Exploring the Equity Impact of Current Digital Health Design Practices: Protocol for a Scoping Review

Evans, Laura; Evans, Jay; Pagliari, Claudia; Källander, Karin

doi:10.2196/34013

Cited by 10 publications

(5 citation statements)

References 44 publications

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“…The scoping review methodology, as outlined by Arksey and O'Malley and the Joanna Briggs Institute (JBI) [16,17], is an appropriate approach for mapping DHIs. Scoping reviews allow flexibility when exploring the diverse and heterogenous field of digital health, are appropriate when using different sources of data (eg, peer-reviewed journals, gray literature, and expert opinions), and permit inclusion and exclusion criteria to be iteratively refined as more evidence is uncovered [16][17][18][19]. Additionally, the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews) [20] will be followed to ensure adherence to methodological standards.…”

Section: Scoping Review Methodologymentioning

confidence: 99%

Mapping Respiratory Health Digital Interventions in South and Southeast Asia: Protocol for a Scoping Review

Evans,

Fletcher

et al. 2024

JMIR Res Protoc

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Background The last 2 decades have been a time of exponential growth and maturation for digital health, while the global burden of respiratory disease continues to grow worldwide. Leveraging digital health interventions (DHIs) to manage and mitigate respiratory disease and its adverse health effects presents itself as an obvious path forward. Objective We aimed to understand the current digital landscape and enabling environment around respiratory health to reduce costs, avoid duplication, and understand the comprehensiveness of DHIs. Methods This study will follow a scoping review methodology as outlined by Arksey and O’Malley, the Joanna Briggs Institute, and the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews) checklist. MEDLINE, Embase, CINAHL, PsycINFO, Cochrane Library, Web of Science, PakiMedNet, and MyMedR databases will be searched along with key websites, repositories, and gray literature databases. The terms “respiratory health,” “digital health,” “South Asia,” and “Southeast Asia,” as well as related terms will be searched. The results will be screened for duplicates and then against the inclusion and exclusion criteria. For the studies included, data will be extracted, collated, and analyzed. Results The scoping review was started in July 2023 and will be finalized by February 2024. Results will be presented following the World Health Organization’s classification of DHIs to categorize interventions in a standardized format and the mobile health evidence reporting and assessment checklist to report on the effectiveness of interventions. Further exposition of the evidence extracted will be presented through narrative synthesis. Conclusions As DHIs continue to proliferate, the need to understand the current landscape becomes more pertinent. In this scoping review, we will seek to more clearly understand what digital health tools and technologies are being used in the current landscape of digital health in South and Southeast Asia for respiratory health and to what extent they are addressing the respiratory health needs of the region. The results will inform recommendations on digital health tools for respiratory health in South and Southeast Asia will help funders and implementers of DHIs leverage existing technologies and accelerate innovations that address documented gaps in the studied countries. International Registered Report Identifier (IRRID) DERR1-10.2196/52517

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Section: Scoping Review Methodologymentioning

confidence: 99%

Mapping Respiratory Health Digital Interventions in South and Southeast Asia: Protocol for a Scoping Review

Evans,

Fletcher

et al. 2024

JMIR Res Protoc

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“…Primary directions are classified as behavioral leads (solid lines), indicating that a force tends to push toward the end. Non-primary directions (dashed lines) indicate that a force does not push towards the end [60]. The above two methods reflect the perceptual feedback and transition time series effects of the elderly population under the transition of digital health services to suit the aging process, dig deep into the elements that cause the transition dilemma, and analyze the causal logic behind this.…”

Section: Methodsmentioning

confidence: 99%

Behavioral Patterns of Supply and Demand Sides of Health Services for the Elderly in Sustainable Digital Transformation: A Mixed Methods Study

Zhou

Ogihara

et al. 2022

IJERPH

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The aging transformation of digital health services faces issues of how to distinguish influencing factors, redesign services, and effectively promote measures and policies. In this study, in-depth interviews were conducted, and grounded theory applied to open coding, main axis coding, and selective coding to form concepts and categories. Trajectory equifinality modeling clarified the evolution logic of digital transformation. Based on the theory of service ecology, a digital health service aging model was constructed from the “macro–medium–micro” stages and includes governance, service, and technology transformation paths. The macro stage relies on organizational elements to promote the institutionalization of management and guide the transformation of governance for value realization, including the construction of three categories: mechanism, indemnification, and decision-making. The meso stage relies on service elements to promote service design and realize service transformation that is suitable for aging design, including the construction of three categories: organization, resources, and processes. The micro stage relies on technical elements to practice experiencing humanization, including the construction of three categories: target, methods, and evaluation. These results deepen the understanding of the main behaviors and roles of macro-organizational, meso-service, and micro-technical elements in digital transformation practice and have positive significance for health administrative agencies to implement action strategies.

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“…This echoes findings from other studies such as Gonzalez et al [80], which showed that participatory design and co-design can benefit long-term engagement with mHealth tools, and Jang et al [81], who showed how participation can improve access and enrollment in digital interventions. However, as analyzed by Evans et al [82], in future work, the definitions of participatory design or co-design need to continue to be scrutinized in order to better understand and improve the impact of these design practices on equity in health.…”

Section: Principal Findingsmentioning

confidence: 99%

Digital Health for Migrants, Ethnic and Cultural Minorities and the Role of Participatory Development: A Scoping Review

Radu,

Scheermesser,

Spiess

et al. 2023

IJERPH

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Digital health interventions (DHIs) are increasingly used to address the health of migrants and ethnic minorities, some of whom have reduced access to health services and worse health outcomes than majority populations. This study aims to give an overview of digital health interventions developed for ethnic or cultural minority and migrant populations, the health problems they address, their effectiveness at the individual level and the degree of participation of target populations during development. We used the methodological approach of the scoping review outlined by Tricco. We found a total of 2248 studies, of which 57 were included, mostly using mobile health technologies, followed by websites, informational videos, text messages and telehealth. Most interventions focused on illness self-management, mental health and wellbeing, followed by pregnancy and overall lifestyle habits. About half did not involve the target population in development and only a minority involved them consistently. The studies we found indicate that the increased involvement of the target population in the development of digital health tools leads to a greater acceptance of their use.

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Exploring the Equity Impact of Current Digital Health Design Practices: Protocol for a Scoping Review

Cited by 10 publications

References 44 publications

Mapping Respiratory Health Digital Interventions in South and Southeast Asia: Protocol for a Scoping Review

Mapping Respiratory Health Digital Interventions in South and Southeast Asia: Protocol for a Scoping Review

Behavioral Patterns of Supply and Demand Sides of Health Services for the Elderly in Sustainable Digital Transformation: A Mixed Methods Study

Digital Health for Migrants, Ethnic and Cultural Minorities and the Role of Participatory Development: A Scoping Review

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