在被迫流离失所者中使用数字健康干预:系统性审查和元分析
Sargun Kaur Virk1, Rachel Ann Poovathoor2, Sanjana Ravi3
1Department of Anesthesiology, Weill Cornell Medicine, New York, New York.
JAMA network open
|November 12, 2025
概括
数字健康干预措施对被迫流离失所的人群有很大的前景,高的集成招聘率 (91%) 和保留率 (68%). 这些技术可以帮助克服弱势群体获得医疗保健的障碍.
科学领域:
- 公共卫生 公共卫生
- 数字健康数字健康
- 强迫流离失所的人口
背景情况:
- 强迫流离失所的人面临着重要的生物心理社会障碍,无法获得医疗保健.
- 数字健康干预提供了一个潜在的解决方案来弥合这些护理差距.
- 描述招聘和保留对于评估数字健康在这个人群中的可行性至关重要.
研究的目的:
- 评估强迫流离失所人口中数字卫生干预措施的招聘和保留率.
主要方法:
- 在PubMed,Web of Science和SocINDEX进行系统搜索 (2023年1月,更新至2024年2月).
- 包括针对被迫流离失所者的数字健康干预的随机临床试验 (RCT).
- 使用随机效应模型对聚合的招聘和保留率的元分析.
主要成果:
- 分析了9个RCT与2858名参与者;移动应用程序和手机是常见的技术.
- 招聘率从16%到100%不等,汇总率为91% (95%CI,57至99%).
- 保留率从28%到91%不等,总的保留率为68% (95%CI,48%-84%).
结论:
- 强迫流离失所的人口在数字健康试验中显示出可变但一般高的招聘和保留率.
- 数字技术为这群人提供了可扩展的健康干预措施的重要机会.
- 这些干预措施可以有效地减轻与个人护理障碍相关的负面健康后果.
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