Cargando…

The Use of Digital Health by South Asian Communities: Scoping Review

BACKGROUND: South Asian individuals experience a higher burden of chronic diseases and limited access to health care services compared with their Caucasian peers. Digital health interventions can enhance the delivery of health care, minimize health inequities, and consequently improve health status...

Descripción completa

Detalles Bibliográficos
Autores principales: Aldosari, Nasser, Ahmed, Saima, McDermott, Jane, Stanmore, Emma
Formato: Online Artículo Texto
Lenguaje:English
Publicado: JMIR Publications 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10337427/
https://www.ncbi.nlm.nih.gov/pubmed/37307045
http://dx.doi.org/10.2196/40425
_version_ 1785071421928505344
author Aldosari, Nasser
Ahmed, Saima
McDermott, Jane
Stanmore, Emma
author_facet Aldosari, Nasser
Ahmed, Saima
McDermott, Jane
Stanmore, Emma
author_sort Aldosari, Nasser
collection PubMed
description BACKGROUND: South Asian individuals experience a higher burden of chronic diseases and limited access to health care services compared with their Caucasian peers. Digital health interventions can enhance the delivery of health care, minimize health inequities, and consequently improve health status among minority ethnic groups. However, it is unclear how South Asian people view and perceive the use of digital health technologies to support their health needs. OBJECTIVE: The aim of the review is to identify South Asian individuals’ experiences and attitudes of digital health and explore the barriers and facilitators affecting their use of digital health services. METHODS: The Arksey and O’Malley methodological framework was used to guide this scoping review. Five electronic databases were examined for pertinent papers, which were augmented by searching bibliographies of the retrieved papers and gray literature. A total of 1328 potentially relevant papers were retrieved from the initial search, and the supplemental search added 7 papers to the final list of potentially included papers. Each paper on the initial inclusion list was independently reviewed, leaving 15 papers to be included in the review. RESULTS: Data were analyzed thematically leading to the development of two overarching themes: (1) barriers to uptake of digital health and (2) facilitators of use of digital health services. There was a general consensus that South Asian communities still struggle with inadequate access to digital health technologies. Some studies suggest multiple initiatives to improve accessibility and acceptability of digital health services within South Asian communities in order to mitigate health disparities and develop a more inclusive health care system. These include the development of multiple-language and culturally sensitive interventions and digital skill development sessions. Most studies were conducted in South Asian countries, focusing on measurable outcomes of digital health interventions. Few explored the experiences and views of South Asian community members residing in the West as a minority ethnic group, for example, British South Asians. CONCLUSIONS: Literature mapping proposes that South Asian people frequently struggle with a health care system that may limit their access to digital health services, and sometimes fails to consider social and cultural needs. There is growing evidence that digital health interventions have the potential to facilitate supported self-management, which is part of the plans to adopt person-centered care. These interventions are particularly important for overcoming some of the challenges, for example, time constraints, safety, and gender sensitivity, associated with the delivery of health care interventions in minority ethnic groups such as South Asians in the United Kingdom, and thus to improve minority ethnic groups’ access to health care services to support individual health needs, and consequently enhance health status.
format Online
Article
Text
id pubmed-10337427
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher JMIR Publications
record_format MEDLINE/PubMed
spelling pubmed-103374272023-07-13 The Use of Digital Health by South Asian Communities: Scoping Review Aldosari, Nasser Ahmed, Saima McDermott, Jane Stanmore, Emma J Med Internet Res Review BACKGROUND: South Asian individuals experience a higher burden of chronic diseases and limited access to health care services compared with their Caucasian peers. Digital health interventions can enhance the delivery of health care, minimize health inequities, and consequently improve health status among minority ethnic groups. However, it is unclear how South Asian people view and perceive the use of digital health technologies to support their health needs. OBJECTIVE: The aim of the review is to identify South Asian individuals’ experiences and attitudes of digital health and explore the barriers and facilitators affecting their use of digital health services. METHODS: The Arksey and O’Malley methodological framework was used to guide this scoping review. Five electronic databases were examined for pertinent papers, which were augmented by searching bibliographies of the retrieved papers and gray literature. A total of 1328 potentially relevant papers were retrieved from the initial search, and the supplemental search added 7 papers to the final list of potentially included papers. Each paper on the initial inclusion list was independently reviewed, leaving 15 papers to be included in the review. RESULTS: Data were analyzed thematically leading to the development of two overarching themes: (1) barriers to uptake of digital health and (2) facilitators of use of digital health services. There was a general consensus that South Asian communities still struggle with inadequate access to digital health technologies. Some studies suggest multiple initiatives to improve accessibility and acceptability of digital health services within South Asian communities in order to mitigate health disparities and develop a more inclusive health care system. These include the development of multiple-language and culturally sensitive interventions and digital skill development sessions. Most studies were conducted in South Asian countries, focusing on measurable outcomes of digital health interventions. Few explored the experiences and views of South Asian community members residing in the West as a minority ethnic group, for example, British South Asians. CONCLUSIONS: Literature mapping proposes that South Asian people frequently struggle with a health care system that may limit their access to digital health services, and sometimes fails to consider social and cultural needs. There is growing evidence that digital health interventions have the potential to facilitate supported self-management, which is part of the plans to adopt person-centered care. These interventions are particularly important for overcoming some of the challenges, for example, time constraints, safety, and gender sensitivity, associated with the delivery of health care interventions in minority ethnic groups such as South Asians in the United Kingdom, and thus to improve minority ethnic groups’ access to health care services to support individual health needs, and consequently enhance health status. JMIR Publications 2023-06-12 /pmc/articles/PMC10337427/ /pubmed/37307045 http://dx.doi.org/10.2196/40425 Text en ©Nasser Aldosari, Saima Ahmed, Jane McDermott, Emma Stanmore. Originally published in the Journal of Medical Internet Research (https://www.jmir.org), 12.06.2023. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in the Journal of Medical Internet Research, is properly cited. The complete bibliographic information, a link to the original publication on https://www.jmir.org/, as well as this copyright and license information must be included.
spellingShingle Review
Aldosari, Nasser
Ahmed, Saima
McDermott, Jane
Stanmore, Emma
The Use of Digital Health by South Asian Communities: Scoping Review
title The Use of Digital Health by South Asian Communities: Scoping Review
title_full The Use of Digital Health by South Asian Communities: Scoping Review
title_fullStr The Use of Digital Health by South Asian Communities: Scoping Review
title_full_unstemmed The Use of Digital Health by South Asian Communities: Scoping Review
title_short The Use of Digital Health by South Asian Communities: Scoping Review
title_sort use of digital health by south asian communities: scoping review
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10337427/
https://www.ncbi.nlm.nih.gov/pubmed/37307045
http://dx.doi.org/10.2196/40425
work_keys_str_mv AT aldosarinasser theuseofdigitalhealthbysouthasiancommunitiesscopingreview
AT ahmedsaima theuseofdigitalhealthbysouthasiancommunitiesscopingreview
AT mcdermottjane theuseofdigitalhealthbysouthasiancommunitiesscopingreview
AT stanmoreemma theuseofdigitalhealthbysouthasiancommunitiesscopingreview
AT aldosarinasser useofdigitalhealthbysouthasiancommunitiesscopingreview
AT ahmedsaima useofdigitalhealthbysouthasiancommunitiesscopingreview
AT mcdermottjane useofdigitalhealthbysouthasiancommunitiesscopingreview
AT stanmoreemma useofdigitalhealthbysouthasiancommunitiesscopingreview