Behavioral Interventions Using Consumer Information Technology as Tools to Advance Health Equity
Behavioral Interventions Using Consumer Information Technology as Tools to Advance Health Equity
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DOI：
10.2105/ajph.2018.304646
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发表时间：
2019-01-01
影响因子：
12.7
通讯作者：
Farhat, Tilda
中科院分区：
文献类型：
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作者：
Bakken, Suzanne;Marden, Sue;Farhat, Tilda
与消费者信息技术 (CIT) 相关的数字鸿沟已经缩小，从而增加了利用 CIT 克服获得健康干预措施的障碍以及在日常生活中提供干预措施的潜力。然而，关于 CIT 干预措施在健康差异人群中的使用和影响的证据基础落后于一般人群。文献和案例进行了总结，以证明移动医疗、远程医疗和社交媒体作为健康差异人群行为干预平台的使用，确定实现其使用的挑战，描述克服挑战的策略，并推荐未来的方向。证据基础正在出现。然而，要兑现承诺，必须解决设计、实施和评估方面的挑战。未来的方向包括（1）改进设计方法，（2）加强研究报告，（3）推进多层次干预措施，（4）严格评估，（5）努力解决隐私问题，以及（6）包容性设计和实施决策。
The digital divide related to consumer information technologies (CITs) has diminished, thus increasing the potential to use CITs to overcome barriers of access to health interventions as well as to deliver interventions situated in the context of daily lives. However, the evidence base regarding the use and impact of CIT-enabled interventions in health disparity populations lags behind that for the general population.Literature and case examples are summarized to demonstrate the use of mHealth, telehealth, and social media as behavioral intervention platforms in health disparity populations, identify challenges to achieving their use, describe strategies for overcoming the challenges, and recommend future directions. The evidence baseisemerging. However, challenges in design, implementation, and evaluation must be addressed for the promise to be fulfilled.Future directions include (1) improved design methods, (2) enhanced research reporting, (3) advancement of multilevel interventions, (4) rigorous evaluation, (5) efforts to address privacy concerns, and (6) inclusive design and implementation decisions.