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A Framework for Using eHealth Interventions to Overcome Medical Mistrust Among Sexual Minority Men of Color Living
S Raquel Ramos1, Rueben Warren2, Michele Shedlin1
1a New York University Rory Meyers College of Nursing.
Behavioral Medicine (Washington, D.C.)
|July 26, 2019
Summary
This study introduces an eHealth framework to build trust with sexual minorities of color. It addresses medical mistrust using virtual interventions to improve chronic illness care.
Area of Science:
- Digital Health
- Health Equity
- Minority Health
Background:
- Sexual minorities of color face significant medical mistrust, impacting chronic illness management.
- Existing healthcare systems often fail to address the unique psychosocial and structural challenges faced by this population.
- eHealth technology offers a potential avenue to bridge these gaps and foster trust.
Purpose of the Study:
- To present an innovative, multi-construct framework for utilizing eHealth technology.
- To enhance trustworthiness and build trust among sexual minorities of color.
- To leverage eHealth interventions for individuals living with chronic illnesses.
Main Methods:
- The proposed framework integrates virtual environments and avatar-led eHealth videos.
- It focuses on enabling technology adoption, usage, and fostering key elements like anonymity and co-presence.
- Addresses psychosocial and structural barriers to trust and self-disclosure.
Main Results:
- eHealth interventions can effectively address medical mistrust in sexual minorities of color.
- The framework facilitates technology adoption, anonymity, co-presence, self-disclosure, and social support.
- Virtual environments and avatar-led content are key components in building trustworthiness.
Conclusions:
- eHealth interventions are a promising strategy to mitigate medical mistrust in sexual minorities of color.
- The proposed framework provides a roadmap for developing and implementing effective digital health solutions.
- Building trust through eHealth can improve health outcomes for marginalized populations with chronic conditions.
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