PDF(Pubmed)
Abstract：
South Asian individuals experience a higher burden of chronic diseases and limited access to health care services compared with their Caucasian peers. Digital health interventions can enhance the delivery of health care, minimize health inequities, and consequently improve health status among minority ethnic groups. However, it is unclear how South Asian people view and perceive the use of digital health technologies to support their health needs.
The aim of the review is to identify South Asian individuals\' experiences and attitudes of digital health and explore the barriers and facilitators affecting their use of digital health services.
The Arksey and O\'Malley methodological framework was used to guide this scoping review. Five electronic databases were examined for pertinent papers, which were augmented by searching bibliographies of the retrieved papers and gray literature. A total of 1328 potentially relevant papers were retrieved from the initial search, and the supplemental search added 7 papers to the final list of potentially included papers. Each paper on the initial inclusion list was independently reviewed, leaving 15 papers to be included in the review.
Data were analyzed thematically leading to the development of two overarching themes: (1) barriers to uptake of digital health and (2) facilitators of use of digital health services. There was a general consensus that South Asian communities still struggle with inadequate access to digital health technologies. Some studies suggest multiple initiatives to improve accessibility and acceptability of digital health services within South Asian communities in order to mitigate health disparities and develop a more inclusive health care system. These include the development of multiple-language and culturally sensitive interventions and digital skill development sessions. Most studies were conducted in South Asian countries, focusing on measurable outcomes of digital health interventions. Few explored the experiences and views of South Asian community members residing in the West as a minority ethnic group, for example, British South Asians.
Literature mapping proposes that South Asian people frequently struggle with a health care system that may limit their access to digital health services, and sometimes fails to consider social and cultural needs. There is growing evidence that digital health interventions have the potential to facilitate supported self-management, which is part of the plans to adopt person-centered care. These interventions are particularly important for overcoming some of the challenges, for example, time constraints, safety, and gender sensitivity, associated with the delivery of health care interventions in minority ethnic groups such as South Asians in the United Kingdom, and thus to improve minority ethnic groups\' access to health care services to support individual health needs, and consequently enhance health status.
The aim of the review is to identify South Asian individuals\' experiences and attitudes of digital health and explore the barriers and facilitators affecting their use of digital health services.
The Arksey and O\'Malley methodological framework was used to guide this scoping review. Five electronic databases were examined for pertinent papers, which were augmented by searching bibliographies of the retrieved papers and gray literature. A total of 1328 potentially relevant papers were retrieved from the initial search, and the supplemental search added 7 papers to the final list of potentially included papers. Each paper on the initial inclusion list was independently reviewed, leaving 15 papers to be included in the review.
Data were analyzed thematically leading to the development of two overarching themes: (1) barriers to uptake of digital health and (2) facilitators of use of digital health services. There was a general consensus that South Asian communities still struggle with inadequate access to digital health technologies. Some studies suggest multiple initiatives to improve accessibility and acceptability of digital health services within South Asian communities in order to mitigate health disparities and develop a more inclusive health care system. These include the development of multiple-language and culturally sensitive interventions and digital skill development sessions. Most studies were conducted in South Asian countries, focusing on measurable outcomes of digital health interventions. Few explored the experiences and views of South Asian community members residing in the West as a minority ethnic group, for example, British South Asians.
Literature mapping proposes that South Asian people frequently struggle with a health care system that may limit their access to digital health services, and sometimes fails to consider social and cultural needs. There is growing evidence that digital health interventions have the potential to facilitate supported self-management, which is part of the plans to adopt person-centered care. These interventions are particularly important for overcoming some of the challenges, for example, time constraints, safety, and gender sensitivity, associated with the delivery of health care interventions in minority ethnic groups such as South Asians in the United Kingdom, and thus to improve minority ethnic groups\' access to health care services to support individual health needs, and consequently enhance health status.
摘要：
背景：与高加索同龄人相比，南亚人的慢性病负担更高，获得医疗保健服务的机会有限。数字健康干预措施可以加强医疗保健的提供，尽量减少健康不平等，从而改善少数民族的健康状况。然而,目前尚不清楚南亚人如何看待和看待使用数字健康技术来满足他们的健康需求。
目的：审查的目的是确定南亚人对数字健康的经验和态度，并探讨影响他们使用数字健康服务的障碍和促进因素。
方法：使用Arksey和O\'Malley方法框架来指导本范围审查。检查了五个电子数据库的相关论文，通过搜索检索的论文和灰色文献的参考书目来增强。从最初的搜索中总共检索到1328篇潜在相关论文，补充搜索在可能包含的论文的最终列表中增加了7篇论文。对初始纳入清单上的每篇论文都进行了独立审查，留下15篇论文纳入审查。
结果：对数据进行了主题分析，导致了两个总体主题的发展：（1）数字健康的障碍和（2）数字健康服务的使用促进者。人们普遍认为，南亚社区仍在为无法充分获得数字卫生技术而苦苦挣扎。一些研究建议采取多种举措来改善南亚社区内数字卫生服务的可及性和可接受性，以减轻卫生差距并发展更具包容性的卫生保健系统。其中包括开发多种语言和文化敏感的干预措施以及数字技能发展会议。大多数研究是在南亚国家进行的，关注数字健康干预的可衡量结果。很少有人探索居住在西方的南亚社区成员作为少数民族的经验和观点，例如,英国南亚人。
结论：文献映射表明，南亚人民经常与可能限制他们获得数字医疗服务的医疗保健系统作斗争，有时不考虑社会和文化需求。越来越多的证据表明，数字健康干预有可能促进支持的自我管理，这是采用以人为本护理计划的一部分。这些干预措施对于克服一些挑战尤其重要,例如,时间限制,安全,和性别敏感性，与在英国的南亚人等少数民族中提供医疗保健干预措施有关，从而改善少数民族群体获得医疗保健服务的机会，以支持个人的健康需求，从而提高健康状况。
目的：审查的目的是确定南亚人对数字健康的经验和态度，并探讨影响他们使用数字健康服务的障碍和促进因素。
方法：使用Arksey和O\'Malley方法框架来指导本范围审查。检查了五个电子数据库的相关论文，通过搜索检索的论文和灰色文献的参考书目来增强。从最初的搜索中总共检索到1328篇潜在相关论文，补充搜索在可能包含的论文的最终列表中增加了7篇论文。对初始纳入清单上的每篇论文都进行了独立审查，留下15篇论文纳入审查。
结果：对数据进行了主题分析，导致了两个总体主题的发展：（1）数字健康的障碍和（2）数字健康服务的使用促进者。人们普遍认为，南亚社区仍在为无法充分获得数字卫生技术而苦苦挣扎。一些研究建议采取多种举措来改善南亚社区内数字卫生服务的可及性和可接受性，以减轻卫生差距并发展更具包容性的卫生保健系统。其中包括开发多种语言和文化敏感的干预措施以及数字技能发展会议。大多数研究是在南亚国家进行的，关注数字健康干预的可衡量结果。很少有人探索居住在西方的南亚社区成员作为少数民族的经验和观点，例如,英国南亚人。
结论：文献映射表明，南亚人民经常与可能限制他们获得数字医疗服务的医疗保健系统作斗争，有时不考虑社会和文化需求。越来越多的证据表明，数字健康干预有可能促进支持的自我管理，这是采用以人为本护理计划的一部分。这些干预措施对于克服一些挑战尤其重要,例如,时间限制,安全,和性别敏感性，与在英国的南亚人等少数民族中提供医疗保健干预措施有关，从而改善少数民族群体获得医疗保健服务的机会，以支持个人的健康需求，从而提高健康状况。
