@文章{info:doi/ 10.2156 /14275,作者="Wali, Sahr和hussin - shamsy, Neesha和Ross, Heather和Cafazzo, Joseph",标题="在心血管疾病管理的弱势人群中使用移动健康干预的调查:范围回顾",期刊="JMIR Mhealth Uhealth",年="2019",月="10",日="7",卷="7",数="10",页="e14275",关键词="移动健康;卫生服务;本土的;低收入和中等收入国家;心血管疾病;背景:心血管疾病(CVD)已经成为世界范围内导致死亡的主要原因之一。CVD相关治疗的进展已经导致高收入国家(HICs)个人CVD患病率的下降。然而,这些改善并没有反映中低收入国家(LMICs)的个人状况和高收入国家(HICs)的弱势亚群体,如土著居民的状况。为了帮助尽量减少这些人口的健康差距,已提出了以技术为基础的干预措施作为一种潜在的解决办法,但人们担心这些措施是否有效,甚至是否需要,因为这些工具是为在高收入国家使用而设计的。目的:本研究的目的是探讨移动卫生(mHealth)干预措施目前如何帮助土著社区和低收入家庭的CVD管理个人。 Methods: A scoping review guided by the methods outlined by Arksey and O'Malley was conducted. A comprehensive search was completed by 2 reviewers in 5 electronic databases using keywords related to mobile health, cardiovascular disease, self-care, Indigenous communities, and LMICs. Studies were screened over 2 rounds and critically reviewed using a descriptive-analytical narrative method. Descriptive data were categorized into thematic groups reflecting the major findings related to the study objective. Results: We identified a total of 11 original articles and 11 review papers that met the criteria for this scoping review. The majority of the studies included a telemonitoring- and text messaging (short message service, SMS)--related feature associated with the intervention. The use of SMS was the most common approach to effectively promote disease management among individuals in both LMICs and Indigenous communities. However, customizing for cultural considerations within the design of the intervention was highlighted as a pivotal component to encourage CVD management. Specifically, individuals emphasized that the inclusion of collaborative partnerships with community members would strengthen the effectiveness of the intervention by ensuring it was designed with the appropriate context. Conclusions: Technology-based interventions used within Indigenous communities and LMICs have shown their potential to assist individuals with managing their condition. Although the literature available regarding this topic is limited, this review outlines key components to promote the effective use of these tools in the context of these vulnerable populations. ", issn="2291-5222", doi="10.2196/14275", url="https://mhealth.www.mybigtv.com/2019/10/e14275", url="https://doi.org/10.2196/14275", url="http://www.ncbi.nlm.nih.gov/pubmed/31593547" }
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