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Digital health interventions

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  • Comment: AI-generated article. Qcne (talk) 11:50, 26 September 2024 (UTC)

Digital health interventions, or digital healthcare interventions, commonly referenced as DHIs in scientific articles, have emerged as a new alternative in healthcare to improve health outcomes, enhance healthcare delivery, and empower patients [1] [2]. It offers a large range of innovative ways to provide treatments, monitor health conditions, assist patients, and enable healthcare professionals to deliver better service [3]. As health mobile applications have become more popular - as mentioned by Butcher and Hussain, in 2022, more than 100,000 healthcare mobile applications were offered in Apple and Google app stores [4] - these alternatives may provide a scalable option for the healthcare system. These interventions may utilise various digital technologies and applications, besides mobile apps and websites, and they may comprehend wearables, games and videgames, biosensors, and Internet of Things [5]. DHIs have many similarities with computer-assisted interventions, although, in general lines, DHIs have a stronger emphasis on patient autonomy.

DHIs are usually applied for:

  • Self-management tools: applications and platforms that help patients manage chronic conditions like diabetes [6] or hypertension.[7]
  • Self-education and health promotion tools: educational material designed to leverage the population's knowledge regarding one specific health topic and promote healthy behaviours [8].
  • Digital therapeutics: Software-based interventions designed to prevent, manage, or treat medical disorders.

Murray et al. detailed that DHIs can encompass "information, psycho-education, personal stories, formal decision aids, behaviour change support, interactions with HCP and other patients, self-assessment or monitoring tools (questionnaires, wearables, monitors, and effective theory-based psychological interventions developed for face-to-face delivery such as cognitive behavioural therapy or mindfulness training." (Murray et al., 2017) [9]

Digital healthcare interventions have shown the potential to:

  • Improve access to healthcare services, especially in underserved areas and geographically distant regions [10] [11].
  • Facilitate access to people with disabilities and mobility limitations.
  • Facilitate access to health and educational tools to informal caregivers [12].
  • Reduce healthcare costs and increase distribution to population [13].
  • Empower patients to take a more active role in their health management.

While DHIs offer significant benefits, there are also challenges to consider. The digital divide is one of the most common, and it concerns disparities in access to technology and digital literacy [14]. Data privacy and security are another issue, as protecting sensitive health information may be challenging and subject to changes in laws and governmental regulations [15].

DHIs have expanded at an accelerated pace - according to Gentili et al. (2022), "more than 120 countries are prioritizing health-related digital progress" [16]. However, evidence of the DHI's cost-effectiveness is still limited [17].

References

  1. ^ Wienert J, Jahnel T, Maaß L (2022-06-28). "What are Digital Public Health Interventions? First Steps Toward a Definition and an Intervention Classification Framework". Journal of Medical Internet Research. 24 (6): e31921. doi:10.2196/31921. ISSN 1439-4456. PMC 9277526. PMID 35763320.
  2. ^ Murray E, Hekler EB, Andersson G, Collins LM, Doherty A, Hollis C, Rivera DE, West R, Wyatt JC (2016-11). "Evaluating Digital Health Interventions". American Journal of Preventive Medicine. 51 (5): 843–851. doi:10.1016/j.amepre.2016.06.008. PMC 5324832. PMID 27745684. {{cite journal}}: Check date values in: |date= (help)CS1 maint: PMC format (link)
  3. ^ Kim HS, Kwon IH, Cha WC (2021-04-30). "Future and Development Direction of Digital Healthcare". Healthcare Informatics Research. 27 (2): 95–101. doi:10.4258/hir.2021.27.2.95. ISSN 2093-369X. PMC 8137879. PMID 34015874.{{cite journal}}: CS1 maint: PMC format (link)
  4. ^ Butcher CJ, Hussain W (2022-07). "Digital healthcare: the future". Future Healthcare Journal. 9 (2): 113–117. doi:10.7861/fhj.2022-0046. PMC 9345235. PMID 35928188. {{cite journal}}: Check date values in: |date= (help)CS1 maint: PMC format (link)
  5. ^ Murray E, Hekler EB, Andersson G, Collins LM, Doherty A, Hollis C, Rivera DE, West R, Wyatt JC (2016-11). "Evaluating Digital Health Interventions". American Journal of Preventive Medicine. 51 (5): 843–851. doi:10.1016/j.amepre.2016.06.008. PMC 5324832. PMID 27745684. {{cite journal}}: Check date values in: |date= (help)CS1 maint: PMC format (link)
  6. ^ Stephen DA, Nordin A, Nilsson J, Persenius M (2022-12). "Using mHealth applications for self-care – An integrative review on perceptions among adults with type 1 diabetes". BMC Endocrine Disorders. 22 (1). doi:10.1186/s12902-022-01039-x. ISSN 1472-6823. PMC 9131554. PMID 35614419. {{cite journal}}: Check date values in: |date= (help)CS1 maint: PMC format (link) CS1 maint: unflagged free DOI (link)
  7. ^ Bashi N, Fatehi F, Mosadeghi-Nik M, Askari MS, Karunanithi M (2020-03-09). "Digital health interventions for chronic diseases: a scoping review of evaluation frameworks". BMJ Health & Care Informatics. 27 (1): e100066. doi:10.1136/bmjhci-2019-100066. ISSN 2632-1009.
  8. ^ Wongsomboon V, Queiroz AA, Alvarado Avila A, Mongrella M, Saber R, Li DH, Moskowitz DA, Mustanski B, Macapagal K (2024-10-12). "Acceptability of 'Humpr': An Online Tool to Educate Adolescent Sexual Minority Males About Sexual Networking Applications". The Journal of Sex Research. 61 (8): 1158–1167. doi:10.1080/00224499.2023.2273935. ISSN 0022-4499. PMC 11130072. PMID 38016031.{{cite journal}}: CS1 maint: PMC format (link)
  9. ^ Murray E, Hekler EB, Andersson G, Collins LM, Doherty A, Hollis C, Rivera DE, West R, Wyatt JC (2016-11). "Evaluating Digital Health Interventions". American Journal of Preventive Medicine. 51 (5): 843–851. doi:10.1016/j.amepre.2016.06.008. PMC 5324832. PMID 27745684. {{cite journal}}: Check date values in: |date= (help)CS1 maint: PMC format (link)
  10. ^ Ward LA, Shah GH, Waterfield KC (2023-08-01). "Clinical and Demographic Attributes of Patients with Diabetes Associated with the Utilization of Telemedicine in an Urban Medically Underserved Population Area". BioMedInformatics. 3 (3): 605–615. doi:10.3390/biomedinformatics3030041. ISSN 2673-7426.{{cite journal}}: CS1 maint: unflagged free DOI (link)
  11. ^ Zaidi S, Kazi AM, Riaz A, Ali A, Najmi R, Jabeen R, Khudadad U, Sayani S (2020-09-17). "Operability, Usefulness, and Task-Technology Fit of an mHealth App for Delivering Primary Health Care Services by Community Health Workers in Underserved Areas of Pakistan and Afghanistan: Qualitative Study". Journal of Medical Internet Research. 22 (9): e18414. doi:10.2196/18414. ISSN 1438-8871. PMC 7530697. PMID 32940612.{{cite journal}}: CS1 maint: PMC format (link) CS1 maint: unflagged free DOI (link)
  12. ^ Biliunaite I, Kazlauskas E, Sanderman R, Andersson G (2021-11-12). "Process Evaluation of Internet-Based Cognitive Behavioral Therapy Intervention for Informal Caregivers". Frontiers in Medicine. 8. doi:10.3389/fmed.2021.725510. ISSN 2296-858X. PMC 8632733. PMID 34869422.{{cite journal}}: CS1 maint: PMC format (link) CS1 maint: unflagged free DOI (link)
  13. ^ Tan RK, Wu D, Day S, Zhao Y, Larson HJ, Sylvia S, Tang W, Tucker JD (2022-03-25). "Digital approaches to enhancing community engagement in clinical trials". npj Digital Medicine. 5 (1). doi:10.1038/s41746-022-00581-1. ISSN 2398-6352. PMC 8956701. PMID 35338241.{{cite journal}}: CS1 maint: PMC format (link)
  14. ^ Avalos MR, Aguilera A (2022-07-21), "Digital equity and inclusion in technology-based mental health services", Digital Transformation and Social Well-Being (1 ed.), London: Routledge, pp. 115–127, doi:10.4324/9781003312208-11, ISBN 978-1-003-31220-8, retrieved 2024-09-28
  15. ^ Stanhaus A (2023). "Privacy Self-Management in Health Care: A Means to Many Ends". My University, My University. doi:10.7302/8174. {{cite journal}}: Cite journal requires |journal= (help)
  16. ^ Gentili A, Failla G, Melnyk A, Puleo V, Tanna GL, Ricciardi W, Cascini F (2022-08-11). "The cost-effectiveness of digital health interventions: A systematic review of the literature". Frontiers in Public Health. 10. doi:10.3389/fpubh.2022.787135. ISSN 2296-2565. PMC 9403754. PMID 36033812.{{cite journal}}: CS1 maint: PMC format (link) CS1 maint: unflagged free DOI (link)
  17. ^ Gentili A, Failla G, Melnyk A, Puleo V, Tanna GL, Ricciardi W, Cascini F (2022-08-11). "The cost-effectiveness of digital health interventions: A systematic review of the literature". Frontiers in Public Health. 10. doi:10.3389/fpubh.2022.787135. ISSN 2296-2565. PMC 9403754. PMID 36033812.{{cite journal}}: CS1 maint: PMC format (link) CS1 maint: unflagged free DOI (link)

Further reading