Health technology design considerations specific to Indigenous Data Sovereignty and implementation science

There is growing attention to the importance of Indigenous Data Sovereignty (IDS) in the practice of medicine and public health, especially in the United States. Through a multi-year research collaborative between the University of California, San Diego and the Native BioData Consortium, it became clear that the use of an implementation science framework might guide the design of emerging digital health technologies best respecting the interests and priorities of Indigenous Peoples. In this Case Study, we discuss the integration of the Consolidated Framework for Implementation Research (CFIR) and Expert Recommendations for Implementing Change (ERIC) to inform the design of policies, programs, and interventions focused on improving Indigenous health. We explore the movement for IDS from the perspective of contextual concerns raised by Indigenous Peoples, researchers, and their allies specific to the design and implementation of digital technologies primarily in a North American context. We then explain how CFIR, ERIC, and similar resources can be used to design digital health technologies for use in Indigenous contexts.