Evidence mapPaperPMID 39088246Full record

ArticleJournal of medical Internet research2024

Expanding a Behavioral View on Digital Health Access: Drivers and Strategies to Promote Equity.

Maura M Kepper, Lauren A Fowler, Isabelle S Kusters, Jean W Davis, Manal Baqer, Sara Sagui-Henson, Yunyu Xiao, Adati Tarfa, Jean C Yi, Bryan Gibson and 5 more

Abstract read
In one paragraph

Article in Journal of medical Internet research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  3. Review
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  5. Article
  6. TheFrontiers in public health · 2026
    Article
  7. Review
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  9. Article
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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

15 authors.

Maura M KepperPrevention Research Center, Washington University in St. Louis, St. Louis, MO, United States.ORCID 0000-0002-5971-9189
Lauren A FowlerSexuality, Health, and Gender Center, Washington University in St. Louis School of Medicine, Saint Louis, MO, United States.ORCID 0000-0002-9240-7267
Isabelle S KustersDepartment of Health, Human, and Biomedical Sciences, University of Houston-Clear Lake, Houston, TX, United States.ORCID 0000-0002-2740-748X
Jean W DavisCollege of Nursing, University of Central Florida, Orlando, FL, United States.ORCID 0000-0002-9374-2905
Manal BaqerNeamah Health Consulting, Boston, MA, United States.ORCID 0009-0001-0104-0210
Sara Sagui-HensonClinical Strategy and Research Team, Modern Health, San Francisco, CA, United States.ORCID 0000-0001-5410-2684
Yunyu XiaoDepartment of Population Health Science, Weill Cornell Medicine, Cornell University, New York, NY, United States.ORCID 0000-0002-0479-1781
Adati TarfaSchool of Medicine, Yale University, New Haven, CT, United States.ORCID 0000-0002-8831-2396
Jean C YiFred Hutchinson Cancer Center, Seattle, WA, United States.ORCID 0000-0003-4589-7272
Bryan GibsonDepartment of Biomedical Informatics, University of Utah School of Medicine, Salt Lake City, UT, United States.ORCID 0000-0003-4747-6383
Kristin E HeronPsychology Department, Old Dominion University, Norfolk, VA, United States.ORCID 0000-0002-7452-876X
Nicole M AlbertsDepartment of Psychology, Concordia University, Montreal, QC, Canada.ORCID 0000-0002-7159-8156
Marissa BurgermasterDepartment of Nutritional Sciences, University of Texas at Austin, Austin, TX, United States.ORCID 0000-0002-4891-3314
Veronica Ps Njie-CarrDepartment of Organizational Systems and Adult Health, University of Maryland, Baltimore, MD, United States.ORCID 0000-0002-7197-502X
Lisa M KlesgesDivision of Public Health Sciences, Department of Surgery, Washington University School of Medicine, St. Louis, MO, United States.ORCID 0000-0001-6237-4743

Funding

K01 Career Development AwardK01HL167993 · WASHINGTON UNIVERSITY · 2025 to 2025
$163k
NCCDPHP CDC HHS U48 DP006395NCI NIH HHS P50 CA244431NHLBI NIH HHS K01 HL167993NIMHD NIH HHS K01 MD017630
6 · The paper itself

Abstract

The potential and threat of digital tools to achieve health equity has been highlighted for over a decade, but the success of achieving equitable access to health technologies remains challenging. Our paper addresses renewed concerns regarding equity in digital health access that were deepened during the COVID-19 pandemic. Our viewpoint is that (1) digital health tools have the potential to improve health equity if equitable access is achieved, and (2) improving access and equity in digital health can be strengthened by considering behavioral science-based strategies embedded in all phases of tool development. Using behavioral, equity, and access frameworks allowed for a unique and comprehensive exploration of current drivers of digital health inequities. This paper aims to present a compilation of strategies that can potentially have an actionable impact on digital health equity. Multilevel factors drive unequal access, so strategies require action from tool developers, individual delivery agents, organizations, and systems to effect change. Strategies were shaped with a behavioral medicine focus as the field has a unique role in improving digital health access; arguably, all digital tools require the user (individual, provider, and health system) to change behavior by engaging with the technology to generate impact. This paper presents a model that emphasizes using multilevel strategies across design, delivery, dissemination, and sustainment stages to advance digital health access and foster health equity.

Indexed as

COVID-19Health EquityHealth Services AccessibilityTelemedicineDigital HealthDigital TechnologyHumansPandemicsSARS-CoV-2behavioral medicinedigital dividedigital healthhealth care accesshealth equityimplementationmHealthmobile healthmobile phone

Identifiers

PMID39088246
PMCPMC11327633

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.