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Behavioral Interventions Using Consumer Information Technology as Tools to Advance Health Equity
Suzanne Bakken1, Sue Marden1, S Sonia Arteaga1
1Suzanne Bakken is with the School of Nursing, Department of Biomedical Informatics, and Data Science Institute, Columbia University, New York, NY. Sue Marden is with the National Center for Medical Rehabilitation Research, Eunice Shriver National Institute of Child Health and Human Development, Bethesda, MD. S. Sonia Arteaga is with the National Heart, Lung, and Blood Institute, Bethesda. Lisa Grossman is with the Department of Biomedical Informatics, Columbia University. Alla Keselman is with the Division of Specialized Information Services, National Library of Medicine, Bethesda. Phuong-Tu Le is with the Division of Extramural Scientific Programs, National Institute on Minority Health and Health Disparities (NIMHD), Bethesda. Ruth Masterson Creber and Rebecca Schnall are with the School of Nursing, Columbia University. Tiffany M. Powell-Wiley is with the Cardiovascular and Pulmonary Branch, Division of Intramural Research, National Heart, Lung, and Blood Institute. Derrick Tabor is with the Center of Excellence and Small Business Programs, NIMHD. Rina Das is with Integrative Biological and Behavioral Sciences, NIMHD. Tilda Farhat is with the Office of Strategic Planning, Legislation, and Scientific Policy, NIMHD. Rina Das and Tilda Farhat are also Guest Editors for this supplement issue.
Consumer information technologies (CITs) show promise for health interventions in underserved populations. However, more research is needed to address design, implementation, and evaluation challenges for mHealth and telehealth.
Area of Science:
- Digital Health
- Health Disparities
- Behavioral Interventions
Background:
- The digital divide is decreasing, enabling consumer information technologies (CITs) for health interventions.
- CITs offer potential to overcome access barriers and deliver interventions in daily life contexts.
- Evidence for CIT-enabled interventions in health disparity populations lags behind the general population.
Purpose of the Study:
- To summarize the use of mHealth, telehealth, and social media for behavioral interventions in health disparity populations.
- To identify challenges and strategies for using CITs in these populations.
- To recommend future research directions.
Main Methods:
- Literature review and case example summarization.
- Analysis of mHealth, telehealth, and social media as intervention platforms.
- Identification of challenges and successful strategies.
Main Results:
- The evidence base for CIT-enabled health interventions in disparity populations is emerging.
- Key challenges exist in design, implementation, and evaluation.
- Strategies for overcoming challenges and successful examples are presented.
Conclusions:
- Fulfilling the potential of CITs requires addressing design, implementation, and evaluation challenges.
- Future directions include improved design methods, reporting, multilevel interventions, rigorous evaluation, privacy considerations, and inclusive practices.
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