TY -的盟Senteio查尔斯AU -默多克,保罗·约瑟夫PY - 2022 DA - 2022/4/4 TI -健康信息技术支持卫生公平的功效为黑人和西班牙裔慢性疾病患者:系统回顾乔- J地中海互联网Res SP - e22124六世24 - 4 KW -慢性疾病KW -少数民族健康KW -技术评估KW -生物医学KW -自我管理KW -系统回顾KW -手机AB -背景:在旨在支持患者遵循推荐的慢性病自我管理行为(即药物行为、身体活动和饮食行为以及参加随访预约)的健康信息技术(HIT)扩散的背景下,慢性病结局方面的种族不平等仍然存在。已经评估了许多使用消费者导向的HIT来支持自我管理的干预措施,一些相关文献关注的是经历不同慢性病结局的少数种族。然而,人们对这些干预措施的效果知之甚少。目的:本研究旨在对文献进行系统回顾,这些文献描述了以消费者为导向的HIT干预措施的效果,这些干预措施旨在支持非裔美国人和西班牙裔慢性病患者的自我管理。方法:我们遵循一个先验方案,使用PRISMA(系统评价和荟萃分析的首选报告项目)-公平性2012扩展指南,用于关注卫生公平性的系统评价。感兴趣的主题包括纳入和排除标准。我们确定了7个电子数据库,创建了搜索字符串,并进行了搜索。我们首先根据标题和摘要筛选结果,然后进行全文筛选。然后,我们解决冲突并从纳入的文章中提取相关数据。 Results: In total, there were 27 included articles. The mean sample size was 640 (SD 209.5), and 52% (14/27) of the articles focused on African American participants, 15% (4/27) of the articles focused on Hispanic participants, and 33% (9/27) included both. Most articles addressed 3 of the 4 self-management behaviors: medication (17/27, 63%), physical activity (17/27, 63%), and diet (16/27, 59%). Only 15% (4/27) of the studies focused on follow-up appointment attendance. All the articles investigated HIT for use at home, whereas 7% (2/27) included use in the hospital. Conclusions: This study addresses a key gap in research that has not sufficiently examined what technology designs and capabilities may be effective for underserved populations in promoting health behavior in concordance with recommendations. SN - 1438-8871 UR - //www.mybigtv.com/2022/4/e22124 UR - https://doi.org/10.2196/22124 UR - http://www.ncbi.nlm.nih.gov/pubmed/35377331 DO - 10.2196/22124 ID - info:doi/10.2196/22124 ER -
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