Ejezie Chinenye Lynette, Sacca Lea, Ayieko Sylvia, Burgoa Sara, Zerrouki Yasmine, Lobaina Diana, Okwaraji Goodness, Markham Christine
Department of Health Sciences, Towson University, Towson, Maryland, USA.
Charles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, Florida, USA.
Cancer Med. 2025 Jan;14(2):e70571. doi: 10.1002/cam4.70571.
The use of digital health strategies for cancer care increased dramatically in the United States over the past 4 years. However, a dearth of knowledge remains about the use of digital health for cancer prevention for some populations with heath disparities. Therefore, the purpose of the present scoping review was to identify digital health interventions for cancer prevention designed for people with disabilities.
This scoping review was guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping reviews and the Arksey and O'Malley methodological framework. The Embase, PubMed, Ovid MEDLINE, and CINAHL/EBSCO databases were searched for peer-reviewed articles published from database inception to February 5, 2024. Reports published in English of studies that employed digital health strategies for cancer prevention, were conducted among people with disabilities regardless of age, and were conducted in the United States were included.
Following screening for eligibility, seven articles were identified. The types of disabilities were cancer (n = 4), bipolar I or II disorder (n = 1), obesity (n = 1), and deafness (n = 1). Interventions focused on education (n = 4), screening (n = 3), smoking cessation (n = 3), physical activity (n = 1), and cessation support (n = 1). Digital health strategies consisted of educational content delivered online, text messaging, interactive educational games, and downloadable informational applications. The common outcome of interest across all manuscripts was intervention efficacy.
Overall, limited research is available to evaluate the use of digital health for cancer prevention among people with disabilities. This review identified gaps in knowledge that, if addressed, may help guide continued innovation in the use of digital health strategies for cancer prevention among people with disabilities.
在过去4年里，美国用于癌症护理的数字健康策略使用量急剧增加。然而，对于一些存在健康差异的人群，在利用数字健康进行癌症预防方面仍缺乏相关知识。因此，本综述的目的是确定为残疾人设计的癌症预防数字健康干预措施。
本综述以系统评价和Meta分析的首选报告项目扩展版用于范围综述以及阿克西和奥马利的方法框架为指导。检索了Embase、PubMed、Ovid MEDLINE和CINAHL/EBSCO数据库，以查找从数据库建立到2024年2月5日发表的同行评审文章。纳入了以英文发表的、在美国开展的、针对残疾人采用数字健康策略进行癌症预防的研究报告。
经过资格筛选，确定了7篇文章。残疾类型包括癌症（n = 4）、双相I型或II型障碍（n = 1）、肥胖（n = 1）和失聪（n = 1）。干预措施侧重于教育（n = 4）、筛查（n = 3）、戒烟（n = 3）、体育活动（n = 1）和戒烟支持（n = 1）。数字健康策略包括在线提供的教育内容、短信、交互式教育游戏和可下载的信息应用程序。所有稿件共同关注的结果是干预效果。
总体而言，评估数字健康在残疾人癌症预防中的应用的研究有限。本综述确定了知识空白，若能解决这些空白，可能有助于指导在为残疾人使用数字健康策略进行癌症预防方面的持续创新。
