Evidence map›Paper›PMID 36725977›Full record

ReviewNPJ digital medicine2023

Digital health interventions for non-communicable disease management in primary health care in low-and middle-income countries.

Shangzhi Xiong, Hongsheng Lu, Nicholas Peoples, Ege K Duman, Alberto Najarro, Zhao Ni, Enying Gong, Ruoyu Yin, Truls Ostbye, Lia M Palileo-Villanueva and 4 more

Registry-linked trialOpen access · goldAbstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in NPJ digital medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07039682 (Developing a Digital-Based Education and Self-Screening Model to Improve Knowledge, Self-Awareness, and HIV Testing Coverage Among Adolescents), which is not on this map. Cited by 82 papers, 13 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
82citing papers in PubMed, 13 pooled it
44.6field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07039682 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

Developing a Digital-Based Education and Self-Screening Model to Improve Knowledge, Self-Awareness, and HIV Testing Coverage Among Adolescents

TypeinterventionalSponsorUniversitas Sebelas MaretRan2025 to 2025Enrolled400ConditionsHuman Immunodeficiency Virus (HIV) Infection, HIV Prevention, Adolescent Health, Digital Education InterventionsArmsDigital HIV Education and Self-Screening (EKSTRIM Model)
3 · Its place in the literature

Who cites it

82 citing papers in PubMed, 13 syntheses or guidelines pooled it, 102 citations in OpenAlex.

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  5. Digital health interventions for informal cancer caregivers' mental health management: a systematic review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
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22 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 13 institutions in 6 countries.

Shangzhi XiongThe George Institute for Global Health, Faulty of Medicine and Health, University of New South Wales, Sydney, NSW, Australia. SXiong@georgeinstitute.org.au.ORCID http://orcid.org/0000-0002-5580-8686
Hongsheng LuWake Forest School of Medicine, Winston-Salem, NC, USA.
Nicholas PeoplesBaylor College of Medicine, Houston, TX, USA.
Ege K DumanGlobal Health Research Centre, Duke Kunshan University, Kunshan, China.
Alberto NajarroGlobal Health Research Centre, Duke Kunshan University, Kunshan, China.
Zhao NiSchool of Nursing, Yale University, New Haven, CT, USA.
Enying GongSchool of Population Medicine and Public Health, China Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
Ruoyu YinDepartment of Family Medicine and Primary Care, Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore.ORCID http://orcid.org/0000-0002-3008-7608
Truls OstbyeGlobal Health Research Centre, Duke Kunshan University, Kunshan, China.
Lia M Palileo-VillanuevaCollege of Medicine, University of the Philippines Manila, Manila, Philippines.
Rinchen DomaDuke Global Health Institute, Duke University, Durham, NC, USA.
Sweta KafleDuke Global Health Institute, Duke University, Durham, NC, USA.
Maoyi TianThe George Institute for Global Health, Faulty of Medicine and Health, University of New South Wales, Sydney, NSW, Australia.ORCID http://orcid.org/0000-0002-5660-8571
Lijing L YanGlobal Health Research Centre, Duke Kunshan University, Kunshan, China. lijing.yan@dukekunshan.edu.cn.
Duke University · USBaylor College of Medicine · USChinese Academy of Medical Sciences & Peking Union Medical College · CNDuke Kunshan University · CNHarbin Medical University · CNNanyang Technological University · SGNorthwestern University · USPeking University · CNUniversity of Oxford · GBUniversity of the Philippines Manila · PHUNSW Sydney · AUWake Forest University · USYale University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
NCATS NIH HHS UL1 TR001863WHO | Asia Pacific Observatory on Health Systems and Policies (APO) 201963885
6 · The paper itself

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.

Identifiers

PMID36725977
PMCPMC9889958
OpenAlexW4318816231

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.