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- Title
Digital health interventions for non-communicable disease management in primary health care in low-and middle-income countries.
- Authors
Xiong, Shangzhi; Lu, Hongsheng; Peoples, Nicholas; Duman, Ege K.; Najarro, Alberto; Ni, Zhao; Gong, Enying; Yin, Ruoyu; Ostbye, Truls; Palileo-Villanueva, Lia M.; Doma, Rinchen; Kafle, Sweta; Tian, Maoyi; Yan, Lijing L.
- Abstract
Current evidence on digital health interventions is disproportionately concerned with high-income countries and hospital settings. This scoping review evaluates the extent of use and effectiveness of digital health interventions for non-communicable disease (NCD) management in primary healthcare settings of low- and middle-income countries (LMICs) and identifies factors influencing digital health interventions' uptake. We use PubMed, Embase, and Web of Science search results from January 2010 to 2021. Of 8866 results, 52 met eligibility criteria (31 reviews, 21 trials). Benchmarked against World Health Organization's digital health classifications, only 14 out of 28 digital health intervention categories are found, suggesting critical under-use and lagging innovation. Digital health interventions' effectiveness vary across outcomes: clinical (mixed), behavioral (positively inclined), and service implementation outcomes (clear effectiveness). We further identify multiple factors influencing digital health intervention uptake, including political commitment, interactivity, user-centered design, and integration with existing systems, which points to future research and practices to invigorate digital health interventions for NCD management in primary health care of LMICs.
- Subjects
NON-communicable diseases; ONLINE information services; EVALUATION of medical care; WORLD Health Organization; HEALTH policy; MIDDLE-income countries; MEDICAL information storage &; retrieval systems; MULTIMEDIA systems; ELECTRONIC data interchange; SYSTEMATIC reviews; PRACTICAL politics; MOBILE apps; DIGITAL health; AUTOMATIC speech recognition; MEDICAL technology; PRIMARY health care; TREATMENT effectiveness; BENCHMARKING (Management); LOW-income countries; CLINICAL medicine; LITERATURE reviews; MEDLINE; COMMITMENT (Psychology); INTEGRATED health care delivery; TEXT messages; ELECTRONIC health records; TELEMEDICINE
- Publication
NPJ Digital Medicine, 2023, Vol 6, Issue 1, p1
- ISSN
2398-6352
- Publication type
Article
- DOI
10.1038/s41746-023-00764-4