Abstract:
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.
摘要:
数字健康干预措施(DHI)越来越多地用于解决移民和少数民族的健康问题。其中一些人获得卫生服务的机会减少,健康结果比大多数人群差。本研究旨在概述针对种族或文化少数群体和移民人口开发的数字健康干预措施,他们解决的健康问题,它们在个人层面的有效性以及目标人群在发展过程中的参与程度。我们使用了Tricco概述的范围审查的方法学方法。我们共发现2248项研究,其中包括57个,主要使用移动医疗技术,其次是网站,信息性视频,短信和远程医疗。大多数干预措施侧重于疾病自我管理,心理健康和幸福,其次是怀孕和整体生活习惯。大约一半没有让目标人口参与发展,只有少数人始终如一地参与发展。我们发现的研究表明,目标人群越来越多地参与数字健康工具的开发,从而使人们更加接受其使用。