Accepted for/Published in: Journal of Medical Internet Research
Date Submitted: Jul 3, 2020
Date Accepted: Jan 23, 2022
The efficacy of health IT in supporting health equity for Black and Hispanic chronic disease patients: A Systematic Review
ABSTRACT
Background:
Racial inequity persists for chronic disease outcomes amidst a proliferation of health information technology designed to support following recommended chronic disease self-management behaviors (i.e., medication behavior, physical activity, dietary behavior, and attending follow-up appointments). Numerous interventions that use consumer-oriented HIT to support self-management have been evaluated, and some of that literature has focused on racial minorities who experience disparate chronic disease outcomes. However, little is understood concerning the efficacy of these interventions.
Objective:
We conducted a systematic review of the literature which describes the efficacy of consumer-oriented HIT interventions designed to support self-management that involve African Americans and Hispanic chronic disease patients.
Methods:
We followed an a priori protocol using the PRISMA-Equity 2012 Extension for guidelines for systematic reviews which focus on health equity. Themes of interest informed the inclusion and exclusion criteria. We identified seven electronic databases, created search strings, and conducted the searches. We initially screened results based on title and abstract, then performed full-text screening. We then resolved conflicts and extracted relevant data from included articles.
Results:
There were 28 included articles. Mean sample size was 751, and 14 articles focused on African Americans, 4 focused on Hispanics, and 10 included both. Most articles addressed three of the four self-management behaviors: medication (N=18), physical activity (N=17), and diet (N=16). Only five focused on follow-up appointment attendance. All of the articles investigated HIT for use at home while two included use in the hospital.
Conclusions:
This study helps to address a key gap in research which has not sufficiently examined what technology designs and capabilities may be effective for underserved populations at promoting health behavior concordant with recommendations. Clinical Trial: N/A
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