensar que a criação e a utilização de jogos, tanto no âmbito da formação dos profissionais de saúde quanto no acesso aos cuidados, podem ser uma mais-valia.…”

Co-Creation of a Virtual Interactive Teaching Package for Auditors of Healthcare Placements – Towards Assurance of Quality of Health Care Traineeships

“…There are multiple frameworks for co-creation of digital resources [10], but the ASPIRE framework [11], which stands for Aims, Storyboarding, Population, Implementation, Release and Evaluation, has been widely and effectively used on the development of healthcare open education resources small in size aiming to fulfil one learning objective [12][13][14]. Furthermore, it has been modified to accommodate the co-creation innovative resources, such as Virtual Reality [15,16] and Chatbots [17] and adjusted to fit larger resources such as Virtual Teaching Packages that address more than one objective [18].…”