Digital health interventions for non-communicable disease management in primary health care in low-and middle-income countries
Year: 2023
Type: review
Study design: Systematic Review
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.
Source: npj Digital Medicine
Institutions: UNSW Sydney, The George Institute for Global Health, Duke Kunshan University, Wake Forest University Health Sciences, Wake Forest University, Baylor College of Medicine, University of Oxford, Peking University, Yale University, Chinese Academy of Medical Sciences & Peking Union Medical College, Nanyang Technological University, University of the Philippines Manila, Duke University, Harbin Medical University, Northwestern University, Wuhan University, George Institute for Global Health
Language: English
Subfield: General Health Professions
Field: Health Professions
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $3,590
Funders: World Health Organization, University of New South Wales, Government of Jiangsu Province, Wuhan University, University of the Philippines, Duke Kunshan University, George Institute for Global Health, National Institutes of Health, Asia Pacific Observatory on Health Systems and Policies, National Center for Advancing Translational Sciences
OpenAlex ID: W4318816231