Creating a Basic Ethical Framework for Digital Lifestyle Interventions: A Narrative Review

  • 0Erasmus Medical Center, Department of Public Health, Rotterdam, Netherlands.

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Summary

This summary is machine-generated.

Digital tools offer scalable health promotion but raise ethical concerns. An ethical framework is crucial for equitable development and deployment of these lifestyle interventions, prioritizing health equity and privacy.

Area Of Science

  • Digital Health
  • Public Health Ethics
  • Health Promotion

Background

  • Digital tools show promise for promoting healthy lifestyles due to personalization and scalability.
  • However, ethical concerns regarding equitable access, consent, and outcomes for vulnerable populations are significant.
  • Existing ethical frameworks need adaptation for digital lifestyle interventions.

Purpose Of The Study

  • To review ethical principles for public health and lifestyle interventions.
  • To identify ethical considerations specific to digital health tools.
  • To propose an ethical framework for developing and deploying digital lifestyle interventions.

Main Methods

  • A narrative review was conducted across three domains: general public health ethics, lifestyle intervention ethics, and digital health ethics.
  • Sixteen articles were included in the review.
  • Core ethical themes and specific digital intervention considerations were identified.

Main Results

  • Five core ethical themes emerged: respect for autonomy, beneficence, avoiding harm, equity, and responsibility/sustainability/accountability.
  • Health equity and privacy were identified as key ethical considerations for digital interventions.
  • Digital tools may exacerbate existing health disparities, benefiting advantaged groups disproportionately.

Conclusions

  • An ethical framework is necessary to guide the development and deployment of digital lifestyle interventions.
  • The framework addresses potential tensions between competing ethical principles.
  • It assists developers in prioritizing relevant ethical considerations throughout the intervention design process.

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