Office of Behavioral and Social Sciences Research, National Institutes of Health, Bethesda, MD, USA.
National Institute on Minority Health and Health Disparities, National Institutes of Health, Bethesda, MD, USA.
Transl Behav Med. 2023 Apr 3;13(3):132-139. doi: 10.1093/tbm/ibac088.
The field of digital health is evolving rapidly and encompasses a wide range of complex and changing technologies used to support individual and population health. The COVID-19 pandemic has augmented digital health expansion and significantly changed how digital health technologies are used. To ensure that these technologies do not create or exacerbate existing health disparities, a multi-pronged and comprehensive research approach is needed. In this commentary, we outline five recommendations for behavioral and social science researchers that are critical to promoting digital health equity. These recommendations include: (i) centering equity in research teams and theoretical approaches, (ii) focusing on issues of digital health literacy and engagement, (iii) using methods that elevate perspectives and needs of underserved populations, (iv) ensuring ethical approaches for collecting and using digital health data, and (v) developing strategies for integrating digital health tools within and across systems and settings. Taken together, these recommendations can help advance the science of digital health equity and justice.
数字健康领域发展迅速,涵盖了广泛的复杂且不断变化的技术,用于支持个人和人群健康。COVID-19 大流行加速了数字健康的扩张,并显著改变了数字健康技术的使用方式。为了确保这些技术不会造成或加剧现有的健康差距,需要采取多管齐下的综合研究方法。在这篇评论中,我们为行为和社会科学研究人员提出了五条建议,这对于促进数字健康公平至关重要。这些建议包括:(i)将公平置于研究团队和理论方法的中心,(ii)关注数字健康素养和参与度的问题,(iii)使用能够提升服务不足人群观点和需求的方法,(iv)确保收集和使用数字健康数据的方法符合伦理,以及(v)制定在系统和环境内及之间整合数字健康工具的策略。这些建议共同有助于推进数字健康公平和正义的科学研究。