Frameworks for implementation, uptake, and use of cardiometabolic disease-related digital health interventions in ethnic minority populations: scoping review.

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dc.contributor.authorRamasawmy, Mel
dc.contributor.authorPoole, Lydia
dc.contributor.authorThorlu-Bangura, Zareen
dc.contributor.authorChauhan, Aneesha
dc.contributor.authorMurali, Mayur
dc.contributor.authorJagpal, Parbir
dc.contributor.authorBijral, Mehar
dc.contributor.authorPrashar, Jai
dc.contributor.authorG-Medhin, Abigail
dc.contributor.authorMurray, Elizabeth
dc.contributor.authorStevenson, Fiona
dc.contributor.authorBlandford, Ann
dc.contributor.authorPotts, Henry W W
dc.contributor.authorKhunti, Kamlesh
dc.contributor.authorHanif, Wasim
dc.contributor.authorGill, Paramjit
dc.contributor.authorSajid, Madiha
dc.contributor.authorPatel, Kiran
dc.contributor.authorSood, Harpreet
dc.contributor.authorBhala, Neeraj
dc.contributor.authorModha, Shivali
dc.contributor.authorMistry, Manoj
dc.contributor.authorPatel, Vinod
dc.contributor.authorAli, Sarah N
dc.contributor.authorAla, Aftab
dc.contributor.authorBanerjee, Amitava
dc.contributor.departmentDiabetesen_US
dc.contributor.departmentGI Medicineen_US
dc.contributor.roleMedical and Dentalen_US
dc.contributor.trustauthorHanif, Wasim
dc.contributor.trustauthorBhala, Neeraj
dc.date.accessioned2023-08-25T13:13:17Z
dc.date.available2023-08-25T13:13:17Z
dc.date.issued2022-08-11
dc.description.abstractBackground: Digital health interventions have become increasingly common across health care, both before and during the COVID-19 pandemic. Health inequalities, particularly with respect to ethnicity, may not be considered in frameworks that address the implementation of digital health interventions. We considered frameworks to include any models, theories, or taxonomies that describe or predict implementation, uptake, and use of digital health interventions. Objective: We aimed to assess how health inequalities are addressed in frameworks relevant to the implementation, uptake, and use of digital health interventions; health and ethnic inequalities; and interventions for cardiometabolic disease. Methods: SCOPUS, PubMed, EMBASE, Google Scholar, and gray literature were searched to identify papers on frameworks relevant to the implementation, uptake, and use of digital health interventions; ethnically or culturally diverse populations and health inequalities; and interventions for cardiometabolic disease. We assessed the extent to which frameworks address health inequalities, specifically ethnic inequalities; explored how they were addressed; and developed recommendations for good practice. Results: Of 58 relevant papers, 22 (38%) included frameworks that referred to health inequalities. Inequalities were conceptualized as society-level, system-level, intervention-level, and individual. Only 5 frameworks considered all levels. Three frameworks considered how digital health interventions might interact with or exacerbate existing health inequalities, and 3 considered the process of health technology implementation, uptake, and use and suggested opportunities to improve equity in digital health. When ethnicity was considered, it was often within the broader concepts of social determinants of health. Only 3 frameworks explicitly addressed ethnicity: one focused on culturally tailoring digital health interventions, and 2 were applied to management of cardiometabolic disease. Conclusions: Existing frameworks evaluate implementation, uptake, and use of digital health interventions, but to consider factors related to ethnicity, it is necessary to look across frameworks. We have developed a visual guide of the key constructs across the 4 potential levels of action for digital health inequalities, which can be used to support future research and inform digital health policies.en_US
dc.identifier.citationRamasawmy M, Poole L, Thorlu-Bangura Z, Chauhan A, Murali M, Jagpal P, Bijral M, Prashar J, G-Medhin A, Murray E, Stevenson F, Blandford A, Potts HWW, Khunti K, Hanif W, Gill P, Sajid M, Patel K, Sood H, Bhala N, Modha S, Mistry M, Patel V, Ali SN, Ala A, Banerjee A. Frameworks for Implementation, Uptake, and Use of Cardiometabolic Disease-Related Digital Health Interventions in Ethnic Minority Populations: Scoping Review. JMIR Cardio. 2022 Aug 11;6(2):e37360. doi: 10.2196/37360en_US
dc.identifier.doi10.2196/37360
dc.identifier.eissn2561-1011
dc.identifier.pmid35969455
dc.identifier.urihttp://hdl.handle.net/20.500.14200/1945
dc.language.isoenen_US
dc.publisherJMIR Publicationsen_US
dc.relation.urlhttp://cardio.jmir.org/en_US
dc.relation.urlhttps://www.ncbi.nlm.nih.gov/pmc/journals/3746/en_US
dc.rights©Mel Ramasawmy, Lydia Poole, Zareen Thorlu-Bangura, Aneesha Chauhan, Mayur Murali, Parbir Jagpal, Mehar Bijral, Jai Prashar, Abigail G-Medhin, Elizabeth Murray, Fiona Stevenson, Ann Blandford, Henry W W Potts, Kamlesh Khunti, Wasim Hanif, Paramjit Gill, Madiha Sajid, Kiran Patel, Harpreet Sood, Neeraj Bhala, Shivali Modha, Manoj Mistry, Vinod Patel, Sarah N Ali, Aftab Ala, Amitava Banerjee. Originally published in JMIR Cardio (https://cardio.jmir.org), 11.08.2022.
dc.source.beginpagee37360
dc.source.countryCanada
dc.source.endpage
dc.source.issue2
dc.source.journaltitleJMIR Cardio
dc.source.volume6
dc.subjectPharmacologyen_US
dc.subjectEndocrinologyen_US
dc.subjectGastroenterologyen_US
dc.titleFrameworks for implementation, uptake, and use of cardiometabolic disease-related digital health interventions in ethnic minority populations: scoping review.en_US
dc.typeArticle
dspace.entity.typePublication
oa.grant.openaccessnaen_US
rioxxterms.versionNAen_US
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