虚拟健康助理在预防癌症护理中的沟通:系统审查
Aantaki Raisa1, Xiaobei Chen2, Emma G Bryan3
1Department of Surgery, Division of Public Health, Washington University in St. Louis, 600 S Taylor Avenue, St. Louis, MO, 63110, United States, 1 6463452302.
JMIR cancer
|September 15, 2025
概括
虚拟健康助理 (VHA) 可以通过在设计中将受众作为中心来促进癌症公平. 人口一致性和用户反等策略改善了对不同人群的VHA干预措施.
科学领域:
- 数字健康数字健康
- 健康 公平 卫生 公平
- 预防癌症 预防癌症
背景情况:
- 虚拟健康助理 (VHA) 是数字工具,可以增强患者的参与度和获得护理的机会.
- 通过克服语言和访问等障碍,VHA有可能促进癌症公平.
- 在癌症VHA发展中以受众为中心需要进一步调查.
研究的目的:
- 在癌症预防和查的VHA干预中系统地审查和综合以受众为中心的策略.
- 确定VHA设计如何考虑不同用户在癌症护理方面的需求.
主要方法:
- 按照PRISMA 2020指南进行系统审查,搜索四个数据库.
- 包括的研究重点是成人VHA干预,用于初级保健中的癌症查.
- 主题综合分析了来自17项纳入研究的以受众为中心的策略.
主要成果:
- 关键策略包括人口统计一致性,用户反,需求评估,理论框架和内容/功能定制.
- 大多数干预的目标是结直肠癌,重点是美国的研究.
- 虽然一些研究解决了种族/民族差异,但在交叉定制和非英语语言支持方面仍然存在差距.
结论:
- 癌症预防的VHA开发越来越多地纳入以受众为中心的实践,特别是对于代表性不足的群体.
- 有机会通过解决多维不平等问题和扩大语言多样性来提高公平性.
- 未来的电子健康工具应该整合跨部门的框架,并测量社会存在,以提高参与度.
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