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Tailored interactive multimedia computer programs to reduce health disparities: opportunities and challenges
Anthony Jerant1, Nancy Sohler, Kevin Fiscella
1Department of Family and Community Medicine, University of California Davis School of Medicine, Sacramento, CA, USA. afjerant@ucdavis.edu
Patient Education and Counseling
|December 15, 2010
Summary
Tailored interactive multimedia computer programs (IMCPs) show promise for reducing health disparities by addressing patient and system barriers. Further research, including randomized controlled trials, is needed to confirm their effectiveness.
Area of Science:
- Health Disparities Research
- Health Behavior Interventions
- Digital Health Technology
Background:
- Socio-demographic factors significantly contribute to health disparities.
- Existing interventions to reduce these disparities are limited.
- Patient-provider communication is often suboptimal due to various barriers.
Purpose of the Study:
- To review evidence on tailored interactive multimedia computer programs (IMCPs).
- To assess the potential of IMCPs in optimizing patient health behaviors.
- To explore the role of IMCPs in lessening socio-demographic health disparities.
Main Methods:
- Selective critical review of existing research.
- Focus on IMCPs tailored to psychological mediators of behavior.
- Analysis of effects on health behavior and outcomes in disadvantaged populations.
Main Results:
- Tailored IMCPs can overcome patient (e.g., language, self-efficacy) and system (e.g., time constraints) barriers.
- Disadvantaged individuals' health behaviors may respond favorably to tailored information.
- No randomized controlled trials (RCTs) have yet evaluated IMCPs for disparity reduction.
Conclusions:
- Preliminary evidence suggests tailored IMCPs hold potential for reducing health disparities.
- Further research, specifically RCTs, is warranted to validate this potential.
- The public health implications of effective IMCPs for disparity reduction could be substantial.
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