Suzanne Bakken is with the School of Nursing, Department of Biomedical Informatics, and Data Science Institute, Columbia University, New York, NY. Sue Marden is with the National Center for Medical Rehabilitation Research, Eunice Shriver National Institute of Child Health and Human Development, Bethesda, MD. S. Sonia Arteaga is with the National Heart, Lung, and Blood Institute, Bethesda. Lisa Grossman is with the Department of Biomedical Informatics, Columbia University. Alla Keselman is with the Division of Specialized Information Services, National Library of Medicine, Bethesda. Phuong-Tu Le is with the Division of Extramural Scientific Programs, National Institute on Minority Health and Health Disparities (NIMHD), Bethesda. Ruth Masterson Creber and Rebecca Schnall are with the School of Nursing, Columbia University. Tiffany M. Powell-Wiley is with the Cardiovascular and Pulmonary Branch, Division of Intramural Research, National Heart, Lung, and Blood Institute. Derrick Tabor is with the Center of Excellence and Small Business Programs, NIMHD. Rina Das is with Integrative Biological and Behavioral Sciences, NIMHD. Tilda Farhat is with the Office of Strategic Planning, Legislation, and Scientific Policy, NIMHD. Rina Das and Tilda Farhat are also Guest Editors for this supplement issue.
Am J Public Health. 2019 Jan;109(S1):S79-S85. doi: 10.2105/AJPH.2018.304646.
The digital divide related to consumer information technologies (CITs) has diminished, thus increasing the potential to use CITs to overcome barriers of access to health interventions as well as to deliver interventions situated in the context of daily lives. However, the evidence base regarding the use and impact of CIT-enabled interventions in health disparity populations lags behind that for the general population. Literature and case examples are summarized to demonstrate the use of mHealth, telehealth, and social media as behavioral intervention platforms in health disparity populations, identify challenges to achieving their use, describe strategies for overcoming the challenges, and recommend future directions. The evidence base is emerging. However, challenges in design, implementation, and evaluation must be addressed for the promise to be fulfilled. Future directions include (1) improved design methods, (2) enhanced research reporting, (3) advancement of multilevel interventions, (4) rigorous evaluation, (5) efforts to address privacy concerns, and (6) inclusive design and implementation decisions.
数字鸿沟与消费者信息技术（CIT）相关的鸿沟已经缩小，因此增加了使用 CIT 来克服获取健康干预措施障碍以及提供日常生活背景下的干预措施的潜力。然而，关于在健康差异人群中使用 CIT 增强型干预措施的证据基础落后于一般人群。本文总结了文献和案例示例，以展示移动医疗、远程医疗和社交媒体作为健康差异人群中行为干预平台的使用情况，确定实现其使用的挑战，描述克服挑战的策略，并为未来的方向提出建议。该证据基础正在出现。然而，在设计、实施和评估方面的挑战必须得到解决，才能实现这一承诺。未来的方向包括（1）改进设计方法，（2）增强研究报告，（3）推进多层次干预措施，（4）严格评估，（5）努力解决隐私问题，以及（6）包容性设计和实施决策。
